Experienced and Fully Integrated Solutions
-
U.S. Onsite Mail Room Operations -
Offshore Suport Teams -
Local Management and Support
The Pride BPO Process
& Trust
Backed by 40 years of history and a network that stretches across the globe, Pride can always promise truly long-term support
24/7 Support
Team of trained professionals always willing to help you solve any problem at any stage of the acquisition and service continuity process
Capital Experts
When working with Pride BPO you not only get our team, but all of Pride Global’s expertise across the human capital space
Teams & Clients
Our teams stay consistent so we can build the experience required to take on a business's toughest challenges
Our Primary Specialties
-
Mail Room Operations -
Claims Indexing -
Claims Processing -
Claims Adjudication -
Risk Adjustment Coding Services -
Research And Analytics
-
IME Review -
Utilization Review -
Policy Underwriting -
Policy Renewals /Endorsements
-
Payment Processing -
Legal/Subrogation Support
Services
At Pride, we recognize the urgency inherent in claim processing. Quality, transparency, and clear communication are pillars of our operation. With over 15 years serving industry clients, we've fine-tuned our workflows to guarantee alignment with our partners. Our extensive track record in claim processing, backed by seasoned teams, positions us as your dependable ally, ensuring you have the superior quality assurance you deserve.
Solutions
We provide transformative solutions for carriers and insurance TPAs, centralizing and standardizing back-office tasks, operating as a seamless extension of your teams.
Our international footprint amplifies our efficiency, bringing you advanced automation, process innovation, multi-time zone coverage, and advantageous labor dynamics.
And Renewals Support
We assist underwriters by gathering and capturing relevant information and providing quality assurance and production management during the underwriting and renewal processes. Our research enables underwriters to make accurate, efficient, and timely decisions.
Transitioning
Acquiring records from other service providers involves a significant administrative burden. The Pride BPO team can provide transition management services to organize critical documents and convert them into electronic records.
Management
Pride BPO's mailroom management team sorts and prepares all incoming mail and prints, organizes, and ships all outgoing mail. We can adapt to existing systems and infrastructure and seamlessly complement your intake processes at the point of receipt.
Indexing
Pride's Claim Indexing team categorizes incoming documents based upon client-specified criteria and matches them to exact claim files. Claims adjusters enjoy a faster turnaround time on the intake of claims and a streamlined storage and document retrieval process.
and Utilization Review Support
Our expert medical bill and utilization review support helps employers, insurers, and claims administrators to review medical treatments for medical necessity according to the relevant authorities and evidence-based medical guidelines.
Intake Support
Pride's intake support practice processes first notice of loss (FNOL) reports, follows up on information required to complete claims files, and uploads new claims information into the client's claims management system.
Services
Additionally, our specialty support services include arbitration/subrogation support, Vendor payments processing, payment posting, soft collections, finance & accounting, and research & analytics.
Are You Ready to Diversify Your Vendor Base?
As one of the few minority-owned integrated human capital
solutions and advisory firms, we offer
a unique opportunity for our clients
to satisfy Tier 1 diversity spending requirements.