Best Managed Care E&O Firms in USA
Non-sponsored, Expert Verified and Transparently Ranked Managed Care E&O Firms in USA
Published: December 29, 2025 | Verified by: Ted Scheiman & Rob Watts
Executive Summary
We analyzed 5 solutions. Top Recommendation: Claims Management by Liberty Mutual (Ironshore) scored highest due to HMOs, PPOs, IPAs, ACOs, MSOs, TPAs, PBMs, and other managed care entities seeking scalable primary or excess protection with robust regulatory and litigation support across all 50 states..
Content Verification
Side-by-Side Comparison
| Feature | #1 Claims Management (Liberty Mutual (Ironshore)) | #2 Managed Care Insurance Solutions (TDC Specialty Underwriters (TDC Group)) | #3 Healthcare Liability Insurance (Allied World) | #4 Risk Control Services (Travelers) | #5 Claims Services (Berkley Healthcare (W. R. Berkley)) |
|---|---|---|---|---|---|
| Best For | HMOs, PPOs, IPAs, ACOs, MSOs, TPAs, PBMs, and other managed care entities seeking scalable primary or excess protection with robust regulatory and litigation support across all 50 states. | IPAs, ACOs, regional and national health plans, Blue Cross/Blue Shield entities, and large managed care organizations requiring customized high-limit E&O with optional D&O and regulatory enhancements. | HMOs, PPOs, ACOs, PBMs, TPAs, and managed care service providers needing tailored E&O with packaged cyber and management liability to streamline purchasing and minimize coverage gaps. | Health plans, TPAs, PBMs, integrated delivery systems, IPAs/PHOs, Medicare/Medicaid plans, and vision/dental managers seeking an established carrier-backed E&O program with specialist underwriting. | Managed care organizations and provider-sponsored plans seeking a specialist carrier with integrated financial lines, strong claims partnership, and the backing of a top-tier insurance group. |
| Claims Management Expertise | Dedicated healthcare liability claims specialists partner with customers, brokers, and defense counsel to minimize litigation and control costs; they provide remediation consultation, expert-witness recommendations, attend mediations/arbitrations/trials, and monitor liability trends nationwide. (business.libertymutual.com) D&O claims teams can settle within retentions and allow counsel choice, led by senior, experienced specialists. (business.libertymutual.com) | 45+ years defending healthcare entities; industry-leading defense attorneys with managed care E&O experience; early liability assessment and joint defense strategy; nationwide network of local/specialty experts; proactive legal expense control; and experienced claims professionals available 24/7, well-versed in jurisdictions and local legal environments, delivering customized, knowledgeable responses to every claim. (tdcg.com) | Responsive, proactive claims service backed by a global claims team with significant local authority and extensive expertise by line and claim type, including healthcare liability; experienced, dedicated resources positioned worldwide to handle primary and excess claims. (alliedworldinsurance.com) | 12, 000+ Claim professionals nationwide, with specialized teams (GL, mass torts, fraud investigation, subrogation, forensics, catastrophe response). (travelers.com) Dedicated GL teams; 60% of low‑exposure claims close without pay and 95% stay closed; 24 claim centers. (travelers.com) Claim pros partner with Risk Control engineers, nurses and forensics to evaluate losses and optimize outcomes. (travelers.com) | Dedicated healthcare claims professionals with decades of healthcare liability experience; consultative, non-intrusive guidance; expertise managing complex/challenging claims across hospital, senior care, financial lines, and managed care; close coordination with underwriting; direct access to high-level decision makers in a flat structure enabling prompt decisions and tailored strategies, including support within self-insured retentions. (berkleyhealthcare.com) |
| Policy Coverage Flexibility | Primary or excess; up to $10M limits. Offered stand-alone E&O or bundled with D&O. Choice of duty-to-defend or reimbursement form. Minimal exclusionary language, broad Managed Care Services definition, and worldwide coverage enable tailoring to diverse risk profiles. (business.libertymutual.com) | Flexible structure: primary or excess E&O up to $15M; optional Management Liability/EPL; HIPAA and regulatory sub-limits; antitrust coverage optional. Broad services definition (includes care coordination), duty-to-defend, privacy liability and Good Samaritan included, continuity maintained. Supports SIR with bordereau reporting; admitted in select states. (tdcspecialty.com) | Highly customizable: primary or lead excess; shared/separate limits; flexible deductibles/retentions; endorsements; ERP/tail; automatic 90‑day M&A; worldwide. Also 365Complete packages Managed Care E&O, cyber, and management liability; ACO‑specific options. (alliedworldinsurance.com) | Wrap+’s modular design lets Travelers tailor Managed Care E&O alongside other management liability coverages under common terms, helping avoid gaps. Policies can be written primary or follow-form excess to suit program structure. Travelers also emphasizes tailoring coverage to specific business risks via agents. (chathamins.com) | Flexible across coverage types: claims services support Hospital Professional Liability, Senior Care Professional & General Liability, Financial Lines, and Managed Care. (berkleyhealthcare.com) Claims strategies are tailored; close collaboration with Underwriters aligns to each insured’s policy commitments, and a flat structure enables prompt decisions. (berkleyhealthcare.com) |
