SERVICES


Services Overview

We are passionate about improving healthcare and retirement benefits solutions through the application of design, strategy and technology. Our experts bring deep understanding of needs of employees, employers, underwriters, administrators and providers. By taking an integrated view of the healthcare market, we help you efficiently manage your costs and provide valued services that will help you evolve and sustain a long term benefits strategy.


Health, Disability, Life, EDLI and Overseas Travel Benefit


Analysis, Risk Management and Design of Benefits Plan

  • Analysis and evaluation of  existing benefit plan based on demographics, utilization, claims and growth
  • Surveys on benefits/costs across industry verticals
  • Evaluate pricing on diagnosis related group( DRG)
  • Design and implementation of preventative healthcare plans
  • Service and product analysis of insurers, health services organization and third party administrators.
  • Risk minimization measures
  • Claims projection
  • Benefits plan design – preventative, secondary and interventional healthcare plans

Risk Transfer & Financing


If you are large in numbers (eligible members), insurance is not the only solution for financing your healthcare costs. You could manage these costs efficiently by evolving a plan that could potentially minimize your long term costs of funding health risks.

  • Opting for Self funding –  Limits, taxation and payout planning
  • Insurance - design, selection and negotiation
  • Co-pays
  • Deductibles
  • Cost analysis – premium and claims
  • Analysis of the options proposed
  • Placement
  • Tax implications


Benefits Administration

  • Self funded and Insurance plans
  • Evaluation and selection of HSOs or  TPAs
  • Cost - Benefits analysis of HSO vs. TPA
  • Reporting process
  • Service deliverables
  • Escalation
  • MIS

Policy Administration and Review   

  • Documentation : Master Policies and endorsements
  • Periodic review of the benefits plan
  • Liaise with insurers  and  service provider to monitor service levels compliance
  • Account statement on premium
  • Review of claims process / claims costs
  • MIS
  • Renewal Process

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Lower Parel Mumbai 400 013 Tel + 91 22 3042 2999 Fax + 91 22 3042 2998

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Airport road, Bangalore – 560 008 Tel + 91 80 3058 6777 Fax + 91 80 3058 6778
Email: contactus@metisinsurance.com

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