Devilish Details: Financial Risk in MSL Claims

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...

MSL Claims Fraud Risk Requires Proactive Controls

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...

Managing Operational Risk in MSL Claims

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,...