Policy adminstration

COLUMBIA, S.C.-- Insurance Services Office Inc. (ISO) has launched the new Microsoft .Net-ready version of its ISO Claims Outcome Advisor (COA) personal injury claims management solution. COA Release 3.1 offers major new features, including the Treatment Protocols function and enhancements to the COA Medical Library and Settlement Analyzer tool. This will enable claims handlers, managers and third parties across the entire enterprise to manage information about personal injury claims via a secure Web browser, thereby speeding up claims resolution, improving accuracy and ensuring best practices.

FARMINGTON, Conn.--Insurix, Inc., a provider of Web-based insurance sales and administration platforms, announced today that Harvard Pilgrim Health Care has successfully completed the launch of "Easy Online Renewal" for brokers. The Insurix-based system allows Harvard Pilgrim sales account executives, underwriters and third party brokers to instantly access and manage small-group renewals from inception through renewal presentation to case acceptance. With the Insurix platform, users can monitor and act upon all key events in the renewal process, resulting in improved retention rates and better customer service.

COLUMBUS, Ohio-- Ringing cell phones are a welcome sound to Nationwide, so long as the company's longtime jingle is playing. Nationwide is one of the first companies in the U.S. to offer an advertising jingle as a ring tone. Trendwatchers have dubbed the phenomena "jingle casting."

Rapidly submitting a timely First Notice of Loss (FNOL) report for a commercial auto or property insurance claim leads to faster settlements and satisfied claimants. The Hartford Financial Services Group, Hartford, Conn., now enables its independent insurance agents to electronically initiate the claim process for their clients.The Hartford, which boasts a strong record of deploying advanced technology for improved agency interaction, is now enabling independent agents to electronically submit a commercial auto or property FNOL, with attachments, from their Applied agency management system. It does this using IVANS Transformation Station, a managed data exchange using Web services and ACORD XML for real-time transactions between agency and carrier systems.

Data standards are critical to streamlining the financial reporting process, according to industry sources. And a new add-in to Microsoft Office 2003--to be released this summer by the Redmond, Wash.-based software giant--may be the missing link in the concept of "straight-through reporting."The Microsoft add-in will provide XBRL support within Word and Excel, and it will enable companies to automate manual tasks associated with using Word and Excel for financial reporting, says Mike Willis, founding chairman of XBRL International and partner at New York-based PricewaterhouseCoopers.

Blue Cross of California, Thousand Oaks, Calif., has expanded its physicians technology initiative to include 1,040 safety net physicians in California. Traditionally, safety net physicians provide care to the uninsured, poor and low-income patients, including those enrolled in the Medi-Cal and Healthy Families insurance programs.With an additional $2 million in funding, this technology initiative will help these physicians improve patient care, achieve greater efficiency and improve administrative functions. These new technologies are intended to provide greater access to information and data exchange via the Internet or wireless handheld devices.

Rating agency demands (71%), financial reporting issues (55%), shifting product preferences (55%) and changes in regulatory requirements (48%) are driving the industry's need for improved risk and capital management practices, according to life insurance company CFOs surveyed by the Tillinghast business of New York-based Towers Perrin in its latest CFO survey.As a result of such pressures, 86% of the CFOs surveyed say they are paying more attention to risk and capital management practices. Four out of five (81%) of the executives polled are going one step further; they are proactively implementing them.

For years, life insurance providers and their agents have relied on obtuse, text-heavy sales presentations to their individual customers. Too often, though, poor sales presentation tools fail to enlighten individuals concerning the magnitude of a life purchase.

WASHINGTON-- Millions of Americans buying health insurance on their own have a wide variety of products from which to choose, and most select plans very similar to the coverage available to working people in employer-sponsored groups.

It's no secret that for insurers, aligning technology staffs and business units into a full partnership has been challenging. Frederick Matteson, the newly appointed chief information officer for Novato, Calif.-based Fireman's Fund Insurance Co., isn't able to fully grasp the automation-related woes that have bedeviled insurers. That's because Matteson has deftly been able to avoid them himself.Having spent a number of years as an executive in the brokerage industry, Matteson championed the concept of total alignment between IT and business long before it became commonplace. A proponent of disciplined strategic scenario planning, Matteson has a keen sense of determining early on whether to expand or reduce a corporatewide initiative, including those centered on information technology.

