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Nayya and ADP Join Forces to Help Employees Make Better Benefits Decisions

Nayya Marketing 

_The status quo will continue to challenge the American worker unless we harness the latest technologies to change the industry._

New York, New York, April 16, 2024 – Nayya, the data-driven adviser and leading provider of personalized employee benefits guidance, has published a report challenging the humdrum assertions made by many ecosystem players. The company, founded in 2019, already serves millions of employees, as well as many of the leading employers, consultants, PEOs, payroll companies, carriers, benefit administrators, and retirement providers across the United States. 

Nayya’s research showcases how offering more benefits is not solving the problem. Confusion and dissatisfaction with benefits are rising while the cost of living, healthcare costs, and inadequate retirement savings exert ever more pressure on employees. Traditional benefits education practices to drive benefits engagement continue to fall short of their promise, with point solution engagement in the single digits and as many as 60% of individuals selecting a more expensive health plan than they need.* Constant benefit administrator reports tout personalization and simplification. Why have these entities not solved the core challenges facing employees over the last 20 years?

Nayya’s report, titled "_Time to Build: How Employee Benefits Infrastructure Can Rise to Meet New Challenges_," comes at a time when nearly 50% of all Americans are concerned that a major health event would drive them into bankruptcy. Simultaneously, many of these same people are struggling with underutilizing their benefits. 

The standard industry approach is to throw more and more information at employees attempting to drive higher benefits engagement. And yet employee satisfaction with benefits reached an all-time low in 2023. Benefits education is often communicated in generic, long-form, and jargon-filled language. The entire employee benefits ecosystem has been constructed without a “last mile” adviser for the employee.

Nayya’s latest report offers a guide to understanding how the twin challenges of rising costs and low benefits engagement are causing employee benefits to fall short of expectations. In addition, it provides a first step for employers and consultants to take in delivering real value to employees. 

A new approach to employee benefits starts with holistic benefits guidance. In this new world, benefits pathways are tailored to the individual. These are based on health data, wealth insights, and tuned to personal preferences. The result is an employee benefits system that proactively delivers value in the moments that matter.

**Key highlights of the report include:**
- **Double Clicking into the Rising Costs and Impact to the Individual:** An overview of the current state of the economy and associated challenges facing employees, including why employers are in such a crucial position to help their teams navigate these times
- **The Role of Benefits in Financial Preparedness:** The significance of a cohesive benefits strategy in helping employees understand how to maximize the value of the resources available to them and bolster confidence in their protection
- **Driving Impact Through Digital-First Experiences:** Strategies for providing intuitive and effective benefits guidance that improve employee satisfaction and financial outcomes
- **Harnessing Technology for Holistic Guidance:** The importance of leveraging data-driven solutions to enable a scaled approach to optimizing benefits delivery 

Commenting on the release of the report, Catherine Spence, VP of Marketing & Member Impact at Nayya, said, "There comes a point where you have to cast aside systems that aren’t serving consumers. We realize that incumbent players delivering benefits guidance have proven unsuccessful. As an industry, we have the opportunity to make holistic, data-driven, benefits guidance the new standard of excellence.

Nayya is committed to continually providing research-based insights alongside our partners, so that we can collectively shift our focus to benefits that proactively, programmatically, and prescriptively deliver impact to employees. People deserve better support."

Time to Build: How Employee Benefits Infrastructure Can Rise to Meet New Challenges is now available for download on [Nayya.com](http://Nayya.com/time-to-build-report).

**About Nayya:**
Nayya is the leading provider of personalized employee benefits guidance. Leveraging data and technology to reduce user friction, increases benefits understanding, and drives benefits impact from enrollment to usage to re-enrollment. Nayya unites the employee benefits experience across health, wealth, and wellness to deliver clarity and efficiency across the entire benefits landscape. Nayya is proud to be trusted by the biggest name in benefits including MetLife, ADP, Prudential, and Guardian. Headquartered in New York City, Nayya is a privately held company backed by Iconiq, Felicis, and Viewpoint Investment Partners. For more information visit [www.nayya.com](http://www.nayya.com).


**Sources:**
* [_The Quarterly Journal of Economics, Volume 132, Issue 3, August 2017_](https://academic.oup.com/qje/article-abstract/132/3/1319/3769420?redirectedFrom=fulltext&login=false)


The traditional approach to employee benefits in the United States is failing to meet the needs of workers, with nearly 60% of individuals selecting more expensive health plans than they need. It's time for a new approach that focuses on personalized, holistic benefits guidance to improve the employee benefits experience.

