Value Added Services​

Account Management​

Our account management staff is dedicated to excellence in administration and customer service and is ready to provide:

  • Primary point of contact for contract and premium administration
  • Admin​istration flexibility and simplification
  • Periodic account reviews to ensure accuracy
  • Day-to-day customer support

​ROSE® Program

Reinsurance Outcomes and Service Experts

Created in 1984, our exclusive ROSE® Program helps RGA clients manage catastrophic medical claims. Innovative, value-added services complement and enhance our clients' medical case management programs by helping to reduce the cost of complications, control risk and support quality health care outcomes.

ROSE® services are available to our clients as an endorsement to the reinsurance contract.

Visit the ROSE® section to find out more about:

  • Consulting Services
  • ROSEBUD® Perinatal and Neonatal Program
  • Cost Management
  • Publications
  • Educational Resources
  • Research

Market Intelligence and Surveys

​We conduct industry surveys on various topics of interest to our clients. The detailed results, shared only with participating companies, help our clients make market-wise decisions and develop policies and procedures that are consistent with current trends. All information is released in a confidential format. RGA has published findings on a broad array of topics. In addition to formal surveys, we conduct informal surveys on specific areas of interest to our clients, provide research assistance and attend or participate in numerous seminars and industry meetings. Whenever possible, we help 'connect' our client's professionals with their counterparts in the industry.

Click here for access to a list of surveys conducted for the Medical and Managed Care market.

Overview of Market Research Services (pdf, 111kb)

In addition to our widely respected industry surveys, we also offer the following research and development services:

  • Formal and informal topical research
  • Tracking and identification of key issues and trends
  • Collation of industry articles
  • Information on conferences, workshops and seminars>
  • Regular mailing on issues affecting you

Underwriting

​Facultative Underwriting Consultation and Risk Review

RGA's Underwriting Consultants have worked in a variety of capacities with major life and accident carriers in the industry. In addition, they are in frequent contact with underwriters at client companies, allowing them to keep abreast of current issues and trends in the industry.

Your assigned consultant serves as the primary contact for your underwriting needs with additional support from other underwriting consultants as needed, providing you with underwriting consultation at all times.

Additional value added services

  • Plan design and policy review
  • Pricing and renewal strategies
  • Experience rating methodologies
  • Large case and special risk underwriting


Claims

Services

  • Claim turnaround in 30 days or less
  • Development of individualized claim reimbursement forms
  • Assistance in contract interpretation and claims adjudication procedures

Operational and Claim file review

  • Comprehensive review of claims
  • Pre-visit assessment of forms, polices and procedures
  • On-site visit comprised of claim file reviews/staff interviews
  • High-level overview of findings at departure
  • Detailed best practices written report within four to five weeks

Cost Management (ROSE® Services)

  • Specialized Networks and Care Management Services
  • Disease Management
  • High Cost Drug Discounts
  • Reducing Claims Costs - Post Payment

Research

  • Client market research studies based on specific needs of our clients
  • Assist clients with their research, using nationally-recognized healthcare resources
  • Monthly teleconferences on healthcare issues

Staff

  • Our staff averages 25 years experience in the medical insurance industry.

​