Core systems

Las Vegas - A feature on its Web sites that links directly to a physician's office has garnered an award for BlueCross BlueShield of South Carolina. The feature, called STATchat, took top honors in the "Best Use of Technology" category during the 3rd Annual Call Center Excellence Awards held recently in Las Vegas. STATchat allows a physician's office staff to call BlueCross over the Internet and gives them priority for customer service. Physician office staff members simply click on the STATchat icon to call for assistance without dialing any numbers by using an inexpensive headset with microphone. STATchat links the staff member with a BlueCross provider services agent, ahead of calls from physician offices using traditional phone lines. Both the awards and the conference are organized by the International Quality & Productivity Center (IQPC). Experts and practitioners in the call center field judged this year's award entries. "Providers who utilize our STATchat feature receive the help they need with little or no wait time," said David Boucher, BlueCross BlueShield of South Carolina's assistant vice president of health care services. "This allows our providers to better focus on their vital role of caring for their patients." Headquartered in Columbia, S.C., BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Source: PR Newswire

Oakland, Calif. - Web-based options are playing a larger role in doctor-patient interaction, notes Kaiser Permanente. The Oakland, Calif., health insurer released a study that was published in the American Journal of Managed Care and describes how secure e-mail changes the way patients choose to access medical care. "Patient access to electronic health record with secure messaging: impact on primary care utilization" examines the use of secure e-mail between Kaiser Permanente members and physicians. According to the study: Patients with online access to an electronic health record (EHR) are choosing to use secure e-mail, thereby decreasing the number of primary care office visits and telephone contact rates. The study noted that the use of secure e-mail linked to an EHR decreased annual adult primary care outpatient visit rates by 7 to 10% and led to 14% fewer phone contacts than those not using online services. "The access to personal health management tools, including secure email is helping our members get care how and when they want it," states Yvonne Zhou, PhD, one of the authors of the study. "It is valuable to have been able to document an evolving trend that shows consumers are choosing to replace office visits and phone calls with electronic communication with their doctors." More than 1.4 million Kaiser Permanente members are registered to use the company's secure online services. Since launching secure e-mail services, more than 2.7 million e-mail messages have been sent to providers. Source: PR Newswire

Zurich, Switzerland - In the latest in a series of insurance-related executive announcements, Zurich Financial Services Group (Zurich) announced the appointment of Christian Orator to the position of Global Chief Claims Officer. He will assume his new role as of August 1, 2007. Orator, 44, and a Swiss and Austrian citizen, will succeed Jane Tutoki who was appointed Chief Claims Officer for Zurich North America Commercial. In his new position, Orator will be responsible for leading a global network of claims professionals and driving continuous improvement in the group's claims capabilities and customer service. He will be report to John Amore, CEO General Insurance, and will be located in Zurich. Orator currently heads special initiatives within the office of the Group Chief Administrative Office. He has extensive experience in the strategic planning, underwriting and claims fields having held numerous executive and operational positions in Austria, the US, Germany and at Corporate Center since joining Zurich in 1989. These roles include serving as a member of the German Executive Board, responsible for commercial lines and broker distribution. He holds a Ph.D. and master's degree in law from the University of Vienna as well as a master's degree in comparative law from Dickinson School of Law in the United States. Source: Zurich Financial Services Group

Los Angeles – At a time when acquisitions are plentiful in the insurance industry (see "More Acquisitions For the Insurance Industry") Los Angeles-based Farmers Insurance Group of Companies announced the completion of its acquisition of non-standard auto insurer, Davie, Fla.-based Bristol West Holdings Inc.Bristol West began providing private passenger auto insurance to Florida residents in 1973. Since that time, it grew to be a provider of liability and physical damage insurance at competitive prices. Bristol West operates in 26 states.

Alexandria, Va.-Agents are taking a more active role in the agent/carrier relationship. Agents want to do more than simply view or access forms on a portal; they want to enter data and communicate with multiple carriers and vendors for quoting, policy issue and inquiry-and they want to enter the data once.

