Digital Platforms

Warren, N.J.–The Chubb Group of Insurance Companies has created ePolicy, a secure electronic insurance policy, to streamline the delivery of personal insurance policies and reduce environmental waste.

Washington, D.C.—Life insurance producers could save hundreds of millions of dollars annually in licensing fees if Congress enacts legislation creating an optional federal charter (OFC) system for the insurance industry, according to a new study by Dr. Laureen Regan, associate professor with Temple University’s Fox School of Business and Management

London - Karen Clark, considered the founder of modern day catastrophe risk modeling, has received the Review Worldwide Reinsurance Awards' Lifetime Achievement award for outstanding long-term contributions to the reinsurance industry.

New York - Insurers of all sizes hoping to take a proactive approach to cracking health claims fraud seem to understand the stakes: According to estimates from the federal government and issues-based groups such as the National Health Care Anti-Fraud Association, as much as 10% of all healthcare expenditures in the United States, or $170 billion, may be lost each year to fraud, waste and abuse. Carriers still struggling to keep up with claims fraud may also do well to recognize that there is yet another piece of ammunition available. From its research laboratories in New York, IBM has pooled data mining and analytics technologies to create a software-as-a-service product designed to identify potentially fraudulent and abusive behavior before a claim is paid, or retrospectively analyze providers' past behaviors to flag suspicious patterns. Non-profit provider Excellus Blue Cross Blue Shield in Rochester, N.Y., which counts two million members, is the latest carrier to contract with Big Blue to thwart fraud. The company will use IBM's on-demand Risk Identification Analysis Service to review pharmacy-related claims to uncover complex schemes. Some of these schemes may include collusion, inappropriate billing practices, prescription forging, prescription pad theft and members who are "doctor shopping." "Make no mistake about it-someone who knowingly commits insurance fraud is no different than any other person who steals," says Flora Allen, corporate director, special investigations unit, Excellus BlueCross BlueShield. "Fraud affects everyone's bottom line, so we aggressively and proactively pursue recoveries and convictions because we are protecting our members' premiums." Although the stakes are high for Allen and her organization, which processed somewhere between 51 and 52 million claims in 2006, there is no real way to calculate the hard and soft costs, she says. "We are only as good as what we can find," she told Insurance Networking News. "Adding the Risk Identification Analysis Service from IBM to our existing investigative arsenal improves the analytical capabilities we need to find and identify the most egregious offenders." That arsenal includes a fraud hotline, which is available to all members, and a link on the company's Web site where anyone can provide anonymous tips. The insurer also participates with law enforcement task forces, and shares that information the U.S. attorney's office. Based on IBM's Fraud and Abuse Management System (FAMS) technology, which was developed by IBM Research and consultants in collaboration with leading healthcare organizations, the Risk Identification Analysis Service uses a combination of data mining capabilities, visualization techniques and reporting tools to identify questionable behavior before a claim is paid. It replaces traditional manual processes by sorting though tens of thousands of providers and tens of millions of claims in minutes-ranking providers as to their degree of potentially fraudulent, wasteful, abusive or questionable behavior. Allen says their company does not consider whether, as a whole, fraudulent claims are on the rise or may be decreasing. "When it comes to fraud, it's an issue that always appears larger than life and we are getting better at discovering it." IBM hopes that by designing the offering as an on-demand service, it will appeal to insurers of all sizes. "By providing these powerful data mining and advanced analytical capabilities as an on-demand service, we are able to offer this investigative capability to smaller healthcare payor organizations, or government healthcare insurance entities, which may prefer to use this advanced analytic capability as a service, because of the lower demands on their staff and IT capabilities," says Mark Ramsey, global data analytics leader, IBM Center for Business Optimization. "It can also easily be used by larger, private payors looking to use this capability as a service instead of implementing the FAMS solution internally." In addition to pharmacy claims, the service can analyze approximately two dozen other specialties such as cardiology, home health care, gastroenterology and durable medical equipment suppliers. Sources: Excellus Blue Cross Blue Shield, IBM

Columbia, S.C. - BlueCross BlueShield of South Carolina plans to electronically integrate personal health records with medical care plans and make these available in real time to BlueCross members and their health care professionals.

