3 Critical Steps to Improve the Claims Process

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May 4th, 2018

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cycle-2019530_1280Improving the claims management process does more than improve customer satisfaction. It also improves employee efficiency, which allows insurance agents to close more claims on a faster timeline. Whether adjusters have years of experience and are learning new technology or they are new professionals that are used to automated software systems, any insurance agent can benefit from the steps outlined below.

Improving Workflow Processes

Many insurance companies toss around the term best practices, but what they usually mean is common practices. While there are rarely 100% right or wrong answers, agents should incorporate the following into their workflow:

  1. Work outside the claims box. Falling for the idea that all simple fender benders, bicycle incidents, etc. are the same can result in expensive errors. Assuming one accident will play out as a previous similar accident is foolhardy. Agents should approach each claim with a renewed outlook to make sure they do not miss any important details.
  2. Assess and address leaks in the workflow. The saying if it ain’t broke, don’t fix it does not apply in the insurance industry. While a claims process may be working on some level, major inefficiencies (or several minor ones) can add to the amount of time it takes to close the claim. Longer claims processes make for unhappy customers and cost more money in the long run. For example, most claims have an abundance of documents. By assessing how agents collect and file these documents, insurance companies can discover inefficiencies. Once they see the problem, insurers can implement a new process to streamline documentation.
  3. Don’t underestimate processing details. No one stage of the claims management process is more important than another. To put it another way, agents shouldn’t take shortcuts during perceived less important stages of the claim. From pre-claim to post-claim processing, agents need to give the claim their due diligence. This means adjusters need to collaborate and communicate with other relevant agents as well as the customer for a timely resolution with a positive outcome.

Even the best claims management process needs frequent review to ensure it is as efficient as possible. If your claims management process is lacking, Actec can help. Our Full-Cycle Claim and Incident Reporting Solutions can address inefficiencies and improve claims procedures from start to finish. Contact us to learn more.

Using Historical Absence Management Information Effectively

Posted on

April 24th, 2018

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On any given day as much as 10% of your workforce may be absent. Chances are, you have the historical data available to leverage your company’s productivity. Much of that data, however may be stored and tracked in different areas in order to adhere to reporting and compliance regulations. Without a method of consolidating this data, your company can’t turn this information into an effective absence management strategy.
Many companies have FMLA spreadsheets, methods of hourly time tracking, and vacation databases. This data can help you to find current gaps in your absence management plan and create actionable information that will make your company more productive. Finding a method to consolidate historical data will help you to:

  • Understand the leading types of absencesshutterstock_251707783 sm
  • Average duration of each absence type
  • Determine if there are specific site or division challenges
  • Create projections for occupational classes/employee segments for business units
  • Know when employees have exhausted their leave entitlement
  • Approve, deny or close employee benefit claims
  • Know your company’s ROI for specific absence management procedure enhancements

Reporting and compliance complexities often hinder a company’s efforts to create an effective absence management strategy. While some absence information may need to be tracked separately as a part of compliance, the company can still leverage this historical data in order to determine future trends.
Data management is an essential part of effective absence management. It will also help you determine what absence management tools your company needs to make your organization more productive. There are many Human Resource Information System, Disability and Workers Compensation vendors that can help your company consolidate your historical absence data so that you can turn it into actionable information.
Contact the experts at Actec to learn more about our proprietary software that will help you in your goal to create an effective absence management solution.

Five Critical Advantages to Enhanced Employee Attendance Tracking

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April 10th, 2018

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shutterstock_174966584 smMost employers realize the value of employee attendance tracking systems. However, not all tracking systems provide the same services or features. When employers and employees work together to make the most of the attendance system, both parties can reap significant benefits. The following points highlight how such a system provides benefits for all:

  1. Business leaders can identify attendance issues before they get out of hand. Attendance trackers do more than keep records of when employees request time off work. They can also show when employees arrive, when they take breaks, and when they leave for the day. It can show if certain employees are abusing the system by arriving a bit late, taking long lunches, or leaving earlier than they should. While a few minutes here and there is not a big issue, it adds up and can affect productivity as well as morale if it continues unchecked.
  2. Attendance trackers expedite payroll processes. Employees expect their employers to pay them in full and on time. Attendance trackers can help speed up this process, as HR does not have to hunt down information about attendance (either absences or overtime). The system collects and stores all of the relevant payroll data in one place.
  3. Improves employee morale. While employees may show chagrin regarding a new attendance tracking system, their opinion will likely do a 180 when HR responds promptly to their time off requests. While employees often plan vacations well in advance and can wait for approval without issue, not all requests have such a long shelf life. For example, if an employee’s child becomes ill, he or she will want a rapid response to their request. The system can improve workplace morale in another crucial way as well. Employees who are always late or leave early tank the morale of their coworkers who arrive on time and complete a full workday. It creates a sense of unfairness and can delay projects. The system can identify employees with attendance issues and allow managers to correct them.
  4. Employers can embrace telecommuting without fear. While today’s workforce desires flexible schedules and the ability to work from home, many employers worry that employees will not give their full focus to their job if they are not in the office. However, many attendance trackers come with or have the ability to add on a remote clocking feature. This provides accountability while allowing employees to work from home.
  5. Employee tracking systems reduce absenteeism. We touched on this point somewhat above, but addressing attendance issues such as arriving late or leaving early is different from full-blown absenteeism. Calling out of work for legitimate issues is normal, but when an employee begins to call out for unnecessary reasons, it becomes a problem. Without an attendance tracking system, it can be hard for employers to keep track of when employees called out and why. This can lead to overlooked absences or illegal disciplinary measures, such as if an employee called out for federally protected reasons (i.e. ADA, FMLA, etc.). However, with an attendance tracking system in place, employers can see which absences are reasonable and which they will need to address.