We Need a New Deal for Employee Benefits

BELLEVUE, Wash. (Feb. 21, 2024) In response to increasing employer demand for consumer-friendly claims integration capabilities, Symetra Life Insurance Company today announced it is partnering with Nayya to meet and exceed these expectations with Nayya Claims for group supplemental health employer customers and their employees.

Research shows that as few as 10-20 percent of eligible employees with supplemental health insurance nationwide actually file a claim each year*. As a part of Symetra's continued commitment to offering innovative customer-centric benefits solutions, Nayya Claims offers a groundbreaking approach to simplifying supplemental health claims by removing the employee burden of needing to manually identify and submit claims opportunities for reimbursement. Nayya Claims does this automatically on behalf of the employee by mapping medical claims data to supplemental health policies to ensure they receive the value from their plans that they are entitled to. 

“_Symetra is committed to helping employers offer their employees the tools and support they need to make the most of their group supplemental health benefits. The Nayya Claims platform allows us to deliver the kind of frictionless experience employees are looking for with an easy-to-use process that efficiently processes and pays claims_,” said Todd Dzen, vice president, Product Management & Voluntary Practice Lead, Benefits Division.

The integrated process facilitates automated claims decisions that are powered by a robust data warehouse and state-of-the-art pharmacy and medical claim enrichment methodologies. Nayya files a qualified supplemental health claim on behalf of the employee, Symetra then processes the claim, and if approved, delivers the payment seamlessly.

_“We're proud to be expanding our partnership with Symetra, a recognized leader in the insurance and benefits space, to create a more family-centric supplemental health insurance space_,” said Sina Chehrazi, Chief Executive Officer, Nayya. “_Symetra is taking an innovative, consumer-focused stance that not only fosters a more seamless user experience but drives efficiencies and helps set a new standard for supplemental claims utilization across the industry_."

Symetra offers group life, disability, absence management and stop loss insurance coverage. Its suite of group supplemental health products includes critical illness, accident and hospital indemnity insurance, which are designed to complement any other plan, including major medical coverage paired with an HSA.

For more information about Symetra and Nayya Claims, including state availability, contact your Symetra Benefits representative.

**About Symetra**
Symetra Life Insurance Company is a subsidiary of Symetra Financial Corporation, a diversified financial services company based in Bellevue, Washington. In business since 1957, Symetra provides employee benefits, annuities and life insurance through a national network of benefit consultants, financial institutions, and independent financial professionals and insurance producers. For more information, visit [www.symetra.com](http://www.symetra.com).

**About Nayya**
Nayya is a leading employee benefits technology company that leverages artificial intelligence and data science to drive a new era in group benefits. Nayya unites the employee benefits experience across health, wealth, and wellness with innovative technology that brings clarity and efficiency to the benefits landscape. Empowering benefits carriers and broker intermediaries to differentiate through employee experiences that enhance the value of their offerings. Visit [Nayya.com](https://www.nayya.com/) for more information.

Nayya is not affiliated with Symetra Life Insurance Company or any of its affiliates

*Eastbridge Consulting, 2023


**Media Contacts**

**<u>Symetra</u>**
Diana McSweeney,  
425.256.6167, 
[diana.mcsweeney@symetra.com](diana.mcsweeney@symetra.com)

**<u>Nayya</u>**
Catherine Spence,
[catherine@nayya.com](catherine@nayya.com)

New-to-market capability provides consumer-friendly claims experience powered by data to ensure employees get the most out of their Symetra group supplemental health coverage

Symetra Introduces New Supplemental Health Claims Integration Capability with Nayya Claims

Voluntary benefits are a critical part of American wellbeing due to the rising costs and coverage gaps in major medical insurance. However, maximizing the value of supplemental coverage presents a challenge for consumers who are largely expected to manage claims processes on their own. 

During medical events, consumers are burdened with the need to remember relevant policies and have a “pHD” in their coverage to appropriately file claims and receive reimbursement. As a result, usage of these plans is unconscionably low. The #1 challenge listed by carriers in the claims integration space is improving the customer experience for claims while **1)** tackling manual processing for complex products and **2)** developing relationships with medical carriers to share data, accurately.*

The industry has moved to improve the inadequacies of the claims processing experience through automated claims notification and filing. These processes aim to reduce friction and ensure value for employees using automation. 