Needham, Mass. - As the insurance industry becomes more immersed in service oriented architecture (SOA) technologies, few outside organizations are available that provide peer review, guidance and cross-industry advice. Penn National Insurance, a Harrisburg, Penn., mutual company that provides a wide range of insurance, however, seems to find such an organization. Penn is among 31 others joining the newly formed SOA Consortium since it's inception on May 1, signaling the onslaught of business organizations across vertical markets requiring SOA-related information.

AGENTS DEMAND REAL-TIME SERVICEIndependent insurance agencies are poised for a major service breakthrough with the proliferation of real-time transactions, says a prominent participant in the industry-wide push to double real-time transaction volume in a year.

PPS SOFTWARE SUITESkywire Software, a Frisco, Texas-based provider of software products for the insurance industry, announced the availability of a reporting tool for PPS, its policy production system for managing general agencies and wholesalers.

Over the last 20 years, the advances enabled by financial modeling are impressive. Insurers have made improvements in risk management, capital optimization, product development and other important aspects of their business with the help of financial models. The critical importance of financial models has never been more evident.Products today are increasingly complex, and the pressure to manage, measure and report risk continues to grow. As a result, models viewed as highly sophisticated just a few years ago are now inadequate to meet today's needs. However, keeping pace with these demands is becoming increasingly difficult.

Outsourcing in financial services is increasing year over year, according to results from two surveys. The surveys also indicate that offshoring is increasing due to cost savings and quality of work.Offshoring is saving the financial services industry an estimated $9 billion each year. This number is up from an estimated $5 billion a year ago, propelled by a 1,800% increase in headcount in lower-cost countries over the last four years, according Deloitte Touche Tohmatsu's fourth "Deloitte Global Financial Services Offshoring Report."

VALUATION SOLUTION REDUCED CLAIMS SETTLEMENT CYCLEPlymouth Rock Assurance Corp., Boston, selected San Diego-based Mitchell International Inc.'s, Total Logic Valuation as the company's total loss valuation solution to deliver a customer-centric loss claims process.

Westlake Village, Calif. - Policy retention is critical to the financial success of auto insurance carriers, and a customer's experience with their provider is the most important element—outweighing brand image—in generating policy renewals, according to the "J.D. Power and Associates 2007 National Auto Insurance Study."The study measures customer satisfaction with auto insurance carriers across five factors. In order of importance, they are: interaction, policy offerings, billing and payment, price and claims.

Boulder, Colo. — IT risk management is no longer strictly about mitigating the negative threats surrounding IT, a new study finds. The study was published by Boulder, Colo.-based independent IT management research and consulting firm Enterprise Management Associates (EMA).

New York – Two life insurers recently appointed a number of executives. ACE Life Insurance Co., a business of Bermuda-based ACE Ltd., named Jim Gibbs as vice president and chief underwriting officer and Bruce Horton as vice president and chief marketing officer. Gibbs joins ACE from Optimum Reinsurance Co., Dallas, where he was senior vice president, underwriting. His previous experience includes positions at SCOR Life US Re, Dallas, and Munich American Reinsurance, Atlanta. He is a past president of the Southeastern Home Office Underwriters Association, and he has been a speaker at many industry gatherings, addressing both underwriting and actuarial groups on various topics.

Chicago – A new study evaluates the home pages and usability of 14 major auto insurance providers’ Web sites to examine customer expectations and discover where companies succeed or fail in attracting and retaining customers.

Armonk, N.Y. - U.S. consumers want insurance companies to more effectively communicate new products and services available to them, provide customized policies to better meet their needs and bring their customer experience up to par with other industries, according to an IBM study of more than 3,000 P&C insurance policyholders. Yet, despite boasting one of the largest demographics of loyal and satisfied customers of any industry, few insurance companies are looking for new and innovative ways to connect with their customers to enhance their experience and drive organic growth.

Boston – Liberty Mutual Group has made its acquisition of Ohio Casualty Corp. official. Liberty first announced its intention to purchase the Fairfield, Ohio-based carrier for $44 per share in cash in May.

Washington – The heads of two insurance industry associations have issued a joint letter urging the National Governor’s Association to drop their opposition to the National Insurance Act.

