Insurance Administration Solutions

business man

Let our strengths work for you!

Wellfleet offers comprehensive administrative services for your insurance plans.

Our team will provide efficient and cost effective administration of your insurance product operations. We can provide a complete package of administrative services or you can customize the service to meet your needs.


Wellfleet provides efficient outsourcing for the following services:

  • Enrollment and Fulfillment –  Accept online enrollment or uploaded eligibility files, process enrollment and issue ID cards.
  • Policy Issuance – Construct and issue state-compliant policies for broker and plan sponsors.
  • Eligibility Maintenance – Update and reconcile enrollment files.
  • Premium Billing and Collection – Create and collect premium bills based on enrollment, issue appropriate collection letters and track payments.
  • Banking and Finance Management - Maintain and reconcile both premium and claim accounts.
  • Claims Management - Complete claim processing from inbound receipt to outbound payment/EOB.
  • PPO Network Solutions - Work with PPO partners to optimize provider network, including customizing PPO network to meet your plan and coverage area needs.
  • Provider Negotiations – Negotiate savings on out-of-network claims.
  • Management Reporting –Provide weekly, monthly or quarterly claims, enrollment, payment, and premium reports. Customized reporting is also available.
  • Dedicated Customer Service
  • Cost Analysis and Plan Consulting – Review claims, make plan design and cost containment recommendations.
  • Agent Credentialing and Commission Management
  • Third Party Data Transactions – Accept EDI transactions from clearing houses using a unique payer ID and FTP transactions from outside agencies/groups.
  • HIPAA Compliance
  • COBRA Administration - Provide Letters of Creditable Coverage, collect and reconcile COBRA premium, issue termination letters.

Please contact us to learn more.