For Employee Benefits
Medical, dental, vision, disability, hospital, worksite, and voluntary plans — enrollment, carrier integrations, and discrepancy management rebuilt on Employee Navigator, Ease, and the HCM/HRIS/payroll systems you already run. Layer-first. Migration-capable. Audit-ready.
The Problem
Open enrollment, carrier connectivity, and premium billing all depend on data that never quite matches across systems.
HRIS census, ben-admin records, and carrier 834 files disagree every enrollment cycle. Discrepancies surface after premium runs — not before.
Every year, enrollment coordinators reconcile medical, dental, and vision elections across Workday, Employee Navigator, Ease, and carrier systems by hand. The window is tight and the error rate is not.
Member data flows through HCM, HRIS, payroll, and benefits admin platforms — but humans are still the integration layer between every handoff.
Every new medical, dental, or vision carrier appointment is a bespoke EDI, API, or file-drop project. Documentation lags behind production, and onboarding takes quarters.
Where We Transform
Medical, dental, vision, disability, hospital, worksite, and voluntary plans — census validation, eligibility verification, and election sync across ben-admin, HCM/HRIS/payroll, and carrier systems.
Standardize 834 EDI, API, and file-drop integrations across medical, dental, vision, disability, hospital, worksite, and voluntary carriers — on Employee Navigator, Ease, Benefitfocus, and custom platforms. New carrier appointments onboard in days, not quarters.
Flag enrollment exceptions, census-to-carrier mismatches, premium billing deltas, and eligibility conflicts — every flag traces back to its source with a full audit trail.
Eligibility inquiries, coverage questions, COBRA processing, and enrollment exception handling rebuilt as auditable AI workflows with human-in-the-loop sign-off.
Integrations
Most engagements start as a layer on Employee Navigator, Ease, Benefitfocus, or your custom platform. When the platform is the bottleneck, we migrate or build custom — same audit, same compliance trail.
Outcomes
From audit to production deployment
New carrier integration timeline
Discrepancy detection before premium runs
On your ben-admin — migrate when needed
Built For Benefits Operations
"Employee benefits teams spend open enrollment reconciling census files that should have matched on day one. AI transformation is how enrollment, carrier connectivity, and discrepancy management stop being separate manual workflows."
SOC 2 Type II · HIPAA · BAAs with major model providers
Two weeks. One enrollment, carrier integration, or discrepancy workflow. A scoped architecture for what AI transformation looks like inside your ben-admin stack.