Claims

ATLANTA-- SellingLTC.com, LLC, the leader in providing long-term care sales and marketing solutions for insurance producers, today announced the release of its new LTCI Mobile Support feature which allows SellingLTC.com subscribers to download the best of SellingLTC.com's sales support modules to a laptop computer and access the information even when it's not possible to access the Internet.

NEW YORK -- Technology has become critically important to how insurers manage risk, share information with producers and support Internet sales and customer service, a panel of carrier CEOs said June 16 at Standard & Poor's 20th annual insurance seminar in New York City.

In their quest to expand their long-term care (LTC) products lines, many insurers have been challenged not only by the risk management and underwriting aspects of the coverage, but they've also struggled with finding the best agents tp market this coverage.

MELVILLE, N.Y. -- AutoOne Insurance, a Limited Assignment Distribution (LAD) servicing carrier accepting assigned risks on behalf of client insurance companies, announced today that they are expanding their LAD services into other states and new markets. Assigned risks are those drivers who are unable to obtain automobile insurance in the voluntary market. AutoOne currently offers LAD services to automobile insurance companies in New York and New Jersey.

EXTON, Pa. -- Guarantee Trust Life Insurance Company's (GTL) Impaired Risk Division has contracted with iPipeline to syndicate their insurance forms and product information to its distributors' Web sites. GTL Impaired Risk has also taken advantage of iPipeline's proprietary Web-based forms and database software, as well as their Web professional services to completely redesign its Web site, giving GTL's impaired risk producers greater access to the tools they need.

UnumProvident Corp, Chattanooga, Tenn., has selected customer data integration (CDI) software from Atlanta-based DWL Inc. The software, DWL Customer, will provide consolidated views of customer and producer information across UnumProvident's multiple lines of business.UnumProvident will be using DWL Customer, an enterprise customer hub to replace and enhance its existing customer index, providing increased availability to information currently contained in more than 30 business systems.

DriveCam Video Systems, a San Diego-based developer of fleet safety technology designed to improve driving behavior, reported a 120% increase in revenue for the first quarter 2004 over the same period in 2003 due to growing demand for its products and services.To support demand, the company has added new staff in safety services, sales, engineering, product management, customer service and administration while increasing its facilities. The new staff members will work with DriveCam fleet customers to maximize the results of the DriveCam Driving Feedback System in reducing collisions and lowering operating expenses.

To support insurers’ initiatives in the health savings account (HSA) market, Portland, Ore.-based MyHealthBank is collaborating with HSA Bank, Howards Grove, Wis., to provide insurers with a highly integrated banking and technology offering for health savings account-based plans.Through this relationship, MyHealthBank will integrate technology from HSA Bank for health savings account banking transactions with MyHealthBank’s Unify platform, a Web-based, self-service platform for broker quoting, member enrollment and benefits administration.

ViPS Inc., a Baltimore-based provider of business intelligence solutions for healthcare and life science companies, has signed a multi-year licensing agreement with Medical Mutual, a Cleveland-based health insurance company, for the ViPS anti-fraud software, STARSentinel.STARSentinel is an early-warning detection system that surveys health plan data and evaluates claims in the light of provider claims' histories, specialty profiles and the most common, documented fraud schemes. By calling questionable patterns to management's attention, STARSentinel helps prioritize cases so the plan's financial investigations department use its resources more productively.

ICICI Infotech Ltd., an Edison, N.J.-based IT solutions provider, has signed an agreement to implement its PREMIA 10.0 system for Comercial America Insurance Co. (CAIC).PREMIA 10.0, has been tailored for the U.S. insurance industry, and combines a modular application software solution with a single, integrated system. Beneath a consistent presentation layer, PREMIA 10.0 provides business functionality that supports rating, quoting, underwriting, binding, billing, endorsing (including out-of-sequence), claim administration, reinsurance management, and general ledger accounting. PREMIA 10.0 also delivers enhanced reporting and an improved capability to integrate with existing systems.

Computer Sciences Corp. (CSC), El Segundo, Calif., has signed a seven-year agreement with Trinity Universal Insurance Co., a subsidiary of Chicago-based Unitrin Inc. CSC will support Unitrin Multi Lines Insurance's commercial lines of insurance with business process outsourcing (BPO) and Internet-based services.A CSC client since 1982, Unitrin Multi Lines Insurance, which provides insurance products in 30 states, used CSC's technology to establish its X-Sell-A-Rate agent Web site two years ago. Under the new agreement, CSC will help Unitrin extend its Web capability to include a full range of commercial insurance services to more than 2,000 independent agents.

