Claims Support
Complex claims often require specialized expertise, coordination, and ongoing communication. Avant helps partners navigate claim-related questions, support reimbursement efforts, and keep the process moving forward.
Claims Support
Claim Review & Guidance
Add a specialized resource when a claim needs deeper review or focused coordination.
Process Coordination
Help maintain communication and next-step coordination as claim questions move across carriers, TPAs, vendors, employers, and other stakeholders.
Broker Advocacy
Provide stop loss claims expertise behind the broker relationship without taking over the client relationship.
Clinical Expertise
Clinical Strategy
Large or complex claims can introduce questions that go beyond reimbursement alone. Avant’s clinical team adds perspective to help partners better understand complex cases, identify opportunities, and connect clinical considerations to broader risk and stop loss strategy.
Clinical Assessment
Provide experienced clinical insight when a case involves significant diagnoses, high-cost treatments, emerging therapies, complex care plans, or other factors that may influence claim outcomes and stop loss performance.
Claims Review & Cost-Savings Opportunities
Our experienced Registered Nurse team reviews high-cost claimants and leverages clinical expertise to identify opportunities from past claims while highlighting potential cost-reduction strategies that may improve future outcomes and plan performance.
Risk & Trend Evaluation
Help partners understand how clinical developments may affect risk exposure, cost trends, renewal planning, and future stop loss strategy.
Clinical Consultation
Provide clinical guidance and stop loss expertise behind the broker relationship, helping partners evaluate complex situations while maintaining their role as a client advisor.
Integrated Strategy
Connect clinical observations with claims support, risk analysis, and consulting resources to help ensure all aspects of a complex situation are considered.
Documentation & Reimbursement
Claims work often depends on clear documentation, timely coordination and an understanding of what is needed to move the process forward. Avant helps partners stay connected to those requirements through the reimbursement process.
Documentation Coordination
- Help organize the information and follow-up needed to support the claim process.
Reimbursement Guidance
- Provide an experienced resource as partners navigate questions and next steps related to reimbursement.
Broader Risk Context
- Connect claims activity back to Avant’s Risk Analysis & Consulting support when it should inform future strategy.
Ongoing Coordination
Complex claims can require continued attention over time. Avant helps partners keep the right resources connected as questions, documentation and strategy evolve.
Maintain continuity as information develops and next steps move between stakeholders.
Connect claims expertise with broader risk analysis when the claim has implications beyond the immediate reimbursement process.
When claims experience affects future market conversations, bring Marketplace Relationships into the strategy.
Latest Insights
Explore stop loss perspectives on claims, risk and market strategy for broker and agency partners.
- Ancillary Benefits
- Ancillary Benefits
- Ancillary Benefits
Talk to a Specialist
When a complex stop loss claim needs additional expertise, bring Avant into the conversation to discuss clinical strategy, claims support and next steps.