Claims

Chicago - Aon Corp., Chicago, completed its acquisition of Valley Oak Systems, San Ramon, Calif. The terms of the transaction were not disclosed.

Kansas City, Mo. - Recent statistics show that while consumer complaints decreased for the third consecutive year, the reasons behind those complaints have remained relatively the same for the past five years: Consumers want faster customer service. According to data collected by the National Association of Insurance Commissioners (NAIC), the top three reasons consumers filed formal complaints against their insurance companies in 2006 were delays, denials of claims and unsatisfactory settlement offers. Rounding out the top five sources of consumer complaints were policy cancellations and premiums/insurance rating issues. The NAIC maintains a centralized electronic Complaint Database System (CDS), through which states voluntarily report “closed” complaints. A closed complaint is a complaint that has been investigated and resolved to the satisfaction of the state or jurisdiction in which it is filed. First established in 1990, the CDS was significantly expanded in 1998 and now houses more than 2 million complaints. A total of 190,572 consumer complaints were reported to CDS in 2006, a 7.8% decrease from the previous year. This information is based on the submission of data to the NAIC from the state insurance departments. The NAIC does not collect all complaint data from all states. Aggregate data compiled from the CDS can be accessed on the NAIC’s Web site through the Consumer Information Source link. By accessing this program, consumers can obtain company–specific complaint ratios (the ratio of the company’s market share of complaints compared to the company’s market share of premiums for a specific policy type), as well as aggregate counts of complaints by state and by type of coverage for specific companies. Below is details the top five types of complaints and the top five complained about insurance coverages for 2006. Included is the total number of complaints (for complaint type and line of coverage), followed by the percentage of overall complaints each type represents. (Example: “Delays” make up 21.9% of all complaints received by the NAIC in 2006.) Top 5 Types of Complaints in 2006: Delays: Total number reported: 41,647; Percentage 21.9% Denial of Claim: Total number reported: 3,601; Percentage 18.7% Unsatisfactory Settlement Offer: Total number reported: 26,556; Percentage 13.9% Cancellation: Total number reported: 12,467; Percentage 6.5% Top 5 Complaints by Type of Coverage in 2006:Auto: Total number reported: 71,302; Percentage 37.4% Accident & Health: Total number reported: 62,954; Percentage 33.0% Homeowners: Total number reported: 24,785; Percentage 13.0% Life & Annuity: Total number reported: 16,939; Percentage 8.9% Commercial Multiperil: Total number reported: 3,521; Percentage 1.9%

Warren, N.J. - With businesses of all sizes looking to buy and sell overseas, the Chubb Group of Insurance Cos., Warren, N.J., released an ocean cargo policy and launched CargoPort, an online system that enables customers to view their policies, submit claims and monitor shipping activities.

New York - Insurers are taking enterprise risk management (ERM) seriously, but many companies have begun ERM programs without taking the necessary step of getting management consensus on risk appetite.

Washington - Insurers are urging Congress to preserve a federal anti-trust exemption granted to the industry in 1945. The exemption has come under scrutiny by legislators in the aftermath of Hurricane Katrina, insurance trade associations say.

Chicago - The fortunes of two industries are beginning to intertwine, according to Cards & Payments, a Chicago-based sister publication of Insurance Networking News.

DIRECT MARKETING TOOL ENHANCEDMelissa Data announced the addition of multi-platform capabilities to the Canadian Address Object, a complementary product to the Rancho Santa Margarita, Calif. company's Data Quality Suite, a direct-marketing tool that verifies and corrects address, phone and contact data.

STRATEGIC GOALS GUIDE IT SPENDINGSenior insurance IT executives are making strategic investments, but budgets and staff size are generally flat or growing only modestly.

INSURER AUTOMATES INTERNAL CONTROLSPhysicians Mutual, based in Omaha, Neb., selected OpenPages FCM for its financial controls management initiatives. OpenPages FCM is an enterprise financial controls management solution designed to reduce time and resource costs associated with ongoing financial reporting regulations. It is expected to reduce Physician Mutual's time and costs associated with efforts to comply with changes to National Association of Insurance Companies financial reporting regulations. "OpenPages allows us to automate our ongoing assessment and monitoring of internal controls and ensure that compliance initiatives align with our business strategy," says Barbara Bergmeier, senior vice president of internal audit, Physicians Mutual.

Kansas City, Mo. - The National Association of Insurance Commissioners (NAIC) Property and Casualty Insurance (C) Committee's Catastrophe Insurance Working Group will evaluate modeling for multi-state funding of catastrophes such as hurricanes or earthquakes, reports NAIC. The agreement came out of a meeting to discuss catastrophe preparedness and the potential development of a multi-state catastrophe fund.

