How we work with brokers

business women working together

We’ve created a solution that takes the confusion out of benefits administration. Benefits are complicated but they don’t have to be.

business women working together

How it all works together

Health plan administration

We’ve carefully curated a designed workflow and administration process to help members get the support and care they need through the following services and initiatives:

  • Dedicated team
  • Employer & member portals
  • Adjudication
  • Eligibility & auditing
  • Wellness programs
  • Reporting & analytics
  • Stop-loss
  • Billing services
  • Regulatory assistance
  • Subrogation
  • Network access
  • Customer service
  • Personal assistant service
  • Digital ID card
  • Utilization review
  • Case management
  • Flexible benefits

Extensive network coverage

 

With access to a broad range of provider networks, you can customize your care options to align with your needs.

Group 460

Top tier services with trusted partners

  • Regional PPO networks
  • Narrow networks/ACO’s
  • Reference based pricing

Managing cost

Here’s how we help

Deep quality assurance
Our Quality Assurance program is the product of years of experience and innovation. Our QA practices are designed to drive claims accuracy and quickly detect fraud and abuse.
Integrated utilization management

Our Utilization Management team works closely with our Claims department to provide an unrivaled continuity of care. Services include utilization review, case management, wellness programs, and disease management.

Dedicated stop-loss team

Our Stop-Loss team uses proprietary software to identify claims that are eligible for reimbursement and monitor receivables from stop-loss carriers to groups. We also have in-house attorneys available to assist in appeals of denied reimbursement claims.

Multifaceted cost containment

Our Cost Containment team uses a number of practices to capture savings. Services include fee negotiation, subrogation, eligibility auditing, stop-loss reporting, and coordination of benefits.

Claims accuracy

We are leaders in the industry for claims accuracy and turnaround. Our nurses routinely review claims for medical necessity and our QA department audits high-cost claims to identify savings opportunities.

Transparent analytics & insights

Our solutions leverage the latest innovations to drive insights and produce real results. You’ll have access to our interactive HCNavigator report, benchmarking and predictive modeling tools, dashboards, and an extensive library of reports.

Plans & networks that work for you

Our plan-building experts work closely with you to ensure that your health plan works with your bottom line. And with access to a broad range of provider networks, you can customize your plan to align with your company’s needs.

Outcomes & results

Lowering costs for a healthier member population

Data driven analytics & insights

  • Full transparency into your data
  • Zero in on emerging trends and risks with our interactive tools
  • Forecast outcomes and take action using predictive modeling
  • Benchmarking tools that identify risk categories and areas for improvement
  • An extensive library of standard and ad-hoc reports
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Chad Harris

Chief Executive Officer

 

Chad Harris serves as the CEO of HealthComp and is a value-driven healthcare leader with over twenty years of experience running business process and information technology businesses as a senior executive. Chad has a reputation for creating and controlling rapid growth by focusing on the intersection of customers, market dynamics, and the new digital world.

 

Chad has held many senior executive positions and led global teams of more than 10,000 people across dozens of counties. Chad has grown both large and small businesses, from those with less than $100M of revenue to those producing multiple billions of revenue, focusing on delivery, customer satisfaction, and innovation to create market leadership.

 

Chad's philosophy is to inspire change by doing what comes naturally, putting the needs of others before his own, working incredibly hard, and focusing on "how" to accomplish things, never "if they can be accomplished."

Thomas Martel

EVP of Partnerships and Strategic Accounts

 

Tom serves as the EVP of Partnerships and Strategic Accounts at HealthComp. In this role, Tom focuses on strategic initiatives aimed at accelerating HealthComp’s growth nationwide. His passion lies in assessing market and enterprise structures and creating efficiencies that enable teams to deliver best-in-class performance.

 

Previously, Tom led Cigna’s largest employer segment, largest region which was comprised of several health plans including the two largest health plans. He worked closely with Market Presidents and their leadership teams to develop and execute local market strategy and deliver growth for the enterprise. Tom earned his degree from Saint Anselm College and holds certifications from The Wharton School and the Darden School of Business at the University of Virginia. In his spare time, he enjoys sailing and holds a Master Captain’s license with the U.S. Coast Guard. He is also active in community outreach programs including local food bank and shelter services.

Sanoj Balakrishnan

Chief Technology Officer

 

Sanoj Balakrishnan serves as the Chief Technology Officer at HealthComp. In this role, he oversees the company’s overall technology strategy and architecture, building secure and highly scalable distributed systems.

 

Most recently, Sanoj served as Head of Healthcare Digital Business and Technology at Cognizant, working with payers and providers in developing solutions that reduced healthcare costs and provided a best-in-class experience for members. Earlier in his career, he worked at technology organizations in a variety of software engineering and architecture roles. Sanoj earned his B.S. from University of Mumbai and Computer Systems Management from National Institute of Information Technology.

