Category Archives: Best Practices

A Nice Refresher: The Critical Role of Timely and Accurate Practices in Claims Management 

Posted on by
Reply

I hate to state the obvious, but accurate, timely and consistent reserving is the one truth that remains constant in the ever-evolving world of insurance. As a recent industry analysis pointed out, “This gap ultimately impacts claims and reserves, as carriers with outstanding cases will have to ensure they have adequate reserves to handle payouts when the cases do eventually resolve.” This statement underscores a critical aspect of claims management that deserves our full attention. This concept is so important it deserves repeating again and again.  

While many reading this blog know the importance it’s worth a refresher especially for those new to the industry. Let’s dive into why consistent reserving and informative trend analysis are not just good practices, but essential strategies for navigating the choppy waters of modern insurance.

The Ripple Effect of Reserving

Think of reserves as the financial shock absorbers of the insurance world. When set correctly, they help cushion the impact of claim payouts, ensuring the stability and solvency of insurance companies. But when reserves are inadequate or inaccurate, the consequences can ripple through the entire organization, affecting everything from financial reporting to pricing strategies.

Consistency: The Golden Rule of Reserving

Consistent reserving practices are the cornerstone of effective claims management. By establishing and adhering to clear guidelines for setting reserves, insurers can:

  • Enhance transparency for stakeholders
  • Facilitate more effective comparison of performance over time
  • Improve accuracy in financial forecasting
  • Provide a solid foundation for identifying emerging trends

But consistency doesn’t mean rigidity. The key is to have a systematic approach that can adapt to changing circumstances while maintaining its core principles.

Trend Analysis: Your Crystal Ball

While consistent reserving provides the foundation, trend analysis is your crystal ball, offering insights into the future of claims patterns. By regularly analyzing reserve change trends, insurers can:

  • Identify potential problems with reserving practices early on
  • Distinguish between reserving issues and genuine increases in exposure
  • Anticipate and prepare for emerging risks
  • Make data-driven decisions about policy pricing and risk management strategies

The Power of Early Detection

One of the most valuable aspects of robust trend analysis is the ability to detect issues early. By monitoring reserve change trends, insurers can quickly identify whether increases are due to:

  • Inadequate initial reserves (a reserving problem)
  • Unexpected claim development (a potential new trend in exposure)
  • External factors like social inflation or legal environment changes

Early detection allows for prompt corrective action, whether that means adjusting reserving practices, re-evaluating risk assessment protocols, or developing new strategies to address emerging exposures.

Putting It into Practice

So, how can claims departments implement these principles effectively? Here are a few key strategies:

  • Establish clear, written guidelines for setting and adjusting reserves
  • Regularly review and update these guidelines to ensure they reflect current realities
  • Implement a robust data analytics program to track and analyze reserve trends
  • Conduct frequent (at least semi-annual) reviews of reserve adequacy and trends
  • Foster collaboration between claims, underwriting, and actuarial teams to ensure a holistic view of risk and reserving
  • Invest in training to ensure all relevant staff understand the importance of accurate reserving and can interpret trend data

The Road Ahead

In an industry facing challenges from social inflation, court backlogs, and evolving risk landscapes, the importance of timely and accurate reserve practices cannot be overstated. By focusing on consistency in reserving and leveraging the power of trend analysis, insurers can navigate these challenges more effectively, ensuring they’re prepared for whatever lies ahead.

Remember, in the world of insurance, forewarned is forearmed. The insights gained from robust reserving practices and trend analysis are not just numbers on a spreadsheet – they’re the compass that guides strategic decision-making and ultimately, the long-term success of the organization.

What strategies does your organization use to ensure timely and accurate reserving? How do you leverage trend analysis to stay ahead of emerging risks? Share your thoughts and experiences in the comments below – let’s learn from each other and continue to elevate our industry practices.

Taming the Claims Severity Beast: A Data-Driven Approach to Litigation Management

Posted on by
Reply

In today’s landscape of escalating lawsuit costs and economic uncertainty, managing litigation severity has become a critical challenge for claims departments (see Social Inflation is up). The question is: how can we effectively address this issue without compromising efficiency or breaking the bank? Let’s explore a data-driven, technology-powered approach to litigation management that can help tame the claims severity beast.

