Claims

EL SEGUNDO, Calif.--Computer Sciences Corporation today announced that five U.S. healthcare consulting organizations have licensed the Johns Hopkins Adjusted Clinical Groups Predictive Model (ACG-PM) software. Encompass Medical Management, Salem Health Solutions, Wakely Consulting Group and two other providers of healthcare management services will use ACG-PM to improve the performance of health plans offered by their employer-group clients.

Addison, TX--Universal Conversion Technologies (UCT), a provider of insurance industry data conversion solutions, today announced it has been selected by CUNA Mutual Group to assist with CUNA Mutual's data conversion project. The conversion involves the migration from two legacy policy administration systems to an existing system used by CUNA Mutual to support its current and future operations. In addition to their proven conversion software, UCT will provide expert conversion services.

Benefitfocus.com Inc., a Charleston, S.C.-based provider of insurance enrollment and benefit solutions, has launched BenefitfocusSM eBilling, an electronic invoice presentment and payment (EIPP) application designed specifically for insurers and their policyholders. The application features three primary components: Web-based invoicing, automated reconciliation, and online bill pay.

NEW YORK--Vettro, a leading provider of mobile enterprise applications, today announced that Phoenix Life Insurance Company, a subsidiary of The Phoenix Companies, Inc., has selected Vettro RainMaker to empower its sales managers and wholesalers with always-available access to Salesforce.com via BlackBerry from Research In Motion (RIM).

WASHINGTON--As the Internet becomes an increasingly important resource for informing decisions about health and health care options, a new national survey of older Americans by the Kaiser Family Foundation finds that less than a third (31%) of seniors (age 65 and older) have ever gone online, but that more than two-thirds (70%) of the next generation of seniors (50-64 year-olds) have done so.

HARTFORD, Conn.--The convergence of regulatory environments for the financial markets and the banking industry have created a friendlier climate for multinational life insurers, according to a new study by Conning Research and Consulting, Inc.

NEW YORK--The Guardian Life Insurance Company of America (Guardian) today announced a major expansion of its group small business distribution capabilities. In 2005, Guardian will open dedicated Small Group Sales (SGS) counterparts for each of its Regional Group Offices (RGO) nationwide.

JUPITER, Fla.--With the economy continuing to strengthen, the number of insurance companies that failed in 2004 declined 48 percent, to 13 compared to 25 insurer insolvencies in 2003, according to Weiss Ratings, Inc., the nation's leading independent provider of ratings and analyses of financial services companies, mutual funds, and stocks. Three life and health insurers and 10 property and casualty insurers failed in 2003, compared to four and 21 respective failures in 2003.

Beaverton, Ontario--People looking into new insurance now have a new resource available that will help answer some of the questions they might have when looking for a new insurance company.

WASHINGTON, D.C.--With the start of a new Congress and state legislative sessions, the Independent Insurance Agents and Brokers of America is announcing its legislative agenda for 2005. Top issues for the nation's largest insurance association this year will include the following items:

HARTFORD, Conn.--Most successful small life insurance companies share specific product and performance characteristics giving them an edge among similar and somewhat larger competitors, according to a new study by Conning Research and Consulting, Inc.

WAUSAU, Wis.--With the beginning of a new year, the direct sales force of Wausau Insurance has reorganized as a new legal entity as Wausau Signature Agency.

NEW YORK--Reserve deficiencies, which have plagued property-casualty insurers in recent years, improved dramatically in 2003, according to a new study by Conning Research & Consulting.

Washington, D.C. --The American Council of Life Insurers (ACLI) issued today its 2005 Bank Insurance Study titled, "Catalyst for Change: Next Steps in Bridging the Cultural Divide Between Banks and Life Insurers." The report offers specific proposals designed to support the growth of a vibrant bank insurance marketplace.

A new study by London-based research firm Datamonitor suggests U.S. corporations that aggressively invest in speech-enabled self-service technology have the opportunity to reduce long-term dependency on offshore call center operations.However, one insurance call center executive contacted for this article questions the validity of this notion in its entirety, stating that there isn't necessarily a direct correlation between speech-enabled technology investments and offshore call center scale-backs.

The agent/broker compensation model is poised to change, with a departure from commissions based on profitability and volume incentives.A poll of attendees at The Conference Group's 16th annual executive conference for the property/casualty industry in December revealed insurance executives expect changes in the brokerage and regulatory models to have fundamental and long-lasting effects on the industry.

Like most large U.S. insurance carriers with aging technology platforms, CNA Financial Corp. was faced with a critical decision: How to modernize a legacy claims system to meet 21st century business requirements. And like other insurers, the Chicago-based commercial carrier is banking on technology that integrates multiple disparate systems, streamlines adjuster workflow, provides more timely management information, and reduces claims and IT costs.

When Sachin Shah began working at MetLife in 1999, the carrier was using a DOS-based system to support online benefits administration. Five years later, Shah and the MetLife Inc.'s IT team have built an award-winning benefits administration portal that has been adopted by more than 17,000 corporate customers, brokers and third-party payers.

Health insurers face a difficult dilemma today: Although customers are demanding higher levels of service that are more convenient to access, they are also increasingly sensitive to rising health care costs.Most health carriers are trying to balance these new demands against operational cuts designed to improve their bottom line-a seemingly impossible task.

You no doubt have seen ads from property/casualty insurers that promise fast results when disaster occurs. While customer satisfaction equates with continued revenue, a more pragmatic reason for mobilizing claims adjusters is economic.Carriers are in the risk business and therefore tend to be risk averse-and rightly so. Careful scrutiny should always be paid before deploying new technologies or making large IT expenditures.