Since July 2004, Actec has provided all after-hours, overflow, holiday and unanticipated closure coverage for a large national insurance company. We currently have nearly 40 phone lines coming in for this client, for each of their claims offices, their primary care center and several large accounts with custom requirements. Calls range from 50 to 500 daily (primarily after-hours). When unexpected volume is directed to Actec, an additional several hundred calls can be offered during a 2-3 hour timeframe with short notice (if any). Our Intake Specialists enter claims real-time via Internet directly into the client’s claim system and take inquiry messages in our own application, which are automatically emailed to the appropriate recipients for prompt handling.
Category: FNOL Technology
FRED system creates efficiencies in FNOL
Recently Actec unveiled FRED version 1 in our contact center. The Fred system was designed to allow for the following enhancements to our contact center specialists:
- Improved client customization
- Reduction of paper
- Enhancement of best practices
By administering help content and other recources with an integrated maintenance tool, FRED refines claims management and organization. This creates a frendlier and cost-efficient caller experience.
Fraud Prevention and Absence Management Via Outsourced Call Centers
Unmanaged employee absences can grind an organization to a halt. As soon as an employee reports an absence, many steps must be taken. Automatic notification of all affected parties, activation of replacement procedures, and the intake process for absences related to short-term disability, long-term disability, or Family Medical Leave Act (FMLA) incidents are all pivotal in unfettered operation. Beyond these necessary and basic requirements, Actec also records the intended beginning and completion of the absence so you can plan accordingly, all without consuming your supervisors’ valuable time. Another equally critical component is to stay connected with feedback from your employees regarding fraud, theft, sexual harassment, ethical concerns, equipment breakdowns, and safety matters to eliminate potential problems before they evolve into serious liability issues and lawsuits. Soliciting such feedback from your employees not only reduces your liability, but it also increases retention and improves the working environment for all of your employees as it makes them better appreciate the important role they play in the communication cycle. It also keeps organizations in compliance with the Sarbanes-Oxley Act of 2002, which mandates that companies provide a way for employees to submit anonymous reports about financial irregularities without fear of retaliation. Going without an expert outsourced call center can have a devastating long-term impact on a company’s future. Without FNOL, organization and loss mitigation technologies, things fall through the cracks.
Top 3 FNOL Blogs
We’ve been blogging for a while now here at Actec, and we thought it was time to share with you a few of our most popular blogs on first notice of loss, outsourcing, claims management, and other related issues.
- Full-Cycle Claim Reporting
- 7 Key Terms in the Field of First Notice of Loss
- What is FNOL and Why Is It Important?
For other insights on FNOL, outsourcing, claims handling, overflow, and other resource management, visit our website or check back soon here on our blog!
Zurich Receives High Marks
Zurich was rated a close second in its category by risk managers, and 4th in class for claims handling. Actec handles all after-hours, weekend, holiday, and overflow calls for Zurich, and celebrates this triumph of efficiency and outsourcing FNOL in the insurance and risk management industries.
Claims Management, Organization, and Customization
Claim intakeis not a one-size-fits-all service. Starting with an in-depth analysis of your goals and current process ensures development of a custom workflow that is right for you. It’s critical to use your business rules to ensure accuracy, minimize call times, and reduce follow-up calls.• Utilize a best practices workflow for a complete, logically organized report.
• Give customers a variety of reporting options like telephone, e-mail, fax, Internet, and even electronic file submission.
• Enter notices directly into your in-house claims management application, seamlessly launched from our contact tracking module, allowing for additional reporting, tracking, forms management, and dissemination capabilities.
• Respond quickly to critical incidents. Your customized plan specifies the data collected, format of reports, detailed recipient notification, and escalation procedures.
• Ensure correct routing of claims – even verify coverage upfront – with rules-driven policy and claim office assignment.
• Increase accuracy, consistency, and efficiency by providing policyholder, location, distribution, carrier, and employee demographic data to populate notices at intake.
• Customize list options with job titles, department codes, medical coding, PPO providers, and more.
• Send data in any file layout, at any frequency – we handle the rest to minimize your IT resource needs.
• Give customers a variety of reporting options like telephone, e-mail, fax, Internet, and even electronic file submission.
• Enter notices directly into your in-house claims management application, seamlessly launched from our contact tracking module, allowing for additional reporting, tracking, forms management, and dissemination capabilities.
• Respond quickly to critical incidents. Your customized plan specifies the data collected, format of reports, detailed recipient notification, and escalation procedures.
• Ensure correct routing of claims – even verify coverage upfront – with rules-driven policy and claim office assignment.
• Increase accuracy, consistency, and efficiency by providing policyholder, location, distribution, carrier, and employee demographic data to populate notices at intake.
• Customize list options with job titles, department codes, medical coding, PPO providers, and more.
• Send data in any file layout, at any frequency – we handle the rest to minimize your IT resource needs.
Three Articles on Understanding and Leveraging FNOL
First Notice of Loss can be crucial to smooth business operation. Understanding the various aspects of FNOL and how to leverage it by different means (such as outsourcing) is crucial to maintaining visibility into company operational and organizational success. Here are three of our recent articles that explore the matter:
Our Most Popular FNOL Article
Most people and companies are often unaware that when they first contact their insurance provider to report theft, loss or damage that they are actually contacting a first notice of loss (FNOL) call center. FNOL call centers typically operate 365 days a year, round the clock, ensuring policy holders can easily report a loss, and further, that the respective insurance companies receive timely and accurate claim loss data. First notice of loss operations are sometimes staffed internally, but more frequently these days, the operations are outsourced to a specialist. As one can imagine with any 24/7 by 365 day a year operation, staffing, training and accurate claims intake are challenging for any organization. There are different types of vendors which offer solutions for FNOL, some offer software, others offer a comprehensive call center based on a proprietary application, and still others customize their call center operation to accommodate any platform. These are platform agnostic vendors who claim to work with insurance companies’ existing platforms. To read more, check out the full article.
Large-Scale Catastrophe Claims Management
Actec handled a large-scale catastrophic event for a multinational oil company. Total call volume was above 147,000 (in the first few days calls came on a general claims line until a dedicated 800 number was published) – over 60% received the first month, a daily average of more than 3000, peaking at over 8000. We captured more than 90,000 claim reports, 66% reported telephonically, the remaining 34% captured via a custom Internet report we developed and rolled out about eight hours after notification to proceed. We also participated in daily conference calls and supplied the client with detailed management reports four to five times daily, seven days a week, over a period of four months. Companies large and small require a resource that can organize and deploy adeptly in times of crisis. Don’t leave claim management to chance.
Top 3 Actec FNOL Blogs
Our informational blog on first notice of loss has been running strong for a while now, so we figured it was a good time to check back on some of our most popular content. These are our top 3 blogs on FNOL issues and strategies:
- Actec Claim Management Operating in Inclement Conditions
- What Is Full-Cycle Claim and Incident Reporting?
- 7 Key Terms in the Field of First Notice of Loss
We hope that they provide insightful information, and look forward to producing more informative content about these highly relevant topics.