Columbus, Ohio - Healthcare Transaction Processors Inc. (HTP), Columbus, Ohio, announced it is integrating claim overpayment protection services (COPS) into its HTP Transaction Manager suite, which serves health insurers, HMOs, TPAs, IPAs and other medical payment organizations. COPS leverages ClaimsGuard technology from Bloodhound Inc., a Research Triangle Park, N.C., software company. The enhancement will enable real-time editing of claims before they are entered into the client's claim system. Through a series of business and clinical rules and other algorithms, COPS identifies anomalies in clients' claims data, such as potential overpayments, overutilization, duplicate claims and questionable provider billing practices.

Hartford, Conn. - The Innovation Group (TIG), a UK-based provider of policy, claims and conversion technology products and services, will partner with Document Sciences (DocSci), a provider of real-time content publishing products, to automate claims reporting.

Anaheim, Calif. - At the 77th Annual IASA Educational Conference and Business Show held this week in Anaheim, Calif., IASA announced a technology education initiative that will involve a vendor collaborative approach. It has joined forces InsureWorx, an Emeryville, Calif., provider of modular software, to develop and deliver a specialized insurance technology program for IASA member companies. The initiative will be launched with a series of InsureWorx-sponsored Webinars to provide in-depth presentations and discussions on critical topics currently affecting insurance company information technology departments.

Simsbury, Conn. - The Hartford Financial Services Group Inc., appointed Terry Walker as senior vice president and chief information officer (CIO) for its Hartford Life Inc., subsidiary.

Southfield, Mich. - Proforma Corporation, a business process modeling and analysis software company, announced it has joined with business process management (BPM) providers to answer industry demand for interoperability between business process analysis (BPA) and BPM. The consortium agreed to support a common interchange format (CIF) that will facilitate the exchange of business process models between BPA tools, such as Proforma's ProVision BPMx, and other BPM solutions.

Austin , Texas - To improve its policy management business processes, Aflac is implementing a business process management (BPM) platform. The Columbus , Ga. , carrier, which insures more than 40 million people worldwide, said it plans to use TeamWorks software, from Austin, Texas-based Lombardi, to gain new insight into process performance through business activity monitoring.

For insurers, handling claims is not only costly in terms of paying for damages, it ultimately can cost them customers: A poor claims experience will motivate angry policyholders to switch carriers.Processing paper-based claims creates bottlenecks that prevent effective communication between the affiliates in the claims value chain, a condition that inflates claims cycle time and impairs customer relations. As business leaders of claims departments huddle with their information technology counterparts, automating claims to more effectively assign, manage and close claims files has become the order of the day.

From the highest executive to the lowest-level associate, business people in corporate America are creatures of habit-often to a fault.Take paper processing. The reliance on paper documents might represent a drag on day-to-day workflow, but to business people accustomed to traditional processing methods, paper provides a comfort zone-inefficiencies and all.

Avon, Conn. - The traditional business model used by carriers in the benefits arena is about to be challenged, according to Eastbridge Consulting Group Inc., a marketing advisory firm serving insurance and financial services organizations in the United States and Canada .

Andover, Mass. - State National Companies, Fort Worth, Texas, has chosen CGI Group Inc., an independent information technology and business process services company, to provide full regulatory and statistical reporting services for their property and casualty book of business. Privately held, State National Companies includes three affiliates: State National Insurance Company, National Specialty Insurance Company and Texas-based State and County Mutual Fire Insurance Company.

Brookfield, Wis. - Fiserv Customer Centered Solutions (CCS), the customer relationship management (CRM) arm of Fiserv, launched its Enterprise Relationship Management Suite (ERM Suite), an integrated product line designed to address service and sales issues facing CEOs.

Sarasota, Fla.- Kirk A. Sexton will take the reins as chief information officer of Unisource Administrators Inc., a workers' compensation third-party administrator that provides workers' compensation products, claim management, managed care and payroll services, to more than 15,000 employers in the southeastern United States.

Peoria, Ill.- RLI, a property and casualty carrier and provider of surety bonds to niche or underserved markets, established a strategic information services department to manage and develop RLI's strategic and management information services. The newly formed department's goal will be to create accurate and consistent information that can be efficiently delivered to RLI managers and executives to enable them to react to potential problems and opportunities.The new business unit "will be essential in managing our growth and achieving greater profitability," says RLI President & COO Michael J. Stone.

Fireman's Fund Insurance Co. Novato, Calif., has taken a third major step in its total IT transformation by awarding IBM a ten-year $94 million contract to modernize a major portion of the property/casualty insurer's application, development and maintenance software into an On Demand infrastructure that could reduce the number of major applications by 70 percent while improving customer service. When completed, the work could save Fireman's Fund $200 million, more than double the project's actual cost.With IBM's assistance, Fireman's Fund will shift its IT operations to an Internet-based computing model known as a "service-oriented architecture" (SOA) that enables consolidation of costly, redundant applications. Under Fireman's Fund direction, IBM will sift through mission-critical applications using a unique IBM Business Consulting process called Component Business Modeling to determine which applications deliver the most value to the business and which processes can be refined, consolidated or eliminated.

The Lawson Firm, a Cleveland-based law firm providing legal services to the insurance industry, is offering a two-part paper examining the business and legal risks associated with business-process outsourcing (BPO) and the strategies used to manage those risks. The paper is in response to recent studies showing that roughly half of all insurers currently outsource one or more business processes, or are planning to do so within the next 18 months.

Industry experts often criticize insurers as being "laggards" in adopting new technologies. But carriers are leading most other industries when it comes to adopting scanning and imaging technologies, a new study concludes.For example, 86% of insurers surveyed by AIIM, an enterprise content management association based in Silver Spring, Md., are using scanned documents and images to answer inquiries from customers, compared with 73% of companies across all industries. Furthermore, 60% of carriers use scanned documents to respond to litigation, compared with 45% of all survey respondents.

For insurance carriers, brokers and agencies, the ability to recover quickly from a systems outage or disaster is critical to their business-and, increasingly, may be mandated by law or industry oversight groups. As a result, business continuity has become a core management issue, whereas in the past it was an issue that was addressed by IT executives."The insurance industry is moving from recoverability toward resilience," says Ted DeZabala, national leader of Deloitte & Touche LLP's security services team. "This is a huge change of mentality, of management, and of technology for the insurance industry."

As an undergraduate at MIT and New York University, Dennis Callahan majored in mathematics. So, it's not so surprising that the CIO of Guardian Life Insurance Company of America has been so successful at focusing on the numbers at the New York-based insurance company.Since he took the CIO position in late 2000, Callahan has reduced the IT budget at Guardian by one-third-all while modernizing the entire corporate infrastructure.

When John Golden took control of IT at CNA Financial Corp. in late 2001, he faced the same challenges many CIOs are still grappling with: How do you transform diverse legacy systems into a modern platform that enables faster product development, better customer service, higher productivity and greater operational efficiency?After consolidating 20 IT groups into one, and focusing on the business value and total cost of ownership of IT systems and applications, Golden, in only a few years, has reduced the Chicago-based carrier's nondiscretionary IT expenses from $400 million per year to $200 million.

If it weren't for a bad case of writer's block, Michael Bernaski might be a famous novelist right now. Instead, he's the CIO and senior vice president of property-casualty e-business and technology at The Hartford Financial Services Inc.Last year, he accepted the senior technology position at the Hartford, Conn.-based financial services firm when he "hit the wall" trying to write a murder mystery during a year-long sabbatical from the consulting world. Bernaski had left Accenture, where he had worked for 15 years, to enjoy his newborn daughter and pen his way toward the best-seller's list.