Documentation Secrets for Successful Claims Management

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November 1st, 2017

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shutterstock_138016598 - CopyProper documentation is crucial to closing insurance claims with a positive outcome. As the saying goes, “if it’s not documented, it doesn’t exist!” That’s why insurance adjusters need a full-cycle claims system to help them document all facts relating to liability, damages, coverage, and more. This information is especially helpful if a new insurance adjuster picks up the claim part way through processing.

Tips for Documenting Claims

Documenting claims is a delicate business. Claimants often experience anxiety or lack of focus when attempting to communicate, and notes that make sense to one adjuster may be confusing to another. Below are several suggestions for effective documentation.

  • Provide regular training on documentation. The methods for documenting claims continue to improve as claims become more complicated. Training adjusters on the latest documentation procedures is key for quick and efficient claims resolution.
  • Log everything. Whether it is a phone call, a face-to-face consultation, or an inspection, the adjuster should keep notes. It is impossible to remember the specifics of every claim so detailed notes are essential.
  • Focus on the facts. It is easy to read into a client’s emotions, but this can result in biased documentation. For example, making a notation such as, “The client was distraught,” without the client saying so themselves is conjecture.
  • Time-stamp and geotag all photographs and videos. Visual evidence is an excellent way to support written records. However, an adjuster needs to be able to prove when and where they took the photo or video. Recording the date, time, and location digitally crucial.

Maintaining accurate and up to date notes on a claim is an important element of the claims management process. Poor documentation can prolong a claim and affect customer satisfaction and retention. To learn more about effective claims management, contact the experts at Actec.

Is Your Claims Management System up to Par?

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October 18th, 2017

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shutterstock_306793247 - CopyInsurance companies encounter a number of hurdles on their way to business success. Aside from the inherently competitive nature of the insurance field, companies must also remain compliant with strict regulations as well as meet growing customer expectations. An effective claims management process plays a significant role in a company’s relative success within the industry. In particular, a company’s claims management process needs to find ways to control costs, decrease incidents of fraud, and keep customers happy.

Reducing Expenses

The longer it takes an insurance company to settle a claim, the more it costs the insurer. This is because of increased administrative costs. One way to mitigate this is to automate some of the claims management process. For example, investigating a claim by hand without automation takes much longer and is prone to errors. Resolving errors draws out the amount of time it takes to close a claim. Automation can also detect incidents of frauds. Long processing periods, errors, and fraud all eat into a company’s profits, so it behooves insurers to invest in some automation technology.

Identifying and Handling Fraudulent Claims

When an insurance company pays out for a fraudulent claim, the cost does not stop with them. The customer also takes on the burden of this unnecessary expense as premiums often increase to account for the added expenditure. Claims management software can help detect fraud and trigger an investigation well before the insurer settles the claim.

Closing Claims in a Timely Manner

The amount of time it takes to settle a claim has a direct correlation to the customer’s overall satisfaction. Swift claim resolution also gives companies a competitive advantage over those who take longer to settle claims. Expediting the claims process also saves time and money as well as boosts customer satisfaction.
The best way for insurers to address costs, fraud, and claims processing time is with an efficient claims processing system. This is why Actec offers full-cycle claim and incident reporting solutions. Contact us today to learn more about managing risk and settling claims while improving customer satisfaction.

Clarifying the Phases of a Car Insurance Claim to Improve Customer Satisfaction

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October 4th, 2017

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impacted carInsured drivers are usually under a significant level of stress when they first contact their insurance company to report a car accident. Their mind often races ahead, and they overwhelm themselves before the process begins. Insurance adjusters can calm frazzled nerves and help guide the insured through the claims process.
For example, many claimants do not know what information insurance companies need before they can process the claim. Below are several common pieces of data insurance companies require:

  • First notice of loss (FNOL) and the insured’s version of events
  • The other driver’s statement
  • The police report
  • Statements from any witnesses
  • The damage at the accident site
  • Medical records for any injuries

Phase 1: Site of the Incident

Insurance companies need to stress to their customers the importance of FNOL at the scene of the accident. Many individuals assume they do not need to contact their insurance company if they were not at fault, but this is not the case. The insurance company will not know who is at fault until after they gather and review all of the above information. This process happens much faster when all involved parties report to their insurance company.

