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Electronic claim file. 23 January 2008 SIMON COLLINS. Aim of the Electronic Claims File. Improve service to customers: broker, assured, coverholders, etc. How? Current, contemporaneous access to claims… … allowing brokers to spend more time on complex claims

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electronic claim file

Electronic claim file

23 January 2008

SIMON COLLINS

aim of the electronic claims file
Aim of the Electronic Claims File
  • Improve service to customers: broker, assured, coverholders, etc.
  • How?
    • Current, contemporaneous access to claims…
    • … allowing brokers to spend more time on complex claims
    • Ability to “broke” claims files outside of normal market hours
  • Reducing the claims lifecycle i.e. first advice to settlement.
  • Other benefits
    • Cost savings!

ELECTRONIC CLAIM FILE UPDATE January 2008

why an electronic claim file
Why An Electronic Claim File?
  • Electronic transfer of data and documents, broker desktop to underwriter desktop
  • Concurrent/Contemporaneous Access
  • Transparent and Auditable Process
  • Standard Interface & Sign in
  • Data Integrity and Backup
  • Claims advocacy – broking where it matters

ELECTRONIC CLAIM FILE UPDATE January 2008

overview of ecf
Overview of ECF

ELECTRONIC CLAIM FILE UPDATE January 2008

where are we now
Where are we now?
  • Live since November 2006
  • Fully electronic trading for “in scope” claims
  • Lloyd’s take up – good progress, but behind target
  • All active Managing Agents “ECF enabled”
  • 79 brokers enabled
  • IUA in Implementation Phase

ELECTRONIC CLAIM FILE UPDATE January 2008

status key deliveries
Status – Key Deliveries
  • Phase 1 - See all documents in one view
  • Phase 2 - Leader control of file/improved searching
  • Phase 3 - ACORD DRI (receipt of documents)
  • Phases 4/5 – CLASS@Lloyd’s data through GUI, full DRI and seamless link with docs in repository
  • Phase 6a – decoupling - increases percentage of “in scope” claims
  • Phase 6b – delegation to XCS, risk routing

COMPLETE

  • Phase 7 - Currently being scoped by User Groups.

ELECTRONIC CLAIM FILE UPDATE January 2008

current scope
Current Scope
  • Business Types not supported by current implementation of ECF:
    • Co-Lead Binding Authorities
    • Claims arising from vertically-placed risks
    • Certain Multiple OSND claims
    • Third Party Access to ECF
    • Existing paper claims files (legacy)

ELECTRONIC CLAIM FILE UPDATE January 2008

systems processes procedures
Systems Processes & Procedures
  • The ECF Process Guide
  • Broker & Underwriter Collaborative Approach
  • High-level guide
  • NOT a systems user manual or adjusting manual
  • Available on line at www.marketreform.co.uk

ELECTRONIC CLAIM FILE UPDATE January 2008

ecf next steps
ECF next steps
  • Enhance ECF capabilities to bring more claims into scope
    • Phase 7 in progress
  • Embed electronic claims handling as business as usual
    • FPD review managing agents’ and brokers’ plans and processes
    • Include electronic processes as part of FPD standards and monitoring
    • Target all in scope new claims by the end of 2007
    • Mandatory for new Managing Agents and Brokers
  • FPD improving measurement capabilities to track throughput and service turnaround more accurately

ELECTRONIC CLAIM FILE UPDATE January 2008

going l ive with ecf brokers
Going live with ECF - Brokers
  • Class @ Lloyds access either online or ‘batch’
  • The ability to submit documents to, and receive documents from, the Insurers’ Market Repository
  • Sign the repository rules and the Xchanging market repository agreement

Contact Dhar Parekh (dhar.parekh@lloyds.com 020 7327 5324)

ELECTRONIC CLAIM FILE UPDATE January 2008

going live with ecf managing agents
Going live with ECF – Managing Agents

Requirements for Managing agents:

Contact your Xchanging customer relationship manager

You’ll need to :

  • Sign the repository rules
  • Sign the class contract with Xchanging
  • Ensure your system meets the minimum requirements

ELECTRONIC CLAIM FILE UPDATE January 2008