PROVIEW GLOBAL (PvG)'S BUSINESS SOLUTIONS

Unlocking Your Business Potential: Innovative Solutions at Your Fingertips

Along with the changing landscape of employee benefits comes the growing demand for innovative solutions to lower the cost of employee benefits administration without compromising service or quality. 

We know benefits. We can help. 

We will build a trained team of employee benefits administration associates dedicated only to you and your clients. Your own team, your own rules, your technology. 

You never lose control.  

Why Outsource with PvG?

Our core competencies focus on employee benefits administration, employee benefits technology systems configuration, broker renewal support, EDI and data management. 

Our leading edge in certifications and expertise brings peace of mind when you outsource with us. 

  • ISO 9001 Quality Certified since 2006 
  • ISO 27001 Information Security Certified since 2012 
  • ISAE 3402 SOC 2 since 2017 
  • Operates under Six Sigma Principles 
  • Deep domain experts in US-employee benefits 
  • Professionally managed by leading experts in the US benefits with over 60 years of collective experience in delivering results.

Benefits Enrollment Technology Configuration and EDI Support

We offer comprehensive services for managing and optimizing your enrollment and administration system, including configuration, testing, maintenance, and ongoing EDI enrollment transactions.

Benefits Enrollment Technology Configuration and EDI Support

  • Configuration of your enrollment and administration system
  • Creation and running of unit and system test scripts
  • Maintenance and annual renewal set-up
  • Pre-EDI production enrollment set-up
  • Creation, review, and audit of enrollment data exchanged transactions, as well as their error reports
  • Ongoing EDI enrollment transactions

Premium Billing and Reconciliation

Our team will handle the auditing and monitoring of insurance carrier invoices, calculating actual premiums due, and creating monthly consolidated invoice statements to ensure accuracy and ease of reconciliation.

Premium Billing and Reconciliation

  • Audit of monthly insurance carrier invoices to ensure accuracy of enrollment and premium rates
  • Monitoring of premium debits and/or credits for retroactive adjustments
  • Calculation of actual premiums due based on current enrollment and retroactive adjustments
  • Creation of monthly consolidated invoice statement/s
  • Reconciliation of monthly insurance carrier invoices

Eligibility and Life Events Administration

Our electronic enrollment system provides efficient and secure handling of employee benefits enrollment and changes, with streamlined dependent eligibility verification and paperless submission to insurance carriers and vendors.

Eligibility and Life Events Administration

  • Electronic creation and processing of enrollment and eligibility forms
  • Dependent eligibility verification audits
  • Employee notification and monitoring of employee and dependent online enrollment
  • Paperless submission of enrollment data to the company’s insurance carriers and vendors
  • Employee notification and monitoring of employee and dependent online enrollment
  • Managing benefits eligibility changes through updating of employee online enrollment records

FSA and COBRA Administration Support

Our comprehensive COBRA administration services include electronic enrollment processing, claims adjudication, and the production of all required COBRA notices.

FSA and COBRA Administration Support

  • Electronic enrollment processing
  • Claims adjudication, debit card transactions processing
  • Employer and plan system configuration
  • COBRA Qualifying Event processing
  • Production of General Rights Notices, Specific Rights Notices, Election Notices, and other required COBRA Notices

Dependent Verification

We offer annual or year-round administration services that include full notification and verification of submitted documents, as well as reporting of results and/or disposition of final outcome.

Dependent Verification

  • Annual or year-round administration
  • Notification and verification of submitted documents
  • Reporting of results and/or up to disposition of final outcome

ACA Data Management

Our team will scrub and compile data from various sources, conduct ACA data audits, and create accurate ACA reports based on your specific client file requirements.

ACA Data Management

  • Scrubbing and compiling data from multiple, unrelated data sources
  • ACA data audits to ensure compliance with ACA codes and rules
  • Creation of ACA reports based on client file specifications

Broker Renewal and Quotations Support

Our company can provide RFP, renewal and marketing support, carrier quote management, and production of reports and financial forecasts based on claims data.

Broker Renewal and Quotations Support

  • RFP, renewal and marketing support workflow
  • Transferring carrier quotes to spreadsheets and presentation templates
  • Production of monthly health claims data reports (from insurance carrier websites)
  • Creation of benchmarking reports
  • Production of periodic reports and financial forecasts based on plan actual claims reports from carriers

Benchmarking and Agency System Management

The broker agency system is updated and maintained annually and year-round, including the population of benchmarking databases and the creation of benchmarking reports for the renewal process and periodic benchmarking reports.

Benchmarking and Agency System Management

  • Annual and year-round updating and maintenance of broker agency system
  • Population of benchmarking database/s
  • Creation of benchmarking reports as part of renewal process
  • Production of periodic benchmarking reports

Workers’ Compensation Reporting and Analysis

Our team provides comprehensive loss analysis and reporting, including statistical analysis of workers' compensation claims, trend reporting, and the creation of proposals based on analysis results.

Workers’ Compensation Reporting and Analysis

  • Loss Analysis and Reporting
  • Workers Compensation Claims Statistical Analysis
  • Trend Reporting and Proposal Creation

Quality Control and Risk Management

This list outlines a process of identifying, evaluating, and implementing risk controls for various activities, and monitoring their effectiveness through audits and corrective actions.

Quality Control and Risk Management

  • Risk evaluation of process maps
  • Risk profiling of activities
  • Implementation of risk mitigation controls
  • Controls efficacy monitoring through audits
  • Preventive and corrective actions monitoring

Intelligent Robotics Process Automation

Automate your business processes with our RPA solutions, where we identify, create, and manage software bots to streamline your operations and stay up-to-date as your processes change.

Intelligent Robotics Process Automation

  • Identification of processes for RPA
  • Create software ‘bots’ to perform identified processes
  • Manage production of digital workforce ‘bots’
  • Maintain ‘bots’ as processes change

Data Analytics Reporting

Our approach to process optimization includes detailed mapping and documentation, as well as a holistic transformation that incorporates risk-based management.

Data Analytics Reporting

  • Detailed process mapping
  • Process documentation continuity
  • Holistic workflow transformation
  • Risk-based process management

Cafeteria Plan Audits

The audits include post-enrollment cafeteria plan audits, ad hoc audits comparing FSA or HSA account balances to other data sources, and HSA eligibility and election audits.

Cafeteria Plan Audits

  • Post enrollment cafeteria plan audits including plan eligibility audits
  • Ad hoc audits comparing FSA or HSA account balances to other data sources
  • HSA eligibility and election audits

You can be who you are. Join our smart, diverse team of professionals.

We are creative, driven, and talented.
We work hard and have fun.
We CARE about our work and each other.
We value diversity.
We support being who you are.

If we ticked all your boxes, join our awesomely diverse team by sending your resume to careers@proviewglobal.com