Answering the market's call for security, The Manufacturers Life Insurance Company of New York introduced Manulife New York Survivorship UL-G, the Company's first survivorship universal life insurance product to offer lifetime guaranteed coverage.

Madison, Wis.-based CUNA Mutual Group is using a high performance database engine from Objectivity Inc., Sunnyvale, Calif., for its credit union member database. The Objectivity-based service provides CUNA Mutual with an improved ability to track customer records and help its sales staff cross-sell financial services products.Called Objectivity/DB, the engine has enabled CUNA Mutual to build a scalable application that generates a unified, consolidated view for each individual credit union member. With Objectivity/DB, CUNA Mutual provides an integrated set of product offerings tailored for each individual. The system enables CUNA Mutual to access comprehensive credit union member histories as well as provide members with products and services customized for their individual circumstances.

Noodle Specialty Brokers (NSB), a new division of Chicago-based e-broker InsuranceNoodle Inc., has been created to offer professional liability and specialty small commercial property/ casualty insurance products nationwide using technology developed by InsuranceNoodle.Based on InsuranceNoodle's proprietary single entry (SEMCI) technology, Noodle Specialty Brokers provides retailers and wholesalers online access to specialty small commercial products not available from national standard lines small commercial P&C carriers. NSB will offer admitted and non-admitted products as a program manager for nationally recognized carriers.

American United Life Insurance Co. (AUL) has licensed the Visual Product Modeling System (VP/MS) from Computer Sciences Corp., El Segundo, Calif. The Indianapolis-based financial services company will use VP/MS to simplify development of new life insurance products. More than 20 organizations in the United States and Canada have selected VP/MS."We expect VP/MS to transform not only how we design new products, but the products themselves," said Emet Talley, AUL vice president of information technology. "It will also give our actuaries more flexibility in designing life offerings, allowing us to add the bells and whistles that answer market needs."

Newark, Calif.--Prospects for an active hurricane season in 2004 reinforce the need for sophisticated storm tracking and modeling capabilities, Risk Management Solutions (RMS) said today.

A few years ago, when senior executives took to the podium to report their companies' earnings, no one really questioned if they were telling the truth. Today, because Enron, WorldCom and other companies have so blatantly duped investors, the federal government is hovering over them, saying "Prove it."With the threat of criminal penalties, the Sarbanes-Oxley Act of 2002 (SOX) holds senior executives personally accountable for the accuracy of their companies' financial statements. The law also requires publicly traded firms, including insurers, to document and test their internal financial controls, and report within 48 hours any "material" events or weaknesses that may affect their earnings.

For most insurers, there's a natural inclination to settle claims swiftly, particularly to satisfy customers who might take their business elsewhere. But as insurers improve claims processing time, ironically, many are paying a high price.To their chagrin, efficiencies surrounding claims settlement can actually produce negative results. Ultimately, many carriers find themselves dispersing dollars that shouldn't have been paid in the first place, due to claims fraud.

As insurance CEOs mull over their IT teams' plans to purchase new technologies, inevitably the decision boils down to this: What's the financial upside? It's an important question to ask, although a clear quantifiable answer is often hard to come by. However, two articles in this issue-fraud detection and financial reporting-offer clear-cut reasons for why insurers should consider implementing these business-supporting technologies.Fighting fraud is a multi-billion-dollar challenge for the insurance industry. Some estimates calculate the total annual cost of fraud across health, life and property/casualty lines is between $85 billion and $120 billion.

Like many insurance operations, the Alternative Markets division of Great American Insurance Co. faced a mountain of inefficient workers' compensation claims processing tasks. Simply put, the division needed to selectively apply modern information technology to become more competitive and improve customer service while working within the limitations of its legacy claims system.The claims system, for example, couldn't handle electronic data interchange (EDI) between Alternative Markets and any of its outside vendors. Therefore, routine payments to both medical service providers-doctors, hospitals and physical therapists-and bill review vendors were locked in a time warp of old-fashioned snail mail.