Captive Claims QA℠
SERVICES
Captive Claims Quality Assurance
Captive Claims QA℠ is a claims quality assurance program designed for captives and risk retention groups, providing advanced claims expertise and independent oversight to support high-quality claim outcomes and improved profitability.
Captives are often established to gain greater control over claims handling and results. Our program strengthens that control through ongoing oversight, helping organizations maintain consistency, reduce risk, and improve overall financial performance.
What We Evaluate
Our Captive Claims QA℠ program focuses on the key areas that directly impact captive performance. We evaluate the operational factors that influence profitability, such as claim handling quality, litigation management, reserve adequacy, and overall claims oversight.
- Claims audits conducted quarterly, semi-annually, or annually
- Oversight of claims facilities or TPAs (technical claim handling and operational)
- TPA due diligence reviews
- Case reserve reviews, including redundancy and deficiency evaluation
- Carrier or reinsurer liaison on complex claim matters
Our Approach
Poor or inconsistent claims handling can quickly impact loss ratios and overall captive performance. Our approach focuses on improving claims operation quality and individual claim outcomes through structured oversight and ongoing evaluation.
We provide comprehensive reporting supported by web-based audit tools, along with participation in captive board meetings to deliver insights into claims performance. Our services are designed to identify risks early, improve decision-making, and reduce the likelihood of adverse financial outcomes.
Engagements are flexible and can be structured to meet your organization’s needs, including both flat-fee and hourly arrangements.
Interested in Captive Claims QA℠?
Contact us to learn how our Captive Claims QA℠ program can improve claim quality, strengthen oversight, and support long-term profitability.