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OUT-OF-THIS-WORLD CLAIMS PROCESSING BY DOWN-TO-EARTH PEOPLE: AT NAHGA, STELLAR SERVICE IS NO ACCIDENT.

S E RV IC E YOU ’L L LOV E . C L AIMS P ROC E SS ING YO U C A N TR U ST. At NAHGA, we offer the flexibility to meet all our clients’ insurance needs: we expertly handle hundreds of selfinsured accounts as well as traditional accounts. And we make it easy for any client to check the status of a claim 24/7/365 via our online claims processing system, WebQ. With NAHGA managing your Jess Mcallister, Team Supervisor

claims, you can rest assured that your clients will be treated with respect,

NAHGA is a Third Party Administrator

compassion and concern.

(TPA) that is nationally recognized

We are fully compliant

for processing claims with a personal

with all HIPAA

touch. While we value technology, we

regulations in all

know that automation cannot take the

interactions with

place of a friendly voice and a personal

clients, trainers and

connection with your adjuster.

all contacts.

Others may say they care about every client, but at NAHGA, we demonstrate that with personal attention and timely, accurate service on every claim.

Picture to the right (L to R): Jen Park, Emily Dawicki, Jess Mcallister, Marney Chalmers, Tanya Bartlett, Buffy Blankenship 1.


" I LOVE BUI L DI NG R E L ATI O N SHI PS AND I VALUE A L L THE R E L ATI O N SHI PS I HAVE— W I T H B RO KERS, CARRIERS AN D P O L I CYHOLDERS .” — J E N PARK ,

OUR DEDI CATI ON TO SERVI CE TOUCHES EVERYONE WE SERVE .

• Daycare & Other Specialty Risk Programs

BROKERS

• North American Boxing Federation

At NAHGA, we do everything we can to make agents and brokers look good to their clients. That means

• Motocross Racing • Short Track Auto Racing • US Rollersports, US Racquetball, US Luge & Bobsled • Various National Television & Film Productions

W H AT M A K E S E V E RY N A H G A E M PLOYE E A STA R ? SERVICE That’s our entire focus, 24/7/365.

returning phone calls promptly, taking personal service serious, and resolving claims quickly and fairly.

C LAIM S O P ERATIO NS

CARRIERS We serve 11 of the nation’s premier writers of health and accident

CLIENTS NAGHA provides Third Party Administrator support services and claims processing for a variety of national

insurance because of our knowledge of their products, reputation for fairness, strong security measures, and anti-fraud training and procedures.

clients, including colleges and universities, sports leagues, day cares and many other organizations: • NCAA, NJCAA, NAIA, NCCAA & Independent College Sports • College A&H Plans • Boys & Girls Camps • K-12 Student Insurance • Group Association Medical Plans

TEAM We work together to serve you.

ATTITUDE Always friendly and positive...just what’s needed when someone is sick or hurt.

PARTNERS At NAHGA, we want athletic trainers to spend more time with athletes and less time filling out claims forms. That’s why we’ve

RELATIONSHIPS We’re here for the long-term.

partnered with athletic injury software companies to provide a fast, efficient way for athletic trainers to submit a claim: directly through their injury tracking system.

• World Karting Association 2.

3.


G R E AT S E RVIC E IS A M ATTER OF POLI CY. We’re proud of the service we provide to some of the most prestigious colleges, universities and other programs

STANDARDS OF S E RV IC E : √ We assign every client a personal adjuster to examine

throughout the country. We work hard to continue to earn their trust and confidence. NAHGA’s Standards of

and release claims, along with a Customer Service

Service (at right) ensure your satisfaction.

Representative who is available to answer questions on the

The bottom line: NAHGA delivers on our promise to provide excellent customer service with prompt and

status of any claim. √ Our experienced team helps clients understand the

accurate claim payments.

complexities of the policies, and we work with them to get the information needed to complete their claim.

K EY PE R F OR M A N C E ME ASURES NAHGA’S NUMBERS ADD UP TO EXCELLENCE

√ Our friendly and courteous Customer Service Team is 100% US-based. √ We return all phone calls and emails within one business day.

F I N A N C I AL ACC U R ACY

99%

C L AI MS P R O C E SS E D W I T H I N 3 0 DAYS

99%

√ We employ the latest technology to provide 24/7 online access to all claim information, protected by advanced security measures. √ We are HIPPA compliant with strict guidelines for handling

C L A I M S P R O C E SS E D W I T H I N 14 DAYS

4.

C A L L S/E MA I L S R E T U R NE D W I T HI N O NE B U S I N E SS DAY

99%

C L A I MS P R O C E SS I NG ACC U R ACY

99%

94%

all PHI (Protected Health Information). √ We have adjusters licensed to serve clients in every state. √ Two locations ensure disaster recovery preparedness. √ We achieve cost containment through a robust repricing network. 5.


" W E TA KE CO MPLIANCE V ERY SERI O USLY IN H OW W E P R O C ESS CLAIMS, B AS E D O N THE GU IDELINES OF E AC H I N SUR ANCE CA R R I ER A N D EACH STAT E.” —TO M C H ALM E RS , CO M P LIANCE M ANAGER

TRUST NAHGA TO HANDLE YOUR I NFORMATI ON SECURELY AND WI TH RESPECT.

" T R U ST ING R E L AT IO NS H IP S ,

The SSAE16 Auditors review NAHGA’s physical

ST R O NG CO DE O F E T H IC S ,

and cyber security controls as part of the annual

AND E F F IC IE NT Y E T

SSAE16 examination. We take pride in our security

At NAHGA Claim Services, every employee is thoroughly trained

measures because the security and protection of

in our strict procedures to ensure client privacy and security,

the information provided to NAHGA is critical to

which includes the following:

our business.

ACC U R AT E IN AL L W E DO. T H AT ’ S US , WI T H A S MI L E !” — M A R N E Y C H A LM E R S , SA LE S & M A R K E T I N G

√ H IPAA CO MPLIANT In accordance with HIPPA, all NAHGA employees and vendors are committed to preserve the integrity and the confidentiality of individually identifiable health information (IIHI) pertaining to every health plan member or client. √ SSAE 16 AU DIT E D NAHGA continues to receive Unqualified SSAE16 Audits. This means that NAHGA passes every test the Independent Auditors review each year.

6.

√ P HYSICAL & CY BER SECUR ITY

√ DISASTER R ECOVERY P LAN NAHGA operates from two different offices to ensure we will be back up and running quickly if a disaster strikes one location. Our networks and support systems are managed by qualified vendors who can ensure system and data back-ups are available if needed. √ ANTIFR AUD CER TIFIED All staff members participate in an annual anti-fraud training that meets the requirements of various insurance companies and state insurance regulators.

7.


8.

B RIDGTO N,

NO RTH CONWAY,

MAINE LO CAT IO N

NE W H AM P SHIR E LOCATION

88 MAIN ST RE E T

327 7 WH ITE MOUNTAIN HW

PO B OX 1 89 | 04 009

PO B OX 1760 | 038 60


NAHGA.COM P. ( 8 00) 952-4320 | F. (207) 6 47-4569

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