| Integration with Risk Services | Liberty integrates claims with risk services by unifying claims and risk control teams across accounts. Clients receive coordinated support from claims handlers and risk engineers (pre/post-onboarding consultations, post-claim walkthroughs) plus access to the Risk Control Consulting Center and SafetyNet resources, with portals that combine claims and risk‑control tools. (business.libertymutual.com) (business.libertymutual.com) | Managed Care insureds receive integrated, data-driven risk services: risk assessments, incident analysis, a risk helpline, online resources, education/webinars, and real‑time analytics (claims metrics, clinical insights, litigation tools). Services delivered via TDC Specialty with Healthcare Risk Advisors and OmniSure support. (tdcg.com) | Complimentary risk management integrates with coverage: healthcare policyholders get customized risk assessments, education, resources, plus advice and incident hotlines. Managed Care E&O includes dedicated services (e.g., 365Complete). These risk control/client services are value‑added and typically included at no additional charge with Healthcare/Medical Professional policies. (alliedworldinsurance.com) | Integrated access via MyTravelers (1, 000+ resources), on-site specialists, Industrial Hygiene Laboratory and Risk Control On-Demand virtual consulting. (travelers.com) Analytics and mobile access through Travelers RMIS and Risk Toolworks app. (travelers.com) | Claims work in concert with Berkley Healthcare’s risk services: Strategic Analytics (large MPL database) for actionable trends, Clinical Risk Management to reduce adverse events, and the Script ERM platform for loss prevention. (berkleyhealthcare.com) Claims take a consultative approach and coordinate closely with underwriters and insureds to tailor cost‑reduction strategies. (berkleyhealthcare.com) |
Claims Management
Liberty Mutual (Ironshore)Company Information
Description
As businesses evolve, they need a stable, adaptive insurer that is always looking ahead. We provide comprehensive, tailored business insurance solutions with expertise and care to help protect your people, property, and reputation.
What They Do
Provide comprehensive and tailored business insurance solutions
Who They Serve
Businesses of all sizes and individuals seeking personal insurance
Key Value Propositions
Target Customers
Industries Served
Contact Information
Key Pages
Navigation Links
Summary
Enterprise-grade E&O and D&O coverage purpose-built for managed care organizations, available primary or excess with up to $10M capacity. Designed to address allegations from negligent provider selection to wrongful denial of treatment, with specialized healthcare claims support.
Key Features
- Team of claims professionals connected to customers and employees
- Investment in innovative claims technologies
- Next-generation claims modeling
- Industry-leading expertise and technology
- Provider networks for efficient claims handling
- Resources for policyholders and injured workers
- Severe weather resources
Key Benefits
- High-quality claims experience
- Support for liability mitigation
- Assistance with property loss or contract default recovery
- Dedicated support for injured workers to aid recovery and return to work
- Access to innovative claims technologies and modeling
- Trusted, customer-focused partnerships
Who Is It For
- Business insurance customers
- Employers seeking claims support for their employees
- Organizations needing assistance with liability, property, or contract claims
- Injured workers requiring recovery and return-to-work support
A focus on better claims outcomes
We see every claim as an opportunity to create experiences that exceed expectations. And it starts with a team at your side that’s truly connected to customers and their employees. We’re focused on delivering the best possible outcomes, whether we’re helping customers mitigate liability, rebuild after a property loss or contract default, or connecting with injured workers to help them recover and return to work. Our approach is simple – but deep: Begin with the best people. Invest in innovative technologies. And sustain trusted partnerships.
