Managed Care Stop-Loss

Expertise and Experience

Dubraski & Associates is the largest managed care stop-loss broker in the country. We understand the financial exposures of concern to:

  • Hospitals
  • Health plans/ Insurance companies
  • Physicians
  • ACOs
  • Others in the health care industry

Our experience and expertise in securing managed care stop loss coverage is the key to our ability to develop solutions that minimize risk and ensure predictability.

Customized coverage, not canned solutions.

Our financial analysis center helps you evaluate reinsurance and stop loss options. We offer customized coverage, not canned solutions.

We thoroughly analyze your contracts, claims history and financial exposure. We are interested not only in what happened but why, and what changes are recommended. If more in-depth analysis or complex solutions are required, we will work with a qualified actuary of your preference.

Managed care Claims Service Center

Dubraski & Associates provides managed care stop loss clients with the only proactive Claims Service Center in the business, at no additional cost. The center serves as a direct liaison to the client’s reinsurer and creates a hassle-free claim processing environment. Our Claims Service Center will:

  • Review claim submissions and notifications
  • Ensure policy coverage terms are appropriately applied
  • Appeal denials and assist with pending claims
  • Track and check payment from reinsurer
  • Provide quarterly recovery reports
  • Provide timely reporting reminders
  • Serve as a central repository for all claims-related activity

Finding the best coverage

We have access to all of the major insurers and reinsurance companies that specialize in health care product lines.

Dubraski & Associates can help with:

To learn more about managed care stop loss brokerage and consultant services at Dubraski & Associates, contact us.