Silver Spring, Md. – AIIM, the Enterprise Content Management Association, is expanding its certificate training program to include two new programs for business process management and information organization and access. The new programs are designed to provide organizations with the skills and knowledge to improve their business processes and optimize enterprise search and findability. Online courses will be available starting September 10 by going to www.aiim.org/training. More than 4,200 participants attended the Silver Spring, Md., organization’s first two certificate programs—on electronic records and enterprise content management, reports John Mancini, AIIM president. “This led us to look at related certificate programs that would help end-users make smart information management decisions," he said. Each AIIM certificate training program consists of three designation levels (practitioner, specialist and master level) across four programs (enterprise content management, electronic records management, business process management and information organization and access. Source: AIIM

Stamford, Conn. – A rapidly shifting, increasingly consumer-centric insurance market is no safe harbor for health insurers, a new research note from Gartner, Inc. contends.

Stamford, Conn. – Nearly 90% of CFOs believe that the cost of compliance with Sarbanes-Oxley (SOX) outweighs the benefits, according to the latest survey from the Tillinghast business of Towers Perrin.

Novato, Calif. and Armonk, N.Y. – Allianz of America (AZOA), parent company of Allianz Life Insurance Company of North America, has signed a $330 million-, 7-1/2-year outsourcing agreement with IBM to handle information technology (IT) operations of the life insurer.

Pearl River, N.Y. – ACORD has released the first three of its standardized producer appointment forms.

Washington—Eight more insurance companies have signed on as sponsors of the National Association of Professional Insurance Agents’ (PIA) agent branding program, Local Agents Serving Main Street America.

Washington, D.C.– The National Association of Mutual Insurance Companies (NAMIC) pointed to a new government report showing a direct correlation between credit scoring and risk. A study released by the Federal Reserve Board comes on the heels of a report by the Federal Trade Commission (FTC) that also said credit scoring is not unfairly discriminatory.

Silver Spring, Md. — Insurers are recognizing the savings associated with installing distributed scanning and capture technologies, according to a July 2007 survey by AIIM, who specializes in disseminating information about enterprise content management.

New York — The need to comply with Section 404 of the Sarbanes-Oxley Act (SOX) is only having a minimal effect on enterprise risk management (ERM), new research has found.

New York - A subsidiary of New York-based American International Group, Inc. (AIG) has entered into an agreement to acquire Wurttembergische und Badische Versicherungs-AG (Wuba), its major subsidiary DARAG Deutsche Versicherungs- und Ruckversicherungs-AG (DARAG) and other minor subsidiaries from entities associated with J.C. Flowers & Co. LLC. Subject to regulatory approval from insurance and cartel authorities, the transaction is expected to close later this year. Terms of the agreement have not been disclosed. "We are pleased to have reached an agreement to acquire Wuba and its subsidiaries," said AIG President and Chief Executive Officer Martin J. Sullivan. "The transaction both reaffirms AIG's commitment to growing in the German marketplace and greatly enhances our insurance offerings to small and medium sized companies." Based in Heilbronn, Germany, Wuba offers property and casualty, marine, personal lines, and accident & health insurance through its 2,500 broker relationships across the country. "Wuba is an experienced and highly respected German insurer with a strong brand," said Nicholas C. Walsh, Executive Vice President of Foreign General Insurance for AIG. "We plan to continue their commitment to superior customer service, broker focus, distribution management and technology." AIG serves commercial, institutional and individual customers with insurance products, with operations in more than 130 countries and jurisdictions. Source: AIG

Worchester, Mass. - The Hanover Insurance Group Inc., a regional property/casualty company based in Worchester, Mass., is offering Employee Retirement Income Security Act (ERISA) bonds through the company’s online point-of-sale system, BONDirect. The federal government’s ERISA bonds protect employee benefit plans against losses caused by fraud and dishonesty committed by employee trustees.

Toronto-based kanetix, Canada's online insurance marketplace, compared the average lowest auto insurance premium quoted at www.kanetix.ca in Q2 2007 with the average lowest premium quoted from the same period in 2006, and found that the average lowest price had decreased by almost 17%.

El Segundo, Calif. - To remain competitive in the life and annuity industry, insurers should exploit technology to create more innovative products and introduce them faster, according to insurance industry analysts speaking at Computer Sciences Corp.’s Life and Annuity Users’ Forum.

