Industry News and Information

Financial risk in Medical Stop Loss (MSL) claims administration is a critical concern for managing general underwriters (MGUs), insurance carriers, and self-insured entities. Accurate assessment, verification of claims payments, and alignment with the approved Plan...

Fraudulent claims in Medical Stop Loss (MSL) claims administration pose a significant threat to the financial stability of managing general underwriters (MGUs), insurance carriers, and self-insured entities. Claims fraud can lead to substantial financial losses and...

The rise of cyber threats poses a significant risk to the integrity and financial stability of the insurance industry, including Medical Stop Loss (MSL) claims administration. Cyberattacks can lead to substantial data breaches, financial losses, and reputational...

Operational risk in Medical Stop Loss (MSL) claims administration is a significant concern for managing general underwriters (MGUs), insurance carriers, and self-insured entities. This type of risk arises from process inefficiencies, system failures, or human errors,...

Regulatory compliance in the Medical Stop Loss (MSL) claims landscape is a critical concern for managing general underwriters (MGUs), insurance carriers, and self-insured entities. Navigating the regulatory environment requires expertise and vigilance to avoid...

Establishing a Risk Management Department can proactively idenfity and mitigate potential financial losses for clients and captives. Read our proposal on creating this department and ask us how you can get started.

As the complexities of the insurance landscape continue to evolve, the role of internal quality reviews (IQRs) in Medical Stop Loss (MSL) claims administration becomes increasingly pivotal. For captive managers and risk professionals, conducting regular internal...

It’s crucial to understand potential risks when dealing with Medical Stop Loss (MSL) claims administration. Your claims department or administrator needs to have mechanisms in place to manage these risks effectively: Reputational Risk Mishandling claims can lead to...

In the intricate landscape of Medical Stop Loss (MSL) claims administration, regulatory compliance is not just an obligatory checkbox—it is a cornerstone of success. Changing regulations, privacy requirements, and stringent auditing standards can often pose...