Understanding Claims Severity

Claims severity is more complex than just the dollar amount of a settlement. It encompasses financial costs, time invested, and even emotional toll. Influenced by factors ranging from company procedures to unexpected events, understanding severity is crucial for developing effective litigation management strategies.

A striking real-world example of claims severity comes from the trucking industry. According to a 2020 study by the American Transportation Research Institute (ATRI), the average cost of a crash involving a large truck increased from $120,000 in 2009 to $182,000 in 2019 – a staggering 52% increase. Even more alarming, crashes with injuries saw costs rise from $195,000 to $428,000, a whopping 120% increase. (Understanding the Impact of Nuclear Verdicts on the Trucking Industry.” June 2020)

This example illustrates how factors like rising medical costs and increased legal fees can dramatically impact claims severity over time. It’s not just about the initial incident anymore – the long-term implications and escalating costs play a significant role in the overall severity of a claim.

Leveraging Data as a Strategic Asset

In the battle against claims severity, data is your most powerful asset. Historical cases, claims records, and legal documents form a rich repository of information. With proper analysis, this data can reveal patterns, predict high-risk claims, and even prevent problematic cases before they escalate. It’s about transforming raw information into actionable insights.

A striking example of leveraging data and AI in claims management comes from Lemonade, a disruptor in the insurance industry. Lemonade uses AI extensively in claims processing, employing a combination of machine learning, chatbots, and computer vision. Their AI system, aptly named “AI Jim,” handles the entire claims process for simple cases, from initial report to payment. The results are nothing short of remarkable: 30% of claims are settled instantly, with the record for the fastest claim processed standing at an astonishing 3 seconds. Perhaps most impressively, Lemonade has managed to reduce its claims expense ratio to just 2%, significantly outperforming the industry average of 10-15%. This case demonstrates the transformative potential of AI in claims management, showing how it can dramatically improve efficiency, speed, and cost-effectiveness. https://www.linkedin.com/pulse/ai-insurance-streamlining-underwriting-claims-andre-ripla-pgcert-4qdye

Another powerful example of leveraging data and technology comes from Zurich Insurance. They implemented an AI-powered system to handle property and injury claims, utilizing machine learning and natural language processing. This advanced system reviews medical reports and assesses the severity of injuries to determine appropriate compensation. The results were impressive: claims processing time was reduced by 50%, consistency in claims decisions improved by 25%, and they saw a significant reduction in operational costs. This case clearly demonstrates how AI and data analytics can dramatically improve claims management efficiency while also ensuring more consistent and fair outcomes for claimants. https://www.linkedin.com/pulse/ai-insurance-streamlining-underwriting-claims-andre-ripla-pgcert-4qdye/

These examples demonstrate the power of leveraging data to not only improve efficiency but also to proactively manage and reduce claims severity.

Embracing Technological Tools

Artificial Intelligence and machine learning are no longer just buzzwords; they’re essential tools in modern litigation management. These technologies can process vast amounts of data, identify hidden patterns, and predict outcomes with increasing accuracy. 

Automation tools also play a crucial role, handling routine tasks and freeing up your team to focus on strategy. Effective communication tools ensure that all stakeholders remain informed and aligned throughout the litigation process.

Implementing Best Practices

Deploying new tools and strategies requires a thoughtful approach. Consider these best practices:

1. Foster collaboration between all stakeholders, from insurers to legal teams to front-line claims assessors.

2. Establish clear objectives and Key Performance Indicators (KPIs) to measure strategy effectiveness.

3. Maintain accurate data – the adage of garbage in garbage out is never truer than with litigation data. Make the time and investment and get it right.

4. Use technology to enhance, not replace, human judgment and decision-making.

5. Invest in continuous training to ensure your team can effectively utilize new tools and strategies.

The Importance of Action

Managing claims severity isn’t solely about cost reduction; it’s about creating a more efficient, effective claims process that benefits all parties involved. By leveraging data, embracing technology, and implementing proven strategies, we can significantly improve litigation management outcomes.

The tools and strategies are available, and the potential benefits are substantial. It’s time for claims leaders to take action and implement these approaches to effectively manage claims severity.

