health insurance claims, case management & medical administration services

PREMIA was founded by professionals with over 20 years experience in delivering health insurance specific consulting services, medical claims, medical auditing and specialised software in the health insurance and the health care sector.

Our team comprises industry experts with extensive experience in healthcare consulting, medical case management, claims management, and administration services, among others. We leverage our expertise to help clients achieve sustainable improvements in healthcare costs and patient care services.

At PREMIA, we are passionate about transforming the healthcare industry and improving patient outcomes while reducing costs. We understand the challenges and complexities of the industry, and we combine our expertise, knowledge, and experience to provide innovative solutions tailored to our clients' unique needs.

We work closely with our clients to understand their needs, goals, and challenges and co-create customized solutions that address their unique needs. Our commitment to client satisfaction is unwavering, and we take pride in building lasting relationships with our clients.

Our extensive relationships with leading healthcare organizations in both the private and public sectors are a testament to our commitment to delivering exceptional services and achieving positive outcomes. We remain dedicated to our vision of making affordable, better, and more consistent healthcare services possible for everyone.

At PREMIA, we will continue to work towards transforming the healthcare industry through the provision of innovative and sustainable solutions to our clients.

Currently, our practices perform services and audits for leading private insurance companies, by using
PREMIA's Health Auditing, Medical Case & Claims Management Health Insurance Software platform.

Our Approach
Today, healthcare organizations are facing more urgent challenges, ranging from increasing cost effectiveness to boosting quality of care. Our strategy work focuses on driving value. Whether we are supporting an insurance company or a public payor, we have a deep understanding of the complexities our clients face and can draw upon our long experience for best practices and key insights.

We help clients with our Smart Technology & optimised network for strategic advantage 
Our auditing and claims management services are powered by our exclusive Health Insurance Software platform, a sophisticated integrated system that allows our clients to enhance analytic capability, manage costs and streamline medical review while maintaining efficient utilization of healthcare resources.

High Standards
Given that we transmit and store a large volume of medical and personal information in the course of providing our services, we are proud to announce that PREMIA’s Health Auditing, Medical Case & Claims Management Health Insurance Software is the only provider in this field of expertise in Romania that earned ISO 27001 certification. ISO 27001 is one of the most widely recognized, internationally accepted independent security standards. This certification, along with ISO 9001, ISO 22301, ISO 22313, and ISO 20000-1, helps assure our clients that PREMIA is committed to the provision of highest quality Third Party Administrator services with ongoing development and maintenance of a robust Information Security Management System (ISMS).

Functional Expertise
PREMIA supports its customers with highly experienced and professional teams that deliver medical care management solutions. The company currently employs people with specialized backgrounds in the health insurance the health care field, from board certified medical physicians in a variety of specialisations, to claim examiners with experience in claims, managed care administration, caring customer service and administrative staff representatives, PREMIA is able to provide a wide array of knowledge and best practices regarding cost reduction, avoidance of supplier induced demand, and improvement of their patient care services quality.






"The most experienced insurance consulting, medical auditing & medical case management services in the area."

"Professional advices & services that can save you time and money."

"Marketing experience that counts when trying to reach your customer base."

Mihai Tecau, President of the Management Board OMNIASIG VIENNA INSURANCE GROUP
Insurance Company

"We hereby certify that, since 2017, Premia Insurance Consulting has a good collaboration with OMNIASIG VIENNA INSURANCE GROUP regarding specialized medical contact center, medical case management and claims management services. Throughout our collaboration, the services provided by Premia Insurance Consulting have been defined by the professionalism of the specialized qualified staff, the flexibility and the immediate response to our requirements, the excellent technical support with the specialized software, and also efficiency in ensuring the quality of services provided to the insured persons whenever they needed to use the health insurance. This document is a recommendation grounded on information available within our company and it has been issued as an endorsement for Premia Insurance Consulting other forthcoming business partnerships. Respectfully, Mihai Tecau President of the Management Board"

     

Mihai Sapera, Group Insurance Solutions Director UNIQA ASIGURARI S.A.
Insurance Company

"We highly recommend Premia Insurance Consulting based on our current collaboration for our Health Insurance product, specifically for their expertise in Medical Case Management, Claims Management, Administration Services, and the use of the Systhemo insurance management platform. We have also chosen Premia and Systhemo, because the organization is prioritizing efficiency, effectiveness, and innovation in their operations and the comprehensive insurance management platform offers the range of features and capabilities that we require, allowing us to achieve our goals of sustainable improvements in health care costs and patient care services. We have reviewed their story and presence on the market, and we can confidently say that Premia has delivered high-quality services to their clients. Their specialized qualified staff, flexibility, and immediate response to client's requirements are commendable. They also have excellent technical support with specialized software that ensures the quality of services. In conclusion, we highly recommend Premia to anyone seeking to partner with a competent and professional organization. Mihai Sapera Group Insurance Solutions Director UNIQA ASIGURARI S.A."

     

"Efficiency, innovation and high quality services to clients"

MEDICAL CLAIMS ADMINISTRATION

MEDICAL CLAIMS ADMINISTRATION

Medical claims processing and administration

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REAL TIME AUDITING & COST CONTAINMENT

REAL TIME AUDITING & COST CONTAINMENT

Medical best practices to evaluate and assess the risk

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CUSTOMER SERVICE

CUSTOMER SERVICE

Experienced Staff

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End-to-end automated digital insurance platform

Your business can have a future-proof insurance service where your task is only to invent your new products. This end-to-end automated insurance digital platform provides everything you need, including fast moving insurance products, full business automation, open service interfaces, and 24/7 availability.

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ISO / IEC

20000 - 1 : 2011

ISO / IEC

27001 : 2013

ISO 22301

ISO 22313

24.06.2022

Winner of FinTech of the Year 2022 Awards Trophy

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24.08.2023

Winner of Fintech and Administration Services Awards Trophy 2023

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