CIGNA HealthCare, Hartford, Conn., announced yesterday that it will begin providing online precertification this fall to more than 365,000 physicians in its national network.

Jersey City, N.J. - The U.S. property/casualty insurance industry's net income after taxes dipped to $15.8 billion in first-quarter 2007 from $16.7 billion in first-quarter 2006 and $17.7 billion in first-quarter 2005. Reflecting the declines in net income, the property/casualty industry's annualized rate of return on average policyholders' surplus (statutory net worth) dropped to 12.9% in first-quarter 2007 from 15.5% in first-quarter 2006 and 17.9% in first-quarter 2005, according to Jersey City, N.J.-based ISO Properties Inc. and Des Plaines, Ill.-based Property Casualty Insurers Association of America (PCI).

Brussels – Under a new measure that may be proposed as early as July 10, insurers within the European Union that conduct business across various borders may be supervised by regulators representing larger groups. EU Internal Market Commissioner Charlie McCreevy is expected to propose Solvency II, a law designed to help regulate how insurers set aside money to cover risk and provide increased policyholder protection while creating a more competitive insurance marketplace. But Peter Skinner, who is expected to steer the measure through parliamentary channels, said lawmakers were already considering a "plan B" if no deal is reached on the supervisory aspects of Solvency II. Conflicting news reports state that the Solvency II deadline may be moved to 2010. Currently, multinationals such as Allianz, Generali, Aviva and Axa, account for 85% of total premiums in Europe, and represent 14 of the bloc's 27 member countries. The fear, say analysts, is that if a new measure is passed, national watchdogs could be given a limited role as supervisors in London, Frankfurt and Paris, home to many of the big groups, take charge. Lawmakers say that the assembly and EU states have joint say on Solvency II. A 28th regime would likely be a voluntary scheme outside existing legislation in the 27 EU member states. Skinner reportedly wants home regulators to be responsible for approving an insurer, with local watchdogs keeping a day-to-day eye on how much capital groups have locally to cover domestic risk. Sources: Reuters, The Insurance Insider

Cedar Rapids, Iowa - A recent online survey on P&C insurance technology reveals that leading carriers have become adept at dealing with customers and business partners online. However, virtually all carriers recognize that there is room for improvement and that they must continuously improve their underlying technology to better serve their customers and enhance their competitive position. The results from a survey conducted by Cedar Rapids, Iowa-based technology provider Fiserv Inc. indicates critical business needs and the projects and technologies insurance carriers have underway to address them.Seventy-five percent of respondents agreed that one of their next three large-scale projects would involve their core system for maintaining insurance coverage information. Access to complete and immediate information allows the carrier to respond more effectively and efficiently. Sixty-seven percent said an agency interface or comparative rating system would be on their list of projects planned. Billing and claims projects to make things smoother for the customer tied at 42%.

BANKS SHOULD SET SIGHTS ON RELATIONSTo entice customers to buy more financial products and services, financial services companies need to focus on improving their relationship strategies, according to Gartner Inc., a research firm headquartered in Stamford, Conn.

ISTREAM TO INCLUDE NEW FUNCTIONALITYWhitehill Technologies Inc., Moncton, New Brunswick, announced new functionality in the IStream document automation suite, including IStream Publisher and IStream Document Manager. The IStream suite is designed to enable business users to create 'model documents' that control the language, layout and look of complex files, such as policies and contracts. IStream can be used to create and control virtually any kind of insurance document, from contracts to welcome kits to group booklets. New functionality includes add-ins for Microsoft Word and Adobe Reader, letting users create complex documents in a familiar, easy-to-use, interactive environment. As data or standard wordings change, users can automatically update their documents to reflect those changes. Leveraging industry-standard applications gives insurers the power to create and update documents easily as part of their normal processes.

