Sharing our expertise gained from extensive experience in LTCi block management.
Fraud, Waste, and Abuse
Incidents of fraud, waste, and abuse are growing more prevalent in the insurance industry. Long-term care insurance claims have continued to steadily increase over the past decade with a corresponding increase in FWA. Fuzion was among the first to recognize this trend and its financial impact. Our early development of strategies and actions to identify, investigate, and mitigate FWA is recognized as a best-in-class solution in the LTCi industry.
Benefit Eligibility and Case Management
Managing the claims process is critical to a long-term care insurance carrier’s success and requires an enormous amount of time and effort, especially when addressing complex claims. Fuzion’s services assist carriers with researching and resolving customer disputes, evaluating processes and procedures, and making recommendations on ways to improve claims and case management functions.
Navigating regulatory matters in the long-term care insurance industry has never been more challenging than it is today. Fuzion recognizes that making compliance a priority and performing claim audits are essential for carriers to manage their complex business. You can count on our highly qualified professionals to help in these vital areas. Fuzion also works with carriers to improve their policyholders’ experience and operational efficiencies, including sharpening and streamlining policyholder communications.
Many insurance companies face the challenge of improving financial and operating performance of their troubled long-term care blocks of business. Fuzion’s team has unique and extensive experience in providing planning and implementation services to improve the performance of underperforming blocks of LTCi business. Fuzion's leadership team is highly qualified in managing LTCi companies and blocks of business.