Healthcase

What Healthcase does

Healthcase, LLC is a Miami-headquartered Third-Party Administrator (TPA) that provides 24/7 healthcare, travel, and security assistance services to international and domestic insurance partners, corporate clients, and self-funded programs. Founded circa 1997 and incorporated in Florida, the company operates a global network of over 1,000,000 service providers — including physicians, hospitals, emergency rescue teams, translators, and security professionals — delivering services across the USA, South America, and internationally. Its service portfolio spans claims administration and adjudication, medical case coordination, cost containment through PPO network access, medical repatriation, travel assistance (including concierge and document services), security and travel risk management, telemedicine, and second medical opinion services, all delivered through a 24/7/365 multilingual operations center.

The company generates revenue primarily through managed services and professional services contracts with insurance carriers and corporate clients who require outsourced health plan administration and people protection solutions for policyholders and internationally mobile employees. HealthCase positions itself as a PPO coordinator leveraging negotiated provider rates for cost containment, while differentiating through personalized case ownership, multicultural operational capability, and accumulated two decades of claims and clinical bill review data. Distribution is sales-led and enterprise-focused, with direct contracts to insurance partners and corporate clients; pricing is not publicly disclosed.

HealthCase has historically been founder/family-controlled under President and CEO Jean-Marc Griscelli, with no disclosed institutional investors, funding rounds, or parent company. The company underwent a strategic reset during 2018-2019 with a new management team, IT system investment, and product launches in pharmacy networks, telemedicine, second medical opinions, and travel assistance. Since 2019 it has continued expanding its South American provider network and developing its people protection / duty-of-care service line for corporate clients.

Name

Healthcase

Legal name

Healthcase, LLC

Website

https://healthcaseservices.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

11–50 employees

Short description

Healthcase is a Miami-based Third-Party Administrator providing 24/7 healthcare, travel, and security assistance services through a global network of over 1,000,000 providers, serving international insurance partners, corporate clients, and self-funded programs across the Americas.

Ownership category

akta.pro rank

Product category

Healthcare Third-Party Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Assistance & Claims Management Platforms (FNOL, TPA Tech) (THALALAF)

akta.pro secondary industry

Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK)

Keywords

• Third-party administration
• Medical assistance services
• Claims administration
• Travel assistance
• Healthcare cost containment

Headquarters

HQ city

Miami

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Third-Party Administration (TPA) Services: HealthCase earns revenue by providing claims administration, medical assistance, travel assistance, and security services to insurance partners and corporate clients. Services are delivered 24/7 x 365 to active policy holders.
2. Health Plan Administration: Complete administrative services including facilitating member access to medical care, managing policy benefits, and provider reimbursements for self-funded programs and insurers.
3. Travel and Medical Assistance Coordination: Coordination services for medical emergencies, repatriation, and travel-related issues for travelers and expatriates worldwide.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels3 records

Core offering

HealthCase operates as a Third-Party Administrator (TPA) delivering 24/7 medical assistance, travel assistance, security services, and claims administration on behalf of insurance partners, self-funded employer programs, and corporate clients. Services span claim handling, cost containment through a PPO network of 1,000,000+ providers, medical repatriation, telemedicine, second medical opinions, and duty-of-care support for travelers and expatriates across the USA, South America, and globally.

Product overview

HealthCase operates as a healthcare and medical assistance provider offering a unified platform of 24/7 x 365 services delivered nationwide across the USA and South America. The core offering centers on Health Plan Administration as the umbrella service, supported by Claim Handling Services, Medical Assistance Services, Travel Assistance Services, and Security Services as integrated modules. Add-on capabilities include Telemedicine Services (featuring General Medicine, Caregiving, Dermatology, Tobacco Cessation, and Behavioral Health modules) and Second Medical Opinion. The company also provides Medical Repatriation and acts as a preferred provider organization (PPO) coordinator to access cost savings through their network of over 1,000,000 service providers.

