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Kevin May, Chief Strategy Officer at GIGAFORCE, a technology company focused on reimagining the subrogation workforce, which also affects the claims workforce. They can help in everything from identifying losses with subro potential at FNOL all the way through the process. I learned a LOT about subro in this conversation.Kevin May: https://www.linkedin.com/in/subroman/GIGAFORCE: https://gigaforce.io/Video Version: https://youtu.be/CXxapTveDgI
Vedení olomoucké fakultní nemocnice chystá stavbu nového onkologického pavilonu. Díky investici za zhruba 325 milionů korun by se měla zkrátit čekací doba na vyšetření a zvýšit kapacita pro léčbu onkologických pacientů. Těch podle údajů zdravotníků přibývá.
In dieser Folge des Digital Insurance Podcast spreche ich mit Björn Hinrichs, Senior Vice President Insurance DACH bei Experian. Experian ist seit der Gründung im Jahr 1996 ein international agierender Konzern. Experian bietet auf Daten basierte Informationsdienstleistungen an, die Unternehmen und Versicherern zu mehr Wachstum verhelfen. Die Frage nach der Kundenwertberechnung wird für Versicherer immer relevanter. Björn sieht darin gar einen Makro-Trend. Im Falle eines Schadens ist es wichtig, einen geeigneten Prozess im FNOL während des Telefonats zu finden. Erfahrene Sachbearbeiter können inzwischen durch Künstliche Intelligenz unterstützt werden, um die Entscheidungsfindung zu verbessern, erklärt er. KI im Verbund mit einem zugrunde liegenden komplexen Regelwerk laufen im Hintergrund ab, um auf Basis vorhandener Daten zur Next Best Action zu kommen. Dabei gilt: Je besser Versicherer mit ihren Daten umgehen, desto mehr Anhaltspunkte gibt es für diesen Entscheidungsprozess. Links in dieser Ausgabe Zur Homepage von Jonas Piela Zum LinkedIn-Profil von Jonas Piela Zum LinkedIn-Profil von Björn Hinrichs Vertrauen Sie auf Ihren guten Ruf? Er ist Ihr Versprechen an Ihre Kunden. Mit ProvenExpert bauen Sie online Vertrauen auf, indem Sie authentische Kundenstimmen nutzen und sichtbar werden. Für unsere Hörer gibt es hier alle Infos sowie ein exklusives Angebot, um eure Online Sichtbarkeit durch Kundenbewertungen auf ein neues Level zu heben! geht es zu Ihrem exklusiven Angebot als Zuhörer des Digital Insurance Podcasts. ProvenExpert – Für alle, die wissen, dass Vertrauen mehr wert ist als Gold KI, Dynamisches Pricing, Embedded Insurance, Nutzungsbasierte Versicherung – Keylane setzt diese Themen bereits seit Jahren erfolgreich mit ihren Kunden um. Willst Du wissen, wie das funktioniert? Folge oder schreibe Keylane bei LinkedIn. Keylane – Unlock tomorrow! Das Digital Insurance Job Board ist live! Du suchst einen Job im Versicherungsumfeld mit Perspektive, spannenden Themen und in einem innovativen Team? Hier findest du die aktuellsten Stellen rund um Digital Insurance im DACH Raum.