- Team connected to customers and employees
- Focus on best possible outcomes
- Support for liability mitigation, property loss, contract default, and injured worker recovery
- Investment in people and technology
- Trusted partnerships
Resources
Detailed Comparison
Claims Management Expertise
Policy Coverage Flexibility
Integration with Risk Services
Managed Care Insurance Solutions
TDC Specialty Underwriters (TDC Group)Company Information
Description
TDC Specialty is the marketing name for the specialty insurance operations and services of The Doctors Company and its subsidiaries and affiliated companies, including TDC Specialty Underwriters, Inc., TDC Specialty Insurance Company, TDC National Assurance Company, Healthcare Risk Advisors, Inc., and Hospitals Insurance Company, Inc. All products and services are written or provided by subsidiaries or affiliates of The Doctors Company. The Doctors Company does not underwrite excess and surplus lines insurance. Certain coverages may be provided through surplus lines insurance subsidiaries of The Doctors Company through licensed surplus lines brokers. Coverages may be underwritten by TDC Specialty Insurance Company, TDC National Assurance Company, or Hospitals Insurance Company, Inc., all wholly owned subsidiaries of The Doctors Company. Product summaries are for informational purposes only. Coverage is subject to the language of the policy as actually issued. Coverage, policy terms, and availability may vary by state.
What They Do
Provide specialty insurance solutions specifically designed for healthcare organizations.
Who They Serve
Healthcare organizations, including hospitals, long-term care facilities, medical facilities, physicians, and managed care organizations.
Key Value Propositions
What Customers Say
"Our sole focus on the healthcare industry allows for a deeper level of specialization within the segments we serve. It is our intent to demonstrate this through our ability to craft solutions, being fair and responsive partners, and consistently fulfilling the needs of our customers."
— Paul Romano, President
Target Customers
Industries Served
Social Media
Key Pages
Navigation Links
Summary
Primary and excess managed care E&O solutions with limits up to $15M, built by healthcare-focused E&S specialists. Features duty-to-defend forms, broad managed care professional services, and available management liability and regulatory sub-limits.
Key Features
- Broad definition of managed care professional services
- Duty-to-defend policy
- Privacy liability wrongful act included in insuring agreement
- Care coordination included as part of managed care professional services
- Antitrust coverage available
- Good Samaritan coverage included
- Continuity of coverage maintained
Who Is It For
- IPAs (Independent Practice Associations)
- Regional health plans
- National health plans
- Blue Cross Blue Shield entities
- Other managed care organizations
MANAGED CARE
Our experienced team provides both primary and excess solutions for a broad spectrum of risks for managed care clients. We serve IPAs, regional health plans, national health plans, and Blue Cross Blue Shield entities, all with flexibility and expertise.
Coverage Features (E&O)
- Broad definition of managed care professional services
- Duty-to-defend policy
- Privacy liability wrongful act as part of the insuring agreement
- Care coordination included as part of managed care professional services
- Antitrust coverage available
- Good Samaritan coverage included
- Continuity of coverage maintained
Coverage Options
- Management Liability
- HIPAA and Regulatory sub-limits available
Eligible Risk Classes
- Health Plans
- Health Maintenance Organizations
- Preferred Provider Organizations
- Independent Practice Associations
- Physician Hospital Organizations
- Accountable Care Organizations
- Management Services Organizations
- Administrative Service Organizations
Additional Considerations for Managed Care E&O
- Self-insured retention with bordereau reporting available
- Minimum premium and retentions vary with size of risk
- Primary and excess available
- Admitted in select states
Additional Considerations for Management Liability
- Form designed especially for managed care entities
- Minimum premium and retentions vary with size of risk
- Employment Practices Liability available
Limits
$15 million available for both primary and excess
Speak with Our Managed Care Expert: Susan Angelo
Susan has been a leader in managed care underwriting for nearly 30 years. She joined TDC Specialty to establish our Managed Care segment and focus on developing an intensive internal training program.
