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Trevor Maddison
Electronic claims
Trading claims electronically
Date 29th March 2007
Marsh 2
Electronic Claims File (ECF)
• Brokers and underwriters are committing themselves to the
implementation of electronic claims file trading
• Trading partnerships are being created to deliver electronic claims information directly from the broker’s desktop to the underwriter’s desktop
• ECF enables review, negotiation and settlement of the claim electronically without the dependency on the paper file
• Workflow and management of the claim is performed at the desktop, improvements in productivity and client service will be some of the key deliverables
• Lloyds are live and we fully expect the IUA to go live 2nd Qtr 2007
Marsh 3
How will ECF work
• ECF works in combination with Class and the repository to deliver structured claims information electronically to each element of the three London underwriting bureau markets
• Underwriters will access Class to review financial data and manage claims transactions in collaboration with the published claims agreement rules
• Class data will be supported by electronic placement and claims documents held in the market repository
• Instead of the traditional scratch on the file for agreement, underwriters will agree and comment via Class
• The supporting documents in the repository will replace the traditional hardcopy claims file and becomes the electronic claims file (ECF)
Marsh 4
How will ECF work
Class and the repository allows us to present information concurrently to all underwriters on risk rather than single presentation to each individual underwriter/agreement party, each broker visit
Brokers and underwriters have commenced the transition to electronic, paperless trading of claims
Marsh 5
How ECF will work
· References· Paid / Outstanding
Amounts· Claim Status /
Agreement
· Reports· Correspondence· Bordereau
ECF Screens
CLASS
Repository
Broker Input
Agreement Parties Can Review All Claim Details, Perform Updates & Record Agreement in One Place
Data
Documents
Insurer Access &
Input
Marsh 6
ECF Benefits
ECF delivers improvement in timeliness (delivery) quality and consistency of claims information presented to underwriters
The repository allows Underwriters to have 24/7 access to placement & claims information
Underwriters view & capture important reserve information concurrently
Brokers will focus on quality client/underwriter service (claims advocacy) for value claims, the 80/20 rule
Removes the need for a broker delivered hardcopy claim file
Claims review process initiated electronically by Class (lead underwriter) not by broker
Broker visit only required if underwriter requested or deemed client essential, complex claim issues, the 80/20 rule
Marsh 7
ECF Status
All Lloyds live managing agents and certain runoff agencies have signed the repository rules and have therefore signalled their commitment to trade electronically
IUA underwriters will complete their ECF pilot end of 1st Qtr 2007, at the end of this pilot IUA will confirm their commitment to ECF and publish a implementation timetable
The market objective is to trade all new claims (in scope), all classes of business, electronically by December 2007 for the bureau market.
2007 is a transition phase to full trading, during this transition there will be many business, cultural and procedural issues to manage both internal and externally
Brokers and underwriters must drive usage / volumes with their key trading partnerships
Marsh 8
Key Objectives
Right first time submissions
– Data quality
– Document quality
Deliver best practice
Consistent creation and delivery of the class data message
Consistent input of documents to the repository
Timely delivery of electronic claims to underwriters
Timely response by underwriters to brokers (service levels)
Working within the guidelines of the System Process and Procedures
Marsh 9
Risks & Issues
Out of Scope
Low volumes
Broker / underwriter take up (committed)
Cumulative incomplete transactions not actioned
Data / document quality which results in rejections
New participants Implementation support
Marsh 10
Key market reform information
www.marketreform.co.uk