Third-Party Administration
Simplified Benefits, Empowered Employees
The Vital Role of Third-Party Administrators
Managing employee benefits can be complex and challenging in today’s health insurance market. An experienced third-party administrator (TPA) serves as a trusted partner to your human resources team, simplifying employee benefits and cultivating a positive, productive work environment.
TPAs provide complete and streamlined services from a single source – ranging from carrier negotiations and consolidated billing to regulatory compliance and claims assistance. They reduce the burden of corporate administration, while empowering employees to feel valued and supported.
Exceptional service and support
PacFed is one of California’s most experienced employee benefit firms. We are proud to be a Zenith American company, providing health and pension administration to nearly 2 million families from over 45 offices across the nation.
Specializing in multiple employer, Taft-Hartley and single employer plans, we deliver simplified and personalized solutions to trustees, employers, and plan participants and their families.
PacFed administers quality insurance benefits programs for clients across a wide range of industries, including bus and transportation, entertainment, government contractors, healthcare, logistics and freight, manufacturing, non-profits, public entities and sanitation.
As your TPA, PacFed plays a central role in reducing costs, ensuring compliance and optimizing benefits by performing the following tasks:
Streamlined administration
Handle the day-to-day administrative tasks related to health plans, allowing trustees, employers and other plan professionals to focus on core business with peace of mind.
Compliance and risk mitigation
Monitor changes in legislation, maintain accurate records, conduct audits and provide guidance to ensure compliance and avoid potential penalties.
Cost management and efficiency
Analyze health plan data and recommend cost-saving strategies, while maintaining quality and access to comprehensive care.
Enhanced member experience
Prioritize the needs of plan participants, ensuring responsive communication, personalized support, and improved member satisfaction and engagement.
Data analytics and reporting
Provide valuable insights into plan performance, utilization patterns and cost trends to help trustees and plan professionals make optimal, data-driven decisions.
Comprehensive client administration and services
Provide account management for day-to-day plan oversight and deliver solutions to meet your organization’s unique needs, goals and budget.
Customer service and member advocacy
Assist members with questions, concerns, claims and how to navigate the healthcare system to ensure they are treated fairly.
Participant communication and support
Provide educational resources and communication materials that empower participants to understand and maximize their benefits.
Enrollment and eligibility management
Facilitate the enrollment process, manage eligibility requirements and ensure accurate participant data for those eligible to receive plan benefits.
Provider network management
Maintain strong relationships with healthcare providers, negotiating competitive rates and ensuring members have access to a wide range of quality benefits.
For assistance, contact the PacFed Benefit Administrators at 800.753.0222 or info@pacfed.com.
Our regular business hours are Monday through Friday, 8:30 a.m. to 5 p.m. PST.