What strategies have you employed to address claims severity in your organization? Share your experiences in the comments below – let’s continue to learn from each other and advance our industry practices.

Social Inflation has Commercial Casualty Losses up 11% Over the Last 5 Years: 3 Claims Department Strategies That Will Help You Navigate The Problem

Posted on by
1

Swiss Re’s latest report on social inflation is a must-read for claims professionals. Their sigma No 4/2024 study, “Litigation costs drive claims inflation: indexing liability loss trends,” offers a comprehensive look at this growing challenge. The findings are sobering: the U.S. liability risk pool is expanding rapidly, with commercial casualty insurance sector losses growing at an average annual rate of 11% over the last five years. Importantly, this isn’t just a U.S. phenomenon anymore. The UK, Australia, and Canada are also experiencing similar trends, albeit to a lesser degree. As claims leaders, it’s crucial we understand and adapt to this changing landscape. With that in mind, let’s explore three essential strategies that can help your claims department navigate the complexities of social inflation.

1. Embrace Your Inner Data Nerd

In today’s claims environment, data should be at the forefront of your decision-making process. Modern claims departments need to utilize their data effectively, not just for reporting, but for predicting future trends. Predictive analytics can help you identify potential high severity claims before they escalate. 

By analyzing historical data, court rulings, and social trends, you can spot patterns that may indicate where social inflation is likely to impact your claims. This foresight allows you to proactively adjust your strategies, whether in reserving, settlement approaches, or litigation decisions.

If you’re not using your claims data to anticipate future challenges, you’re missing a crucial tool in managing social inflation. The ability to predict which claims are likely to result in larger-than-expected payouts can be a game-changer for your department.

Predictive does not always mean some hi-tech analytics model. Predictive can also be developing, using and analyzing the correct trends within your existing data. 

2. Early Case Assessment: Your New Best Friend

In the age of social inflation, early case assessment has become more critical than ever. The sooner you can identify high-risk claims, the better positioned you’ll be to make informed decisions about how to handle them.

Your early case assessment process should be comprehensive and efficient. It should help you quickly identify claims that have the potential to result in large verdicts or settlements. This might include cases in jurisdictions known for high awards, claims involving severe injuries, or those that touch on hot-button social issues.

By identifying these high-risk claims early, you can develop appropriate strategies – whether that means early settlement negotiations, allocating additional resources for defense, or preparing for potential litigation. Early case assessment is your first line of defense against the impacts of social inflation.

3. Invest in Advanced Technology

If your claims department isn’t leveraging advanced technology, you’re at a significant disadvantage in today’s environment. Advanced data analytics tools and AI can process vast amounts of claims data quickly and accurately, identifying patterns and predicting outcomes that might not be apparent to human analysts.

These technologies can help you process claims more efficiently, spot potential fraud, and assist claims professionals in making more accurate reserve estimates. They can also assist in identifying trends in jury awards and settlement amounts, helping you stay ahead of the curve in your claims handling strategies.

However, it’s not enough to simply have these technologies – you need to use the insights they provide to inform your strategies. Use this data to adjust your reserves, refine your pricing models, and guide your overall claims handling approach.

Adapting to the New Normal

Social inflation is reshaping the claims landscape, and it’s clear that this trend isn’t going away anytime soon. By embracing data analytics, prioritizing early case assessment, and leveraging advanced technology, your claims department will be better equipped to navigate these challenges.

Remember, the goal isn’t just to react to social inflation, but to anticipate and mitigate its effects. With these strategies in place, you’ll be well-positioned to manage claims effectively in this new environment.

What strategies is your claims department using to address social inflation? Share your thoughts in the comments below – let’s learn from each other and develop best practices for this ongoing challenge.

3 Claims Department Musts That Will Let The CEO Sleep Soundly

Posted on by
1

Fotolia_43932868_XSLet’s face it, running an insurance company is no easy task.  Market pressures, changing cycles, balancing the right mix of products and ensuring an efficient operation will certainly keep a CEO up at night. Having a smoothly run claims department is essential to ensure costs are maintained and customers continue to return. No one likes claims, however they are the largest expense an insurance company will have and as such it is essential that they run efficiently.

