Business Process Outsourcing

Comprehensive and tailored financial solutions.

Alternative Funding Solutions

For Traditional Stop-Loss or Level-Funded products outside of the ClearPoint Health BPO service, please contact Innovative Stop Loss Solutions (ISLS), our preferred full service MGU partner.

Business Process Outsourcing (BPO)

ClearPoint Health specializes in providing comprehensive and tailored financial solutions that help businesses optimize their employee benefits programs. Our offerings include level-funding, traditional stop-loss, and captive arrangements, which can all be offered as a customizable, white-labeled extension to any agency or brokerage.

This a la carte offering allows progressive brokerages and agencies to offer a full suite of alternative funding services, supported by our Business Process Outsourcing (BPO) service line, ensuring seamless implementation, compliance, and ongoing management.

Comprehensive BPO Partnership

Our Business Process Outsourcing (BPO) services are designed to support our suite of alternative funding solutions, providing a seamless and integrated experience from initial setup to ongoing management. By partnering with ClearPoint Health, you gain access to:

Customizable Branding

Extend your brand and service offerings without the additional staff and resources.

Centralized RFP Management

Simplify and streamline the RFP process to save time and improve efficiency.

Elite Partner Selection

Benefit from our exclusive panel of top-tier level-funding and traditional stop-loss partners.

Streamlined Solution Comparison

Receive strategic insights, risk-carrier matching suggestions, and comprehensive comparisons.

Enhanced Quote-to-Bind Rates

Increase your quote-to-bind rates through our efficient and effective underwriting processes.

Why Choose ClearPoint Health?

Industry Expertise
Leverage our deep knowledge and experience in the stop-loss space.

Negotiation Leverage
Use the combined weight of agencies from across the country.

Technology-Driven
Utilize our advanced platforms for efficiency and accuracy.

Focus on Core Business
Allow us to handle the operational complexities while you focus on your main business.

Tailored Solutions
Custom services designed to meet each partner’s unique requirements.

Collaborative Approach
We align our services with your strategic objectives.

Expert Teams
Access dedicated specialists for every aspect of your stop-loss program.

Enhanced Efficiency
Streamline operations to reduce costs and improve client satisfaction.

Our Solutions

Level Funding

Level-funding combines the predictability of fully-insured plans with the potential savings of self-funding. This solution is ideal for employers who want the optics and feel of self-funded with a more predictable monthly budget.

A middle-aged man stands in a warehouse with a tablet computer and checks the statements for the presence of goods.

Benefits of Level Funding

Predictable Costs

Employers pay a set monthly fee that covers anticipated claims, stop-loss insurance, and administrative costs.

Refund Potential

If actual claims are lower than expected, employers may receive a refund.

Cost Control

Offers the opportunity to save on healthcare costs through better claims management and risk assessment.

BPO Services Supporting Level Funding

Currated Panel of Carrier Partners
Customized to each agency and aligned to the employer risk and regional considerations.

Claims Processing
Ensure accurate and timely claims processing to maintain cost control and member satisfaction.

RFP Management
Streamline the request for proposal process to quickly and efficiently obtain competitive quotes.

Compliance and Reporting
Provide comprehensive reporting and ensure compliance with all relevant regulations.

Plan Administration
Handle all aspects of plan setup, enrollment, and ongoing management.

Businessman and doctor talking in a hallway at medical clinic.

Traditional Stop-Loss

Traditional stop-loss insurance provides financial protection against catastrophic or frequent claims, making it an essential component for self-funded health plans. This solution is ideal for employers who want to mitigate the risk of high claims without fully transitioning to a level-funded or captive arrangement.

Benefits of Traditional Stop-Loss

Risk Mitigation

Protects against unpredictable, high-cost claims.

Flexibility

Can be customized to fit the specific needs and risk tolerance of the employer.

Broad Coverage

Available for a wide range of group sizes and industries.

BPO Services Supporting Traditional Stop-Loss

Market Analysis and Carrier Selection
Identify the best carrier options to meet client needs and negotiate competitive rates.

Claims Coordination
Facilitate the submission, processing, and resolution of stop-loss claims.

Policy Administration
Manage all aspects of stop-loss policy setup and ongoing administration.

Client Support
Provide ongoing support to ensure the smooth operation and management of stop-loss policies.

Smiling Brazilian female executive using a digital tablet in a modern architectural setting set in South America.

Diverse group of doctors talking together in a hospital corridor.

Captives

Captive insurance arrangements allow employers to join together to share the risk and rewards of self-funding. This solution is ideal for mid-sized to large employers seeking greater control and potential cost savings.

Benefits of Captives

Risk Sharing

Spread risk among a larger pool, reducing volatility.

Cost Savings

Potential to lower overall healthcare costs through collective bargaining, shared resources, and return of unused premiums.

Customization

Highly customizable to meet the specific needs of the group.

BPO Services Supporting Captives

Formation and Administration
Assist with the formation of captive cells or program arrangements and provide ongoing administrative support.

Regulatory Compliance
Ensure all captive arrangements comply with relevant regulations and standards.

Risk Management
Develop and implement risk management strategies to optimize captive performance.

Financial Reporting
Provide detailed financial reporting to help captives manage their resources effectively.

Join the many employers and benefit advisors who have already benefited from our Alternative Funding Solutions and comprehensive BPO services.

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