Risk Management

• Identify areas of potential risk and provide programs to minimize risk exposure

• Minimize your total cost of risk with focused risk management solutions

• Develop holistic programs for enterprise risk management

• Assess potential alternative risk management opportunities

• Provide solutions to secure healthcare reimbursement revenue

• Clinical Risk Management :

Partnering with clients to provide proven hands-on approaches that enhance clinical care and delivery; 

Improving communication and documentation; 

Driving quality regulatory outcomes; 

Increasing staff assessment and competency skills; 

Expanding the clients’ knowledge of developing and implementing policies and procedures;

Implementing best clinical risk management practices driving reductions in incident frequency and severity.

• Loss Prevention:

Interacting with clients to assess property,  auto, and workers compensation exposure that drive losses;

Designing solutions to best mitigate risk thus reducing potential loss; 

Providing support related to preparation for and responses to OSHA inspections ;

Offering a web-based risk management platform containing policy and procedure templates as well as training curriculum ; 

Developing/enhancing safety programs.

• Alternative Risk Placement:

Assessing appropriateness of alternate risk solutions such as captive insurers, self-insurance, large deductible casualty plans;

Designing alternative risk funding mechanisms to supplement or replace existing commercially available programs;

Overseeing the formation and on-going management of captive insurance companies including but not limited to actuarial and financial analysis, regulatory filings, and TPA selection and performance. 

• Third Party Claims Administration:

Providing proactive and responsive claims management based upon a client-specific performance document developed in cooperation with the client’s risk-management director;

Selecting, monitoring and interacting with panel counsel consistent with the guidelines established by the client;

Conducting case review meetings with clients, including auditing files/legal bills;

Compiling and reporting losses in formats and frequencies developed with the client;

Attending settlement negotiations, mediation, and trials;

Managing regulatory reporting.

• Claims Advocacy:

Partnering with clients and insurers to enhance communications and expectation resulting in more efficient and satisfactory claims handling;

Facilitating periodic reviews of loss information in-house as well as conducting claim file review with adjustors to drive a claim closure strategy; 

Engaging with company-based and independent adjustors to mitigate costs on large losses.