Which term refers to the processing and management tasks performed by insurers under Administrative Services Only?

Claims administration pertains to the processing and management tasks that insurers carry out under Administrative Services Only (ASO). In an ASO arrangement, an employer hires an insurance company to handle claims processing and the administration of benefits without the insurer bearing the insurance risk. This means the insurer is responsible for evaluating and processing claims, ensuring that they are handled in accordance with the terms of the benefits plan provided to employees.

This service is especially common in self-funded health plans where the company retains the risk but outsources the operational tasks related to claims and administration. By focusing specifically on claims administration, insurers help maintain efficiency, ensure compliance with regulations, and provide a smoother experience for both the employer and employees in managing their health benefits.