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Sun Life U.S. and Claritev Partnership Aims to Enhance Supplemental Health Benefits Efficiency

In a significant move to optimize efficiency in supplemental health benefits, Sun Life U.S. has joined forces with Claritev, a notable healthcare technology and data company. This partnership aims to improve how self-funded employers deliver health coverage to their employees, focusing particularly on critical illness, accident, and hospital indemnity benefits.

Understanding the Collaboration

Claritev utilizes cutting-edge machine learning technology to streamline the claims process between medical claims and supplemental health coverages. By identifying connections in employees' medical claims data, this collaboration facilitates better access to the benefits employees are legally entitled to receive. Joi Tillman, president of Group Benefits at Sun Life U.S., highlights the importance of connecting health plans with supplemental coverage, stating, “Bringing Claritev's services to self-funded clients will help connect the dots between health plans and supplemental health coverage, leading to more cohesion across employee benefits.”

The Role of Self-Funded Employers

Self-funded employers manage their own health plans and often employ a stop-loss insurance model to mitigate risks associated with high-cost medical claims. Sun Life stands as a leader in providing medical stop-loss insurance, granting the company unique insights into the needs of self-funded employers. Jen Collier, president of Health and Risk Solutions at Sun Life U.S., elaborates that their goal is to offer more tools that improve employee health plans. “Claritev's innovative approach gives self-funded employers a strong tool to ensure Sun Life's supplemental health benefits meet employees where they are,