NexClaim Recoveries, LLC

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NexClaim Recoveries is a privately held, national healthcare subrogation firm that specializes in self-funded employer groups.With almost 30 years in healthcare subrogation, NexClaim has emerged as an industry leader. NexClaim typically recovers three to four times the recovery rate of our competitors or up to 1% of medical claim dollars spent by our clients. This can be one of the most effective ways to lower healthcare expense without modifying employees’ benefit plan.

NexClaim works solely on a contingency basis so there is never any risk or expense to improve upon this service that the carriers currently offer to these groups. NexClaim currently receives data files from all national health carriers so there is no lengthy implementation or disruption. In addition to the ease of administration, NexClaim's fees are 25%-35% lower than what is currently paid to the carriers.

Subrogation is essentially a claim audit and should be conducted independent of the claim administrator or carrier. Also, when a group changes claims administrators or carriers, most of their backlog of existing subrogation cases are lost. This is an avoidable switching cost that is never discussed or disclosed.

To quickly summarize,

  1. NexClaim recovers 4-5 times more than the current carrier/vendor
  2. There is no disruption or negative impact on the plan members
  3. All fees are on a contingency basis so there is no risk
  4. The transition is seamless and effortless for the employer
  5. The program is portable in the event the employer changes carriers.

Please contact us to receive a proposal and financial model to show the fixed savings and additional recoveries that can be realized for any self-funded group.


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