[Answer our Poll below]

There are many elements to a well run claims department. As with many areas of business it comes down to people, process and technology. Good people will drive the success of any department and working with defined efficient processes, as well as technology tools that support the organization, are basic core requirements to any well run department.

3 “Must Haves”

Specifically what people, processes and technology make up a good claims department is a subject for another day. Regardless every claims department should be using metrics, performing audits and have a business continuity plan in place as a minimum.

Metrics – Today’s claims department should be filled to the brim with claims data. If your claim system doesn’t provide robust data then there are bigger issues to deal with. Data from the claims department should be actively used to address different needs from various internal stakeholders. Claims managers should have information about the efficient handling and disposition of claims. Underwriters should have information about client activity and trends. And actuaries should be able to develop claims data to ensure reserve are adequate and pricing is appropriate. Dashboards of claims information should be available to the CEO to help identify trends and allow for  both a tactical and strategic view of the operations.

If you are not getting or using your claims data to provide valuable metrics then sleep is the least of your worries.

Auditing – File reviews are an essential tool for claims departments and should be part of the overall culture of the organization. Performing regular internal claim audits helps ensure that reserve practices remain consistent and appropriate and the operation is running efficiently.  More specific audits can help target various operational issues to ensure quality and compliance and can include data audits, financial audits and customer service reviews.  Auditing should be a regular part of the business landscape and be conducted in a formal way and on a regular basis (see my article A Claims Tale Of Three Little Managers And Their Review Programs).

If your’e a CEO and you don’t need sleep, then don’t worry if your claims department is auditing. However, if you like to rest easy – this one should be a no-brain solution. Make sure there is an audit plan and program in place and it is running regularly.

Business Continuity – Are you really ready for the next disruptive event that could derail the operation? The main question for your claims department is can they manage, restore and recover essential functions, processes and data during and after disruptions to operations? If there answer is – I don’t know – then you probably aren’t sleeping at night.

The claims department should develop an incident-agnostic functional recovery program that can establish a predictable recovery priority that maintains a “going concern” and can ensure that the claims “supply chain” continues to operate. Like the rest of the organization, there needs to be a proper Business Continuity Plan in place to ensure the company is ready to handle any disruption.

Ensuring a smooth running claims department is vital to a successful running organization. Even well run companies should take a look to make sure that three “must haves” are in place so the CEO can sleep better at night.

[poll id=”4″]

What else is keeping you up at night?

 

4 Keys to Managing a Successful Outsourced Claims Operation

Posted on by
Reply

GettyImages_174670671To be Successful One Must Have Strong Oversight and Controls From the Beginning

So you have decided to hire a Third Party Administrator to handle your claims and it seems like a reasonable decision at the time. You either have some new specialized business you are writing and don’t have the expertise in-house, or you don’t want to set up a new regional claim office or you are a new company and want to have an experienced claim department in place. Yes – the TPA is the answer to all your concerns.

All things being equal there are many fine TPAs in the market that will provide wonderful service to your insureds in a cost effective and comprehensive manner. Initially you think you have chosen a good one. However, as time goes on you realize you are not exactly getting what you expected from your TPA. So what happened?

It matters little what your reasons for outsourcing were. Bottom line is if you didn’t take certain steps to properly select and manage a TPA you are likely to end up with problems. The partnership you form with your TPA will be fruitful if you take these key steps to select and manage them in a way designed to foster long term success.