Washington- The National Association of Professional Insurance Agents (PIA) is reiterating its opposition to the National Insurance Act of 2007.

Washington— The National Association of Professional Insurance Agents (PIA) is reiterating its opposition to the National Insurance Act of 2007.

In the wake of insurers increasing their efforts to utilize the Internet to broaden their accessibility, streamline efficiency and reduce time and costs, two insurers have recently ramped up their online customer service capabilities.

Washington, D.C. - The House Financial Services Committee today passed H.R. 2761, the Terrorism Risk Insurance Revision and Extension Act of 2007 (TRIREA) by a vote of 49 to 20.

Richmond, Va. - Markel International Ltd., the company's London-based operation, will enter the Asian market with marine and professional liability products, the company reports. Markel Vice Chairman Steven Markel told INN that the push in Asia is in conjunction with its operations as a syndicate of Lloyd's of London.

Frisco, Texas – The consolidation in the vendor arena continues as Skywire Software, making its third major acquisition of the year, snapped up Canadian automation and compliance solutions provider Whitehill Technologies, Inc.

SC BLUES WINS CALL CENTER TECH AWARDBlueCross BlueShield of South Carolina, Columbia, S.C., took top honors in the "Best Use of Technology" category during the 3rd Annual Call Center Excellence Awards held recently in Las Vegas.

FEE REDUCTION FOR INSURANCE SERVICESThe Depository Trust & Clearing Corporation's (DTCC) Insurance Services New York business reports its first fee reduction in history, reflecting growing usage of its services. Insurance Services has automated linkages and data exchange between carriers and their broker/dealer, bank and other distributor partners who market insurance products.

Reinsurance firms are gripped by a series of major challenges, from increased consolidation in the industry to the rise in securitization and the greater risk primary insurers assume. Although the firms' brokers remain intent on winning clients by accentuating the personal touch, many reinsurers are aggressively adopting technology to confront the stiff obstacles they face.A principal new challenge for reinsurers is the rise in the use of securitization to support life insurance products. Both life and P&C insurance firms are turning to securitization to access capital markets, which has helped lead to a decline in recurring reinsurance since 2005, according to the recent study, "Emerging Trends in U.S. Life Reinsurance: Challenge or Opportunity," from the Hartford, Conn.-based firm Conning Research and Consulting Inc. While recurring reinsurance increased significantly from 1995 through 2000, it flattened out from 2001 until 2004, and then began declining in 2005. "To the extent that some primary insurers, initially several larger ones, use securitization as a substitute for reinsurance, it presents a threat to reinsurers," the study notes.

DIRECT-TO-CONSUMER INSURER CHOOSES RULES MANAGEMENT SYSTEMPrecedent Insurance Co., a subsidiary of American Community Mutual Insurance Co., headquartered in Livonia, Mich., chose Redwood Shores, Calif.-based Corticon Technologies' Business Rules Management System as a critical component in the development and management of Precedent's direct-to-consumer healthcare insurance solution. Precedent plans to deliver a suite of health insurance solutions called REMIX, which includes "Coverage on Demand" plans that charge the insured for only the health insurance coverage they need.

A study of European insurance policy holders by Cambridge, Mass.-based Forrester Research Inc. revealed an overarching reluctance to manage their accounts online. Given many of the major carriers’ desire to drive more customers to the Internet for routine sales and service interactions, the data points to an uphill battle.

Hartford, Conn. - The economics of distribution channels in personal auto insurance can be difficult to understand, and this can present both opportunities and challenges in a softening rate market, according to a new study by Hartford, Conn.-based Conning Research & Consulting.

Ipswich, Mass. - The Customer Respect Group, an international research and consulting firm that focuses on how corporations treat their online customers, released findings from its Third Quarter 2007 Online Customer Respect Study of the Life Insurance Industry.

New Delhi and The Hague, the Netherlands - Insurers outside the U.S. are actively creating partnerships in a business affecting the banking and insurance industries.

Philadelphia – To support high-quality patient care, Philadelphia-based Independence Blue Cross (IBC) is providing physicians with enhanced data about members with chronic conditions.

Needham, Mass. – Leaders in claims operations are beginning to break away from traditional processes and seek technology to assist them in managing a complex business process that has, to date, been extremely people intensive, according to new research from TowerGroup, Needham, Mass. Claims departments have been historically reluctant to adopt technology solutions, perceiving technology as incapable of duplicating the decision-making process of an experienced claims adjuster.

