Nothing Is Outside the Scope

Most brokers think nurse advocates answer claims questions and help with referrals. That's it.

Here's what they're missing: nothing is outside the scope of what these nurses can do.

Just Another Number

Employee calls the carrier's 800 number. Different person every time. Explains their situation again. Waits on hold. Gets transferred. The rep reads from a script, handles the question, moves to the next call.

It works. Technically. But it doesn't solve anything.

Meanwhile, your client's HR team fields questions about disability paperwork, HSA confusion, and surprise medical bills. The benefits you sold sit there, underutilized, because nobody has time to connect the dots.

What Happens with Time

When one nurse works with one employer, they have time to follow up and follow through.

Not just answer the question and move on. See it through to completion.

Employee texts about a billing issue? The nurse calls the provider's office, works through the claim with the carrier, texts back when it's resolved. Someone avoiding medication because of cost? She researches manufacturer programs, coordinates with the doctor for prior authorization, finds a solution that works.

This happens when a nurse knows your employees by name, understands your company's culture, and has time to do the work right.

The Living Benefits Guide

Your typical benefits guide: sixty pages employees glance at during open enrollment and never touch again. They don't know what's covered, how pieces fit together, or about the EAP services buried on page 47.

A nurse advocate becomes that benefits guide. Walking around with your employees all year. Accessible by text, email, or quick conversation in the break room.

She reminds employees about their annual physical. Helps new parents understand parental leave and add the baby to the plan. Connects employees caring for aging parents to Medicare resources and caregiver support.

All those solutions you're selling? She makes sure employees use them.

What This Covers

The scope extends far past medical support:

Insurance and healthcare – finding in-network providers, working through denials, pre-certifications, billing issues, coverage questions.

Pharmacy – finding lower-cost alternatives, coordinating manufacturer programs, handling prior authorizations.

Chronic conditions – connecting employees to disease management programs, coordinating care between specialists.

Wellness programs – ongoing motivation that gets people to participate instead of ignore.

Mental health – guiding to in-network therapists, clarifying coverage, normalizing getting help.

Preventive care – understanding no-cost coverage, scheduling screenings, making wellness visits happen.

Financial wellness – explaining HSA, FSA, HRA accounts, comparing costs, steering toward in-network providers.

Maternity and family – supporting prenatal and postpartum care, lactation support, newborn enrollment.

Life insurance and disability – walking through paperwork for short-term disability, long-term disability, social security disability.

Caregiver support – navigating Medicare coordination, locating community resources.

The Integration Factor

The nurse advocate integrates directly into your client's HR team.

She's not a vendor. She's not an outside service. She becomes part of the organization. Employees know her. Trust her. Reach out when they need help instead of suffering in silence or derailing HR's day.

Recent testimonial: "Thank you so much for looking out for us. I haven't been to the doctor in probably 15 years and I went to get my physical this year because of the incentive and it is nice to know you are here if I need you."

Someone who avoided healthcare for 15 years, now engaging. Not because of another email campaign or wellness portal. Because a person they trust made it feel safe and simple.

What This Means for You

Most large claims aren't bad luck. They're bad healthcare. People who didn't understand their treatment plan, didn't take medications, didn't follow up with specialists, or didn't know where to go until things became critical.

Your job is helping clients design better health plans. The nurse advocate program makes sure employees engage with those plans.

You focus on strategies. We solve engagement.

You tell employees what they need to do. We make sure they do it.

The only thing that needs to change is employee engagement. And that only happens when someone has time to follow up and follow through.

One team. One nurse. No 800 number.

https://www.synergyhealthcare.com/