Episode 107 - MSO Symposium Celebrates 10th AnniversaryThe MSO Symposium is an annual event hosted by the Automotive Service Association. It's content is directed by many of the most experienced, high-growth executives from the leading Multi-Shop Operations, or MSOs in the automotive collision repair industry. Focal points of the event include opportunities to learn from industry peers, acquire knowledge from field experts on trends and topics that influence the collision repair business, and discover equipment and service offerings made for collision repair business success. The 2021 MSO Symposium will be held on November 1st, at the Mandalay Bay in Las Vegas as a live, in-person event. Attendees can expect to gain useful and original information from key decision-makers and industry influencers, that will help guide businesses today and into the future. To give you a better idea of the valuable information shared at the MSO Symposium, here's an ASA Podcast from the 2019 event. It's an interview with two MSO's, one from the U.S. and one from Canada that will give you an idea of why you need to be there! · Jim Keller, President of 1Collision and Larry French, VP of Sales and Marketing of CSN Collision Centers provide their impressions of what they found most compelling about the 2019 MSO Symposium. · The 2021 MSO Symposium is designed to provide market insights and important information for those businesses whose operations often span multiple states.· The event is scheduled to begin at 10 am Pacific time and features a unique lineup of presentations and panelists.· Topics for the 10th Anniversary MSO Symposium include industry trends such as vehicle scanning, diagnostics, and the move toward electrification of the vehicle fleet. · MSO's attending will also hear from industry experts on estimating, First Notice of Loss, and economic topics related to national and global administrations, consolidations, post-pandemic influencers and much more!· The one-day conference will conclude with an evening reception and 10th Anniversary MSO Symposium celebration. · For more information, or to register, visit www.msosymposium.com
On this episode of FNO: InsureTech we are joined by Tim Christ, VP of Growth at Claimatic. Claimatic is on a mission to save hundreds of millions in claims operations costs. They are empowering claims and claims operations teams to dynamically manage their business without the need for IT resources. They believe that by automating the very beginning of the claims process at FNOL, it enables insurers to gain additional valuable insights into where there are additional bottlenecks and we then to systematically augment those areas with automation, allowing claims handlers to focus on higher-value tasks. Join Tim, Rob, and Lee as they discuss: Claimatic’s inception and mission, the technology behind Claimatic, Tim’s interesting and exciting experience and work history; Claimatic’s roadmap for the future, and more.
The moment of truth in the claims journey and collection of data – How to get what you need at FNOL, will ensuring a positive customer experience. RightIndem's team tells Ernie Bray how their FNOL solution is changing the game when it comes to FNOL and the future of the touchless triage.
The salvage of a car is generally an afterthought in the claim journey. In his conversation with Ernie Bray, Tom Gray of IV Auto gives insight into how changing a claims department's mindset and moving salvage identification toward FNOL can save carriers money, increase customer satisfaction and lead to faster claim closures.
Florida's seven year wait for meaningful reform of Assignment of Benefits (AOB) abuse is over. The Florida Legislature has passed a measure to level the playing field for consumers and reduce the skyrocketing rates of litigation filed by vendors against insurance companies, driving double-digit rate increases.Hailed as a “wake-up call for the bad actors” exploiting homeowners and the insurance industry, what exactly does the reform do and what doesn't it do? What impact is it expected to have with more than half of Florida's insurance litigation today now involving an AOB? And what creative alternatives and other shenanigans still exist for further scams?Host Lisa Miller, a former deputy insurance commissioner, talks with insurance defense attorney Kimberly Salmon of Groelle & Salmon, and Paul Handerhan of the Florida Association for Insurance Reform.Show NotesAn Assignment of Benefits (AOB) agreement is a legal contract that allows repair vendors to receive payments directly from insurance companies for work they perform at a policyholder's home, without the homeowner having to pay money upfront. While it sounds good, unfortunately in the past seven years in Florida, unscrupulous vendors and their lawyers have taken advantage of AOB to take control of a homeowner's policy, then inflate the scope and cost of claims and sue the insurance company if it refuses to pay the inflated bills. The number of property insurance AOB lawsuits rose 900% from 2008-2018.In late April 2019, the Florida Legislature passed HB 7065 which puts new requirements on assignees (contractors and other vendors) and insurance companies. An AOB must