Risk

Thanks to new technologies, carriers are unearthing fraud such as "rent-a-patient" schemes and physician upcoding.

It's no secret that the insurance industry takes a relatively dire view of regulatory compliance. The Sarbanes-Oxley Act of 2002 (SOX) is reported to have cost public companies across all verticals $35 billion last year. If the popular press is correct, that equates to 30,000 man-hours per company, per year, to comply. Although it's a given that promoting accurate bookkeeping (not cooked books) is simply best practice, the only companies seeming to benefit from compliance efforts are the pool of compliance-related technology solution providers.

Tropics Software Technologies announced its new Director of Software Development, Robert Sillett. Sillett will concentrate his efforts on the new Tropics .NET platform. He has teamed up with the Tropics system designer and recruited consulting help to build a robust .NET architecture for the upcoming versions of Tropics software.

Washington — Insurance industry associations are obliging to a request for comments by the U.S. Treasury Department as it conducts a review of the regulatory structure associated with financial institutions. Several associations used the opportunity to reiterate their opposition to the creation of the optional federal charter (OFC) for the insurance industry. Senators Tim Johnson, D-N.D. and John Sununu, R-N.H., introduced the National Insurance Act of 2007 into the upper house in May.

London – As recently as a decade ago, most carriers did not consider the potential ramifications of emerging nanotechnologies. Now, even Lloyd’s of London is acknowledging the risks and opportunities that nanotechnology presents. The London-based firm, in collaboration the London-based Lighthill Risk Network, not-for-profit science organization, is hosting a half-day seminar in the Old Library on December 10 to discuss the topic.

Washington – An extension to the Terrorism Risk Insurance Act (TRIA) has passed the U.S. Senate. The measure was approved on Friday by unanimous consent. The original TRIA was passed in wake of 9/11 and is set to expire on December 31.

Mayfield, Ohio - With an overarching goal to create a safer driving experience for its customers, The Progressive Group of Insurance Cos. is offering a virtual driving experience to existing and potential customers across America. The carrier is teaming with Metro City Group, a Laguna Niguel, Calif., owner of a 68-foot multimedia-equipped tractor-trailer, to provide drivers with the chance to test their skills in practical behind-the-wheel driving situations in a safe, virtual environment. With their eyes on the road and their hands securely placed at the “nine” and “three” positions on the steering wheel, people who experience the Progressive Driving Skills Simulator will increase their knowledge of the rules of the road and be better equipped to handle any driving situation. The driving course curriculum includes real-life situations--such as driving in high traffic, congested areas, through foggy or rainy weather or simply passing and yielding to other drivers--and the virtual technology system measures drivers' responses, reaction times, crash reduction techniques and general driving knowledge. "The interactive experience of the Progressive Driving Skills Simulator gives people the chance to 'test drive' their skills in all types of driving situations, which we hope will prepare them for driving on the real--not virtual--road," said Progressive product manager Mike Storbeck from the company's headquarters in Mayfield, Ohio. "Our objective has always been to redefine drivers education and provide a practical training program that gives people a chance to test, and practice, their skills in a safe, simulated environment," said Tim Albright, president of Metro City Group, owner of The Simulator. "We are looking forward to working with Progressive, and are sure that, together, we can make our roads safer and more enjoyable for everyone." Over the next several months, the Progressive Driving Skills Simulator will travel to many local events in the Western United States, including Motor Trend Auto Shows, state fairs and other automotive industry-related events. More information is available at www.progressive.com or www.streetsimulator.com. Source: Progressive Group of Insurance Cos.

Washington - A notice published in the Federal Register seeking comments for a broad Treasury Department review of financial regulation is biased in favor of federal regulation of insurance and foreign business entities, according to the Alexandria, Va.-based National Association of Professional Insurance Agents (PIA).The specifics of the Nov. 11, 2007 published notice "raise critical concerns about the direction, purpose and intent of the review process itself, concerns we are compelled to address directly to you at this time," states PIA in a letter to Treasury Secretary Henry Paulson.

Stamford, Conn.—A recent release from Pitney Bowes Inc. announced its Pitney Bowes Group 1 Software and Pitney Bowes MapInfo business units, acquired separately, will combine into a single software company. The move is effective immediately, and the businesses will merge operations over the next several months.

Needham, Mass. — A new research report from TowerGroup Inc. says insurers should go above and beyond current regulatory requirements when dealing with the issue of annuity suitability.