If your business is struggling with attendance problems or absenteeism, Actec can help. Our absence reporting system can help employers implement consistent leave administration and reduce absenteeism all while complying with federal and state laws regarding employee leave. To learn more, contact us today.

How to Reduce the Cost of Employee Absences

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March 26th, 2018

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shutterstock_252811903 - CopyEmployee absences cost businesses money in a number of ways. The company must pay the employee for sick leave, productivity slows down, and other employees may have to take on the burden of additional work if their coworker remains absent for an extended period. The majority of human resources professionals agree that employee absences take a noticeable toll on revenue and productivity, but many employers do not track the effects of employee absence on their bottom line.
While employers cannot change the fact that employee absences come at a cost, they can reduce the overall expense. The following are several suggestions for achieving that goal.

  1. Start tracking attendance. If an employer is not monitoring when employees call out of work, they cannot hope to measure the true costs. Although this seems like common sense, few HR professionals feel their company tracks absences well enough and not many businesses use an integrated system to do so. By keeping track of absences, employers can recognize patterns or growing problems. For example, employers may notice certain employees always call out on Fridays or Mondays. Having reliable data can help employers address such attendance issues before they get out of hand.
  2. Assist employees trying to return to work. If an employee is out of the office for an extended period due to a serious illness or injury, returning to work full time can be daunting. Offering a phased return to allow employees to work up to their full schedule can help minimize their anxiety. Another option is to provide accommodations such as a flexible work schedule or the ability to work from home. These approaches minimize the likelihood of a relapse.
  3. Improve the office atmosphere. Stress is a significant source of employee absences. Stress can make employees more prone to illness and to calling out for mental health reasons. Stress in the workplace is a compounding issue. When stressed employees call out, their absences then adds additional stress to their coworkers. It can begin a vicious cycle of unhappy employees. Improving the workplace environment to reduce stress and improve morale can reduce these issues.

If your company is struggling with absenteeism, Actec can help. Our absence reporting program can help employers keep track of employee attendance, reduce absenteeism, and improve productivity. Contact us today to learn more.

State of the Industry: FNOL and Customer Satisfaction Metrics

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March 19th, 2018

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shutterstock_487910935s,Homeowners submitted record high claims this year after several severe weather incidents wreaked havoc across the nation. However, their overall satisfaction with the claims process was at a record high. Insurers are able to do so with improved communication. While many believe faster claims resolution improves customer satisfaction (it does), stellar communication can make it even better. This is because insurance representatives can manage the customer’s expectations for a timeline to resolution.

The Facts About Customer Satisfaction

A 2018 study by J.D. Power revealed several illuminating facts about the current state of the insurance industry.

  • Customer satisfaction is at a record high. There are certainly areas that need improvement (Texas and Florida are below the new average), but, in general, customers are happier than ever with their insurance providers. On a 1000-point scale, property claims reached a new height of 860 points. For the second year running, satisfaction with property claims is matching auto claims.
  • Communication and responsiveness are vital to improved satisfaction. Customers want rapid claims resolution, but this is not always realistic. When insurers manage their customer’s expectations on how long it will take to close the claim, the customer has a better overall experience.
  • Adverse weather is taking its toll. Customers are happier with their property claims—except in hard-hit areas. Texas and Florida experienced significant weather issues in the past year, and customers were not happy with how their insurers managed their claims. In particular, time to resolution doubled for weather-related events compared to non-weather-related events.

When scoring insurers, the study looked at five categories (listed in order of importance): settlement, claim servicing, first notice of loss (FNOL), estimation process, and repair process. Insurers that are struggling with low customer satisfaction should focus on improving these areas. While the study ranked settlement as the number one priority, FNOL represents the earliest opportunity insurers have to set the tone of the claim cycle. Actec can help insurers enhance their FNOL process and improve their claims management system. To learn more, contact us today.