  1. TPA Selection – Do your due diligence.  If you are handling claims over to a Third Party Administrator remember they will be the face of your company to your customers. Take their selection seriously. Form a multidisciplinary selection team and engage IT, Finance and Operations in the selection process. Besides the basic questions, look at their staffing and turnover rates. Ask to speak to references and understand how they manage their accounts internally.  Do they have dedicated claim units? How strong is their technology? How flexible are they in producing reports? When was the last time they had an independent audit? There are many more questions to be asked but this is not the time to be shy. Dig deep and understand who they are and what they can do.
  2. Oversight – General Guidelines. Don’t rely on the TPA’s claims guidelines. You should develop, and expect the TPA to adhere to, a very specific set of best practices to suit your company’s requirements. Tell the TPA what you expect and hold them to it. When drafting guidelines pay attention to sections involving the retention of counsel, vendors and experts. Make sure they seek approval where appropriate and drive the selection to vendors that have been vetted by you or better make them use your own panel.  Be specific about what claims you want to know about and when. Make sure you review these guidelines regularly and adjust them where appropriate. Remind the TPA will be using these guidelines to measure their compliance.
  3. Strong Internal Formal Claims Program.  Just because you have outsourced your claims management to a TPA does not mean you do not need to maintain a strong internal claims program. The successfully managed programs work with a combination of oversight and strong in-house claims account managers watching the TPA’s activities.  It is important that internal claims staff be well versed in the expected handling practices and the ability to spot issues before they become problems. Internal claims professionals should have skills similar to a department manager that can handle trend analysis as well as being able to have difficult performance discussions with the TPA.  No successful program works without skilled in-house claims resources.
  4.  Audit – Review and Re-review. Unless you are reviewing the TPA’s work for compliance through regular claim audits you are setting your program up to fail. Reacting to individual claim issues will not create a balanced efficient program and will cause the TPA to react to whatever the issue of the month is.  Regular audits identify problems and force solutions to be addressed by the TPA. Some of the best run programs audit their TPA’s 3-4 times per year.  In addition to regular best practice compliance reviews conducting specific targeted reviews can strengthen a program’s effectiveness (i.e. reserve review, vendor management  or financial controls).

Working with TPAs can be a very rewarding and cost effective method for handling claims. Many are experts at what they do and have well run efficient operations. Regardless, the old adage about the squeaky wheel getting the grease is never truer than in the oversight of a TPA.  Get squeaky!

What are other things needed when selecting and managing a TPA?

Kindergarten Management: Getting Back to the Basics

Posted on by
Reply

GettyImages_165879441Guess What – Good Management And Organizations Are Like a Smoothly Run Kindergarten

Everything we know in life started back in kindergarten.  Kindergarten is where we learned to socialize in groups, lived by rules, played well with others, managed time, took turns asking questions and listened to authority. Success and creativity were rewarded and failures became further learning experiences.  The more I thought about this recently the more I realized that kindergarten is a perfect example of a well-functioning organization and management.

We can lean a lot by going back to kindergarten. Bear with me and let’s take a look how this would apply in a claims department.

Relating to others

As in kindergarten, managing claim files effectively requires the ability to socialize well with others both inside and outside the organization. The good claim professional knows how to get along with his or her peers and relates well to claimants who are facing some kind painful loss. In addition, to be a successful claims professional it is important to be able to work well in teams and share and learn from the group. All quintessential lessons learned in kindergarten.

Time management

Time management is a key element in handling claims. Like kindergarten, everything needs to be done at a specific time. With large caseloads and ever increasing demands, the effective claims professional manages their time very well using diary reminders and focusing on the tasks at hand. A well-structured day allows the claims professional to address file demands in a consistent and timely manner.

Controlled creative thinking

Kindergarten encourages a controlled environment with guidelines that still allows for the expression of creativity. Think finger painting. Finger painting allowed one to be wildly creative but still had to be done on the specific paper, in a specific area under certain rules.  Best practices are frameworks that good claims handlers follow to ensure they are managing files in a timely and fair manner.  Regardless of the claims guidelines or best practices however,  creativity in thinking and managing files is essential in achieving some of the best results.  Out of the box approaches to challenging claims issues are welcome and these creative approaches make for very successful operations (see Improve bottom-line outcomes on claims by thinking outside-the-box!).

Rewarding success and learning from mistakes

Kindergarten is about establishing the framework for children to succeed in primary school and ultimately in life. Successes are actively and openly rewarded and shared with the group. Conversely, failures and mistakes are not punished but rather used as learning experiences to encourage and promote improvement. Good claims managers work the same way and openly praise success and work with mistakes to make people better and foster improvement.  It is important to have both. While this is business and there are certainly instances where continued failures must have consequences, regardless, working to correct mistakes often creates a more cohesive high performing organization.

Let’s be clear, Kindergarten Management is not saying employees are children and needed to be treated that way. That is not the message here. Kindergarten Management is going back to the basics and working to foster a fun but controlled working environment that encourages the overall development of not only the individual but the group as a whole.