now provide the following: Policyholder can rescind the AOB within 14 days for any reason without penalty but must pay for work performed Policyholder can rescind the AOB within 30 days if work has not commenced within 30 days of stated start date Clear notice of consumer rights and policyholder responsibilities involved in signing an AOB Policyholder held harmless where the vendor is prohibited from charging any “fees”, excepting policy deductible Within 3 business days of the AOB execution, the vendor must provide the AOB to the insurance company Contain a written, itemized, per-unit cost estimate of services Work performed must conform with current industry standards Vendor must "stand in the shoes" of the policyholder, including filing proof of loss, producing records, and submitting to examinations under oath prior to filing suit Insurer must respond to the vendor's notice within 10 days Emergency services would be limited to $3,000 or 1% of the Coverage A policy limit The bill also allows an insurance company to offer a policy prohibiting assignment in an effort to lower homeowners policy premiums, which have grown by double-digits.Paul Handerhan, Senior Vice President of Public Policy for the Florida Association for Insurance Reform, noted the significant consumer protections in the bill, especially a homeowners ability to get out of an AOB contract.“That's a dramatic improvement on the way assignments have worked in the past prior to this bill. Literally, there was no statutory requirement for any rescission period. If a policyholder, in the middle of the night with an emergency service, signed an AOB, they would effectively have no way of getting out of the contract,” said Handerhan, who is a practicing public adjuster. The bill also revises the current one-way attorney fee system which was seen as incentivizing lawsuits and institutes a new formula, based on the disputed amount: the difference between the assignee's presuit settlement demand and the insurer's pre-suit settlement offer. If the prevailing judgment is: Less than 25% of the disputed amount, then the insurer is entitled to reasonable attorney fees; At least 25% but less than 50% of the disputed amount, no party is entitled to an award of fees; At least 50% of the disputed amount, the assignee vendor is entitled to reasonable attorney fees. If the insurance company fails either to inspect the property or to provide written or verbal authorization for repairs within seven calendar days after the first notice of loss (FNOL), the insurer waives its right to an award of attorney fees, except for circumstances beyond its control. The formula does not apply to lawsuits filed by policyholders, who would still enjoy the protections of the one-way attorney fees under 627.428 F.S. Kimberly Salmon, a partner with the Tampa firm of Groelle & Salmon, said that under current law, when she and other insurance defense lawyers go to court, if the vendor wins the case by just $1, the vendor is entitled to attorney fees under the one-way fee statute. She told Lisa that after this law is enacted, vendors will be restricted on what they can recover, together with broader impacts. “It's going to enable the insurance company by the tools that it gives them and by the timeframes that it prescribes, an opportunity to actually evaluate the scope and cost of the repairs, of the damage, and it actually incentivizes both the insurance company and the vendor to resolve the matter as fairly and quickly as possible, which is going to be a direct benefit to the consumer. So it's win-win,” said Salmon, whose firm has handled thousands of AOB cases on behalf of insurance companies and their policyholders.Lisa and her guests discussed various emails and blogs in the marketplace with reaction to the bill's passage. Some include concerns of an already-seen ramp-up of marketing efforts by some trail lawyers to encourage the filing of AOB lawsuits before the new law is enacted. One blog said the bill itself will actually increase the number of lawsuits, referencing the 7-day time period for an insurance company to inspect a property after FNOL, and concern it would leave a window of opportunity for mold to grow. Handerhan noted that reference pertains only to insurance companies that don't choose to inspect and “if they don't, they may not be entitled to collect attorney fees if the case winds up going to litigation.” He said their failure to inspect within 7 days in itself, would not be a cause for action.Lisa and her guests also talked about ways the bill may be exploited. Salmon noted the bill creates conditions prior to a vendor filing a lawsuit against an insurance company. One of those (along with examination under oath and recorded statements) is that if appraisal is in the policy and demanded, the vendor is required to go to appraisal. While appraisal sounds good and is binding, she cautions insurance companies to carefully weigh options before electing appraisal.