New York - Look for accelerated growth this year of the outsourcing trends that predominated in 2006: Expansion of business process outsourcing (BPO), the maturing of the offshore market and more multi-sourcing at the expense of single, one-off “mega-deals.”

San Diego - New York, California, Nevada and Arizona have the highest rates of identity fraud, according to research from San Diego-based ID Analytics Inc. The analytical research—based on actual and attempted frauds rather than consumer victim reports—also shows that the highest metropolitan area rates of identity fraud are in New York, while the states with the lowest rates of identity fraud are Wyoming, Vermont and Montana.

Washington - "The considerable size and cost of catastrophes present unique challenges to participants in the insurance market. Namely, it makes management of potential liability by any single insurance company nearly impossible. In some cases, even the assets of the entire insurance industry are inadequate to reduce potential liability to commercially acceptable level." This statement comes from "An Analysis of Catastrophic Risk Insurance Proposals," a report published by The Council of Insurance Agents & Brokers, produced by Georgetown Economic Services LLC and financed by the Foundation for Agency Management Excellence (FAME)—all based in Washington. The report analyzes the various legislative proposals have been advanced to deal with the problem of insuring catastrophic risk, from natural disasters to acts of terrorism.

Despite dire warnings from health officials and risk experts, only a tiny percentage of the nation's insurance carriers have developed formal plans to keep their businesses running in the face of a deadly, long-term influenza pandemic.While 82% of carriers have prepared business continuity plans (BCP) for survival in the wake of natural disasters like hurricanes, tornadoes and floods, only 11% are ready for a pandemic, says Clare DeNicola, president and CEO of IVANS, a Stamford, Conn., company that provides communications services to insurance companies. IVANS surveyed CIOs and directors in May 2006.

ITIL, the IT Infrastructure Library, entered the North American consciousness just in time to help shift the focus from putting technology first to putting business first. It's a change that amounts to a seismic jolt to the culture of insurance company IT departments.The 30-odd volumes of ITIL, which are slated for an update next month, provide a common language for IT staffs and a framework for honing IT processes. For most insurers on these shores, the idea of ITIL gained significant momentum in 2004 and reached critical mass in 2005, IT people say.

There has been no end of bad press for the property and casualty insurance industry this month. Allegations of price gouging, faulty catastrophe models and calls for a congressional probe into post-Katrina hurricane claims flooded the news wires.Most of the negative press pointed a finger at an odd coincidence. First, the year after more than 993,000 homeowners' insurance claims were settled in the two states most affected by Katrina and, according to the Property Casualty Insurers Association, Des Plaines, Ill., the insurance industry paid $51+ billion in overall catastrophe-related claims. Then, the industry experienced a relatively catastrophe-quiet-and profitable-year.

Forget the stereotypes--ASP isn't just for small, IT-challenged carriers any more, and many of the ASP problems that gave insurance companies pause only a few years ago are being solved. Dollar savings and fast time to market are still big pluses for ASP, but today there are a lot of other reasons to consider it.The market among insurance carriers for ASPs, or application service providers, is growing by about 10% a year-slower than in most other industries-according to Marc Cecere, vice president and principal analyst for Forrester Research in Cambridge, Mass. From a supply-side perspective, that's partly because of the structure of the insurance industry and partly because of the regulatory scene for insurance companies.

MODELS UNVEILED FOR NATIONWIDE HEALTH NETWORKPrototypes for a standards-based nationwide health information network (NHIN) were scheduled for presentation at a conference last month in Washington, according to the U.S. Department of Health and Human Services (HHS).

ADOBE EXPANDS ACROBATAdobe Systems Inc., San Jose, Calif., introduced Adobe Acrobat Connect software, a Web conference and collaboration product with "always-on" personal meeting rooms. It is designed to enable workers to connect online instantly with a Web browser and the ubiquitous Flash Player software. Together with Adobe Acrobat 8 software the expanded Acrobat family accelerates the flow of business by allowing people to work together in real-time, according to Adobe. The new, extended Acrobat family brings together the two critical components of knowledge work-documents and people. Acrobat Connect enables users to choose a Web address for their online personal meeting room, with unlimited use for up to 15 participants for one monthly fee.

Not many adjusters would argue against technology as a means of easing their workload-certainly not the adjusters at Farmers Mutual of Nebraska. After all, the company's claims estimating system was efficiently processing information at the desktop. But that apparent blessing was actually part of the problem: the system processed data at the desktop and not in the field, where much of the real work takes place."Our adjusters would go out in the field and inspect the loss, noting the damage just on a piece of paper," says Jamie Fredrickson, director of Field Services. "Then they would go back to their district offices, sit down at their computers and manually re-enter all of this information to generate their estimates."