Claims

In many circles, codependency is frowned upon. But when it comes to IT implementations at insurance companies, codependency may be a good thing.That's the philosophy behind the IT success at Selective Insurance Group Inc., a Branchville, N.J.-based holding company for seven property/casualty insurance companies.

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.

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.

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.

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.

The relationship between IT and the business within insurance companies is a subject insurance professionals will talk about until the cows come home. How do the two work together? Who are the forward thinkers? How does IT know what the business needs and vice versa? These questions plague both sides. CUNA Mutual Group, Madison, Wis., may have figured it out. In fact, this epiphany helped win the company Insurance Networking News' 2007 INNovator of the Year award for its ability to successfully combine the efforts of IT and the business to create a specialized claims processing solution, Claims Express."We're (business and IT) part of the same team," says Tom Gosnell, CIO at CUNA Mutual. "I think it's that close working relationship that helps best position us to be able to share ideas with the business and vice versa and to be able to come up with the right solution across the board."

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.

Remember the tale of the boiling frog? As the fable goes, a frog placed in a pot of boiling water will frantically clamber out. That same frog, however, will sit placidly in a pot of tepid water. It will remain there even as the water is slowly heated. Gradual changes go unnoticed, with the frog never recognizing the impending disaster as the water reaches the boiling point.Liken the pot of tepid water to legacy claims systems. P&C insurers are beginning to take a closer look at their systems, but will they act in time or wait on the sidelines and continue claims as usual?

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.

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.

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

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.

A former insurance agent from Penn Valley, Calif., was convicted of one felony count of insurance fraud and three misdemeanor counts of petty theft for collecting insurance premiums from clients for commercial general liability and commercial automobile insurance and failed to remit the premiums to insurers. A former Allstate insurance agent was charged with a single count of theft, a Class D felony, after an investigation revealed that he had accepted and deposited his clients' checks without applying the funds toward their policies. A Louisiana-based agent was arrested, transported to jail and booked on four counts of insurance fraud and one count of forgery for altering insurance applications to increase the previously agreed upon premium amount, thereby increasing his commission. In one instance, he forged the client's initials to changes without the client's knowledge or consent.All three of these stories graced the news within a week-and-a-half, and are just a few that have recently made headlines. Independent agents seem to be finding more ways to commit fraud and practice unethical business--creating false insurance entities, fraud rings, misinterpreting policies and just flat--out stealing policyholders' money.