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- Actuarial Analysis, Health Valuation and Financial Projection
We perform financial projections, trend analyses, income statement and balance sheet projections, claim liability estimates and premium adequacy review. We know how the changing environment and product evolutions could affect claims development and trend. We factor these elements into the projections. Where appropriate, we model the results stochastically and help our clients assess the outcome variability.
- Product Development and Pricing
We develop and price a wide spectrum of accident and health products such as employer stop loss, fully insured, group and individual medical, limited medical, short term medical, gap and other specialty products. We work on products sold on various distribution platforms. We advise our clients on policy form risk control provisions, benefit designs, and work collaboratively with marketing, underwriting, claims and compliance to develop, price and rate file the products.
- Program Management
Risks need to be monitored and reported on an ongoing basis so that timely actions can be taken. With our product knowledge and operational experience, we provide regular reports with actionable information and make recommendation where needed. We assist our clients in their decision making process in managing the program.
- Underwriting
We help evaluate risk opportunities for our clients before they take on the risks. A risk opportunity could be a program or a single policy. We advise our clients on accepting or declining the risk opportunities. We provide solutions on risk opportunities that are not readily acceptable. Our underwriters access strategic nurse partners in estimating potential known claims to complete the risk picture. We advise terms and conditions that would strengthen the return on the risks. At the program underwriting level, we provide on-site due diligence and vendor evaluation support.
- Audits
We perform pricing, underwriting, medical and claim audits. Our audits can be desk-audits, on-site audits or both. We can issue a comprehensive and detail report in 5-10 business days after the audit, helping our clients assess and manage their risks on a timely basis.
- Reinsurance
We have experience as a reinsured and a reinsurer. We help our clients review reinsurance contract terms and language. We interpret the contracts from a financial risk perspective so our clients understand the contractual implications. We offer solutions and suggest terms that would protect our clients. We can provide market feedback on the players in the reinsured/reinsurer circle.
- Corporate Strategies
We assist our clients on strategies in the areas of capital and surplus management, portfolio risk management, reinsurance, product and distribution diversifications, and resource management.
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