AMS will work with your existing underwriting and stop loss underwriting departments to assist in the process and aid in determining the level of risk presented by a group or a specific applicant. This process is done by our medical consultants and financial experts who have the experience and knowhow of the specific field.
We can look at the possible insured population and analyze the risks and possible future risks. We can pinpoint various conditions of individuals within the policy. From there we can decipher if individuals were previously cared for or have an ongoing condition. Our evaluation, done by medical consultants and financial experts, will then determine future cost on ongoing or future care. That should render an opinion of whether to accept or defer the specific group.
Going a step further from our underwriting and stop loss underwriting services is our laser services. Once we determine if a patient is considered riskier than the rest of the possible insured group we can then review the laser. Simply put, a laser is a higher deductible on a patient considered to be riskier than others in a given group. A stop loss carrier may want protect themselves from a high-dollar claimant by setting a higher threshold than other applicants.
Once an underwriting or stop loss underwriting review is completed, AMS physicians and medical consultants will render an opinion to assist in the client’s decision whether to accept a group and, if so, under what terms and at what potential risk. This process is a guide to help form decisions and help underwriting develop a concise and thorough plan, all while curtailing possible costs that can happen with in an insured group.
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