Claims

Mayfield Village, Ohio - Progressive Direct is taking what it believes to be the next big step in the evolution of auto insurance pricing. The Mayfield Village, Ohio company is inviting its customers throughout the country to participate in a voluntary research program that will gather driving habit information.

Springfield, Mass. - In its latest effort to provide women with comprehensive financial education, MassMutual Financial Group is targeting females with an online financial seminar designed to help them assess their personal finances and develop a long-term financial strategy.

Philadelphia - Cigna has introduced a new tool designed to allow companies to stay connected to employees during times of crisis. Travel Locator Service is a Web-based tool that combines worldwide medical and security intelligence with illness and accident medical coverage designed expressly for international business travelers. Philadelphia-based Cigna says the tool is available with its Medical Benefits Abroad service, and is designed to provide companies with employees abroad a detailed alert to quickly identify which employees are traveling on business and where -- pinpointing the exact whereabouts of traveling professionals down to country, city, and hotel location - so that employers can immediately communicate with traveling employees.

Los Angeles - Undervaluation statistics for the U.S. homeowners business have continued to improve since 2004, according to Marshall & Swift/Boeckh (MS/B), a provider of building cost data and estimating technology to the property insurance industry.MS/B has been tracking home valuation statistics since the early 1990's and reports it as the MS/B ITV Quality Index". In 2005, MS/B's research shows the percentage of undervalued U.S. homes has dropped over the prior year from 61% to 59%, and the average percentage of undervaluation has improved from 25% to 22% across the industry. This is a significant improvement from five years ago when approximately 73% of homes in America were undervalued by an average of 27%, according to MS/B.

Hartford, Conn. - Aetna is launching an online customer service program that lets consumers find out what they can expect to pay at the doctor's office before going in for a visit. The service will allow consumers to better estimate their out-of-pocket health care expenses by having online access to the actual discounted rates for up to 25 of the most common office-based services offered by their own primary care or specialist physician. The program will initially be piloted with information for approximately 600 distinct procedures provided by 5,000 individual physicians and physician groups in Cincinnati, Dayton and Springfield, Ohio, Northern Kentucky and Southeast Indiana.

Hartford, Conn. - If small businesses always maintained the same workers, locations, fleet vehicles or inventories, then reporting changes for their premium audits would be easy. Reality, however, is quite different. The Hartford Financial Services Group Inc. has introduced an online Premium Audit Reporting tool that dramatically simplifies the process of submitting information to reconcile insurance premiums.Most commercial insurance premiums are provisional, calculated at the beginning of the policy year based on estimates of the business operations throughout the year. At the end of the policy year, the business's records are audited for changes that may affect the premium, including increases or decreases in payroll and sales. When the audit is complete, the premium is modified accordingly.

Jersey City, N.J. - ISO has acquired eLIENS, a unit of Xtria LLC. eLIENS provides lien holder and mortgagee notification services for insurance carriers. Xtria is an information technology and services company. Terms of the agreement were not disclosed.Lending institutions that finance the purchase of autos, homes and other property typically require borrowers to maintain minimum levels of insurance coverage. As a lien holder or mortgagee to the property being insured, these lenders are entitled to receive many of the same notices that are sent to policyholders. The result for insurance companies is often a very paper- and labor-intensive notification process.

Hinsdale, Ill. - In the past few years, organizations with contact centers have been at risk of a multi-million dollar exposure due to a phenomenon known as Katz telecom licensing fees. To help educate enterprises regarding their options in this area the Opus Group LLP, an operational performance management firm has published a white paper that describes the benefits of performing a telecom operational analysis after receiving a so-called "Katz letter."Ronald A. Katz telecom licensing fees are assessed for the use of technologies covered under a variety of patents. Most of these patents cover technology that ties telephone and online/computer equipment together, a practice that is almost universal in today's contact centers. The Katz letter estimates the fees owed based on public records and standard industry practices. Until now, organizations have had to choose whether to pay the fees as stated or fight them in court. To date, according to a research note from Saddletree Research analyst Paul Stockford, the Katz organization has never lost a case.

Mississauga and Toronto, Ont. - Chubb Insurance of Canada, a subsidiary of the Warren, N.J.-based property and casualty company Chubb, has implemented MS/B's IntegriClaim property claim estimating technology as a desktop application into Chubb's property claims management process. Chubb Insurance of Canada, located in Toronto, will use the Los Angeles-based company's technology to help facilitate its continued development in the Canadian market.IntegriClaim is a suite of property claims solutions for the P&C industry. It is designed to deliver more consistent and accurate estimates reflective of localized costs by using total component data researched from nearly 100 unique cost locations in Canada.

Greensboro, N.C. - DataDelta Inc. has launched its first "Single Customer View Accuracy Survey" in partnership with market research firm The CDI Institute. Burlingame, Calif. The purpose of the survey is to measure single customer view accuracy that results from customer data integration (CDI) projects.The initial survey results will be presented at the 17th Information Quality Conference hosted by Larry English and The International Association for Information and Data Quality (IAIDQ) September 19-23 in Houston, Texas.

