Administrative Services
Underwriting and Pricing
General Admin Services
Premium Administration
Claims Administration
Audit Services
Operational Audits
Premium Accounting Audits
Claim Processing Audits
Specific Claims Audits
Aggregate Claim Audits
Review Services
MGU/TPA Reviews
Due Diligence Review
Run-off Management
Portfolio Runoff Mgmt
911 Claims Management
Technology Solutions
Software For Purchase
Due Diligence Reviews of TPAs and MGUs are completed on behalf of MGUs, Insurance Carriers and Reinsurers. The reviews are conducted when contemplating new relationships with a TPA or an MGU.
A review and evaluation of the entity’s policies, procedures and processes is completed, focusing on the following areas:
- Administration
- Finance
- Underwriting
- Claims
- Medical Management
- Reporting
- Reinsurance Recoveries
- Accounts Payable
- Accounts Receivable
The organizational structure of the company is reviewed to ensure that they are properly staffed. The workflow is evaluated to confirm that they can effectively and efficiently process new business.