“The statute says that for purpose of these post-loss benefits, the vendor is standing in the shoes of the insured. Under current case law, it looks like an appraisal award could trigger the right to file a bad faith suit and under the wording of this statute, the question is, does the vendor have those same rights? So I'd be very cautious about the language in an insurance policy if there is a unilateral right to demand for appraisal,” Salmon said.The other section of the bill that is worrisome to Salmon references a power of attorney that grants a management company, family member, or others the authority to act on behalf of the insured. “So possibly, with a limited power of attorney, someone in that position could file a lawsuit on behalf of the insured. That would really be a way around the protections that were intended and all of the work that went into this bill,” Salmon said. Host Lisa Miller, a former deputy insurance commissioner, warned “the creative lawyers that have been preying on consumers and causing this insanity” who may be listening to the podcast. “I would caution you that the legislature was listening to consumers complain about this, that had been victimized by the use of an AOB and the resulting litigation explosion that has occurred because of it, and I believe that any attempt to thwart the intent of this legislation will be dealt with summarily in coming session that starts in January.”Lisa and guests also discussed the upcoming Florida Supreme Court case of Restoration 1 vs. Ark Royal Insurance Company that we have been following closely. It will address the question of whether insurance companies have the right to require that all parties with an insurable interest sign an AOB contract, including the homeowner's mortgage company.“I have every reason to believe that the Court with everything they have seen thus far, will uphold the Ark Royal decision. I'm very hopeful and competent,” said Salmon.Links and Resources Mentioned in This Episode:Florida House Bill HB 7065Florida Association for Insurance Reform (FAIR)Groelle & Salmon law firm20 law firms that file the bulk of AOB suits (from Citizens Property Insurance Corp.)Assignment of Benefits webpage (Lisa Miller & Associates)Assignment of Benefits Resources & Consumer Alerts (Florida Office of Insurance Regulation)AOB Lawsuits Continue Meteoric Rise (LMA Newsletter of 4-3-19)Florida's one-way attorney fee statute (627.428 F.S.)Bill Watch recap on the 2019 legislative session (Lisa Miller & Associates)** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State. Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs. On the web at www.LisaMillerAssociates.com or call 850-222-1041. Your questions, comments, and suggestions are welcome! Date of Recording 3/8/19. Email via info@LisaMillerAssociates.com Composer: www.TeleDirections.com © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved
“What’s really driving the change at our company is virtualization.” - John Hall (click to tweet) Technology, technology, technology. It seems that everywhere you turn—someone in the insurance industry is talking about the power of technology. But at the end of the day—a claim is a loss, and losses are emotional things. And no matter how you look at it—people are better at handling at emotions than robot. That’s why on today’s episode of FNO: InsureTech, we are gathering for a roundtable discussion at the PLRB conference. The featured speakers are: Dan Moore, QBE North America Scott Sprague, Westfield Insurance Pat Sinnard, Great American Insurance Jill Thomas, National General Insurance John Hall, Worley/ASI Mick Zondory, Kemper Preferred Bo Helms, Shelter insurance Matt D. Fatheree, Fourseventy Claims Tune in to this episode to hear the group’s insights as they span from managing employee expectations to the future of insurance technology. “I think the days of breaking out the tape measure on every roof claim you have are over.” - Bo Helms (click to tweet) The FNO: Tips Today, now more than ever, recruiting college graduates to the insurance Technology’s best fit in the claims process is getting the claim into the system In addition to getting data faster, insuretech technologies are engaging the customer in never-before-seen ways Accuracy of information is most important in the FNOL part of the process Taking accurate photographs of damage is not an intuitive process Lenders are much more risk-averse than the consumer It’s usually not the first person to invent the technology that fits it into the market perfectly Hover’s initial contracts were with the military, then pivoted to insurance Technology doesn’t make money until there’s standardization Fourseventy Claim Management www.470claims.com
In this episode David and I get into why the current FNOL process needs an overhaul and the best ways, traps, and issues we will encounter when doing so! Enjoy!
In this episode David does a deep dive into this topic, and why it's such a phenomenally simple and good idea for carriers to implement. It's a short rant on the topic, and I would love to her your thoughts on it! Enjoy, Claudio Alegre @claudioalegre
In this Episode we talk about getting rid off the CSR middle man at FNOL! What barriers (If Any!) are there for the Carrier to get this done. And... What's new in the world of Reinsurance from this year's PCI Conference. Enjoy!
Carrier and agency must work together to provide timely and valuable advice and care for the customer.