New York – New York Life Insurance Co. promoted Richard Eppink, Jr. to vice president in the Special Markets Department, reporting to first vice president Victoria Buhrow. Eppink is now responsible for developing and executing strategic direct marketing plans for the AARP Lifetime Income Program, New York Life's Tampa-based operation which markets and administers income annuity products to AARP members. Eppink joined New York Life in 1999 as an assistant vice president of marketing with the AARP Life Insurance Program, and was promoted to corporate vice president in 2002.

Miami - To deliver on the commitment to promote ecosystem-based innovation and collaboration, Walldorf, Germany-based SAP AG announced that the industry value network (IVN) for insurance will join 13 existing industry-focused IVNs hosted by SAP. The IVN for insurance will bring together independent software vendors, system integrators and SAP to co-innovate with insurers to help them improve profits, customer relationships and their competitive position through effective applications and a flexible IT environment. Members of the IVN for insurance will initially focus on issues facing property/casualty insurers in the North American market in the areas of claims, customer service, sales and distribution, and underwriting and policy processing.Plans for the IVN for insurance currently include key innovative partners in the insurance industry: Adobe, CGI, IBM, MSG, Opentext, Planetsoft and Skywire. The partners and SAP will initially collaborate to bring together industry expertise, knowledge and capabilities in a multi-vendor ecosystem to address the high-value business needs of customers. Customers will be invited to participate in the second phase of the IVN.

Salt Lake City - To help benefit administrators improve payment accuracy and prevent unnecessary losses associated with fraudulent claims, Sandy, Utah-based HealthCare Insight LLC (HCI) formed a strategic alliance with EZ-CAP, the flagship product of Longwood, Fla.-based MZI HealthCare LLC (MZIHC), a provider of health plan administration software.

Denver - Colorado Casualty's appointed agents in Arizona and New Mexico are the first in the Liberty Mutual Group member's six-state territory to be equipped with Commercial IQ, the company's, Web-based technology for commercial lines quoting, binding and policy issuance.Commercial IQ is designed to deliver an automated underwriting process with expanded, yet simplified, eligibility criteria, and a sophisticated pricing system with multiple price points, which results in fewer referrals, less intervention, the best price up front and quicker policy issuance. Commercial IQ's "Quick Quote" feature enables agents instant access to a faster online quote with minimal entry of information, according to Liberty Mutual Group. Agents also can select the most appropriate product for a commercial risk using Commercial IQ's SmartNav, the pre-qualification tool that requires only a business class code and responses to a few basic eligibility questions to best meet customers' needs.

Boston — Karen Clark, former president and CEO of AIR Worldwide formed an independent firm—Karen Clark & Co.—to help companies better use catastrophe models as sophisticated tools for making important risk management decisions.

Armonk, N.Y. and Ottawa - IBM and Cognos have entered into a definitive agreement for IBM to acquire Cognos, a publicly held company based in Ottawa, in an all-cash transaction at a price of approximately $5 billion or $58 per share, with a net transaction value of $4.9 billion. The acquisition is subject to Cognos shareholder approval, regulatory approvals and other customary closing conditions. It is expected to close in the first quarter of 2008.The acquisition of Cognos supports IBM's Information on Demand strategy, a cross-company initiative announced on Feb. 16, 2006 that combines IBM's strength in information integration, content and data management and business consulting services to unlock the business value of information, according to IBM. Integrating Cognos, the 23rd IBM acquisition in support of its Information on Demand strategy, will enable new business insights to be delivered to a broader set of people across an organization, beyond the traditional users of business intelligence.

Schaumburg, Ill. – News reports of poison toothpaste and lead-laced toys have not just caught the attention of consumers. The nation’s importers, and the commercial lines writers who serve them, are keenly aware of the dire implications of unsafe products.

Des Plaines, Ill. — The National Insurance Crime Bureau (NICB), a non-profit organization dedicated to preventing, detecting and defeating insurance fraud and vehicle theft through information analysis, investigations, training and public awareness, is launching a free service to help protect the nation's consumers.

New York - With location-specific terrorism risk exposure data, TerrorRisk is a unique risk assessment model that provides the insurance industry with targeted and actionable terrorism risk forecasts to help maximize opportunities and mitigate risk. Developed by New York-based Pitney Bowes MapInfo and Exclusive Analysis, TerrorRisk utilizes fact-based, location-specific metrics to score the propensity and likely severity of violent and political risks on more than 3,700 global points of interest to help insurers and risk managers make more insightful underwriting, rating, coverage and risk selection decisions.

Warren, N.J. - To address the complex and unique risks that information and network technology companies face serving the federal government, the Chubb Group of Insurance Companies, Warren, N.J. , assembled a group of underwriters, loss control engineers and claim specialists to offer specialized products and services for federal contractors in close collaboration with outside legal counsel.