Justin Tran

Chief Growth Officer and EVP of Product Strategy

 

Justin serves as the Chief Growth Officer and EVP of Product Strategy at HealthComp. He has 8 years of experience in developing and delivering solutions that reduce health care costs, improve quality, and provide a best-in-class experience for members. Most recently, Justin was an Associate Partner and business unit leader at McKinsey & Company where he helped large carriers and healthcare technology companies build new clinical services and solutions for fraud, waste, and abuse. Justin earned his B.S. in Accounting and Data Informatics from Indiana University, Bloomington.

Tucker Stein

Chief Financial Officer

 

Tucker serves as the Chief Financial Officer of HealthComp. Tucker previously worked for The Boeing Company in a number of finance and strategy roles, most recently as a finance lead for the Transactions and New Business Development group. In this role, Tucker led investments and strategic partnerships for Boeing’s Space and Communications portfolio. Tucker earned his MBA at Stanford’s Graduate School of Business and his Bachelors of Science at the University of Redlands.

Tom Georgouses

General Counsel

 

Tom is involved in multiple areas of HealthComp including Operations, Compliance and Legal Affairs. Tom was admitted to the California Bar in 1990 and started his legal career with Stammer, McKnight, Barnum and Bailey, LLP. When he left the firm to join HealthComp in 2014, he was the Managing Partner (he had represented HealthComp since 2003). In private practice, Tom’s areas of focus included healthcare and transactional work. Tom holds a Bachelor of Science Degree in Business Administration-Finance from California State University Fresno and received his Juris Doctorate from San Joaquin College of Law.

Rishab Bansal

Chief Transformation & Operations Officer

 

Rishab serves as the Chief Transformation & Operating Officer at HealthComp. Rishab focuses on transforming and modernizing HealthComp’s operations to provide delightful and distinctive experiences to its members, providers, and clients. His agenda includes integrating all entities towards a One HealthComp vision, driving profitable growth, and delivering value and business outcomes.

 

In his former work over the last 2 decades, he has helped clients across industries to transform themselves by bringing industry-leading practices and digital and data-led disruption. As the trusted advisor to the C-suite, Rishab helped his clients leapfrog on their transformation journey to accelerate business outcomes and helped them unlock new opportunities to drive profitable growth, profitability, and enhanced experience for their employees and clients.

Member Forms

 

Online Forms
Claims — Request for Other Insurance Information
Claims — Request for Medical Information
Claims — Request for Vision Information

Downloadable Forms
COVID-19 Questionnaire

Claim Forms
Group Enrollment/Change Form
Group Enrollment/Change Form (Spanish)
Group Medical Claim Form
Group Dental Claim Form
Group Vision Claim Form

FSA / Flex Benefits Forms
Flexible Benefits Enrollment/Change Form
Flexible Benefits Plan Claim Form
HRA Claim Form
HRA Enrollment/Change Form
Direct Deposit Instructions
Direct Deposit Authorization
Direct Deposit Cancellation
Eligible Medical Expenses

Health Savings Account
Welcome Guide
Transfer Form

Other Forms
Authorization to Release PHI
Authorization to Obtain Medical Records (Spanish)
Claims - Pre Cert Form
Claims - Request for Accident Details
Claims - Request for Accident Information (Spanish)
Claims - Request for Other Insurance Information
Claims - Request for Other Insurance Information (Spanish)
Claims - Request for Primary EOB/Secondary EOB
Request for HIPAA Certificate
Request for HIPAA Certificate (Spanish)
PCP Selection

Elaine Davis

Chief Human Resources Officer

 

Elaine Davis is a seasoned executive with deep experience in human resources, mergers and acquisitions, divestitures and transformation in large and small companies. Elaine has over 25 years of experience in human resources, marketing and communications in a range of industries that include information technology/business process services, life sciences/medical devices and financial services. Elaine brings focused expertise in governance, leadership coaching, branding and messaging with a focus on supporting female and minority leaders and emerging leadership talent.

Judy Schott

Chief Operating Officer

 

Judy Schott serves as the Chief Operating Officer and is a customer-focused healthcare leader who transforms operations to simplify the experience and deliver excellence. With deep knowledge of third-party administration, claims, eligibility, customer service centers, and compliance, Judy’s focus will include integrating all entities of HealthComp while driving profitable growth.

Kim Randazzo

Chief Customer Officer

 

Kim Randazzo serves as the Chief Customer Officer. In this role, she oversees account management for all divisions and HealthComp clients. Kim brings a wealth of strategic experience in account management to the HealthComp executive team, along with a practical understanding of the insurance business and what it takes to be the nation’s leading TPA.

Prior to joining HealthComp, Kim oversaw sales, account management, wellness, marketing, and implementation teams for Gilsbar LLC’s self-funded, association and affinity clients, and worked as an underwriter with Ochsner Health Plan and as an account representative with USI Services, Inc. She has over 26 years of experience in the healthcare insurance industry. A graduate of the University of New Orleans, she received her Bachelor of Science in Management in 1997 and her Master of Business Administration in 2002.