Customer service

NEW CSF DESIGNER FEATURESMetavante Corp., Milwaukee, has added a number of features to its CSF Designer document composition application:

For many insurance companies, the challenges involved in processing claims are ongoing. Because claims often involve multiple decisions, data from various sources, and task handoffs, it's clear why carriers see the potential for improved customer service and financial results from streamlining manual claims processing.After recognizing many opportunities to automate its manual processing decisions, Blue Cross and Blue Shield of North Carolina (BCBSNC), headquartered in Durham, decided to dive right in. "We process more than 30 million claims annually, and about 12% have to be manually handled in some fashion," explains Sherman Owens, BCBSNC vice president, quality and compliance. "As you can imagine, there's a lot of costs associated with that."

The NAIC formation of a task force to examine climate change comes on the heels of devastating back-to-back hurricane seasons that caused a record $30 billion in U.S. insured losses in 2004 and as much as $60 billion in insured losses from Hurricane Katrina alone in 2005. Insurance Networking News magazine recently interviewed Tim Wagner, director of the Nebraska Department of Insurance, who is co-leading the task force, to find out what the NAIC hopes to achieve.INN: Who at the NAIC became aware of the issue, and how was it pushed forward on the agenda?

UNIVERSAL SIGNS SEVEN-YEAR BPO AGREEMENTUniversal Insurance of North America, Sarasota, Fla., has signed a seven-year agreement with CGI Group Inc. valued at between $45 and $75 million for policy and accounting business process services (BPS). Montreal-based CGI will process Universal's personal lines (book of business) including homeowners, dwelling-fire, auto, and umbrella in Texas and Florida. CGI will continue to support Universal's business processing needs as they expand their services into new markets. As part of this agreement, CGI will open a processing facility in Tampa to support Universal Insurance and other Florida-based insurance customers. CGI will initially hire 50 professionals and expects staff to grow to more than 200 professionals over the next two years.

Hamilton, Bermuda - Accenture Ltd. launched a technology delivery center in Pune, India, for software outsourcing and systems integration services. The facility is Accenture's ninth delivery center in India and represents further expansion of the company's Global Delivery Network.The new delivery center provides application outsourcing and systems integration services across the full range of technology capabilities. The center develops capabilities in enterprise technologies from Germany-based SAP and Siebel (Oracle Corp., Redwood Shores, Calif.); Net-centric technologies like Java and Microsoft; business intelligence and testing.

Boston - AIR Worldwide Corp. (AIR) released Version 8.0 of CLASIC/2, CATRADER, and CATStation, AIR's catastrophe risk management systems. The version 8.0 releases include updates to several of AIR's catastrophe models and a number of software enhancements to make catastrophe analyses more efficient.

Englewood, Colo. - Online insurance shopping service company InsureMe, is rolling out its Insurance Resource Center, the Englewood, Colo., company announced. The center, which contains numerous articles on the topics of auto, home, life and health insurance, was designed to educate consumers about insurance, as well as provide them with relevant shopping information and tips for saving money on coverage.

Las Vegas, Nev. - While the independent agency system has benefited by real-time communication improvements among carriers, agencies and customers, frustration remains over multiple workflows brought on by carrier-unique systems, according to findings in the ACORD-User Groups Information Exchange (AUGIE) 2006 Agency Technology Survey. The results were announced in Las Vegas at a panel presentation of the annual ACORD LOMA Insurance Systems Forum, sponsored by the Association for Cooperative Operations Research and Development (ACORD) Pearl River, N.Y.

Boston - Fidelity Investments and WebMD Health Corp. are expanding their relationship to integrate WebMD's health care cost planning tools with the Fidelity HSASM, Fidelity's health savings account (HSA) product launched in December.

Hartford, Conn. - The Hartford Financial Services Group Inc., headquartered in Hartford, Conn., has created a new office in the greater Chicago area dedicated solely to processing claims that arise out of catastrophic events.The new catastrophe office will function as part of The Hartford's existing property claim operations in Chicago, and will focus on significant losses that arise from either man-made or natural disasters.

