# ClaimSecure > Precision benefits administration for Canadian plan sponsors ## At a glance | Field | Value | | --- | --- | | Category | Core Administration | | Type | Solutions Provider | | Region | NA | | Headquarters | Mississauga, Ontario, Canada | | Founded | 1982 | | Stage | Established | | Employees | 201-500 | | Funding | Acquired | ## Overview ClaimSecure is a Canadian healthcare benefits administration company with over 40 years of industry experience delivering drug, health, and dental benefit plan administration. Operating under the Canada Life umbrella since its acquisition in July 2021, ClaimSecure serves businesses, unions, and plan administrators across Canada with bilingual support and extended service hours (8am--9pm EST weekdays). ClaimSecure processes more than 10 million health and dental benefit transactions annually, totaling over CAD 1.3 billion, and serves a client base representing 1.2+ million members and dependants across the public and private sectors. The company combines rigorous adjudication precision with a customer-centric service model, distinguishing itself from larger TPA competitors through hands-on account management. ## Products & services ### Falcon Claims Adjudication System Proprietary comprehensive claims processing engine providing real-time adjudication, advanced analytics, and reporting capabilities. Falcon is the core platform underpinning all of ClaimSecure's benefit administration operations. **Key features:** - Real\-time health, dental, and drug claim adjudication - Advanced analytics and management reporting - Automated adjudication matrix \(first in Canada for communication benefits\) *Target users:* Plan administrators, benefit plan sponsors ### Administrative Services Only \(ASO\) Plans Customized health and dental benefit plan administration allowing employers and unions to self-insure while outsourcing administration and adjudication to ClaimSecure. **Key features:** - Fully customizable plan designs - Drug, dental, and extended health coverage administration - Centralized billing and remittance processing *Target users:* Employers, unions, benefit plan sponsors ### SecurePak Combined ASO and pooled benefit product developed in partnership with Canada Life, providing employers a blended approach to self-insurance and risk pooling. **Key features:** - ASO administration combined with Canada Life pooling protection - Flexible coverage options for catastrophic and high\-cost claims - Integrated with ClaimSecure adjudication platform *Target users:* Employers seeking hybrid risk management solutions ### Formulary Protect Specialty drug cost management program designed to control pharmaceutical benefit expenses while maintaining appropriate member access. **Key features:** - Evidence\-based formulary management - Specialty drug prior authorization workflows - Cost\-containment analytics and reporting *Target users:* Plan sponsors managing high drug utilization ### Healthcare & Wellness Spending Accounts Flexible spending account solutions including healthcare spending accounts (HSA) and wellness/personal spending accounts. **Key features:** - Health care spending account administration - Dependent care account support - Integration with primary benefit plans *Target users:* Employers offering flexible benefit designs ### Preferred Provider Network Programs Cost-managed provider access programs connecting members to healthcare practitioners across Canada at negotiated rates. **Key features:** - National network of preferred practitioners - Coordinated billing and reimbursement - Member\-facing directory and navigation tools *Target users:* Plan members, plan sponsors seeking cost containment ### Fraud, Waste and Abuse \(FWA\) Detection Analytics-driven compliance monitoring program using proprietary algorithms to identify irregular claim patterns and protect plan integrity. **Key features:** - Predictive analytics for claim pattern anomalies - Automated flagging and case management - Customizable reporting for plan sponsors *Target users:* Plan administrators, self\-insured employers ### eProfile Mobile Application Member-facing web and mobile platform for benefits management, claims tracking, and healthcare expense monitoring. Includes Canada's only fully automated communication adjudication matrix. **Key features:** - Real\-time claims status and history - Benefit balance tracking - Healthcare expense submission and management *Target users:* Plan members and dependants ### White\-Label Solutions Custom-branded benefit administration solutions enabling advisors and partner organizations to offer ClaimSecure services under their own brand. *Target users:* Insurance advisors, broker networks, affinity groups ## Category & focus - Subcategories: Benefits Administration, Claims Processing, Health Plan Management - Insurance verticals: Health, Group Benefits - Target customers: Employers, TPAs, Brokers, Agents/Agencies ## Notable customers - Canadian employers across small\-to\-large enterprises - Union organizations across Canada - Public sector plan sponsors - Benefits consultants and health advisors ## Links - Website: - Directory profile: - Linkedin: - Crunchbase: --- *Last updated: 2026\-04\-09*