What other lessons from the past would be good examples of how management?

 

3 Things Good Claims Professionals Won’t Do

Posted on by
Reply

Lider of team.Follow what good claims professionals don’t do and you will lead the pack!

Recently I read an article about things doctors won’t do when it comes to treatment and procedures for themselves. It included things like not having their first child at home, getting a PSA screening test, or taking sleeping pills. Since it is highly unlikely they will sue themselves for malpractice, these are treatments they believe might be adding little value or could cause harm. While managing a claim file is certainly not like managing your health, it got me thinking (which is never a good thing) about what a good claims professional won’t do.

I have audited a lot of claim files over the years and consistently good claims professionals manage their claim files following best practices. And when looking at these well managed files there are certain patterns that develop.  I found that there are three things that good claims professionals won’t do and they are:

Fail to document:  The best claim files are concisely and appropriately documented regularly. When reading a file the claim should speak for itself and tell a story as to what the issues are, potential pitfalls, and an understanding of the plan to resolve the claims. Good documentation is concise, free from extraneous commentary and reflects an understanding of the issues. Recording the events surrounding the claim is part of a well managed file and a good claims professional would never fail to document their file.

Assume this file is the same as the last one: Claim file management requires an understanding of the liability to the company and exposure to the insured, value of the loss and a plan to resolve the matter. Good claims professionals won’t skip any of the key steps needed to evaluate their files. If there is one thing that is consistent across all claim files it is that every file is different with different facts and nuances. One cannot assume that because one case had a certain outcome or facts a similar case will follow the same pattern.  No matter what the issues are the best claims professionals never assume things they don’t know and never assume the file was like the last one.

Stick with the basics: There are no short cuts to getting to the bottom line. Claims professionals are always growing and learning and tyring to improve their craft. Sticking with basics won’t help when a new claim throws in a curve ball. One has to work outside the box looking for new ways to understand a claim or resolve a difficult matter. Trying to go beyond the basics is one reason handling claims can be so interesting. Previously we posted about thinking outside the box about innovative ways claims can be managed.  This post generated over 40 comments in the Linked-In Claims Management Group.  The reason for all the comments is that good claims professionals don’t just stick with what they know and wanted others to learn from what they had done (and maybe one up one another with a better war story).

Good claims practice is about common sense. Like any business it is important to grow and learn and adopt to changing environments. Good claims professionals are always looking for new ways to make sure that they are providing prompt service to assist their clients to secure fair compensation where appropriate.  Seek out the good ones and learn from them!

What are other things that good claims professionals don’t do?

How Would Albert Einstein Approach Claims

Posted on by
2

Albert Einstein must have been a claims manager!

As we begin the New Year it is always a time to reflect and look forward to new beginnings.  Recently an executive in my company sent along some words of wisdom from Albert Einstein. Einstein was an interesting character known not only for his scientific brilliance but also for his quick wit. He produced some wonderful quotes which I believe were directed to the claims industry.

OK maybe they weren’t written with the world of claims in mind, they are nonetheless applicable.

 “Setting an example is not the main means of influencing others, it is the only means.”

Claims departments should be leading companies in how they run their business. Claims departments are the fruits of the product being sold and when an insured buys a policy it is claims that serves up the services paid for. One of the best ways to retain and grow new customers is by “setting an example” in claims. Ensuring customer service metrics are met and exceeded and developing new ways to assist the customer is not the “main means of influencing others, it’s the only means.”

“Any intelligent fool can make things bigger and more complex…it takes a touch of genius—and a lot of courage to move in the opposite direction.”

There is a trend for more systems, more technology and better information in claims departments. I am a big supporter and believe it’s about time the industry wakes up to the power more claims data can have in making departments more efficient and providing robust information to improve the business. Regardless, providing more complexity and bigger technology solutions is not the only answer. Be a “genius” and go smaller and less complex in building and implementing claims software.  We have the technology it just needs to be used correctly.

“Not everything that can be counted counts and not everything that counts can be counted.”