Phase 2: Collecting Information

Insurance companies begin gathering data almost immediately upon FNOL. This is because the information is still fresh in the individuals’ minds. Agents should instruct their customers to record as much information as possible (i.e. time of the accident, which direction the parties were driving, how fast each person was driving, etc.). This is also a good time for the insured to take pictures of any damage to their vehicle or person.

Phase 3: Resolving the Claim

Once the individual’s insurance company has all of the relevant information, they can prepare a settlement offer. How insurance companies handle claims helps determine the customer’s overall satisfaction. It can also affect customer retention, so it behooves agents to provide quality support. For example, to ensure a smooth claims resolution, agents should do the following:

  • Recommend that the insured keep track of any injuries, pain, and medical records for treatment.
  • Recommend the insured document any time they took off work to recover from the accident.
  • Recommend that the insured track their travel costs to and from medical appointments. They should keep receipts for any co-payments and prescriptions as well.

Agents should stress that all of the above information helps them determine a fair settlement. By positioning themselves as a concerned party rather than a combatant, agents can pave the way for a smooth resolution. To learn more about improving FNOL and claims management, contact the experts at Actec.

Risk of AOB Abuse High in Florida in Wake of Hurricane Irma

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September 19th, 2017

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hurricaneAs Hurricane Irma recedes from Florida, residents begin to return to their homes to assess the damage. Insurance companies are on high alert, preparing to try to manage the influx of assignment of benefits (AOB) claims. Homeowners need to act fast and file their claims as soon as possible. Insurance experts are also cautioning homeowners to be wary of “bad actors.” These bad actors are individuals who swoop in after a disaster and offer home repair deals that seem too good to ignore.
However, as is almost always the case, when something sounds too good to be true, it likely is. These bad actors conduct numerous AOB scams by obtaining the right to receive insurance benefits on behalf of the homeowner. From there, these individuals file exorbitant claims and then pursue lawsuits when the insurer denies the claims.
This type of fraud drives up the cost of insurance due to Florida’s one-way attorney fee statute. This statute forces the insurance companies to bear the cost of the exaggerated claim as well as the attorney fees. While these swindlers make a significant sum off the scam, the resulting increase in insurance costs hurts homeowners across the state.

Insurers Urge Caution

Insurance agents and Florida regulators alike are advising homeowners to hold off on employing third parties to help them resolve claims. Anyone asking homeowners to sign over their rights is suspect. If a homeowner is uncertain, their best course of action is to call their insurance company. An agent can walk them through the claims process.
Detecting and mitigating fraud are vital for any insurance company to remain in business. Investing in a reliable claims management system, such as Actec’s Full-Cycle Claim and Incident Reporting Solutions, is the best way to achieve this goal. To learn more about how our claims management system can help reduce fraud, contact us today.

Hurricanes and Other Natural Disasters Substantially Increase FNOL (First Notice of Loss) Volume

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September 13th, 2017

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shutterstock_487910935s,With Harvey and Irma making landfall over the past 30 days and wildfire racing through the western states, all facets of the insurance industry are in overdrive. As Jose heads north and Maria further decimates the Caribbean, the importance of accurate first notice of loss can’t be overstated. Here at Actec we’ve had multiple Florida-based organizations move all of their calls to our center here in Atlanta. Some of them started as early as 7 days prior to the storm’s arrival.
Atlanta faced similar hurricane-related challenges on Monday as calls came in at a feverish pace. With schools closing throughout the state and our own employees having to stay at home, a strong remote workforce was critical to success during this time. We were able to ensure that no FNOL call would not go unanswered. Actec answered almost double our normal volume on 9.11.17.  In addition to our remote workforce, Actec put many members of the management team on the phone and even brought in some temporary workers.
First notice of loss is a critical component of running a successful insurance business. From strong customer service to prompt and accurate claim intake, life is better for everyone when the FNOL process goes smoothly. If your current FNOL provider failed to live up to expectations during Harvey, Irma, western wildfires, or other natural disasters in your area, consider giving Actec a call.

