Reclaim’s healthcare financial advocacy offers year-round monitoring of claims, AI-powered and human supported proactive advocacy, claims-driven benefits recommendations, and robust claims data analytics.
Reclaim proactively monitors all claims, from the smallest to the largest. Reclaim's financial advocates work on behalf of members to correct and resolve billing errors and ensure the member benefits from eligible voluntary benefits payouts, ultimately, putting money back in the member's pocket. When correcting billing errors on behalf of the member, those benefits also accrue to the employer.
Built on top of this core capability is Reclaim's ability to assist members in optimizing their use of benefits selections and the broader ecosystem of employer-sponsored healthcare benefits. Reclaim recommends benefits based on the member's own claims history. At benefit selection time, Reclaim’s predictive algorithms make recommendations based on the actual claims history of the member and other members “just like them,” informing the member on which benefit offerings will provide the member the most value for the money.
Finally, Reclaim provides data warehousing, population analytics, and benefit design simulation capabilities that help employers and consultants create optimal designs based on the actual healthcare needs of their member population.
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