Exceptional Service Backed by the Industry’s Most Innovative Products and Solutions
A Focus on Captive Services
Claim Initiation
When an employee of a company insured under the captive files a health claim that exceeds the self-insured retention limit, the claim process begins.
Claim Outsourcing
Instead of managing the claim internally, the captive outsources the administration to AIS, ensuring expert handling.
Claims Assessment
AIS undertakes a comprehensive assessment of the claim, verifying details, examining medical documents, confirming policy terms, and determining claim validity.
Reinsurance Reporting
If the captive has a reinsurance policy, AIS tracks and reports the claim to the reinsurer, ensuring coverage and shared risk management.
Payment Recommendation
Based on the assessment, AIS provides a recommendation regarding claim payment, including the suggested amount.
Final Decision and Payment
The captive insurance company makes the final decision to approve or deny the claim based on AIS’s recommendation. If approved, payment is processed promptly.
Record Keeping
AIS meticulously documents each step and maintains records for future reference and audit purposes.
Industries We Serve
MGUs
- Specialized Support
- Overflow Management
- Operational Assessments
Insurance Carriers
- Direct Writing Carriers
- MGU Carriers
- Audit Services
Retail Brokers
- Claims Monitoring
- Contractual Review
- Medical Review Services
Captives & Self-Insureds
- Claims Administration
- TPA Audits
- Captive Layer Evaluation
Contact Us
Let’s Talk!
For more information about our services please use the form. One of our representatives will get back to you right away. We look forward to hearing from you.