


The Art and Understanding of Claims
What do you think of when you read or hear the word “Claims”? Universally, the Claims department (Claims) is perceived to have given the insurance industry a black eye. Even within the industry, Claims frequently find themselves in the hot seat – often through no...
The Art and Understanding of Underwriting Practices
Artificial Intelligence (AI)… The phrase and concept that transitioned from predictive modelling (inclusive of loss rating / experience models) of yesteryear to The Terminatorof tomorrow. While the debate continues as to the value, predictability and credibility of...
What is going on with Aggregate coverage?
The following article was featured in the Summer 2022 issue of BC Advantage magazine but still has tremendous relevance today. We feel it is very worthy of a second look and warrants redistribution as the market is experiencing a breach in aggregate coverage, which...
Does Pre-Certification Guarantee Payment?
In healthcare, a doctor’s priority is to provide the best care for a patient. However, this can sometimes mean deviating from our industry’s processes and regulations. One such process is pre-certification, also known as prior authorization, which may be required by...