Differentiator

Problem solved

Functional benefit

Products and services

• Claim Handling Services Administrative services for processing and managing insurance claims including cost containment, claims adjudication, and provider reimbursements. Delivered to insurance partners and self-funded program sponsors as a core TPA function.
• Medical Assistance Services 24/7 medical assistance for insurance partners' policyholders including incident management, multilingual account management, international concierge services, medical case coordination, patient referrals, and verification of benefits and claims eligibility.
• Travel Assistance Services Comprehensive medical and non-medical travel support for travelers and expatriates including hotel bookings, language assistance, document translation, emergency services, luggage assistance, lost documents, cash advances, legal referrals, and concierge services.
• Security Services Travel risk management and expat risk management solutions including real-time tracking for corporate travelers, geopolitical and safety intelligence alerts, and a 24/7 incident hotline staffed by security professionals. Targeted at corporate duty-of-care programs.
• Telemedicine Services On-demand virtual healthcare offering general medicine consultations 24/7 via phone or video, caregiving coordination, dermatology consultations, tobacco cessation programs, and behavioral health care. Sold to insurance partners and corporations as part of HealthCase's assistance portfolio.
• Second Medical Opinion Remote evaluation service providing patients with multi-disciplinary physician reviews from worldwide medical centers, delivering full diagnosis or treatment plan reviews within ten days. Made available to insurance partner policyholders.
• Health Plan Administration Complete administrative services covering the entire spectrum of health plan administration, from facilitating member access to medical care through strategically managed policy benefits to provider reimbursements. Provided to self-funded employer programs and insurance carrier partners.
• Medical Repatriation Emergency medical transport and repatriation services transferring patients to appropriate medical facilities using fully equipped medical transport. Provided to insurance partners and corporate clients for traveling policyholders and expatriates.

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• International SOS: Global leader in medical assistance, travel security, and duty-of-care services for multinational corporates and insurers. Directly comparable to HealthCase across 24/7 assistance, evacuation, telemedicine, and provider network coordination, but at vastly larger scale.
• GeoBlue: Provides international travel medical insurance and assistance for expatriates, travelers, and students. Competes head-to-head with HealthCase's expatriate and international insurance partner offerings, including provider network access and claims administration.
• Global Rescue: Specializes in medical evacuation, security extraction, and travel risk management for corporate and individual clients. Overlaps directly with HealthCase's security services, medical repatriation, and travel assistance modules.
• AXA Partners: The assistance and travel insurance arm of AXA, offering medical assistance, travel claims, concierge, and roadside services globally. Directly comparable across the full TPA + assistance service stack HealthCase delivers to insurer partners.
• Europ Assistance: Generali-owned global assistance provider offering travel medical assistance, claims management, and concierge services to insurers and corporates. Closely comparable to HealthCase in operating model, customer base, and international footprint.
• Allianz Partners: Allianz's travel insurance and assistance division, providing travel medical, claims, and assistance services worldwide. Competes with HealthCase for international insurance partner mandates and corporate travel risk programs.
• HTH Worldwide: Provides international travel medical insurance and assistance for business travelers, expatriates, and students. A niche peer comparable to HealthCase's expatriate and traveler segment, with similar scale and direct-settlement provider network model.

Broad incumbents

• Cigna Global Health Benefits: Provides international health insurance and assistance for expatriates and globally mobile employees. While broader than HealthCase's TPA scope, it overlaps directly on international health plan administration and provider network access for multinationals.
• UnitedHealthcare Global: UnitedHealth Group's international division offering expatriate health benefits, assistance, and provider access. Comparable to HealthCase on the health plan administration and provider network side, with much larger scale and balance sheet.
• Aetna International (CVS Health): International health benefits and assistance business of CVS Health, serving expatriates and globally mobile employees. Overlaps with HealthCase's international health plan administration, claims handling, and provider network services.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/healthcaseservices
• LinkedInlinkedin.com/company/healthcase

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Healthcase