Our Core Team includes financial examiners, data analysts, actuaries and market conduct professionals. From our previous experience, the Team has the benefit of understanding high risk areas and common mistakes by insurers that may lead to the identification of noncompliance with the regulations and result in examination findings and recommendations.
Our MLR team members are thought leaders and are involved in the continual evaluation and enhancement of MLR examination procedures based on the experience gained during the MLR examination process. Our Team also has extensive experience in performing risk-focused financial examinations based upon the NAIC Financial Condition Examiners Handbook (NAIC Handbook) and statutory accounting principles making us well versed in issuer’s operational and financial practices. Our state examination and extensive MLR experience and long working relationship with CCIIO has allowed us to fine tune our approach and professional judgment used on the MLR examinations to gain efficiencies. In addition, the team has developed and delivered numerous MLR and regulatory training presentations to state insurance departments.