TPA Services

Third Party Claim Administrators (TPAs) and their acquired niche expertise, have become an important element in the accident & health insurance field. The success or failure of a special risk accident program, in many cases, is dependent on the quality of the claim administration services. BMI Benefits, LLC, a fully licensed claims administrator, is the claims arm of Bob McCloskey Insurance. As a licensed TPA for over a dozen A-rated insurance carriers, regardless of the insurance carrier we place your coverage with, we will administer and pay all related claims.

The BMI Benefits team, brings over 32 years of experience, adjudicating and paying special risk accident claims for colleges, universities, K12 schools both public and private, public entities, leagues, national associations and non-profit organizations. At BMI Benefits, our most important role is that of an advocate for our customers. Providing you with the most appropriate coverage, as well as top-notch claims adjudication, ensures that we “Got You Covered”.

Our claims staff includes over 30 highly experienced claims examiners, as well as a dedicated clerical team, all with the goal of putting the customer first, and making the claims process as customer friendly as possible. As a client, your program would be assigned one primary claims examiner, as well as a secondary claims examiner. We feel it’s extremely important that each and every client has a specific contact in our office that gets to know the account in and out to best serve your needs. Our goal is to take the insurance work off your hands.

The background and experience of our claims department has also enabled BMI Benefits to become the leader in the application of SIR (Self-Insured Retention) plans. Colleges and universities, as well as larger K12 schools and other organizations, are turning to this approach in increasing numbers as a cost-effective method of controlling insurance premiums. Self-Insured Retention plans can decrease administration expense and increase the funds available to pay claims. SIR techniques become essential when the two most important factors of accident insurance, cost effectiveness & comprehensive coverage, are realized. Contrary to some critical opinions, SIRs continue to successfully represent programs which have: Guaranteed Cost, Better Claims Control, Immediate Rewards for Good Loss Years and Lower Overall Expenses.

BMI Benefits has also made judicious use of PPO discount networks and individual claim negotiation with medical providers to help bring cost containment to your program and reduce overall insurance costs. Our partnerships with industry leading, cost containment companies, coupled with direct medical provider arrangements has allowed us to secure very deep claim discounts on behalf of our clients.

Providing Claims Administration Services for:

  • Intercollegiate, Club & Intramural Sports Accident Insurance
  • Student Accident Insurance
  • K-12 Base & Catastrophic Accident Insurance
  • Participant & Volunteer Accident Insurance
  • High & Low Deductible Insurance Plans
  • Self-Insured & Fully Insured Insurance Plans
  • Deductible Administration

TPA Services and Capabilities

  • Medical Cost Containment
  • Customized Claim Reports
  • 24/7 Web Portal – Claims Submission and Claim Status
  • Cost Analysis and Plan Consulting
  • Claims Management, led by a client specific Claims Examiner
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