Unlike previous industry attempts to standardize data exchanges between carriers, agents and third-party partners, it appears that XML is the real deal. Still, the industry has a long way to go before support for ACORD XML turns into widespread adoption.ACORD's XML specifications-covering property/casualty, life, and reinsurance- were designed for transferring data across firewalls, but some carriers are exploring use of the standards as a cost-effective internal integration tool for extracting data from legacy systems. In addition to controlling costs and opening access, such internal data integration capabilities may also help companies meet growing demands from regulators for increased accountability in internal operations.

When it comes to inefficiencies surrounding information technology security practices, global corporations are discovering that to err is human.A survey conducted by Oakbrook Terrace, Ill.-based global trade association Computing Technology Industry Association (CompTIA) discovered that human error-defined mainly as a lack of adequate certification and training-is the root cause of lax IT security at most corporations.

The number of career agents-the largest distribution channel for life insurance-dropped significantly in a decade, down from 238,000 in 1990 to 178,000 in 2000. In addition, by 2010, 13.2% of the U.S. population will be 65 or older.These demographics present life insurers with product, distribution and operational challenges as fewer agents are available to sell new-sometimes complex-products to consumers who are planning for their retirement years.

A wise insurance executive-perhaps a chief information officer-once stated: "The strategies that worked for us in the past are the same ones that will cause us to fail in the future. That's because those strategies are only competitive for awhile."Carl Ascenzo, chief information officer for Boston-based Blue Cross Blue Shield of Massachusetts, didn't deliver this proclamation, but he easily could have. Over the years, in a career spent at Aetna Health Plan and PriceWater-houseCoopers before coming to BCBSMA, Ascenzo has seen things that were seemingly built to last fall by the wayside.

Barbara Piehler represents a new breed of corporate CIO, one that no longer requires extensive information technology experience. In the insurance industry, this trend has been reinforced recently through the appointment of several CIOs who have built their reputations on the business side of the industry.But, while many of these executives eventually blended IT with business competency prior to taking over as CIO, Piehler, who is senior vice president, information systems, and CIO for Milwaukee-based Northwestern Mutual Life Insurance Co., had only accumulated about a year of information systems' experience by the time she assumed the CIO position in October 2002.

ST. PAUL, Minn. -- Through aggressive health care fraud investigations and coordination among other states' Blue Cross plans, the Blue Cross Special Investigations Unit (SIU) stopped payment on $8.7 million of suspect claims last year, reducing the impact of fraud on premiums in Minnesota.

The majority of insurance companies already maintain a rigorous corporate governance model to protect the financial interests of their policyholders and shareholders. So why does the Sarbanes-Oxley act have the industry aflutter? New research from TowerGroup, a Needham, Mass.-based research and consulting firm, finds insurers are realizing that the law can serve as a catalyst for long- term financial systems architecture strategy and process improvements."The globalization of insurance and the current complex regulatory environment necessitate a systematic, integrated approach to risk management," says Cindy Saccocia, senior analyst in the Insurance practice at TowerGroup and author of the report, titled "Sarbanes-Oxley and Insurance: Requirements, Hype, and Opportunity."

Atlanta-based Blue Cross and Blue Shield of Georgia has launched the Clear Claim Connection, an online product and service for its network providers. This product, created by McKesson Corp., enables BCBSGa to share with network providers the auditing rules and clinical rationale which exist in the claims billing and auditing code system used by BCBSGa.John Watts, president and chief executive officer of BCBSGa, says, "This important service will enable network physicians and their office staffs to review our payment methodology online. By providing this service, we hope to make our reimbursement policies more readily accessible and reduce misunderstandings among providers, members and BCBSGa."

NEW YORK--The Guardian Life Insurance Co. of America is making an effort to demystify the financial planning process and educate visitors on the role that Guardian's products and financial representatives play in an overall financial planning strategy. The company is doing it with a new Web site, located at www.GuardianLife.com. The new site replaces Guardian's existing Web address at www.glic.com.

In recognition of the HIPAA security rule pre-anniversary deadline that passed this month, Washington, D.C.-based nonprofit URAC released a report examining the state of preparedness in the health care industry in complying with the security rule.