7 Steps To Effective Problem Solving For Every Claims Professional

Don’t Go In Circles To Solve Your Problems

Let’s face it solving problems in claims is a core reality to what we do. From the second a claim hits your desk until the minute it leaves it there are a series of problems that need to be solved.  Should this claim even be accepted? Was there any liability? What experts should I hire? How much is it worth? What are my next steps?  At every turn there is another problem that needs to be solved.

As you probably have experienced, some people are very good problem solvers and others are not. In claims, however, there is no escaping the need to solve a variety of issues on a daily basis. Don’t fret if you don’t consider yourself a good problem solver as it turns out there is help for you.

Problem Solving Can Be Learned

Business Insider War Room author Martin Zwilling wrote in  Nine Steps to Effective Business Problem Solving that  “managing any business is all about problem solving. Some people are good at it and some are not – independent of their IQ or their academic credentials (there may even be an inverse relationship here). Yet I’m convinced that problem solving is a learnable trait, rather than just a birthright.”

Zwilling, taking a page from Brian Tracy, in his book “The Power of Self-Discipline” suggested 9 ways to train yourself to be a better problem solver.  I took 7 of these that I believe are applicable to the claims world.

  1. Take the time to define the problem clearly. Many executives like to jump into solution mode immediately, even before they understand the issue. In some cases, a small problem can become a big one with inappropriate actions. In all cases, real clarity will expedite the path ahead.
  2. Pursue alternate paths on “facts of life” and opportunities. Remember, there are some things that you can do nothing about. They’re not problems; they are merely facts of life. Often, what appears to be a problem is actually an opportunity in disguise.
  3. Challenge the definition from all angles. Beware of any problem for which there is only one definition. The more ways you can define a problem, the more likely it is that you will find the best solution. For example, “sales are too low” may mean strong competitors, ineffective advertising, or a poor sales process.
  4. Iteratively question the cause of the problem. This is all about finding the root cause, rather than treating a symptom. If you don’t get to the root, the problem will likely recur, perhaps with different symptoms. Don’t waste time re-solving the same problem.
  5. Identify multiple possible solutions. The more possible solutions you develop, the more likely you will come up with the right one. The quality of the solution seems to be in direct proportion to the quantity of solutions considered in problem solving.
  6. Prioritize potential solutions. An acceptable solution, doable now, is usually superior to an excellent solution with higher complexity, longer timeframe, and higher cost. There is a rule that says that every large problem was once a small problem that could have been solved easily at that time.
  7. Make a decision. Select a solution, any solution, and then decide on a course of action. The longer you put off deciding on what to do, the higher the cost, and the larger the impact. Your objective should be to deal with 80 percent of all problems immediately. At the very least, set a specific deadline for making a decision, and stick to it.

Make the decision is my personal favorite.  So often claims professionals are waiting for the next great piece of information that will save the day.  More often than not, that information doesn’t alter the outcome that much. Making the decision to change the reserve or settle a claim should be made after careful problem solving has been considered. But regardless, the claims professionals job is to make the decision.

What suggestions would you make to help solve problems?

Take Advantage of Great Learning Opportunities In Claims

Listening to Other Experts in the Industry is One of the Best Ways to Improve the Future

War stories are really a great way to learn about how to improve claims handling. Claims professionals love telling a great claims story and I know I have learned so much from those stories of the past.  When the opportunity to learn from those involved in major past events occurs it is best to jump at that chance to learn something new. The upcoming Americas Claims Event Conference in New Orleans this June 14-16, 2011 is just one of those opportunities to learn from some great speakers.

Stephen Cozen, one of the founders of the Philadelphia law firm of Cozen & O’Conner, will be giving the keynote address in New Orleans on June 15, 2011. Among his prior accomplishments, Mr. Cozen has been a part of some of the largest claim disputes in the past few decades including the 1980 fire at the MGM Grand in Las Vegas and the walkway collapse at the Hyatt Regency in Kansas City in 1981.  Most recently, Mr. Cozen joined the list of outside attorneys helping BP deal with the fallout from last summers Deepwater Horizon disaster in the Gulf of Mexico.

As the Deepwater Horizon accident showed the industry yet again, the nature and extent of catastrophe losses can create new issues for even the most well established claims entities. Mr. Cozen give his insight into this major loss that gave birth to a number of claim and coverage issues not previously seen in the industry.

Other keynote speakers will include Paul Tuhy, Global Head of Claims for XL Insurance and Peter Piotrowski, SVP and Head of Private Client Group, CHARTIS.

This event will provide claims professionals another great opportunity to listen to those leaders shaping the industry. Continuing our mission to help make claims handlers better, we think this is a great opportunity to learn from some of the best in the industry.

Continuing Education Is The Path To An Improved Claims Operation

Continuing Education and Americas Claims Event

One of the best things about claims is how no matter how much you think you know you can always learn more. Whether it’s a new legal precedent, or trying to understand some new technology to improve your operation, learning and growing is a critical component to a successful claims operation.

Here at The Claims SPOT, we are committed to helping the growth and development of our fellow claims professional. For this reason we would have connected as a media sponsor to the 15th annual Americas Claims Event being held this year in New Orleans, LA on June 15-17, 2011. We believe in events such as this as way to meet others in the profession and learn from the best and brightest on topics important to the industry in such areas as:

  • Anti fraud
  • Subrogation
  • Technology
  • Litigation management

I am a big believer that war stories told by those in our industry are a wonderful way to learn different techniques and ideas for handling claims. At the ACE conference you will hear some of the best information from the best in the industry. In these tighter economic times ensuring your claims professionals are the best they can be is a sure way to produce better results.

Industry Experts Providing Tactical Solutions

As ACE puts it:

The Annual ACE is the only event where you will have access to industry experts providing strategic case studies and tactical solutions for the many functional areas within the claims handling process. From claims filing through settlement, ACE will provide the critical intelligence needed to expedite your claims handling process thereby leading your desired results: cost reduction and increased client and agent satisfaction.

So jump on the education band wagon and make your way down to New Orleans this year.