Services - Resolute Health Care Advisors

Personal and Business Solutions

Resolute offers a comprehensive range of consulting services designed to meet the needs of members, unions, employers, and insurance plans. Our customer‑focused model, supported by strong analytical expertise, drives measurable results and delivers peace of mind. Efficient, effective, and high‑quality outcomes strengthen your bottom line and allow you to redirect your focus to the priorities that matter most.

Member Advocacy

We partner directly with members to resolve insurance concerns, recover missed reimbursements, appeal denials, and provide clear benefits education. Our insider expertise empowers individuals to make informed decisions and focus on recovery, family, and work—while we handle the complexities behind the scenes.

Unions & Employers

Healthcare benefits are essential for attracting and retaining employees, yet they can be difficult and time‑consuming to administer. Resolute supports unions, employers, and insurance administrators with consulting services that strengthen operations, improve member satisfaction, and enhance the value of your benefits program.

Adding Resolute advisory services to your health insurance portfolio can often be accomplished at no direct cost to your budget. As a trusted partner, we provide members with immediate access to personal advocates—at prices far below market value—while delivering measurable improvements in efficiency, accuracy, and financial outcomes.

Our customer‑focused model, supported by strong analytical expertise, drives high‑quality results that improve your bottom line and allow your organization to redirect its focus to strategic priorities. With Resolute, you gain a partner who understands the complexities of health insurance and uses insider knowledge to elevate the experience of those you serve.

Resolute’s advocacy programs are designed for seamless implementation. From building the right service package to supporting employee enrollment and ongoing assistance, Resolute manages every step with precision and care. Our approach reflects our commitment to people helping people—ensuring members receive meaningful support while organizations benefit from efficient, reliable program administration.

With Resolute as your partner, you gain a streamlined solution that enhances your benefits portfolio, strengthens member satisfaction, and delivers measurable value without adding administrative burden.

Engage members in purposeful, informed discussions to build rapport and understand concerns.
Evaluate each issue alongside governing plan documents, clinical guidelines, industry regulations, and current medical research.
Conduct trageted data analysis to uncover trends, identify hidden costs, and strengthen organizational decision-making.
Establish efficient workflows supported by frequent, proactive member communication.
Uphold HIPAA privacy standards in every interaction and safeguard all personal health information.

When members have access to an unbiased partner who can address their health insurance concerns, their productivity increases and expenses decrease for both the employee and the employer. With Resolute’s wide range of services, your team can operate with confidence knowing they have a dedicated advocate to educate members on pre‑service, point‑of‑service, and post‑service insurance issues. Resolute removes administrative burdens, strengthens member understanding, and ensures concerns are resolved efficiently and accurately.

Health Plan Project Managment

Resolute offers immediate access to highly experienced talent. We deliver the expertise needed to address critical business issues that arise across claim operations and functional areas, including but not limited to: