SERVICES

Third party administration (TPA)

Our experienced team offers comprehensive TPA support to your clients so they can focus on business growth.

A trusted partner in TPA offerings

Whatever industry you serve, our experienced TPA team specializes in day-to-day administrative tasks with precision and timeliness so your clients can focus on business growth. We also develop custom TPA software to cater to your client’s specific needs or to modernize and revamp existing processes.

Sona Data Systems’ TPA solutions efficiently eliminates your client’s mounting backlog of TPA claims, saving time and money.

Sona Data Systems supports a wide variety of TPA services including insurance administration, compliance needs and more, in industries such as:

➭Healthcare
➭Auto
➭Property and casualty
➭Or other insurance product

The best value in TPA support

tasks completed per month.

0 +

0 x

the output of other offshoring staffing services.

1/3

of the average cost of our competitors.

What makes us different

TPA software development, customization and AI integrations at a fraction of the cost of our competitors.

In addition to day-to-day administrative support, we are experienced in developing custom software solutions for clients whose needs go beyond standardized software solutions.

Investing in custom-built TPA software doesn’t just optimize operations, but also eliminates the heavy cost burden of standardized software, paving the way for long-term efficiency and financial gains.

Our AI integrations and analytics boost efficiency and drive continuous improvement, leading to enhanced throughput and optimized processes.

We understand the importance of ongoing support and offer the flexibility for clients to choose whether they require continued assistance or require a standalone solution.

Our focus areas

Claims adjudication and administration

We evaluate insurance claims to determine their validity, accuracy and adherence to policy guidelines. This process ensures that only eligible claims are approved for payment, which helps control costs and prevent fraud.

Billing and collecting premiums

Our accounting experts generate invoices for policyholders for their insurance coverage. These functions are critical for maintaining revenue flow and ensuring that customers’ accounts are in good standing.

Customer enrollment and eligibility

Customer enrollment and eligibility involve registering new members and verifying their qualifications for coverage under specific health plans or insurance policies. Accurate enrollment ensures customers receive the right coverage and access to benefits when needed.

Commissions payments

We ensure the disbursements for your agents or brokers happen quickly and on time for their role in acquiring or renewing policies. Managing these payments accurately is essential for maintaining strong relationships with sales partners and ensuring regulatory compliance.

Compliance

We adhere to regulatory standards and industry guidelines to avoid legal issues and fines. Insurance companies must regularly review and adjust processes to meet changing regulations and ensure ethical and legal practices.

Phased Approach

Diagnose

Our distributed staffing experts collaborate with your leadership and staff to identify backlogs and opportunities for growth by:

Configuring workflow from SOP and checklist
Managing exceptions
Configuring platforms: Salesforce, NetSuite, etc.

People

80%

Process

20%

Develop

We identify your company’s labor-intensive tasks and rework them into efficient workflows.

Workflow platform:

Improve workflow
Automate exception handling
Data reporting

Provider Integrations:

AppFolio
Industry specific cloud services

People

40%

Process

30%

System

30%

Deploy

We integrate and automate your workflows, creating an efficient and productive distributed staffing system.

Process management:

Alerting and fault response
BPO and exception handling

MDM Platform:

Bridge NOC
PMP platform
Integrated data and analytics

People

20%

process

30%

System

50%

Case Study

Challenge

Needed accurate data in the system and affordable staffing (couldn’t get it in the US)

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Solutions

2 affordable DS, team grew to 13 quickly

On customization:

What did we customize?

We built process from scratch

Team of 13 for $26K

On AI / tech

Built custom software and mobile app over time

Results

Before – falling behind on claims

After – fastest TPA payments >7 days, commissions payments on same month

Business grew from 13k members to 21k members

Revenue 7x in that time

What makes us different from other third party administrator software?

TPA software development, customization and AI integrations at a fraction of the cost of our competitors.

we also offer development services, we implement custom software solutions for continuous improvement.

Our commitment to you

We pride ourselves on 2,000+ completed tasks per month — this is 2x the tasks completed at an average U.S. company and 3x the tasks completed by other offshoring staffing services per month.

third party administration in action

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