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modscope
  • Home
  • About
  • Our Team
  • Schedule a Consultation
  • Services
  • Contact

Our Services:

Claims Audit & Cost Recovery

  • Full review of open and closed claims to identify overpayments, reserve miscalculations, and unnecessary expenses.
  • Detection of mishandled, aging, or inflated claims increasing costs.
  • Identification of premium inflators such as incorrect claim classifications or misreported data.
  • Actionable report outlining areas for cost recovery and claim optimization.

Large Deductible Program Optimization

  • Assessment of claim handling processes and deductible structures.
  • Identification of inefficiencies causing excessive deductible spend.
  • Strategy development to minimize claim expenses and financial risk.

Reserve & Settlement Analysis

  • Independent evaluation of claim reserves to ensure accurate and justified projections.
  • Identification of over-reserved claims leading to excessive financial holdbacks.
  • Settlement negotiation strategies to reduce claim payouts and long-term exposure.

Claims Management Strategy & Oversight

  • Ongoing review of active claims to ensure proper handling and cost control.
  • Implementation of best practices to prevent claim delays, excessive litigation, and mishandling.

Training & Advisory Services

  • Training for HR, safety teams, and internal risk managers on best practices for cost-efficient claims handling.
  • Guidance on preventing excessive settlements and unnecessary claims escalation.
  • Educational workshops on reducing claims-related financial waste.

Customized Risk & Cost Containment Consulting

  • Tailored consulting solutions for businesses looking to reduce overall claims liability.
  • Development of long-term risk mitigation strategies to prevent excessive claim costs.
  • Personalized advisory services based on industry, company size, and specific risk exposures.

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