Technology Expedites Claims During Catastrophic Events

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September 5th, 2017

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shutterstock_306793247 - CopyNatural disasters and catastrophes are proving grounds for insurance providers. When a customer submits a claim, it is usually during a stressful event. During catastrophic weather incidents, customers need swift resolutions more than ever. This past Friday, Hurricane Harvey began wreaking havoc in and around Houston, TX. The degree of loss is much larger than a standard claim incident and presents a large challenge for insurance providers.

Simplifying FNOL

Thankfully, insurance companies are no longer pen and paper operations limited by their number of employees. For example, technology can now help adjusters manage claims without inspecting each one in person. This increases the number of claims a single adjuster can take on by a significant margin. Technology also simplifies first notice of loss (FNOL). Customers can submit claims by chat, video, or online portals.

Reducing Fraud and Expediting Claims

Technology reduces fraudulent claims as well. For instance, data mapping can allow insurance companies to determine if an individual’s home was in the path of destruction to corroborate their claim. Once the storm system moves on, adjusters can deploy drones to survey and assess the damage without having to travel to the location themselves. This not only improves safety for adjusters, it expedites claims. Customers no longer have to wait for adjusters to examine the damage in person before releasing funds.

Staying Connected with Customers

Technology serves one last major purpose: constant connectivity. Insurance companies can provide live updates on their social sites. Displays of compassion are vital to nurturing the customer’s experience during disastrous events. They help show customers that their provider cares about their plight. Actec understands insurers need working systems to speed up claims resolutions. To learn more about claims management, contact us.

Integrating Technology into Claims Management

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July 5th, 2017

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aiInsurance companies have to balance several priorities while managing claims. They need to ensure the loss information is accurate, control costs, and keep customers happy. Thankfully, there are several new technologies designed to help insurance providers improve their performance.
Most claims involve a lot of back and forth between the person handing the claim and the individual filing it. Technology can help reduce the need for such frequent conversations as well as improve efficiency. This translates to cost savings as claims managers can resolve more claims in a shorter window.

Technologies for Improving Claims Processing

There are several new technological advancements for claims management. Some of these include:

  • Cognitive intelligence. Another term for this is machine learning. This technology allows computers to learn without the constraint of rules-based software. The computer collects data and learns from it. Such programming can reduce the legwork claims agents must perform, improve efficiency, and enhance customer service.
  • Digitization. Mobile apps and other electronic channels of communication improve customer satisfaction. Customers can start claims and provide pertinent information at any time. This simplifies and expedites the claim process.
  • Drones. Drone technology works best for property insurance claims. Drones provide an aerial view for adjusters. Adjusters can then provide more accurate damage assessments. This technology improves safety as well since adjusters no longer need to scale buildings in sometimes treacherous conditions.
  • Intelligence automation. Piggybacking off cognitive intelligence, this technology allows a machine to perform tasks based on the information it receives. Machines could manage first notice of loss intake, confirming coverage, assigning adjusters, and more.

The greatest benefit of incorporating technology into the claims process is an increase in productivity. These technologies allow insurance agents to resolve more claims much faster, which has the added bonus of improving customer satisfaction. To learn more about improving claims management and processing, contact the experts at Actec.