Sina Chehrazi, CEO of Nayya, emphasizes the critical role of claims integration capabilities in today's benefits landscape. 
>"Starting in 2024, claims integration capabilities are being required by consultants and employer groups. Carriers without these capabilities won’t be able to compete in today’s market. They shouldn’t. The days of artificially low loss ratios are almost over. Employees and their families need and deserve these funds: 52 weeks a year."
>
#### The Truth Today: Not All Claims Integrations Are Created Equal
While a worthwhile pursuit, many who have tried their hand at claims integration were quick to discover the nuance of complexities. 

**Here’s why:**
1. Claims integration requires complex data mapping from siloed sources across benefits carriers, employers, and medical carriers.
2. The technology needed to automate claims identification, validation and determinations quickly and accurately is very complex - it requires a very nuanced understanding of underlying plan structures and medical claims enrichment.
3. The ability to communicate back to the consumer in a way that drives action requires trust and engagement expertise.

Entities have struggled to deliver on claims integration in a meaningful way. Until now. 

## Introducing Nayya Claims
As the leading innovator in employee benefits technology, Nayya is thrilled to announce our latest product in enabling world class group benefits experiences for the end-employee. Nayya Claims is a groundbreaking product that leverages industry expertise, algorithms, sophisticated analytic methodologies, artificial intelligence and data science to automate claims processes for supplemental health plans. 

This achievement marks a significant leap forward in the industry, addressing the pressing need of benefits carriers and broker intermediaries for effective claims integration capabilities.

Arik Gaisler, CTO of Nayya, speaks to how Nayya Claims contributes to our larger product development philosophy stating the following.

>"We are continuously striving to raise the bar of consumer value through innovation. Nayya Claims is another testament in our campaign for employees. By enabling connectivity between medical claims data and supplemental health benefits in one platform, we are raising consumer awareness of claim opportunities and reducing friction from healthcare."

### How Nayya Delivers a Frictionless Claims Experience
Nayya has developed a cutting edge solution that connects with any medical payor in the US market, enabling dynamic, seamless, consumer-driven software to deliver product value precisely when employees and their families need it most. 

By mapping medical claims data to supplemental health policies, Nayya Claims is able to identify and process supplemental health claims on the employee’s behalf. Nayya is raising the bar for claims integration solutions by prioritizing the following critical capabilities:
- **Privacy + Flexibility:** Easily embeddable and dynamic consent based workflows that operate under HIPAA and with the best interest of the consumer
- **Efficiency + Accuracy:** Sophisticated algorithms and models that synthesize complex logic in order to streamline carrier processes 
- **Consumer Experience:** Advanced data mapping and enrichment to remove friction through automation for a consumer-friendly approach

### The New Era in Group Benefits
Nayya is poised to unveil its anchor partners for Nayya Claims in the coming weeks and months, showcasing strategic collaborations that demonstrate the product's efficacy and transformative potential within the industry. These innovative carriers and platforms are deploying Nayya Claims to hundreds of US employers with effective dates of 1/1/2025.

<Video src="https://player.vimeo.com/video/908382095?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479" frameBorder='0' allow='autoplay; fullscreen; picture-in-picture' allowFullScreen />

Nayya Claims joins Nayya’s product portfolio, including Nayya Choose, Nayya Use, and Nayya Retirement. Nayya remains committed to staying ahead of emerging trends in group benefits. The company recognizes the evolving landscape and is dedicated to offering innovative solutions that address the changing needs of both benefits providers and consumers, acting as a personalized employee benefits co-pilot for end-employees.

**About Nayya:**
Nayya is a leading employee benefits technology company that leverages artificial intelligence and data science to drive a new era in group benefits. Nayya unites the employee benefits experience across health, wealth, and wellness with innovative technology that brings clarity and efficiency to the benefits landscape. Empowering benefits carriers and broker intermediaries to differentiate through employee experiences that enhance the value of their offerings.

*Source: Claims Integration and Automation Practices of Voluntary Carriers, Eastbridge Consulting, 2022

Nayya Transforms the Supplemental Health Industry with Automated Claims Processing

Nayya and ADP Join Forces to Help Employees Make Better Benefits Decisions

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We Need a New Deal for Employee Benefits

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Introducing Nayya Claims

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