XL GLOBAL TO USE INTERCEPT TO MANAGE PROCESSESStamford, Conn.-based XL Global Services Inc., a part of the XL Capital Ltd. group of companies, will use Intercept Studio, a flagship product from Baltimore-based AVIcode, to manage business processes worldwide.

Boston, Mass. – Insurers around the country are making changes to their technology areas with the naming of new executives. Three such examples are Liberty Mutual Group, The Guardian Life Insurance Co. of America and NYMagic.James McGlennon has been appointed vice president and CIO for Liberty Mutual Agency Markets, a strategic business unit of Boston-based Liberty Mutual Group that consists of property/casualty and specialty insurance carriers that distribute their products and services primarily through independent agents and brokers.

Waltham, Mass. - Failure to properly terminate a policy tops the list of reasons property/casualty insurers are found to be out of compliance during market conduct exams, according to research from Waltham, Mass.-based Wolters Kluwer Financial Services' Insurance Compliance Solutions group. On the life/health side, failure to acknowledge, pay or deny claims within specified time frames is the most common market conduct compliance criticism for life/health.

Ipswich, Mass. - When it comes to the larger issues of Web site usability, communication and trust, Progressive and GEICO lead the way, according to consumers answering a survey for the Customer Respect Group (CRG), an international research and consulting firm that focuses on how corporations treat their online customers. This marks the fourth study in a row in which Progressive is ranked at the top. The Ipswich, Mass., firm released findings from its second quarter 2007 Online Customer Respect Study of the Automobile Insurance Industry. The study evaluated the Web sites of a representative sample of auto insurance companies. Using a common set of criteria, it analyzed corporate performance from an online customer's perspective. A directly comparable customer respect index (CRI) is provided for each company. The CRI is a qualitative and quantitative in-depth analysis and independent measure of a customer's experience when interacting via the Internet, reports CRG. Comprising six sub-indices that factor into three meta-concepts identified by customers as their critical concerns when using Web sites, the CRI includes: * Site Usability - How usable is the site to a wide range of users? This includes simplicity (ease of use) and attitude (accessibility). * Communication - How willing is the company to engage in a one-on-one communication to answer specific questions? This includes responsiveness (quality of e-mail replies - both speed and helpfulness -- response tone and other communication methods). * Trust - Can this site be trusted with your personal data? This includes transparency (clarity and comprehensiveness of privacy policies), Principles (respect for data privacy, cookie explanations) and privacy (respect for data privacy, clarity and comprehensiveness of privacy policies). The average rating for the industry was 5.4 on the 10-point CRI scale. This score represents an improvement since the last report, notes CRG, primarily in the area of privacy policy transparency and responsiveness to e-mails. As a result, auto insurers have moved up to the mid-range of all industries from the bottom quartile previously. The industry provides better and more concise information about policies and practices. GEICO and Progressive tied to lead the table, marking the fourth study in a row in which Progressive came out on top. GEICO showed improvement from its fourth place spot in the previous evaluation. American Family showed the most improvement overall from the previous study.

San Francisco - Mergers and acquisitions have become the norm in the insurance industry, and two recent acquisitions prove this. More than a month after Boston-based Liberty Mutual Group announced its acquisition of Fairfield, Ohio-based Ohio Casualty Corp. for $44 per share in cash, Wells Fargo Insurance Services Inc., a subsidiary of San Francisco-based Wells Fargo & Co., announces it will acquire Universal Insurance Services Inc., Grand Rapids, Mich. The acquisition is expected to close July 1, 2007, according to Wells Fargo.

