Third-Party Administration
We process and manage claims, keep the plan compliant, prevent unnecessary spend, and give employers and members clear tools and reporting — the full engine of a self-funded plan.
Our Services
Tailored Solutions for Your Benefits & Risk Management Needs
From enrollment to reporting, we handle the full lifecycle of your self-funded plan — accurately, efficiently, and with a genuinely personal touch.
What We Do
The engine behind your plan — and the benefits behind your people
As your third-party administrator, we run the machinery of a self-funded plan and make sure the benefits actually work for the people using them.
Employee Benefits
From plan design through day-to-day support, we help employers deliver health and dental benefits their teams can actually use — with a Member Relations Team that answers when people call.
01
Enrollment & Eligibility
We simplify the complex process of employee enrollment and eligibility management, making sure your workforce is properly covered. Our team handles enrollments, terminations, and mid-year changes with accuracy and efficiency so nothing falls through the cracks.
02
Customized Plan Design & Administration
Our Account Management Team collaborates with you to design customized health and dental plan documents that fit your organization. From initial creation through ongoing administration, we keep your plan compliant, current, and aligned with your goals.
03
Claims Administration
Our experienced team of Claims Analysts ensures every claim is processed accurately and efficiently. We emphasize consistent, personalized service throughout the claims process, so members and providers always know where things stand.
04
Member Relations Team
We are committed to providing exceptional customer service. Our Member Relations Team addresses questions and concerns with timely, accurate support — giving your employees a real person to talk to and a better benefits experience.
05
Cost Containment Solutions
We lead the industry in cost containment, using advanced strategies to reduce expenses without compromising quality of care. Our solutions are designed to optimize your plan and maximize savings for your organization year over year.
06
Large Case Management
We provide specialized management for large, complex cases — making sure patients receive the best possible care while costs are managed effectively. It is care coordination and financial protection working together.
07
Claims Editing
Our meticulous claims editing process identifies and corrects errors before claims are paid. That means fewer overpayments, reduced healthcare costs, and a plan that runs the way it should.
08
Comprehensive Reporting
Gain valuable insight into your benefits plan with our comprehensive reporting packages. We turn claims data into clear, useful information so you can make decisions based on facts — not guesses.
How We Work
A Clear Path From First Call to Ongoing Care
01
Consultation & Customization
A personalized approach to understanding your needs
We start by learning your business, your people, and your goals — then design a benefits and administration strategy built specifically around them.
02
Implementation & Integration
Seamless setup and comprehensive support
Our team handles the details of implementation and integrates your plan smoothly, so the transition is painless for you and your employees.
03
Monitoring & Optimization
Continuous improvement for maximum efficiency
We continuously monitor performance, surface insight through reporting, and optimize your plan over time to keep it efficient and cost-effective.
Based in Omaha at 11924 Arbor Street — proudly serving self-funded employers across the United States.
Common Questions
Frequently Asked Questions
Answers to what employers ask us most about self-funding and third-party administration. Still have a question?
What services does The Benefit Group offer?
As a full-service third-party administrator, TBG handles enrollment and eligibility, customized plan design and administration, claims administration and editing, member relations, cost-containment solutions, large case management, and comprehensive reporting — everything a self-funded employer needs to run a benefits plan well.
How does The Benefit Group customize benefit plans for clients?
We believe every client is unique, so we do not use a one-size-fits-all approach. Our Account Management Team works with you to design health and dental plan documents around your workforce, budget, and goals, then administers and adjusts the plan over time.
What makes TBG’s claims administration process unique?
Our claims process runs on proprietary claims software backed by experienced analysts — and every client is assigned a specific analyst, so you get consistent, personal claims management. Combined with our claims-editing process, we catch errors before they become overpayments, protecting your plan and your dollars.
How does The Benefit Group ensure cost savings for clients?
We employ advanced cost-containment strategies — including detailed claims editing, out-of-network negotiations, and medical bill reviews by board-certified physicians — plus a reference-based pricing solution that optimizes healthcare spending. With clear reporting on what drives your costs, self-funded employers keep more of their savings.
What are the benefits of choosing a self-funded health plan?
Self-funding means you pay claims as they happen instead of a fixed premium — so you keep more when claims run low, gain real visibility into your spend, and can adjust plan design faster. With the right TPA and stop-loss protection, it puts you in control without unnecessary risk.
What areas does The Benefit Group serve?
The Benefit Group is headquartered in Omaha, Nebraska and serves self-funded employers across the United States. Wherever your business is based, we administer your plan with the same hands-on, personal service.
Let’s Talk
Not Sure Which Services You Need?
Tell us about your current plan and team size. We’ll help you figure out exactly where a smarter TPA can save you money and headaches.