Applications for Managed Care
Download our fillable applications.
Resources
Supporting Resources
Detailed Comparison
Claims Management Expertise
Policy Coverage Flexibility
Integration with Risk Services
Healthcare Liability Insurance
Allied WorldCompany Information
Description
Allied World is a global provider of insurance and reinsurance solutions focused on niche markets and specialty insurance coverage.
What They Do
Allied World provides comprehensive insurance solutions across various sectors including commercial, casualty, healthcare, and others.
Who They Serve
They serve businesses of all sizes including small to medium enterprises and Fortune 1000 companies.
Key Value Propositions
Target Customers
Industries Served
Contact Information
Social Media
Key Pages
Summary
Comprehensive Managed Care E&O with options for primary and lead excess, tailored by an experienced healthcare underwriting team. Includes specialized solutions like 365Complete that packages Managed Care E&O, cyber, and management liability.
Key Features
- Coverage for medical malpractice
- Coverage for managed care errors & omissions (E&O)
- Specialized solutions for ACOs and other healthcare entities
Key Benefits
- Comprehensive liability coverage for healthcare organizations
- Protection against emerging exposures
- Adaptation to an ever-changing legal environment
- Specialized products tailored to diverse healthcare needs
Who Is It For
- Healthcare organizations
- Accountable Care Organizations (ACOs)
- Managed care entities
- Organizations requiring medical malpractice coverage
Healthcare Liability
More than ever, emerging exposures and an ever-changing legal environment make the need for comprehensive healthcare liability coverage essential to organizations. With unparalleled knowledge of the field, Allied World delivers specialized products to meet the unique and diverse needs of the healthcare industry from ACO’s to managed care E&O to medical malpractice coverage.
Regions Served
We write Healthcare Liability from the following regions:
- Australia
- Bermuda
- Europe & UK
- Hong Kong
- Singapore
- USA
Resources
Detailed Comparison
Claims Management Expertise
Policy Coverage Flexibility
Integration with Risk Services
TravelersCompany Information
Travelers is a leading provider of insurance solutions, offering a wide range of personal and business insurance products to protect individuals, families, and businesses from various risks. With over 160 years of experience, Travelers is committed to helping its customers manage risks and achieve their goals.
Keywords
Description
Travelers provides a wide range of insurance products and services for individuals, families, and businesses, helping them manage risks and protect their assets.
What They Do
Travelers offers insurance products and services for personal and business needs, including auto, home, and commercial insurance.
Who They Serve
Individuals, families, and businesses across various industries.
Key Value Propositions
Target Customers
Industries Served
Contact Information
Navigation Links
Summary
Travelers’ Wrap+ Managed Care E&O helps protect health plans and administrators from unique managed care exposures. The program is managed by Chatham Insurance Services, a specialist MGU focused exclusively on the managed care industry.
Key Features
- On-site, online, and on-demand risk management resources
- Specialized consultants in areas such as fire protection, product liability, and transportation
- Industry-leading online education and training services
- Articles, guides, and self-assessments available 24/7
- Industrial hygiene laboratory services for employee exposure assessment
- MyTravelers® secure portal with access to 1, 000+ risk management resources
- Travelers Workforce Advantage® program for workforce safety and engagement
Key Benefits
- Access to cost-effective risk management services and products
- Support from one of the largest Risk Control departments in the industry
- Customized solutions based on deep technical and industry expertise
- Round-the-clock access to risk resources
- Online education and training tailored to specific industries
- Specialized services such as industrial hygiene laboratory assessments
- Resources to help build a safe, healthy, and resilient workforce
Who Is It For
- Business insurance customers
- Agents and brokers
- Businesses seeking to manage risk and promote workplace safety
- Industries with unique or complex risk profiles
Travelers Risk Control: Our resources are your advantage
Travelers Risk Control is an innovative provider of cost-effective risk management services and products. As one of the largest Risk Control departments in the industry, our scale allows the right resource at the right time to meet customer needs. For over 110 years, our loss prevention professionals have assisted agents, brokers and customers across the country and around the world.
Our people
Your business is unique and so are the risks you manage. Our people have the deep technical knowledge and broad industry experience to meet your needs.
