Friday, March 13, 2009

Efficiency

The economy (we can't get away from it) is forcing us to consider all areas for efficiencies. So, allow me to pinpoint what I feel is an obvious area for improvement.

Commercial policyholder (customer/policyholder) has an accident or on the job injury. Event is reported by the employee on, say, Wednesday at Noon. Event is reported to insurance carrier or TPA possibly the next day and from there we typically see that the response from the assigned adjuster is another day or two.

Recently a review of a claim for a customer showed that there were ten (10) Note entries in the claim system within a five day period once the claim was received; however, only one (1) of the entries was not system generated and it was a brief note by the supervisor.

Point here is that we must gain efficiencies in reporting and responding. The company, the policholder is in a position to respond immediately to any event, regardless of the first impression of severity, as opposed to waiting for the insurance carrier or TPA to respond.