Streamline FNOL to Deliver Superior Customer Service

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June 27th, 2017

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smart devicesCustomers never think about insurance until they need it. When it comes time to file a claim, consumers want the process to be fast, streamlined, and accessible. By modernizing your FNOL processing you will be able to improve the customer experience.
Customize the Claims Process
Companies need to customize the claims process with software solutions, electronic delivery, and online communications tailored to their business model and the needs of their clients. Customers demand solutions that meet or exceed their expectations while conforming to their logistical challenges..
Synchronize Processing
FNOL is only one step in a complicated processing chain. Each step of the process may be handled by different departments, but claims processing needs to be synchronized so that the experience is seamless for customers.
Uncomplicated Processing
Customers need assistance when they’ve been the victim of theft, automotive collision, and a host of other unfortunate events. The last thing they need to worry about is navigating a complicated claims process. Updating your process with data management, cloud and CRM systems will help your company make claim intake and the FNOL process easier for your customers. This includes mobile compatibility, social media responsiveness, metrics and analysis to better understand your claim intake needs, and more.
State Requirements
Your customers consider you the authority regarding state policies and requirements. Your representatives need to have the answers for customers as well as understand company obligations. Talking customers through the process and letting them know your organization will handle state requirements will put their mind at ease.
Simplifying the Process for the Company
When you are working to enhance the customer experience you also need to find ways to make it easier for your company to manage claims. Sometimes outsourcing FNOL solutions can allow your company to focus on other aspects of managing claims. For more information about absence reporting, first notice of loss, and 24/7 claims reporting, contact the experts at Actec.

Mobile FNOL Benefits Policyholders and Providers

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May 16th, 2017

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smart devicesThe benefits of a mobile app for policyholders are obvious. Customers want easier interactions with their insurers and they want to interact from any device. Having a mobile app can improve first notice of loss (FNOL) procedures as well. For example, the customer can upload pictures related to the claim to speed up the process. Mobile apps benefit providers as well by removing inefficiencies and allowing them to take a more active role in resolving the claim.

Mobile Improves FNOL for Everyone

An example of how a mobile app benefits both the customer and the insurance company is when a flood occurs. If a homeowner comes home to discover their bathroom flooded, their initial reaction will likely be to call a plumber. The customer will then wait until a bill arrives before contacting their insurance company. In this scenario, the insurance company has no control over the repair expenses.
With a mobile app, the insurance company can recommend the best plumbers at affordable rates rather than paying the individual or company the customer located. This allows the insurance company to control costs and quality of repairs. The app can include recommendations for contractors and service providers as well as referral information from other customers.
This also reduces the number of steps a customer has to take to solve their problem. They no longer have to research and compare reviews and costs. By taking care of this process for customers, insurance companies can position themselves as the superior choice over their competitors. To learn more about regaining control over claims through improved first notice of loss, contact the experts at Actec.

Improving Performance with Call Center Outsourcing

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April 25th, 2017

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shutterstock_138016598 - CopyStaffing and managing an internal call center is a challenge for many insurance companies. This becomes especially difficult if the company boasts 24/7 availability. Many companies could benefit from outsourcing their call centers. Below are some of the top ways outsourcing call centers can improve an insurance company’s performance.

Focus on Core Areas of Expertise

Many insurance company executives want to invest their employees’ time in what they do best: resolving claims, gaining and retaining customers, and developing new ideas to improve their current services. However, finding and training staff on call center protocol takes a lot of time. Executives also have to deal with any employee turnover, so staffing an internal call center demands much of their attention. Handing off call center services to a qualified company removes this distraction and allows insurance companies to focus on refining their services.

More Support and Less Stress

Outsourced call centers provide additional support for insurance companies. If a customer tries to call their insurer and discovers they will have to deal with a long wait time, they are likely to abandon the call. If this happens too often, they may begin shopping around for another provider. Policyholders also become agitated after long wait times, which can create unnecessary tension between the customer and the insurance agent.
Outsourcing call centers allows insurance companies to focus on their areas of expertise as well as reduce stress for both insurance agents and policyholders. To learn more about how outsourcing call centers can improve company performance and efficiency, contact the experts at Actec.