This is one of the biggest claims dilemmas. We are being overwhelmed with data and that can be a good thing. Regardless, the fact that it can be measured doesn’t mean it is actually adding value to the process. Take a look at your metrics and really explore if what is being counted “counts.”  On the other side, there are things in claims that unfortunately can’t be counted perfectly. Given how climate, legal issues and other external factors change rapidly, comparing claim metrics from period to period is sometimes a difficult exercise. Regardless, striving to “count” what “counts” is what the industry needs to continue to do.

“If you can’t explain it to a six-year old, you didn’t understand it yourself.”

Wouldn’t it be great if we could all work like this? Let’s be realistic, if you can’t explain your claim to management, opposing counsel, the claimant, in an easy simplified way then you probably don’t understand it yourself and will never get to the desired outcome.  Like his quote on being a genius by making things smaller and less complex I say get to the point. It is still important to get all the facts and make sure all the “i’s” are dotted and the “t’s” are crossed, but do it in a way that will allow you to truly understand the claim and be able to explain it.

“Nothing happens until someone does something.” So go make it happen!

The 5 Core Leadership Traits Of A Well Managed Claim File

Posted on by
Reply

Claims Files Aren’t Born They Are Made

Leadership is a topic that we tend to think about as it relates to an individual leading a group. In claims we are always faced with leaders that manage us and help, hopefully, to get the best out of us.  But leadership does not mean that you have to have a group of people that follow.

Leadership is a trait that extends to what you do every day. As a claims professional there are always opportunities to lead.  Claim files need to be led to a place that provides fair compensation in the quickest way possible.

I was reading an article about the leadership and the presidential election as it always a .  The article, 5 Traits of True Leaders by Samuel Bacharach was recently published in Inc. magazine.  As he wrote:

“It’s not rocket science. Whether you’re chatting on a barstool, conducting academic research, or leading a company, there are five core traits that we look for in leaders:”

  1. Clarity
  2. Consistency
  3. Follow-through
  4. Authenticity
  5. Passion

It got me thinking that many of these traits could be adapted to the handling of a claim file.

Clarity:  Claim files must speak for themselves and as such a good file will clearly outline the nature of coverage, liability, damages and have a clear plan of action.

Consistency:  The key to a good claims organization is consistent claim handling. Reserves must be consistently set over a book of business to help ensure the rest of organization can function correctly. Actuaries need consistent reserve to help set IBNR and pricing, Management needs consistency to ensure the financial stability of the company and Underwriting needs to ensure claims are consistently handled from both a pricing and customer service perspective.

Follow-Through: Early evaluations will lead to early resolutions.  It is easy to put a claims plan in place, but failing to follow through on those plans will send messages that the organization has no direction.  Along with clarity and consistency, a claims organization must follow through in its decisions

Authenticity: I equate authenticity in a claim file to ensuring the information is accurate and that the claimant is approached with empathy and claims are handled with the utmost good faith. A claim file should be real and should demonstrate a fair assessment and appropriate compensation was made where appropriate.

Passion:  I do not know any successful claims person that doesn’t passionately approach what they do.  Claims people are advocated for the defense and, within the realm of good faith claims handling, must passionately speak for the issues of the case to provide the best resolution.

I am sure we could all think of more traits that make up a well managed file, however, I think looking at a claim file as leading is another way to enure good claims practices.

What are some other leadership traits a good claim file will show?

A Claims Tale Of Three Little Managers And Their Review Programs

Posted on by
Reply

My Take On The Old Story Of The Three Little Pigs

Once upon a time there were three claims managers who were told by their CEO to go out and make sure they have the best organization possible. Since they all knew that the best way to a good organization was to develop process and procedures and make sure all who worked there understood them, that’s just what they did.  Each built an oversight program to ensure all was well and to prevent being attacked by all those wolves out there.

The first manager built a review program out of straw, the second out of sticks and the third out of bricks…..

Please work with me here as I am trying to be metaphorical.

The Manager Review of Straw

The first manager was a proud manager. She knew she had a good group and they worked just fine. She had instructed them on her way of doing things and had provided sufficient training to let them know was expected. Her “straw” review program was to wait for something to happen and then if there was a problem to fix it.  One day a huge claim showed up on her desk. She had never seen or heard of this claim, but it was big – the type of claim that could really cause her a problem. Well that claim, it turns out, had been in the office for over a year. Information had been received to provide sufficient warning for everyone to make sure the company was ready. If only she had known about it.