Risk Control specialties
Travelers Risk Control consultants are specialized in variety of areas including fire protection, product liability, transportation, and more. Learn more about our technical risk management specialties and services.
- Fire protection
- Product liability
- Transportation
Risk Control resources
We provide our customers with round-the-clock access to our risk resources – on-site, online and on-demand. Learn more about how we work with you.
Education and training
Travelers offers a breadth of industry-leading online education and training services developed and presented by our specialists, tailored for your industry.
Risk Control solutions
We are committed to sharing what we learn every day with our customers – articles, guides and self-assessments are available online, 24/7.
Industrial Hygiene Laboratory
Our specialized industrial hygiene laboratory services at Travelers can help you assess employee exposures and work toward the prevention of occupational illnesses.
Building a safe, healthy and resilient workforce
With medical costs on the rise and an ever-changing multi-generational workforce, it is more important than ever to promote safety and health in the workplace. Onboarding and assimilation are continual processes that build a workplace culture of safety. A safe and engaged workforce is crucial for business success. A more engaged workforce is a competitive advantage. Travelers Workforce Advantage® can help.
MyTravelers® Online Risk Control Tools and Resources
A secure website for business insurance customers where you can access 1,000+ risk management resources to help you keep your employees and business safe.
Find an insurance agent
Tailor coverage to address the risks to your business.
Resources
Supporting Resources
Detailed Comparison
Claims Management Expertise
Policy Coverage Flexibility
Integration with Risk Services
Claims Services
Berkley Healthcare (W. R. Berkley)Company Information
Description
Berkley Healthcare applies cutting-edge insurance concepts to traditional healthcare insurance products, providing services dedicated to managing enterprise risk in the complex healthcare industry.
What They Do
Berkley Healthcare offers specialized insurance products focused on healthcare entities, designed to manage financial risks associated with the healthcare industry.
Who They Serve
They serve various segments within the healthcare sector including hospitals, senior care facilities, and allied health practices.
Key Value Propositions
Target Customers
Industries Served
Trusted By
Contact Information
Social Media
Navigation Links
Summary
Specialized healthcare financial lines platform offering managed care liability alongside professional and general liability solutions. Backed by W. R. Berkley’s financial strength with dedicated managed care claims capabilities.
Key Features
- Specialized claims professionals with healthcare liability expertise
- Flat organizational structure for quick decision-making
- Support for complex and challenging claims
- Non-intrusive guidance, respecting insureds' expertise
- Multiple lines of business and coverage types supported
Key Benefits
- Dedicated healthcare focus with extensive industry experience
- Personalized claims handling recognizing unique needs of each insured and claim
- Efficient and customer-centric dispute resolution
- Close working relationship between claims professionals, underwriters, and insureds
- Direct access to high-level decision makers for prompt decisions
- Ability to employ both proven and innovative claims resolution strategies
- Support and guidance throughout the claims process
Who Is It For
- Hospitals
- Health systems
- Senior care facilities
- Long-term care providers
- Managed care organizations
- Healthcare entities with financial lines exposures
Our Promise
Berkley Healthcare Claims Professionals understand the circumstances that can give rise to healthcare liability exposures and how to best mitigate those exposures. We have the highest regard for the important mission of healthcare providers and entities to deliver quality patient care in an ever-changing regulatory and operational environment. We are committed to partnering with our healthcare insureds to work toward optimal resolution of the claims and exposures that arise.
- Dedicated healthcare focus and decades of experience
- Unique care and attention for each claim and insured
- Employ both tried and innovative claims resolution strategies
- Efficient and customer-centric dispute resolution
- Close working relationship between Claims Professionals, Underwriters, and insureds
- Direct access to high-level decision makers
- Prompt decisions enabled by flat organizational structure
Hospital Professional Liability
Claims services for hospitals and health systems, including contact information for submitting claims and loss run requests.
- Claims email: bhmpclaims@berkleyhealthcare.com
- Loss run request email: lossrunrequests@berkleyhealthcare.com
- Address: 16253 Swingley Ridge Road, Suite 375, Chesterfield, MO 63017
Senior Care Professional and General Liability
Claims services for senior care and long-term care providers, including contact information for submitting claims.
