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SIMPLIFI ESO "Employee Service Organization"

The Cayman Island Government expects, as a result of its long term relationship of over five year with Simplifi (previously CBCA Administrators, Inc) in the administration of local and overseas claims, the program will continue to be well managed in conjunction with CINICO's partners through a centralized insurance framework. Simplifi ESO features core services of Employee Benefit Management including healthcare claims management, member services and network management, and a very robust capability in human resource management.

Simplifi is independently owned with a track record of measurable positive deliverables. Simplifi combines proven strategies, integrated service applications and automated processes to create single source effective healthcare benefit plan management. Simplifi can be summarized as follows:

• Operating throughout the United States and the Cayman Islands with a SSAE 16 audit certification.
• Simplifi has staff located in Columbus, Ohio (Corporate offices), Bloomington, Minnesota, Ft. Worth, Texas, Maumee, Ohio and Savannah, Georgia.
• Simplifi's tenured Claim Analysts and Customer Service team provide world class adjudication and call center services for medical, dental, and flexible spending accounts (FSA's).
• Simplifi's URAC accredited Care Management partners offer a patient-centric approach to identify potential gaps in care through early intervention and wellness management. These principal based programs can yield a significant return on investment.
• Paying hundreds of millions of dollars in "self-insured" claims each year for various type of clients, including hospital systems, airlines, defense contractors, and manufacturers.
• Web-based benefit informatic tools include on demand reporting to analyze claim cost trends for predictive modeling.
• Operating a fully integrated telephony system that delivers live, automated voice response, and web based service to members and providers including an electronic summary of the member's individual coverage.

Last Updated: 2012-04-14