Springfield, Mass. - Massachusetts Mutual Life Insurance Co., Springfield, Mass., is taking podcasting to new levels by using it to provide its field sales force with company news, product information and marketing tips.

Chicago - Aon Consulting announced that Thomas Avery and Bruce Pixley joined the company's high-tech investigations unit of its IT risk consulting group, which is a part of its Financial Advisory and Litigation Consulting Services practice. Aon Consulting is a division of Aon Corp., a Chicago-based provider of risk management services, insurance and reinsurance brokerage, management consulting, and specialty insurance underwriting,

Chicago - UniCare has launched a newly redesigned and improved secure member Web site designed to provide members and their families more streamlined access to personalized online health and benefit information.The changes make the site easier to navigate by requiring fewer clicks in order for members to access information specific to their health care needs, according to UniCare. The site now provides members easier access to personal online health information through single sign-on log-in capabilities. In addition, if members have misplaced or forgotten their username, they can request it online without having to call customer service support.

Okemos, Mich. - The Pennsylvania Insurance Department has turned to Sircon Corp. and partner Thomson Prometric to streamline the state's resident licensing process.Pennsylvania insurance law requires that all individuals applying for an initial resident insurance producer license must be fingerprinted in order to facilitate background checks, which are performed by submitting fingerprint images to the FBI's Criminal Justice Information Services Division (CJISD) through the Pennsylvania State Police (PSP).

Denver - InsureMe, an online insurance resource for consumer and agents, has launched the InsureMe Insurance Blog, targeted at consumers with insurance-related questions.The blog, an online forum where authors post short articles and commentary, addresses top news in health, life, home and auto insurance, as well as state-specific issues and related topics facing consumers. The blog is interactive, which enables readers to post their questions and comments on each entry.

Cleveland - Members can do everything from determining deductibles to accessing claims information on the redesigned Web site of Consumers Life Insurance Co. at http://www.consumerslife.com/.Creating a Web presence that would help members better understand and use their health insurance benefits was a priority, according to Chris Hoffman, manager of Internet communications.

Hartford, Conn. - Aetna Global Benefits, the international business of Aetna, is offering a new feature for its members: payment of applicable wire transfer fees for international health care claim reimbursements. In the past, members who received their claims reimbursements through wire transfers were responsible for any transaction fees charged by their banks. AGB has the capability to issue these claims reimbursements in over 100 currencies."By covering these fees, which could be in excess of $25 (U.S.) per transaction, we feel that we significantly improve one of the ways that members currently receive claim reimbursements," says Martha Temple, head of Aetna Global Benefits (AGB). "This is part of our continued effort to provide high-quality, concierge-level services to our members around the world."

London - Guy Carpenter & Co. Inc., a global risk and reinsurance specialist and a part of the Marsh & McLennan Cos., is launching its Electronic Claims File (ECF) initiative for reinsurers in the London market after development, testing and implementation of a pilot project with select Lloyd's managing agents.As one of the largest reinsurance brokers to offer ECF, a key component of the broader London Market reform program, Guy Carpenter will be able to process and conduct many of its claims transactions in a completely paperless environment with its current trading partners.

There's no question that both agents and carriers are enthusiastically embracing many of the Web services standards now available across the industry. However, we're still only in the early stages of this process, and there is much work to be done to smooth the integration and transfer of customer and policy data between agents and carriers.Some leading carriers, in fact, report their overall XML-transaction volume is still relatively low compared with other messaging modes. Leading the way in XML efforts is ACORD (Association for Cooperative Operations Research and Development, Pearl River, N.Y.). ACORD's XML specifications-covering property/casualty, life and reinsurance-are designed to help move the industry away from monolithic and proprietary systems and toward networks that enable interoperability among systems and the sharing of data between carriers, agencies, brokers and third-party services.

You have heard, and probably have even used, the phrase: "Time is of the essence." No one knows that better than insurers answering requests from customers who want their information now. Hence, the real-time phenomenon in the industry.After discovering customer data wasn't easily accessible, executives at Sioux Falls-based South Dakota State Medical Holding Co. Inc. (Dakotacare) decided the company needed a business intelligence tool to retrieve claims data from its database of 140 million records.