Claims Processors (6),
Third Party Administrator

Claims Adjusters (2),
Primary Carrier

Claims Processors (11),
Benefits Consulting Firm

Contract Loaders (2),
Primary Carrier

Claims Adjusters (9),
Third Party Administrator

Claims (2),
Primary Carrier

Claims Specialists (10),
BCBS Plan

Claims Analysts (9),
Primary Carrier

Claims Analysts (9),
Leading Multi-Line Healthcare Provider

Data Management and Claims Processor,
Leading Healthcare Provider

Healthcare Resources

Jacobson Solutions - Healthcare Resources provides rapid-response teams of highly-skilled insurance and healthcare professionals to managed care, health insurance and pharmacy benefit management organizations nationwide as an immediate response to critical and often unforeseen workload situations.

We deliver technical experts to client locations and/or establish them in a work-at-home environment as a solution to a variety of pressure situations, including technology conversions, new contracts, restructuring, open enrollment, claims backlogs, market expansion, mergers/acquisitions and attrition. All of these events can have an unforeseen and immediate impact on a firm’s operations, including a drastic shift in workload.

We provide a solution that allows clients to tackle workload fluctuations without compromising mission-critical processes. We maintain a national team of health insurance industry specialists that can be immediately mobilized to client locations. Averaging more than 15 years of insurance and healthcare experience, our teams can quickly get up to speed to tackle workload fluctuations. We are able to support a variety of functional needs including the following:

	Claims Processing, Adjusting, Recoveries, Auditing: Reduce claims backlogs to meet quality and contractual goals.
	Customer Service, Member and Provider: Improve the quality and consistency of customer interactions during peak periods or spikes in business.
	Open Enrollment: Seamlessly manage the most frustrating and busiest time of the year.
	Medicare Assistance: Leverage expertise for Medicare Part D enrollment, billing, claims, and pharmacy and customer service.
	Provider Data Maintenance, Credentialing: Update and maintain all provider file data, eliminating duplicate records and increasing auto adjudication.
	Systems Configuration - Plan Building, Provider and Benefits: Develop accurate and timely configuration processes for key business functions.