Shakespeare & Claims: Looking Inward

Looking In From The Outside

Ariana Huffington recently wrote about taking responsibility for ones own action in her article On Dominique Strauss-Kahn, Shakespeare, and the Enemy in the Mirror.  As she reflected on some of the recent news of the week and reminded us that

in the game of life, as Cassius said in Julius Caesar, “The fault, dear Brutus, is not in our stars — but in ourselves…” This was a frequent theme of Shakespeare’s, who put it another way in All’s Well That Ends Well, when Helena says: “Our remedies oft in ourselves do lie, which we ascribe to Heaven.”

So what the heck doe this have to do with claims? More than might appear at first glance.

Insurance companies and claims departments are quick to blame all sorts of issues when problems arise. The loss was unexpected, we didn’t know the information was available, or my favorite, it was the other guy’s fault. As Ms. Huffington went on to write

In the end, if we spent even a small percentage of the time we devote to obsessing about those we consider our rivals, competitors, and enemies on examining where our own fault lines are, it’s hard to believe we wouldn’t be more successful

For companies to be successful they must look inward and then act on what they learn.

Don’t Let History Repeat Itself

Recently I was part of a claim review that found significant issues in not only how claims were being managed, but in how policies were being issued. I provided my report and commentary about what was found. Regardless, the client chose to move forward to renew the account.  It reminded me again of the time when we in claims had recommended the company get out of a particular class of business only to be told “it’s OK we doubled the premium.” Then reality sank in two years later when the loss ratios went over 220%.

Now I am not against writing business. I agree with the principal I learned from the CEO of one of my former companies that it’s not about not writing business it’s about writing the right business at the right prices and terms. Regardless, reviews done in both those cases provided valuable information that could help to improve the operation.

Claims auditing is a way to look inward and learn the faults within our ourselves.  A good claims review can identify weaknesses and provide a road map to improve an operation.  Regular reviews can help prevent surprise and insure the department continues to improve. Of course, the information needs to be used to improve decision making and not ignored.  As has been said “those who ignore history are bound (or doomed) to repeat it.”

Learn From What You Already Know And Review Your Claims Regularly

2 Chores that should not be neglected to become a stronger claims organization

No one likes to cut the grass, but to make the lawn grow strong, it needs to be done regularly

Lets face it – no one really likes to do mundane things. Nonetheless, it’s those very chores that have to be done regularly to ensure a strong organization. Like cutting grass, the longer you let it go the worse it is for your grass, and the harder it will be to fix the mess that has been created (for more on cutting grass read the The Importance of Mowing Frequency).

There are certainly enough chores that need to be done in the world of claims that no one likes to do. You know what they are and can include writing notes on files, keeping a diary and paying bills. But as any good claims handler knows, if you fail to do those tasks regularly, not only won’t your grass grow, but you will have quite a clean-up later.

Two chores that can really help claim departments grow nice healthy grass are in the areas of training and managerial assessments. Taking time to do these two chores regularly will go a long way to creating a stronger claims group.

Education and training

Claims is an ever changing world, and whether it’s a new legal issues or keeping skills sharp, you can never stop learning.  Malcolm Gladwell, in his book Outliers, discusses the 10,000 hour rule. Mr. Gladwell explains that to get good at anything it really comes down to the amount of time you spend doing it. I know it seems like common sense, but even common sense needs to be repeated from time to time. To improve the skills of your claims professionals it’s imperative to keep the learning process going.

Becoming a world class claims organization requires, not only hiring talented claims professionals, but is also in how you keep those skilled workers fresh and up-to-date. Lunch and learns, continuing education, reading articles in trade publications, or subscribing to a great blog on claims, are all ways to encourage claim handlers to learn and grow. The effect on your operation will be clear – better, smarter and more efficient claims professionals.

Managerial File Reviews

Despite hiring the right people, and training them regularly,  you still have to review their work from time to time. You can’t just wait for problems to happen before doing something about it. Conducting regular informal managerial reviews of claim files is the best way to prevent problems before they become disasters. Being proactive about reviewing files will help you truly understand how your claim’s professionals are working and keep you abreast of developments and trends that are occur.

Doing a basic review should take no more than a few hours a week and should become part of a routine. Take a look at one or two claims files per handler or adjuster every week. These reviews can be quick assessments as to basics practice such as proactive handling and reserve adequacy. Save the detailed “section by section” review for an annual best practice audit. Keep these reviews simple and short. Maintain a basic record of the files reviewed, and create a simple rating system of “acceptable” or “needs improvement.” Make sure it’s informal, so it’s less of a chore,  and let the claims professionals know how they are doing regularly. If there is an issue or trend developing you will know about it, and be able to correct it, before it becomes a real problem.

Be the envy of your neighbors in the industry

There are certainly other chores to address for claim handlers that if left unattended will leave a garden full of weeds and a lot of work for the future. So mow the lawn often and save yourself time and money later. Your organization will grow strong, more efficient and be a leader in providing the best claims service.

What mundane tasks do you hate to get to but know need to be done to make you a stronger organization?