DOCOsoft CLAIMS · Supported by Enterprise Ireland and Ricoh Expansion with partnerships Market...
43
Insurance Technology Solutions DOCOsoft CLAIMS
Transcript of DOCOsoft CLAIMS · Supported by Enterprise Ireland and Ricoh Expansion with partnerships Market...
Insurance Technology Solutions
DOCOsoft CLAIMS
Aidan O’Neill - CEO DOCOsoft
Adrian Duggleby - MAP Systems Manager
Ian Springett - MAP Head of Claims
Introductions
Who we are
Our approach
DOCOsoft CLAIMS
MAP Syndicate User Perspective
Support and Implementation
Summary
Questions
Agenda
DOCOsoft creates unique products
that transform the efficiency of claims
and document management for the
London Insurance market
Who We Are
Servicing London Market clients since 1999
Market driven solutions
Own IPR to our technology
Offices in London, Dublin and Tokyo
Supported by Enterprise Ireland and Ricoh
Expansion with partnerships
Market leader for Claims Workflow
Who We Are
First to bring ECF1 Claims Workflow to Lloyd’s
market
First to access ECF2 technology as part of
Xchanging ECF2 Market Acceptance Testing (MAT)
First to bring an ECF2 CWT product to the market
First to bring an integrated ACORD DRI Claims &
DMS solution to London (available Nov 2011)
Who We Are
Syndicate 4020
London Market Clients
Selection of other clients
ECF2
The Market Challenge
What We Do Extra
Customised System
Diary System
Peer Review
Notes
UW and DMS Integration
Our Solution
DOCOsoft Claims is a complete claims management
solution that enables London Market carriers handle
claims more efficiently.
It helps reduce claims turnaround times and improves
document handling.
Facilitates managing agencies in meeting the Lloyd’s
Principles and Minimum Standards requirements.
DOCOsoft CLAIMS
ECF2 Claims Workflow Triggers & CAS interface
Diary system for Broker and Expert Management
Notes functionality
Static Claim Management
Role Change and CTP functions
Full Claims History
Separate process management for Lead and Follow claims
Supports Direct Reporting & Paper/Binder Files
For Claims Handlers
Claims Handler holiday assignments
Claims Referrals based on Authority levels
Peer Review and Expert management
Monitors Team performance
Quick and Accurate Claims Reporting
UW system interface enables SCM comparison
Interface to Northdoor N-Dex, Openbox and IRIS
Broker & Expert Management
For Claims Managers
Helps Managing Agencies meet:
Lloyd’s Principles and Minimum Standards requirements
Service Level Agreements
Solvency II data transparency requirements
Claims Metrics (future requirements)
For MI Reporting
DOCOsoft Claims is a complete modular solution for an
Enterprise Claims Management System:
Select modules to Best Fit your organisation needs
Only pay for functionality you need
Add modules later as requirements change
Easy to customise
Easy to use
Best Fit Modular Approach
Complete Claims Management
Managing Agency Partners
Adrian Duggleby Systems Manager
Ian Springett Head of Claims
User Perspective
Managing Agency Partners - Syndicate 2791
Capacity £500m
Total staff 46
Claims staff 5
ECF Practical Solution
Why DOCOsoft ECF Workflow
Needed to plan an ECF solution in 2007
Couldn’t do manually or wait for Xchanging CWS
Established relationship with Docosoft (DMS)
Swift delivery of core functionality
Cost effective software & hardware requirements
Responsive product support
No barriers to further develop as & when required
Key success factor –
Driven by Claims Team – not imposed
The core “to do” list
Fed by claims workflow trigger messages
Delivered to user via web browser
Allocates by class & lead or follow
Link to MAP U/W systems – signed line & prev pos
Prioritise by synd incurred mvt & age
Action, Query or Pend (no repository link)
Reassignment (claim & holiday) & MI
How It Works
Evolved towards a Claims Management Solution, with
input from MAP, Xchanging and other system users.
For example:
Introduction of ECF2 triggers
Static claim review – data passed to chasing email
Claim level notes & diary functions
Role changes & CTP functions
Post action SCM check
How It Has Developed
“The biggest claims change in 30
years”
Practitioner tool
Management tool
Compliance
Workflow – A Practical Solution
Practitioner View
Notes & Diary
Static Claim Reminders
Potential CTP Flag
Calendar function
A Management Tool
Compliance, KPI’s and the Franchise
MAP Summary
Simple solution
Effective with ECF2 triggers
Measurable benefit
Can’t make a bad claims person good
Can make a good claims person
better!
Workflow – A Practical Solution
Advanced Support Logging System
Direct Support by Software Authors
Future proof with Active Research &
Development
Support Hotline 020 7959 2278
Support Email [email protected]
Support & Implementation
DRI connectivity interface to the Exchange
and IMR
Customer Relationship Management
(CRM) module
Lloyd’s Claims Metrics
On-going Market Development
Proven London Market Solution
Component Based
Customisable
Interfaces to Underwriting Systems
Cost Effective
Simple to use
Key Points
What our Customers
say about us
“The DOCOsoft claims system enables our
claims team to enhance the service it
provides to our clients and assists us in
meeting the Claims Adjusting and
Management requirements in the Lloyd’s
Minimum Claims Standards.”
James Masson, Head of Claims & Legal, Ark
Syndicate.
Quotes
“WCM's position as managing agent for turn-key
syndicates means that we need a Claims
Management System that responds to numerous
syndicate requirements, including different
classes of business, underwriting systems and
claims handling methods (ECF and Manual).
DOCOsoft facilitates and enhances all aspects of
our monitoring and reporting requirements.”
Gary Griffiths, Whittington Capital Management
Quotes
DOCOsoft has over 12 years
experience in the London Insurance
market and our innovative, cost
effective solutions have stood the
test of time which is reflected in our
ever expanding client base.
In Conclusion….
Contacts
DOCOsoft London
68 King William Street, EC4N 7DZ , UK
DOCOsoft Dublin, Development Center
Belfield Innovation Park, Dublin 4, Ireland
Thank You
Questions