Washington, D.C. - NAVA has struck an alliance with Atlanta-based Financial Services Institute (FSI) to automate electronic annuity sales for independent broker-dealers. The alliance is the latest in a series of actions that play into NAVA's straight-through processing (STP) initiative, a comprehensive set of standards for managing new annuity business electronically. With the goal of reducing redundancies and costs, and increasing efficiencies across the industry, the STP standards, published in December 2006, address e-signatures, e-document management and regulatory acceptance, and includes built-in compliance capabilities to help prevent unsuitable sales. NAVA and the FSI, a membership association of broker-dealers that serve registered representatives who are independent contractors, will work together to augment the STP standards and enable broad adoption among FSI members. The group comprises 110 broker-dealer member firms with more than 130,000 independent registered representatives.NAVA reports that independent brokers represent a significant and fast-growing channel for the distribution of variable annuities - FSI members account for more than 36% of all annuity sales. Mike DeGeorge, NAVA's general counsel, told INN that one of the group's goals is to have broader participation from the independent channel. "FSI gives us access to a larger group of advisers," he says. "We have similar alliances with ACORD, and we've been working with the American Council of Life Insurers." DeGeorge says that NAVA already counts 19 of the top 20 insurers on its executive council, including Allianz Life, Hartford Life, Pacific Life, Principal Financial, Prudential Financial, Transamerica Life and Wachovia Securities. Major wire houses, such as UBS and Morgan Stanley, along with 10% of the bank channel, are also involved, DeGeorge adds. NAVA is also in the process of working with other trade associations as well as federal and state regulators to secure wide-spread acceptance and approval of STP."We want to let them know what we are doing and why we are moving to electronic commerce," DeGeorge says.The group is now working on implementation guides for the standards, model consent documents, and on suitability standards that provide common interpretations of regulatory requirements.This series of actions, reports DeGeorge, is designed to encourage more brokers, advisers and representatives to sign on. "Now it's paper intensive, time-consuming process," he says. "Reps feel it's a good product, but hard to sell because of all the paper. We want to make it easier for the consumer-make it less like buying a house with all the paper-retirement planning can be made very easy with this." Source: NAVA

Pearl River, N.Y. - Building upon the success of its initial rollout, the insurance standards body organization ACORD announced the expansion of its testing and certification facility to include test capabilities for ACORD Reinsurance & Large Commercial (RLC) Placing message implementations.

Hartford, Conn. - A new, automated system introduced by The Hartford Financial Services Group Inc. significantly hastens the creation and modification of personal lines insurance policies.

Seattle – Teenagers may liken Teensurance to George Orwell's all-knowing “big brother.” But Safeco is hedging its bets that parents will appreciate its new technology and services designed to help protect their teen drivers as they gain experience behind the wheel, and drive competitive advantage in the process. Safeco released its Teensurance product, which employs a set of online tools based on an on-board GPS and notification technology called the Safety Beacon. This new bundle of tools enables families to take proactive steps to monitor their teen’s behavior behind the wheel. Parents can set speed, distance and curfew limitations. A real-time notification service tells parents when their teen drivers are in danger. Teensurance is available to customers with Safeco auto insurance policies, and includes free installation of the Safety Beacon, which is guaranteed for two years. Safeco’s goal with Teensurance is to keep communications open about driving and the responsibilities that come with having a driver’s license. “Teensurance is a proactive solution to help our customers keep their families safe on the road, and the first in a series of Safeco innovations that push beyond traditional insurance to impact our customers on a broad scale,” said Jim Havens, vice president of consumer solutions at Safeco. The Teensurance program’s set of tools includes set “safe driving” zones to gradually ease new drivers into the driving experience; the ability to unlock a car door remotely using a simple code; access to 24/7 roadside assistance, a parent/teen contract and pertinent educational materials, including a “TeenDash” survey. Source: Safeco

New York – Aiming to capitalize on the record pace of mergers and acquisitions (M&A), Zurich has created a new business unit designed to cater to the companies involved. The unit, part of Zurich's global corporate business division, will offer customized products and services to help companies manage M&A transaction-related risks, the company says.