HR & Absence Management: Valuation of Holistic Wellness Programs

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March 12th, 2018

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shutterstock_174875483Employee wellness programs continue to grow in popularity, even as many fail to reach their initial projections. Yet enough successful programs exist for us to conclude that wellness initiatives can be highly effective employee engagement, health, leadership, and recruitment tools when implemented tactically. Bombarding employees with disjointed wellness options has proven one of the most common mistakes in recent years, yielding low participation rates and gross inefficiency.
This is in large part because employees have a wide variety of needs and perceptions regarding wellness programs. Some employees have strong misgivings about wellness programs while others are thriving fitness enthusiasts. Implementing a sustainable wellness program that yields high participation rates is challenging because changing behavior is difficult – even when employees have sufficient motivation.
Rather than focusing on one specific aspect of health, employers need to provide programs that encompass the majority of their staff needs. The following are several methods employers can use to foster an holistic approach to employee wellness.

  • Offering a variety of different wellness programs is the key to success. A holistic approach means providing more than exercise-based offerings. Take a litmus test of what employees want out of a wellness program. They may value financial advice, exercise and nutrition programs, mental health services, or all of the above. Having several options will appeal to a larger percentage of the workplace, yielding higher participation.
  • Offer free health screenings. Employees may have a false perception of their health. If they do not know what ails them, they may not take part in wellness offerings that can prevent health-related illnesses and injuries.
  • Provide incentives and health challenges. Employees like to engage in games and friendly competition. By offering a prize to the employee who best achieves their health goals (i.e. 10,000 steps each day or sticking to their budget for the month), employers are more likely to see participation rates soar. Company leadership may think employees should want to improve their health and wellbeing without an incentive, but prizes (monetary or otherwise) always help with engagement.
  • Measure the effectiveness. Implementing wellness programs is not enough to improve employees’ health and wellbeing. Businesses need to measure the return on their investment to see what works and what does not. For example, employees may take part in a step challenge to achieve a minimum number of steps each day but neglect company-wide 5K runs. By seeing what employees use and which programs yield results, employers can fine-tune their wellness programs for maximum success.

Wellness programs can be great successes or dismal failures depending on how a company implements them. Effective programs can improve employees’ health and reduce absences. If your business is struggling with employee wellness and absenteeism, Actec can help. Contact us today to learn more.

What You Need to Know About Insurance Trends for 2018

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March 5th, 2018

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shutterstock_251707783 smRapid technological advancement is changing the insurance industry. Insurance companies need to make themselves aware of the latest trends poised to disrupt their sector. Only then can they develop a strategic plan to innovate and compete against rival organizations. Read on for trends expected to change the insurance industry as we pass through 2018.

Personalized Insurance Premiums

In previous years, insurance premiums were often generic. For example, two neighbors living on the same street, driving the same car, of the same age and gender, would likely have near identical premiums. However, this is not an accurate representation of their risk. Several other factors can affect an individual’s relative level of risk, and technology now allows insurers to tap into that data. Wearables such as Fitbit watches, smartphone apps, and telematics can all provide information to construct a premium specific to the individual’s lifestyle.

All-in-One Insurance Policies

The public has grown weary of multiple insurance policies. They need a policy for their car, for their home, for their health, for their prized possessions, and sometimes even their pets. The sheer number of policies can be dizzying. Compounding their frustration is many individuals use one insurance company for their policies because they can bundle to get discounts. As a result, people want a package deal. One policy to cover all of their needs in one location. With the use of artificial intelligence (AI), insurers could make recommendations based on how different areas of coverage interact with each other.

Blockchain Ledger Technology

The blockchain era is here, and commercial industries are jumping onboard. Blockchain technology allows for cryptocurrency transactions. While this will not disrupt how customers interact with insurers, it will disrupt the existing platforms for wholesale, commercial, and reinsurance transactions. This is noteworthy because these particular areas have yet to advance into the internet era.
There are significant changes coming to the insurance industry, and providers need to prepare and adapt. With our expertise, Actec can help insurers navigate the challenges ahead. To learn more about the shifting insurance landscape, contact us today.

