Alpha Isle Services (AIS) today announced the expansion of its medical stop loss claims administration services to include clinical resources to support both underwriting medical reviews and claims reserving. Johnathan Hickman has joined the firm to lead this new service offering working closely with co-founders Robyn Eagan and Nina Carrico.
“We are seeing a strong demand for qualified and experienced nursing resources to support our MGU partners for both underwriting and claims,” said Robyn Eagan, Vice President AIS. “As we have built the foundation of AIS with best in class claims administration, adding clinical resources is a natural expansion of our services at this time. We are looking forward to working with Jonathan to build out this capability and bring this service to our partners,” added Eagan.
Mr. Hickman is a qualified nurse with 17 years’ experience working across multiple sectors within the healthcare industry including acute care, informatics, healthcare project management, case management, utilization management, as well as clinical training. His experience includes case management/utilization management at Imagine360 and United Health group.
In addition to the medical review services provided through AIS, Mr. Hickman will lead case management services provided to clients of AIS’s sister companies, Strategic Risk Solutions (SRS) and MSL Captive Solutions.
“I am excited to be joining AIS and the broader SRS group. The growth of the captive industry for medical stop loss is creating additional opportunities to impact the cost of care for employers. Having experience with TPAs and carriers I’m looking forward to the opportunity to work hands on with captive clients and self-funded employers,” said Jonathan Hickman.
Commenting on the addition of clinical services, Andrew Berry, President of SRS Employee Benefits said “Captive insurance, both single parent and group captives, provide a financial mechanism for employers to gain more control over their cost of care. SRS has been building services to support these captive programs through captive management, program management, underwriting and claims administration. However, to realize the benefit of the captive structure requires both accurate risk assessment of medical conditions and most importantly the ability to implement effective cost containment initiatives to manage the cost of care. We view the addition of clinical services as a critical component of our employee benefits strategy. Jonathan brings not only hands on medical review and case management experience but training experience, which will be invaluable as we add resources in response to demand for clinical services.”
Mr. Hickman can be reached at johnathanh@alphaisleservices.com
About Alpha Isle Services
Alpha Isle Services LLC (AIS) is a specialist medical stop loss claims administrator. It provides outsourced claims administration services to managing general underwriters, insurance companies, brokers, captives and self-funded employer groups. AIS also provides operational assessments, claims audits and reserve analysis.