After dealing with “fixing” the problem a knock came on the door. It was the manager’s big reinsurance company.  This reinsurer was large and seemed to come out of no where.  The manager was shocked.  This reinsurer said….”manager, manager, let me come in”  the manager responded “not by the hair of my chinny chin chin!” The reinsurer responded, “then I will huff and I will puff and I will blow your department down.”  And that’s exactly what the reinsurer did.

The manager lost his house of straw and somehow landed a new job at her manager friend who said come on over you will feel protected in my department of sticks.

The Manager Review of Sticks

The Manger of Straw’s friend, the Manager of Sticks, sat her down and told her how it was going to be.  We here in the land of sticks are prepared for any possible problem. We have a wonderful review program made of sticks.  This program is so good we can prevent all those problems that got you blown down in the house of straw. We also have procedures in place, the Manager of Sticks said, but we oversee it all with regular reviews. We spend time reviewing claim files and recoding all that information on these sheets of paper.  We catch it all before a problem arises so he told the Manager of Straw that she will be fine here in the house of sticks.

The stick reviews went on every quarter. The sticks were filled with all this great information and captured all this detail about the claims and what was working and not working. The problem is the sticks piled up and once they were in that pile it was hard to understand what was working. Someone had to put the sticks in an order to really understand how many problem sticks there were. Low and behold a day came when a whole series of claims came in all seemingly insignificant.  It turns out there was a trend and a real problem brewing with a particular type of claim.  Individually they seemed fine, collectively they were significantly under reserved. Those sticks had the information but it was so spread out and disorganized that the information was lost. Without the information available, the company rewrote that book of business and was now going to face a very big problem to explain to the shareholders.

The Manager of Sticks was about to get a knock on the door!

Knock knock….”who is it” asked the Manager of Sticks?  It’s the Chief Underwriting Officer, the Chief Financial Officer and the CEO. See it turns out that they had some explaining to do to the board about a reserve charge that seemed to have come out of no where. “Manager Manager please let us in” with the Manager of Straw next to him nodding her head thinking oh I know what’s next, the Manager of Sticks responded “not by the hair of my chinny chin chin.” Well those executives were not about to be shut out and said “then we will huff and we will puff and we will blow your house in!” and that is exactly what they did.

Amazingly, the Manager of Sticks and the Manager of Straw were able to find jobs again in their friend the Manager of Brick’s company.

The Manager Review of Bricks

Working for the Manager of Bricks was actually not as bad as people thought it would be. Yes he was a tough manager and expected a lot from his people, but in the end he wanted them and the organization to succeed. The Manager of Bricks was keenly aware that when procedures were working and followed there was less of a chance of surprise. He also knew that the way to avoid those surprises was to have a very specific audit and oversight program in place. Because the Manager of Bricks also knew that using technology in the right way was a benefit, he made sure he had an oversight tool in place to manage the review process and make sure he captured, and not wasted, all the hard work performed by his reviewers.

The Manger of Straw and the Manager of Sticks had never seen anything like it.  All the reviews were coordinated in one place online (of course they used the Audit Portal).  Issues were categorized and follow-ups documented.  Trends just popped off various dashboards and made it so simple to proactively run the department.

Then one day there was a knock on the door.  It was the big bad mean regulator trying to find a violation.  “Manager, manager let me come in” the regulator yelled.  The manager of Bricks responded….”sure come on in and look around.” The regulator had apparently wanted to see the offices the Managers of Straw and Sticks but there was nothing left there to see.  The Manager of Bricks had nothing to fear.  When the regulator asked for controls and a plan it was all ready to be shown.  Issues that had been identified and corrective action plans were clearly in place and the regulator was pleasantly surprised. After giving the Manager of Bricks a clean bill oh health he left with no adverse claims findings.

Don’t you love a good story? Maybe if we were all like the Manager of Bricks things would be better!

At Lanzko we can help shore up operations to become more like the Manager of Bricks using our Audit Portal application. Give us a call to learn more.