Excess Claims Management
Delivering service, expertise, and dependability through our reinsurance claims management services
We deliver a range of speciality reinsurance claims management services to risk-bearing entities, including insurance carriers, employer stop-loss coverage providers, MGUs, and hospital and physician organisations. Our highly skilled technical staff and proprietary claims system provide significant cost savings to our clients.
Excess Claims Management
What we offer
Working with Davies means our clients spend more time on value-added activities for their expanding specialty product lines while our team focuses on providing the necessary internal staffing and claims processing platforms. Davies monitors and evaluates the handling of self-funded employer stop-loss-specific claims, establishes reserves, and reports to our clients and intermediaries.
How we help
• Monitor & evaluate the handling of self-funded employer stop-loss claims
• Establish reserves
• Provide extensive reporting
• Reimbursement recommendations
Our services
Employer Stop-Loss: We evaluate the handling of self-funded employer stop-loss-specific claims, establish reserves, and report to our clients and intermediaries. We deliver reimbursement recommendations and claim backlog support through your claims platform or our reporting tools.
Managed care: We analyse risk exposure in data submissions, provide claim review recommendations and reporting, and perform policy language reviews for the managed care market. Our clients rely on us to resolve coverage issues and deliver recommendations regarding specific managed care risk-bearing providers, TPAs, HMOs, ACOs, and other health plans.
Repricing services: Our proprietary claims system is one of our key differentiators for specialty reinsurance claims management. This system completely automates the fee schedule process and claims submission activity. Our team quickly identifies duplicates and streamlines the data process for millions of transactions.
