CONFERENCE January 11-13, 2012

Transcription

1 ACI-NA RISK MANAGEMENT CONFERENCE January 11-13, 2012 Performance Optimization of Insurance Carriers and Third Party Administrators Presented by: Ginga Griffin, CPCU, ALCM ESIS Inc Health Safety & Environmental Services ESIS, Inc.-Health, Safety & Environmental Services Bryan Doyle, ARM, CCLA, AVP Claims ACE USA North American Claims

2 General Session 2: Performance Optimization of insurance Carriers and Third-Party Administrators Any positions or opinions expressed in this presentation are the presenters own and not necessarily those of any ACE company.

3 Topic Objectives Typical services available Practical applications Benefits of utilizing services Optimizing performance 3

4 Insurance and TPA Services Why should you use the services?

5 Available Services Claims Risk Control Information Systems Auditing

6 Information Systems Claims data collection Financial information/ loss runs Management reports Period to period analysis Benchmarking

7 Auditing Important in the future FAA SMS, IATA, ISAGO, ISO, NATA, ICAO Building values WC financial audits Environmental audits

8 Risk Control Services Risk k Assessments Technical Expertise/Safety Specialties Safety Management Expertise Training - Education Data analysis Risk Management and Safety Promotion

9 Risk Assessments Movement areas Ramps Vehicle movement General Aviation Construction Baggage Make-up Life Safety Train Systems Electrical Safety Terminal Landside

10 Technical Expertise Liability Worker Safety Industrial Hygiene Property/Fire Safety Management Systems Boiler and Machinery Environmental Construction Ergonomics Fleet/Driver Safety LEED

11 Safety Management Expertise Safety Committee Accident Investigations Accident Review Boards Safety Programs Training Inspections

12 Risk Management Support Management Presentations Data Analysis Promote Risk Management Discipline Internal Communications Safety Promotions

13 CLAIMS SERVICES

14 Claims Manage the claims handling process Investigate, document, resolve claims Provide claims expertise Supplement your internal resources dedicated to claims Reduce your decision making burden

15 Claims Manage the claims handling process -Dedicated resources and systems -Comparative advantages from specialization Good claims processes are consistent and well- Good claims processes are consistent and wellmanaged allowing the best possible outcome

16 Claims Know your claims people/have their contact t info handy -Dedicated for first notices -Dedicated fax number for first notices -24 hr contact and number -Alternative points of contact (vacations, etc.)

17 AIRPORT CLAIMS PROCESS COMPLETED BY NOTICE OF LOSS MANAGEMENT REVIEW INITIAL POLICY REVIEW AIRPORT SPECIALIST INVESTIGATION STRATEGY AEROSPACE SPECIALIST ACCIDENT INVESTIGATION INSURANCE POLICY INDEPENDENT INVESTIGATOR CLAIM FILE STRATEGY SPECIFIC POLICY REVIEW UNDERWRITING AGREEMENTS CLAIMS AGREEMENTS RESERVES ADJUSTMENT 3RD PARTY LIABILITY / DENIALS / SUBROGATION

18 CLAIM OBJECTIVES: Effectively Manage Airport Losses And Provide Superior Customer Support

19 Claims Investigate, t document, resolve claims -Dedicated resources and systems -Comparative advantages from specialization Good claims handling is consistent, fair and wellmanaged allowing the best possible outcomes

20 Processing Airport Claims: Evaluating Loss We will pay those sums that t the Insured becomes legally obligated to pay as damages because of bodily injury or property damage to which this insurance applies. Liability Insuring Agreement (ISO)

21 Processing Airport Claims: Evaluating Loss Third Party Claims: Bodily Injury Property Damage Personal Injury Advertising Injury Hangarkeepers

22 Processing Airport Claims: Evaluating Loss Dt Determining ii The Exposure: Experience Business Partner Input Attorney s Evaluation Based on Jurisdiction Review of Similar Judgments

23 Litigation Management -Use of panel counsel -Economies of scale (research, business considerations, etc) -Strict guidelines agreed to in advance -Vendor bill processing -Experience

24 Airports management and operations are the key to successful claims -Accident reports -Contract management -Factual/investigative support -Peer review -Vendor pressure

25 Accident Reporting -Gather accurate information -Gather enough information -Report complete, timely and accurate information

26 Observe and Document -Photographs/Video -Measurements -Observations footwear, surface conditions, etc

27 Interviews -Who? The claimant, witnesses, co-workers, etc - Tell me what happened -Quote the interviewee and use quotes on reports

28 QUESTIONS?