- Claims email: bhscclaims@berkleyhealthcare.com
- Address: 16253 Swingley Ridge Road, Suite 375, Chesterfield, Missouri 63017
Financial Lines
Claims services for financial lines exposures in healthcare organizations, including contact information for submitting claims.
- Claims email: bhflclaims@berkleyhealthcare.com
- Fax: 866-408-2415
- Address: 433 South Main Street, Suite 200, West Hartford, CT 06110
Managed Care
Claims services for managed care organizations, including contact information for submitting claims.
- Claims email: bhflclaims@berkleyhealthcare.com
- Fax: 866-408-2415
- Address: 433 South Main Street, Suite 200, West Hartford, CT 06110
Resources
Detailed Comparison
Claims Management Expertise
Policy Coverage Flexibility
Integration with Risk Services
Our Ranking Methodology
How we rank these offerings
We ranked these Managed Care E&O Firms in USA based on three key factors: Policy Coverage Flexibility (40% weight), Claims Management Expertise (40% weight), and Integration with Risk Services (20% weight). Claims Management scored highest because of its strong coverage flexibility, offering primary or excess options, and robust claims management expertise with a focus on minimizing litigation and costs.
Ranking Criteria Weights:
Frequently Asked Questions
- What are the typical costs and pricing models for Managed Care E&O insurance in the USA?
- The costs for Managed Care E&O insurance vary based on coverage limits, such as those offered by Claims Management's up to $10M and Managed Care Insurance Solutions' up to $15M. Pricing is typically structured around coverage capacity and whether policies are primary or excess. Tailored products like Healthcare Liability Insurance's 365Complete which combines E&O, cyber, and liability coverage, may have premium pricing due to the additional protections offered. Factors affecting costs include the size of the organization, the scope of managed care services, and risk assessments by expert underwriting teams.
- What are the key selection criteria and considerations for choosing a Managed Care E&O insurance provider?
- When selecting a Managed Care E&O provider, organizations should consider the provider's experience in healthcare underwriting, as Healthcare Liability Insurance offers a team specializing in this field. Additionally, the availability of both primary and excess coverage, as provided by several firms, offers flexibility. The inclusion of duty-to-defend forms and broad professional services from companies like Managed Care Insurance Solutions can also be critical. Special focus should also be on the provider's claims management capabilities, as highlighted by Claims Services, which are pivotal for resolving complex industry-specific claims.
- What industry standards and compliance factors should be considered with Managed Care E&O insurance?
- Compliance with healthcare regulations and standards is crucial for Managed Care E&O policies. This includes alignment with industry practices for managed care organizations and understanding the specific exposures tackled by products like Travelers’ Wrap+, managed by Chatham Insurance Services, which focus specifically on compliance hurdles. Policies should also meet state and federal healthcare requirements, offering coverage for negligent provider selection and wrongful denial of treatment. Regulatory sub-limits provided by Managed Care Insurance Solutions address specific compliance needs.
- What are the common implementation challenges and their solutions for Managed Care E&O insurance?
- Implementation challenges of Managed Care E&O insurance often involve integrating the insurance coverage with the organization’s risk management processes. Solutions include leveraging specialized claims support as offered by Claims Management, which ensures that allegations such as wrongful denial of treatment are meticulously handled. Efficient integration may require deploying comprehensive solutions like Healthcare Liability Insurance's 365Complete package, consolidating E&O, cyber, and management liabilities into a single manageable policy. Additionally, choosing providers like Travelers’ Wrap+ can ensure focused protection against unique managed care exposures, simplifying implementation.
- How can organizations evaluate ROI and value delivery from investing in Managed Care E&O insurance?
- Evaluating ROI for Managed Care E&O insurance involves assessing the risk reduction against the premium costs. Investments in coverage like those from Claims Services, backed by W. R. Berkley’s financial strength, provide significant value through robust claims capabilities that can lead to reduced litigation costs and financial protection against unforeseen claims. Considering products like Travelers’ Wrap+ and Healthcare Liability Insurance’s comprehensive packages, organizations can achieve value delivery through bundled solutions that address multiple risk areas, thus maximizing coverage while minimizing financial expenditure.
Our Promise: We promise to deliver the highest quality company and offering data, free from sponsored bias. We compile data from across the internet, to give the most accurate and true rankings, according to our transparent algorithms.