We are the administrator most trusted by prominent self-funded employers throughout the region to manage their benefit and workers’ compensation programs.

Our proactive approach to managing group health plans helps our clients’ employees stay healthy and productive – and helps those companies control the rising costs of health care. We do this by:

• managing resources intelligently;
• administering claims and monitoring expenditures efficiently;
• using cost-effective service providers; and,
• integrating care management with claims management

Spectrum Administrators’ management of workers' compensation programs assists in preventing accidents before they happen through enhanced workplace and safety processes and more. When on-the-job accidents do occur, we manage claims and help employees return to work sooner and healthier.

Mission Statement

Spectrum Administrators strives to be the preeminent administrator of group health and workers' compensation programs serving self-insured employers.

Our philosophy ties the well-being of employees and their families, with a common-sense approach to cost containment. We act as a service provider to employers, their program members and providers by offering a complete, integrated menu of services and by using groundbreaking technology to facilitate those services and to manage care. We ensure courteous customer service for our clients by creating a work environment in which our staff can thrive and through which they develop a sense of pride, self-recognition, accomplishment and financial reward.

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History of Spectrum Administrators

Based in Allentown, PA, Spectrum Administrators was formed in 1988 in association with the Lehigh Valley Hospital and Health Network. Our primary purpose was to administer their self-funded group health and dental plans. Based on the success with LVHHN programs, Spectrum developed into a full service third-party health claims administrator serving other employers with self-funded benefits plans. In May of 1997, Spectrum Administrators was approved by the State of Pennsylvania to provide workers’ compensation services to exempt employers.

The integration of workers' compensation and group health service lines for our clients has allowed us to marry proven techniques of controlling the direct and indirect costs of work-related claims, with those of non-occupational losses. In turn, we maximize our knowledge of injury and illness prevention and treatment in a "24-hour" environment. Our expertise in both service lines affords all of our clients a more comprehensive approach to loss control whether purchasing integrated services or not. We add to our technical claims and loss control experience our connection to clinicians and our integrated comprehensive care management service menu, allowing us to offer a full range of services in a uniquely practical, uncomplicated manner.

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Benefits of Working with Us:

STABILITY

• Two decades of demonstrated growth and profitability
• Long-standing client base
• Low staff turnover

CONCERN FOR WELL BEING

• Through our affiliation with a non-profit parent and a tradition of community service, we have adopted a high-service philosophy
• Focus on health and wellness
• We understand the value of loss control, disease management and other proactive means of mitigating risk

COMPREHENSIVE SERVICE

• Integrated occupational and non-occupational illness and injury management
• Associates include Certified Case Managers and Medical Directors
• Access to medical consultants, behavioral health and EAP services, occupational health and disability management services, and disease management specialists
• Strong relationships with the Department of Labor and PA Insurance Department
• Selective relationships with top-rated carriers and vendors
• Certified agents with powers in Life, Accident/Health and Property/Casualty coverages

  FLEXIBILITY

• Our respect for and understanding of the rights of self-funded employers to customize their benefit plans prompted us to build flexibility into our practice. While we do offer a full catalog of services, each can be employed independently or grouped in modules to meet the individual needs of each client.

• Fees are established based on specific services required and are completely disclosed an unbundled as we adapt to the demands of each unique client program.
  

QUALITY OF SERVICE

• Skilled staff is subject to annual objective-based performance reviews.
• Random customer service surveys are conducted, with annual summaries published.
• Staff is driven by qualitative and quantitative benchmarks.
• Formal QA programs have been established in all departments.
• Clinical and technical QA specialists on staff.
• Ongoing staff education is promoted.

FOCUS ON TECHNOLOGY

• Versatile state of the art data management systems for claims processing. The Trizetto QicLink™system is our core health claims adjudication system - it manages health claims transaction processes, including membership, provider files, plan definition and re-insurance. QicLink™ architecture supports HIPAA compliance.
• Shared Customer Service and Medical Management modules within the QicLink™system allow real-time linkage and information sharing among these key member service groups.
• A web-based workers’ compensation data management system allowing clients direct access to data and reporting modules through the Internet.
• Powerful reporting tools supplement the operational claims system and insure timely reporting of data to meet client needs.
• Claims history exported to SQL database on a nightly basis to support claims payment analysis and client ad hoc report requests.
• Outsourced check printing for added security and HIPAA compliant handling procedures.
• Multi-tiered, experienced information services department affords depth of support staff.
• Solid capital backing for investment in ongoing system development and improvements.

STRATEGIC ALLIANCES

• Provider Networks
• A+ to A++ rated Insurance Carriers
• Consultants and Brokers

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