Risk Management

Our signature risk management program is a service for our producer- and claim-paying partners, is financially rewarding for employer groups and, most importantly, outcome-oriented for claimants.

Here’s how we make it possible

  • We employ health care professionals to support our underwriters with accurate medical assessments of potentially catastrophic losses.
  • We support our claims staff through best-in-class risk management vendors. Our goal is to form strong relationships with the claims staff and UR firms employed by our policyholders.

Our stop loss pricing model rewards business partners who actively report claimant information based on Business Partner Guide criteria. We believe the best-in-class model is only possible when the TPA, broker, UR, case manager and stop loss team work together to protect policyholder financial interests while providing the best possible outcome for the claimant.

 

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Risk Management guide (pdf)