Chicago - The Blue Cross and Blue Shield Association (BCBSA), Chicago, has established physician and employer advisory groups to further enhance the market development of its Blue Health Intelligence (BHI) initiative, the nation's premier healthcare database comprised of de-identified claims information from up to 80 million lives. "The addition of these groups will help BHI maintain its leadership in healthcare informatics," said BCBSA President and CEO Scott Serota. "We look forward to working with this esteemed group of employers and physicians. Their hard work will result in a database that will enhance the quality of information available to consumers, providers and employers." Launched in 2006, BHI will provide sharper insight into healthcare trends, delivery and best clinical practices, and information about the efficacy of treatments and new medical technologies. BHI compiles, analyzes and organizes data, which can then be used as benchmarks to conduct comparative analyses across a range of healthcare components. The first sets of benchmark data were released to participating Blue Cross and Blue Shield companies in December 2006. "The advisory groups will provide high-level strategic counsel and recommendations that will help us provide insight into important health issues," said Bob Greczyn, Jr., president and chief executive officer, Blue Cross and Blue Shield of North Carolina, and co-chair of the BHI board. The employer and physician advisory groups will be responsible for contributing research-based insights into issues critical to the public's health. In addition, they will monitor new market initiatives in the areas of healthcare costs and quality data, and track healthcare literature and trends in practice and technology. With this knowledge, these advisory groups will help identify opportunities for BHI to form new healthcare solutions in quality and transparency for employers, providers and consumers. "This input from the groups will guide BHI as it continues to establish itself as the most comprehensive collection of healthcare information in the industry," added Alice F. Rosenblatt, executive vice president, integration and information management officer and chief actuary, WellPoint Inc., and co- chair of the BHI board. The groups will meet separately with the first meetings convening this summer. Members will serve one, two-year term. The following is a roster of BHI's employer and physician advisory groups. BHI Employer Advisory GroupMember / Title / Company-- Delia Vetter, Senior Director of Benefits, Employee Services & Programs, EMC Corporation-- Bill Greer, Vice President, Benefits, Kellogg Company-- Mike Stoll, Vice President, Benefits, The Kroger Co.-- Greg Heaslip, Vice President, Benefits, Pepsico-- Bob Ihrie, Vice President, Compensation and Benefits, Lowe's Cos. Inc.-- Steve Lampkin, Vice President, Benefits Department, Wal-Mart Stores Inc.-- Mark Cullen, M.D., Professor of Medicine & Public Health, Yale University School of Medicine; Senior Medical Director, ALCOA-- Jeanne Denz, Director, Global Benefits, General Mills-- Martin Storey, Director of Benefits, Michelin North America-- Tom Jecklin, Manager, Healthcare Benefits, State Farm-- William Strahan, Vice President, Compensation and Benefits, Comcast-- Daniel Green, Deputy Associate Director, Center for Employee and Family Support Policy, Office of Personnel Management-- Anna Fallieras, Program Leader, Health Care Initiatives, GE Company-- Pascale Thomas, Director, Benefits, Corporate Human Resources, Verizon Communications Inc. BHI Physician Advisory GroupName / Employer / Contact, Title / Company-- H. Frank Farmer, Jr., M.D., Chairman and Practicing Physician, Florida Board of Medicine-- David Blumenthal, M.D., MPP, Samuel O. Thier Professor of Medicine and Health Policy, Harvard Medical School; Director, Institute for Health Policy, Massachusetts General Hospital/Partners HealthCare System-- Thomas Henry Lee, Jr., M.D., Professor of Medicine, Harvard Medical School, Network President, Partners HealthCare System-- Joel Bender, M.D., Ph.D., Corporate Director of Health Services, General Motors Corp.-- James R. Claflin, M.D., Specialist, Oklahoma Allergy and Asthma Clinic-- Kelly Kelleher, M.D., MPH, Professor, Ohio State University; Vice President for Health Services Research, Children's Research Institute, Columbus, Ohio-- David Filipi, M.D., MBA, Vice President, Medical Affairs for Methodist Physicians Clinic, Methodist Physicians Clinic, Omaha, Neb.-- William L. Roper, M.D., MPH, Dean, School of Medicine and CEO, UNC Health Care System, University of North Carolina-- Alan M. Garber, M.D., Ph.D., Henry J. Kaiser Jr. Professor; Director, Center for Health Policy; Director, Center for Primary Care and Outcomes Research, Stanford University; Staff Physician, Department of Veterans Affairs-- Jonathan B. Perlin, M.D., Ph.D., MSHA, FACP, Chief Medical Officer and Senior Vice President for Quality, Hospital Corporation of America (HCA)-- Frederick L. Brancati, M.D., MHS, Professor of Medicine & Epidemiology; Director, Division of General Internal Medicine, Johns Hopkins University-- Mark Cullen, M.D., Professor of Medicine & Public Health, Yale University School of Medicine; Senior Medical Director, ALCOA-- Allan Korn, M.D., Senior Vice President and CMO, Office of Clinical Affairs, Blue Cross and Blue Shield Association Source: Blue Cross Blue Shield

