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CONEXIS Profile

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Irving, Texas. Orange, California. More than 20,000 contracted employers ... Online participant election and payment. Carrier eligibility reporting ... – PowerPoint PPT presentation

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Title: CONEXIS Profile


1
CONEXIS Profile
2
Overview
  • National benefits administrator since 1986
  • Customer service centers
  • Irving, Texas
  • Orange, California
  • More than 20,000 contracted employers
  • 100 carrier, health plan, and TPA relationships
  • 40 million in annualized revenue
  • Approximately 400 full-time employees

3
CONEXIS Value Proposition
Single, integrated technology platform
4
CONEXIS Differentiators
5
Flexible Technology Platform
  • Benefits include
  • Real-time, Web-based platform
  • Notices imaged and stored to participant files
  • Global divisional reporting
  • Case management system
  • Comprehensive reporting engine
  • Systematic reporting of performance

6
COBRA/HIPAAAdministration Process
New Hire Notification
Termination
Continuation Coverage
COBRA/HIPAA
Qualifying Event Notification
Election Processing
7
COBRA Performance Standards
100
Client Statements and Premium Remittance 98
within 7 business days
93
Participant Inquiries 90 within 1 business day
100
Inbound File Processing 98 within 2 business days
26secs
99
Last 12 months
Participant Inquiries 98 within 5 business days
Average Speed to Answer 30 seconds or less
100
Timely Payment Posting 98 posted within 3
business days of date received
1.84
Abandonment Rate Less than 5
All information contained herein is considered
proprietary and confidential. Data provided is
for the reporting period 04/01/06 through
03/31/2007 and is an average of the last 12
months of quarterly statistics reported to
clients. These results may not be indicative of
what is presented to clients on a quarterly basis.
8
Implementation and Account Management
9
Implementation Timeline
Phase 2Milestone
Phase 3Milestone
Phase 1Milestone
Go Live
Client Requirements
Client Setup
Transfer Client Data
Client Training
Ongoing Support
10
360º Client Management
  • Department Manager
  • Client oversight
  • Relationship management
  • Issue resolution
  • Implementation Manager
  • Define business rules
  • Plan information set up
  • Testing and transition

??? Company XYZ
  • Participant Services
  • Toll-free phone support
  • 24/7 Web access
  • IVR
  • Client Services
  • Annual plan updates
  • Ongoing client training
  • Scheduled reporting

11
Participant Services
Participant Services Call Center
12
Client Services
Designated Implementation and Client Services
Teams
13
Participant Bill of Rights
Every participant has the right to overall
customer satisfaction and
Service of Unequalled Excellence
14
Quality Management
Quality Oversight
Compliance
Quality
Accreditation
Audit Controls
Training
15
Quality Oversight
  • Manager of Performance Quality Assurance
  • ISO 9001-2000 Internal Auditor Training
    accredited by ANSI-RAB NAP
  • American Society of Quality (ASQ) member
  • Board member of the National Service Division of
    ASQ
  • QA Analysts
  • Certificate of training offered by American
    Society of Quality (ASQ) in the following areas
  • Internal auditing basics
  • Basic (communication) skills used in auditing
  • Continual improvement
  • Contemporary quality concepts (TCC)
  • American Society of Quality (ASQ) members

16
Internal Audit Controls
  • Product, process, and system internal audits
    performed
  • Measure performance standards
  • Review departmental controls
  • Perform various compliance reviews
  • Conduct continuous improvement reviews
  • Management reviews of internal controls
  • Techniques
  • System queries
  • Call management system data mining
  • File and/or electronic record inspections
  • Record audits are performed under a systematic
    sampling methodology based on the American
    National Standards Institute (ANSI z1.4) sampling
    chart

17
Compliance Expertise
  • CONEXIS provides
  • Contractual indemnification
  • Compliance monitoring/audits considered SOP
  • Backed by a contractual guarantee
  • HIPAA-compliant Web-based system
  • Proactive and insightful client communications
  • Compliance Flash
  • CONEXIS Comment
  • COBRA-related documents archived to minimize
    client risk
  • Client-related timeframes tracked
  • Administrative/compliance guide

18
Employee Training
  • CONEXIS employee training programs include
  • Internal certifications
  • Regulatory training (COBRA, HIPAA, USERRA, Trade
    Act, State Continuation, Cal-COBRA, Reimbursement
    Accounts)
  • CONEXIS proprietary systems training by job group
  • 60 hours of training prior to answering calls
  • 100 certified for client and participant
    services
  • Other internal training
  • Microsoft Office skills
  • Soft skills including customer service, public
    speaking, project and time management

19
Client Testimonial
  • Quote from one of CONEXIS largest clients
  • Solid, predictable results
  • National healthcare provider

More than 400 clients More than 1.1 million
eligible employees
20
Web Demo
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