Objective Viewpoint

 

Claim Management Solutions

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Find the Answers to Your Questions


1. Why should we hire your group?

2. What makes you different from other consultants?

3. What can you do for me?

4. What are your expenses and costs like?

5. Have you done this type of work before? Whom have you done work for before?

6. How long will it take you to complete this project?

7. What can you tell me that will give me a better comfort level with you?

8. How long will it take to get a proposal from you?

9. Why do you need access to data and files?

10. What other expenses can I expect in this proposal? 

 

1. Why should we hire your group?

The managing partners with Objective Viewpoint have over 90 years of hands-on claim management experience with various carriers, many of which were in the top 20. We all have spent time as in-office and field adjusters, managing in field situations and managing and consulting in home office settings. We've also worked with a third part claims administrator as business consultants to develop claim management software, develop and implement a managed referral shop program, establish baseline client reviews and participate in marketing endeavors.

Our strength is working with a client on site to review, audit and validate results. When this process is completed, we are able to discuss the findings, recommend changes and assist in revising claim processes, training and implementation of changes.

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2. What makes you different from other consultants?

Our staff is comprised exclusively of claims professionals who understand the complexities of a claim organization. We have hands on knowledge; the competition is not likely to have this. They may be focused solely in the current management theories rather than practical claim management. We are not looking to restructure your operation, unless that is truly your goal, but rather to refine the current operation. This may involve increasing efficiencies, managing expenses, etc. There is no “one solution” in the claim arena because of the many variables such as policies in force, marketing direction, claim organizational structure, among others. We have seen what doesn’t work as well as what does work. While we might recommend change at some point, that is not our initial goal.

Across the board experience provides us with:

  A solid understanding of the inter-relationships between divisions within the claims operations as well as claims operations and the various departments within insurance companies.
     
  The ability to relate to carrier challenges and opportunities from both a managerial and worker perspective.

In our careers, we have enjoyed working to develop and implement successful claim processes and procedures, and we look forward to continuing with similar challenges.

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3. What can you do for me?

In addition to our listed services, we can work with you to develop or enhance other claim programs, such as:

Auto Physical Damage

Develop repair shop referral program
Establish a re-inspection program for staff adjusters, independent adjusters or third party administrators.
Review and validate rental/LOU program
Certify total loss settlements and salvage recovery
Validate subrogation results

 

Home

Establish a re-inspection program for staff adjusters, independent adjusters or third party administrators
Review loss facts as related to application of policy coverage
Evaluate arson claim handling
Review catastrophe plans, specifically claim handling and team organization
Assess utilization of estimating tools and training.

 

Casualty

Review reserving standards and compliance
Assess claim evaluation process, including review of medicals
Confirm timeliness of contact and resolution
Review the use of documentation and diary tools
Analyze litigation management

 

General

Compare company policy, practices and procedures to actual claim application
Identify internal compliance processing opportunities
Evaluate quality claim review program
Review regulatory compliance

If you have other needs, we can complete a review of your internal processes and determine the impact of general claim processing on a specific area by drilling down into areas of specific concern.

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4. What are your expenses and costs like?

We think you will find us most competitive and reasonable in this area when compared to other consultants.

There are a number of factors that determine our service fees. The first step is to understand your organization and we can do this with a phone interview. The next step is to define work requirements or what it is that you want Objective Viewpoint to do. After we have a better understanding of your organization, claim processes and the scope of our work requirements, we will develop our recommendations as to time and staff required, and provide a business and fee proposal.

Our service fees depend upon the specific details of the work that we agree upon. We will translate this opportunity into three work areas:

Our time commitment
The personnel that will be required to complete the work assignment 
Any anticipated expenses

Before we commit to an assignment, we will outline to you and your organization, in the form of a proposal and contract, what we believe is necessary to complete the task and provide the best results. The final step would be for you and Objective Viewpoint to agree and schedule a date for the work to begin.

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5. Have you done this type of work before? Whom have you done work for before?

It is Objective Viewpoint’s usual business practice to sign confidentiality agreements. Clients have been extremely stringent on confidentiality requirements and as such we are unable to release specifics as to the clients and nature of work we did for them.

However, as mentioned earlier, all of the managing partners have extensive experience gained while working with top 20 insurance companies. Our experience ranges from claim adjusting to managerial and executive positions. All of us have worked in corporate settings with the responsibility of monitoring claim department activities down to individual claim offices. A requirement of these positions was to perform claim audits, file reviews, working with Departments of Insurance on Market Conduct Exams, field certification through re-inspection activity, casualty evaluation and negotiation effectiveness.

In addition, we have experience working for a major third party administrator servicing auto and homeowner claims. We have worked with clients of the TPA to establish a baseline against which to measure both their own competence and the TPA’s effectiveness.

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6. How long will it take you to complete this project?

Again, this varies according to the nature of the project. Assuming no complicating issues are uncovered while working on it, we will meet the timeline and costs specified in our proposal.

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7. What can you tell me that will give me a better comfort level with you?

We’ve been in your position. Please look at our biographies that include our backgrounds and experience. We also have associate consultants who are experienced and qualified professionals, with strong skill sets in claims and other property and casualty disciplines. They are ready to assist us if additional staffing is required for a project or work assignment.

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8. How long will it take to get a proposal from you?

This will vary due to the complexity of the project, but generally speaking our proposals will be completed within 10 working days of securing the project details.

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9. Why do you need access to data and files?

Generally, all we need to provide you with a proposal is a pre-interview in which we gather information about your company and the project. In some cases, we may not be able to define the project or draft a proposal until we obtain more specific information. Some information may only be available from reviewing a sample of closed claim files or obtaining specific claim data from statistical reports.

In any event, we want to work with you and build your confidence in Objective Viewpoint to accomplish our objective. If you provide (verbally or in writing) any general operational claim information, report data or claim specific information, we will guard this information in strict confidence. And, as indicated previously, we will sign a confidentiality agreement.

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10. What other expenses can I expect in this proposal?

In terms of other expenses, primarily travel, we will work with you and make every attempt to adhere to your own expense guidelines or travel policy. So, if you have established vendor relationships with hotels, airlines and rental car companies, we will consider using their services. We can pay these expenses and include these expenses along with our service fee proposal; or you can make the arrangements and pay the vendors directly.

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