Washington - On-the-go consumers prefer to handle an increasing number of transactions themselves through self-service devices, and are more likely to do business with companies that make it easier to for them to do so, according to a new study conducted by BuzzBack Market Research for Dayton, Ohio-based NCR Corp. One exception though, according to the study, is insurance customers.

Needham, Mass. - For firms of all sizes and models, annuity processing has not seen much innovation, until recently. But even today, significant challenges remain to the straight-through processing (STP) of annuity applications and distribution of annuities, notes a report issued today by TowerGroup, a Needham, Mass., research firm. The emergence of several solutions aimed at streamlining and untangling the complexities of annuity processing and efforts by industry groups to create standards for annuity processing may be exactly what is needed to improve efficiency in both distributing and processing annuities, notes the report's authors, research director, brokerage and wealth Matthew Bienfang, and senior research associate Matthew Macauley. TowerGroup predicts that the distribution of annuities will follow much the same path as the mutual fund industry and its products. As with many products, competition will drive efficiency, and given the increase in scrutiny by both consumers and regulators, it is clear that the industry could use some assistance. Financial services firms simply cannot afford to summon the regulatory specter again, the firm claims. The move toward automation of annuity processing in the financial services industry is being driven by cost considerations, efficiency issues, and compliance but also, and more important, by demand for annuities. Variable annuities can be extremely complex products because of the number of riders, guarantees, taxes, and income features and have therefore traditionally been sold by an agent. According to the TowerGroup study, the majority of annuities are sold by a mix of agent types, such as independents, captives and financial planners. However, brokers also represent a large portion of the annuity sales model. With the exception of the unique affinity sales model of TIAA-CREF and its relationship with educators, direct sales of annuities make up next to nothing because of the aforementioned complexities and options open to the consumer. The complexity of these products adds to challenges inherent in the annuity sale, i.e., processing time both at the point of sale and in the middle and back offices of the distributors. For a broker in a traditional firm, processing an annuity application takes 45 minutes or more. If the application is deemed to be not in good order (NIGO), the processing time in the middle office increases by hours if not days, quadrupling the cost. The introduction of technology in annuity processing can have dramatic results, improving the processing time, decreasing the cost, reducing the instances of NIGO, and lessening the regulatory risk associated with the distribution of annuity products. As an example, one leading distributor of annuity products implemented several technologies that have not only reduced the processing time from 45 minutes to under 10 minutes but also enabled the firm to operate with greater distribution control and supervisory oversight, thus reducing regulatory risk. TowerGroup reports that companies that focus on simplifying products and providing income beyond simple annuitization are succeeding, and predict that, because independent agents continue to be the fastest-growing channel for distribution of variable annuities, agents and advisors will require access to tools that allow for product comparison and configuration to better serve their customers. Finally, automation and the integration of product information are key drivers in reducing the risk of annuity distributors, say the report authors. Source: TowerGroup.

London - Guy Carpenter & Company LLC, a New York-based global risk and reinsurance specialist and part of the Marsh & McLennan Companies, will mandate the use of electronic claims file (ECF) for in-scope claims for all Lloyd's markets from Jan. 1, 2008. This decision follows the successful implementation of Guy Carpenter's ECF initiatives and underscores the firm's commitment to further market reform, according to the company.