Claims

Blue Bell, Pa. - The PMA Insurance Group, a property casualty insurer specializing in workers' compensation, is achieving high levels of client satisfaction with its services, according to the results of a recent survey.According to the survey of its clients conducted by an independent opinion research consultant, 95% of clients responded that PMA has exceeded, fully met, or generally met their service expectations.

Des Moines, Iowa - The Principal Financial Group has launched an online claim submission form for group long-term and short-term disability customers."Even a brief disability can be difficult to overcome, which is why we stress early intervention and ongoing claim communication throughout the process," says Cindy Ford, claims director, the Principal Financial Group. "Offering online submission is simply one more way we can expedite the process to ensure the best possible outcome for our members."

Hartford, Conn. - Six months after introducing its enhanced Select Accounts products for small businesses, St. Paul Travelers reports the feedback from independent agents has been overwhelmingly positive.According to a survey of more than 1,300 agents, 96% rated the breadth of product eligibility and 88% rated the pricing and coverage features to be the same or significantly better than the competition.

Cheshire, Conn. - Chicago-based Aon Consulting has set its sights on beefing up the real-time health claims data it delivers to its customers.

Indianapolis - When the Market Regulation & Consumer Affairs Committee at the National Association of Insurance Commissioners' (NAIC) agreed to do no further work on a model law regulating the use of claims databases for underwriting purposes, the National Association of Mutual Insurance Companies (NAMIC), Indianapolis, praised the decision. The decision by NAIC was made at the organization's winter meeting last week in Chicago

Atlanta, Ga. - The fact that the USA Patriot Act requires that all entities defined as financial institutions for Bank Secrecy Act purposes establish anti-money laundering programs has not been lost on LOMA, an Atlanta-based insurance and financial services industry trade association. The group is releasing an online anti-money laundering (AML) course on LOMALearn Online-LOMA's growing e-Learning portal.

Columbus, Ohio - Nationwide introduced a new look and feel for its main consumer web site, nationwide.com. The re-design represents the first phase of a multi-year overhaul, the company reports.

Westlake Village, Calif. - The Hartford Financial Services Group Inc. has been recognized for call center operation customer satisfaction excellence under the J.D. Power and Associates Certified Call Center Program. The Hartford property and casualty sales and service centers are the first in the insurance industry to be certified under the program.Through its direct personal lines business, the Hartford, Conn.-based carrier handled more than 10,000,000 telephone, e-mail and fax interactions in 2004 from its call centers in Southington, Conn., Allentown, Pa., Santee, Calif., and Oklahoma City.

Washington, D.C. - The U.S. House of Representatives on Wednesday passed a bill extending a federal program that guarantees the government's support of some losses from terrorist attacks, a measure that insurers and property owners call critical to the economy.

Stamford, Ct. - The lack of IT budget and resources, and perceived higher priorities for spending elsewhere will no longer be a barrier for P & C carriers making major investments in claims technologies, according to a report released today from Gartner, a Stamford, Ct. research firm. In fact, tight profit margins and high operational costs, as well as consumer demands for quality service, are now driving insurers to address these problems, says the report's author, Kimberly Harris-Ferrante, who predicts that claims technology and process improvement projects will increase by more than 20 percent in 2006 among P&C insurers.

Chicago - Blue Cross Blue Shield's vision for rounding out its consumer-driven products initiative took a giant leap forward today with the announcement of a new bank to help BCBS companies provide its customers with more technical tools and greater financial options to manage how they direct their healthcare spending.

Using the right analytic tools to analyze and manage terrorism risk is paramount, according to a review of methodologies available for insurers and reinsurers published by Boston-based AIR Worldwide Corp., a risk management division of ISO, Jersey City, N.J.

Creating economic value from distribution has never been more difficult for life insurers trying to increase business and reduce costs. Balancing the complexities inherent in a competitive marketplace, more than 1,000 U.S. companies currently offering a host of life and annuity products are in a scramble to hold on to representatives from traditional channels and acquire those from nontraditional channels.In the face of a growing market (Baby Boomers looking at retirement strategies now count 77 million), Internet-based customer self-service and a host of alternative distribution channels, keeping traditional, dedicated life insurance sellers on board is no easy task. The number of career life agents dropped to 178,000 in 2000 compared to 238,000 a decade ago, reports TowerGroup, a Needham, Mass., research and advisory firm.

Although insurance carriers have been slower than banks in adopting e-billing and e-payment technologies (see "Carriers Have Some Catching Up to Do), two insurers recently have taken a lead in this area.Esurance, a San Francisco-based direct-to-consumer auto insurer, has added a PayPal payment option to its Web site. PayPal is one of the leading forms of online payment, with approximately 79 million accounts worldwide.

As wildfires scorched California's Los Angeles and Ventura counties in October, thousands of firefighters tried desperately to extinguish the flames that-fanned by dry winds-threatened to spread.Homeowners weren't the only ones following the spiraling fires with concern, as insurers, too, have seen how once seemingly safe urban areas are now vulnerable.

When you've got a lemon, make lemonade. That's basically what Medical Mutual of Ohio did when the Cleveland-based health insurer decided it was time to ditch its 15-year old phone system.While installing a new private branch exchange (PBX) and automatic call distributor (ACD), the company took advantage of the new technology's advanced functionality to bring its two call centers up to award-winning status.

By converting from paper to e-billing, companies can reap appreciable cost savings, achieve significant efficiencies, hasten incoming payments, gain greater accuracy in accounting and invoicing systems, and reduce labor operations.But only a relatively few carriers have thus far converted to e-billing, also known as Electronic Invoice Presentment and Payment (EIPP).

The debate in the industry over an optional federal charter for insurance companies has been brewing for several years. But now, there are some numbers that attest to the value of a single federal regulator-at least for the life insurance sector.More than $250 million, or 55% of all regulatory costs, are directly related to addressing the requirements of multiple regulatory jurisdictions, according to a recent study conducted by the American Council of Life Insurers (ACLI), Washington, D.C., and El Segundo, Calif.-based Computer Sciences Corp. (CSC). A majority of respondents to the ACLI/CSC survey indicated their companies had lost premium (73%) and deferred or shelved products (83%) as a result of delays in the state-by-state approval process. What's more, nearly every aspect of a life insurer's delivery system is affected by regulatory costs-from designing new products to paying claims.

Washington, D. C. - Health insurance plans are advancing information technology (IT) on many fronts, and in the process are achieving impressive results in health care quality, service, cost, and efficiency, according to a report issued by America's Health Insurance Plans (AHIP), a Washington, D.C., national trade association. "Innovations in Health Information Technology" profiles more than 40 innovations in the use of health IT that address a variety of healthcare system needs with effective new solutions.

Kansas City, Mo. - Representatives of the Financial Crimes Enforcement Network (FinCEN) of the United States Department of Treasury will be attending the National Association of Insurance Commissioners (NAIC) Winter National Meeting in Chicago during the Antifraud Task Force meeting on Monday, December 5, to present two final rules that will affect certain insurance companies.