Top Absence Management Issues and How to Resolve Them

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February 26th, 2018

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Many companies are still unsure of how to handle certain absence management issues such as adhering to government regulations, creating absence policies and instituting workflows to ensure that all absence administration is handled quickly and efficiently. While there are more resources available, organizations are often confused regarding what tools they need to create an effective absence management policy.
Top Absence Management Issues
The top four issues most companies face today are:shutterstock_174966584 sm

  • Implementing state and federal leave laws
  • Adhering to the ADA Amendments Act
  • Ensuring employees can safely perform duties after an injury
  • Having adequate staff resources for efficient absence administration

Without the right knowledge and resources, companies suffer from an increase in absenteeism, more overtime expenses to cover for absent employees and a decrease in production.
Centralized Absence Management Portal
Companies need to create written absence and return-to-work policies for employees and management to refer to when dealing with casual absences and leaves of absence. An interactive strategy that correlates employees, HR and management will also be beneficial in reporting and monitoring employee leave. In order to leverage written policies and interactive absence strategies, businesses also need a central hub for reporting absences, including:

  • Short- Term Disability
  • FMLA Absences
  • Military Duty Leave
  • Jury Duty Leave
  • Funeral/Bereavement
  • Casual (sickness, injury, tardy, family issues, etc.)

If you are looking for more information regarding absence reporting or employee management, contact the experts at Actec today.

Do You Know the Best Way to Prevent Car Insurance Fraud?

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February 19th, 2018

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impacted carTechnology has forever changed how insurers interact with their customers. However, this is not always to the benefit of both parties. With increased online interactions (i.e. quotes, claim submissions, payments, etc.) came a rise in fraud. While banks and retailers have taken the lion’s share of negative press, the auto insurance industry is just as susceptible to cybercrime and fraud.
However, not all fraud affects the auto insurance industry in the same ways. For example, customers commit soft fraud such as lying about how many miles they drive per year or where they store their car. This affects an insurer’s ability to provide accurate quotes. Digital fraud poses a much bigger risk, as it is more likely to affect an insurer’s bottom line. To make matters worse, according to the Coalition Against Insurance Fraud, fraud is mounting. More than 60% of auto insurers confirmed a dramatic increase in fraudulent cases over the past three years.

Balancing Customer Satisfaction with Fraud Protection

Insurance customers, millennials in particular, want seamless interactions with their insurance provider. They also want a variety of communication methods including emails, texts, websites, and online apps. They also want rapid claims resolution so they can receive their money as soon as possible. While this is exceptional for the customer experience, it leaves significant opportunities for cyber criminals to abuse. Solid digital fraud prevention software can help flag common markers of fraud, but that only goes so far.
The greatest challenge facing insurers dealing with fraud is a lack of IT support. Fraud detection software can trigger several false positives, and not every agency has the workforce to sift through which are legitimate and which are fraudulent. As a result, insurers across the nation are increasing their IT budgets to balance the need for superior customer experiences with fraud detection and prevention.
First Notice of Loss (FNOL) represents the greatest opportunity to identify fraud, but not all agencies are utilizing it to its full potential. Fraud investigators rely on claims triaging to notify them of potentially fraudulent claims. However, without a robust trove of data, many adjusters rely on their instincts to forward on potential fraud cases. Improved technology can revamp the claims triaging process to use current and historical data to identify fraud with greater accuracy. This also helps expedite legitimate claims so customers are not held up waiting for payment because of a false positive.
Fraud is not going to stop anytime soon so insurers need to develop strategies to manage it now. To learn more about identifying and reducing fraud risks, contact the experts at Actec today.

3 Surprising Trends Pioneering the FNOL Revolution

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February 12th, 2018

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what's next imgSeveral factors are driving change when it comes to First Notice of Loss (FNOL). Before sophisticated technology became commonplace, first notice of loss was almost universally initiated via a phone call.  Now, policyholders can log onto their computers or phone apps to trigger FNOL. Although this change seems monumental, it is nothing compared to the latest trends looking to shake up the industry.

The Shifting Definition of Work

Until recently, the workforce was 100 percent human. With the rise in artificial intelligence (AI) and machine learning, however, that is set to change. Machines can now finish several tasks in minutes that would take humans several hours to complete. While businesses cannot and should not automate all tasks, automation is changing how people perform their jobs in the insurance industry.

The Cycle of Retiring and Rising Employees

The insurance workforce is on the precipice of major change. The industry expects around 70,000 of its professionals will retire in the coming year. While many are looking to millennials to fill that gap, there is the significant problem that almost two-thirds of them have a negative view of the insurance sector. Even though millennials will make up almost half of the workforce by 2020, the insurance industry will still have a labor problem on its hands if it does not change millennials’ perception of the insurance sector.

The Decline of Mobile App Use

In two years’ time, experts predict that mobile app use will drop by 20 percent. However, this does not mean technology is a waning trend. Instead of using mobile apps to initiate FNOL or ask claims questions, people will utilize chatbots. This technology relies on AI and language processing to complete simple tasks while providing satisfactory interactions. Even though many rebuke the idea of chatbots, this technology has made major strides in recent years. The experience is so seamless that many individuals do not realize they are chatting with a machine rather than a person.
Insurers need to keep up with industry trends or risk falling behind their competition. That is why Actec offers FNOL and full cycle claims solutions to address insurance company’s needs. To learn more about improving FNOL and claims processing, contact us today.