BenefitConnect vs EIS ClaimCore

BenefitConnect is WTW’s benefits administration platform for employee benefits, with web and mobile access for employees and retirees. Users can check balances, upload receipt photos, submit claims, and initiate inquiries through a portal or app. WTW says users can contact professionals through the app, online portal, call center, or automated help desk. The platform supports medical, prescription drug, dental, vision, HSA, FSA, and HRA plans. HSA, FSA, and HRA balances can appear through a web service call, and Benefits Accounts supports single sign-on with BenefitConnect. WTW also lists tested eligibility files and automated closure of non-valid HSA accounts. APIs can make information such as wellness credits, year-to-date claims, and required actions available to employees. Client-chosen wellbeing vendors can connect through established data exchange standards. BenefitConnect | COBRA is a separate multi-client version, with round-the-clock employer administration and participant self-service for elections, life events, and annual enrollment. WTW says its COBRA service combines ACA 6055/6056 reporting data with active population data.

EIS ClaimCore manages claims from loss notification through assignment, investigation, payment, subrogation, and closure. Claims can arrive through a mobile app, email, phone, or online form. Configurable workflows and dynamic rules support automation across the claims lifecycle, while financial tools manage and report on reserves, payments, recoveries, and subrogation. Analytics and reporting provide claims performance insights and help identify patterns in claim types and risk factors. EIS describes ClaimGuard, used alongside ClaimCore, as applying machine learning and analytics to assess claims and assign risk scores. EIS also says its OneSuite platform has thousands of APIs connecting ClaimCore and other core systems with proprietary and third-party systems. ClaimCore is available via API and web. EIS lists certifications including ISO/IEC 27001:2022, ISO 27701:2025, ISO 22301:2019, ISO/IEC 27017:2015, ISO/IEC 27018:2019, ISO/IEC 27035-1:2023, and ISO/IEC 42001:2023. EIS describes its automated workflows as serving claims personnel, insureds, brokers, and agents. Pricing is on request.