Oak Ridge, Tenn. - Diversified Product Inspections Inc., a provider of independent product failure analysis, air contamination and fire investigations for the insurance industry will now send its clients product failure analysis reports electronically via a secure PDF file format.Warren Wankelman, vice president of marketing says, "Effective Monday, August 8, 2005, DPI started transmitting reports, pictures, and invoices electronically, which will replace the reports being sent via U.S. Mail. These reports will be in a secure encrypted Acrobat Reader format with access only with a password. Subrogation managers, claims managers and adjusters will access this new system via the DPI Web site by registering and setting up an account. While adjusters will only be able to access or view their own claims, managers will be able to view all their company's reports that have been completed."

Phoenix - AlohaCare, a non-profit Hawaii health plan serving state QUEST members, has selected an enterprise application and professional services application from Quality Care Solutions Inc. (QCSI) to administer claims and accommodate future growth. QUEST is a state program that provides health insurance for more than 150,000 Hawaii residents, provides comprehensive medical care for those who cannot afford their own commercial insurance coverage and do not qualify for other programs.AlohaCare has been successfully running its claims administration using QCSI's product suite since August 2000, and was previously under contract with a third-party vendor for support and hosting services. AlohaCare recently upgraded to a more current version of QCSI software, in order to achieve its desired business outcomes and maximize its information technology investment.

Northbrook, Ill. - Allstate Insurance Company has engaged ProcessClaims, Manhattan Beach, Calif., to develop and test new claim-related quality assurance technology. The software is being designed to streamline quality assurance processes and ensure accuracy in vehicle estimate preparation. The companies are also exploring broader new technology approaches to drive e-business in the rapidly evolving collision repair inter-industry. ProcessClaims is a provider of software connectivity and business process automation for the property and casualty industry.

New York-As the next step in its efforts to automate the sales and processing of life insurance policies, The Depository Trust and Clearing Corporation (DTCC) has launched its pilot program for InsurExpress, New York. Leveraging DTCC's infrastructure and established network of connectivity, InsurExpress integrates key insurance industry service providers to support communications between insurance companies and participating distributors of insurance products, providing necessary functionality for life insurance application processing.Firms participating in the initial pilot testing include Genworth Financial, Richmond, Va., and Piper Jaffray, Minneapolis. In the coming months, DTCC intends to expand the program to include multiple financial advisors in various geographical locations, together with an expanded product set and carrier list.

Washington, D.C. - There is a clear economic case for structural changes in insurance regulation, namely an optional federal charter (OFC), that could benefit both consumers and life insurers, according to a study conducted by the American Council of Life Insurers (ACLI), Washington, D.C., and Computer Sciences Corporation, El Segundo, Calif.

Northbrook, Ill.--Allstate Life Insurance Co., a subsidiary of The Allstate Corp., is participating in the PREPARE (PREVU* Predicts Atherosclerosis Risk and Events) clinical trial, a study with Toronto-based IMI International Medical Innovations Inc. and McNeil Consumer Healthcare, Guelph, Ont. The study evaluates a new medical technology for assessing the risk of coronary artery disease.Currently, Allstate Life customers who apply for a life insurance policy must undergo a blood test as one of a number of factors to assess their coronary artery disease risk. The new study incorporates a skin test that uses an adhesive collection strip that is applied to a study participant's hand. Upon removal of the strip, dead skin cells are collected and then sealed in a collection device and processed using IMI's patented PREVU* LT Skin Sterol Test system.

Customer service can be performed and measured in many ways. In this month's cover story, the nuances of customer relationship management-performance monitoring and analysis-play a big role in insurer's success. Being able to provide high levels of service with each and every customer contact-whether in person, on the phone or online-is sure to drive revenue and retention.How your company manages customer service may be the result of definable metrics, such as demographic studies, formal assumptions about customer behavior, anticipation of future requirements, etc. It may also involve a bit of guesswork. The results of your measurement should prove unequivocally that you know your customer.

We all remember the horror stories about customer relationship management projects gone awry: XYZ Insurance Co. spent $5 million in 2000 on a CRM engagement, and another $2 million on software, only to find out a year into implementation that the big idea wasn't working. XYZ's call center performance measurements-such as average wait time, average call handling time, and abandon rate-were below industry benchmarking standards-if they were measured adequately at all.Now, five years later, these same insurers have sophisticated performance management systems in place that tell them exactly how long it takes for their service representatives to resolve a customer's problem, how long a caller waits in a queue, and how much money the company can save by improving these key performance indicators.

In the late 1990s, when insurance firms were running high loss ratios (from 110 to 130), Lombard Canada Ltd., one of the oldest property and casualty insurance operations in Ontario, hired a consulting firm to assess its underwriting and claims leakage while it sought to improve IT and drive down expenses.With the firm's help, Lombard's loss ratio started dropping. While other Canadian firms were still grappling with hefty loss ratios, Lombard moved on to major technological decisions.

Since the beginning of the decade, it's been pedal to the metal for AAA Life Insurance Co.. The organization, which offers term and universal life products, fixed annuities, and travel accident insurance to AAA members, has grown from 75 employees in 1999 to a staff of 400, supporting more than 800,000 customers and more than $1.1 billion in assets.As AAA Life's business began to accelerate at breathtaking speed, the organization's managers began to see some treacherous bumps and obstacles on the road ahead. The company lacked an enterprisewide system for watching and managing costs within the various business units. With relentless hiring and increasing costs of doing business, managers needed a clear, single view of where more gas needed to be applied to boost business, and where the brakes needed to be applied to curb spending.