Imagine Series – There is damage in the fleet. The vehicle isn’t the only thing messed up.

52-car-pile-upManaging fleet claims can be a headache.  One organization was having trouble getting everyone on the same page when a vehicle accident occurred.  The accident had to be reported to the fleet manager who recorded the incident with the insurance carrier.  But when the vehicle was taken to the maintenance department, they were unable to make the repairs until they received an approval ticket from the finance department. The finance department wouldn’t approve the repair until they had a report from risk management on insurance coverage.  There were often long delays before everyone involved with the accident was able to take action because paper forms were required at each level of the bureaucracy.

Using modern technology, a web portal was set up to report the accident. Now, when the accident is reported, a control number is immediately generated and workflow is set up to inform everyone involved (Risk Management/Insurance, Finance, Maintenance, Personnel and Fleet Safety) and task are assigned and managed.   Now when an accident is reported, everyone is able to go into action immediately and the accident (including repairs) is resolved in one third of the time. The key to this process is a set of workflows that manage all of the subprocesses in the correct order and in a timely fashion – all around one shared control number. 

This technology is available today and is in use by your fellow fleet managers.

Posted in Imagine Series, Risk Management Automation Platform (RMAP) | Tagged | Leave a comment

Miscellaneous Rant – Attitude is everything!

horse-buggy-speed-limit Recently, I was at one of the local RIMS chapters for a “Dinner & Debate.”  The chapter had invited the CEO’s of a half dozen RMIS companies and put them on stage – panel style – to answer questions from both the audience and the special guest moderator.  Most of the answers were sort of like politics… pretty predictable and along party lines.

The CEO of the TPA-owned RMIS vendor managed to weave into every answer the fact that they had millions of “benchmark” claims at their disposal.  The CEO who had recently joined the RMIS industry from a standard I.T. company quoted Gartner Group several times and threw out a series of statistics and trends, gleaned from CIO magazine, that were fairly interesting but not very original.  He lathered on liberal amounts of “hoo-ha” about trends in “Big Data.”  The CEO’s of the pesky up and coming companies were animated, brash and bold and the CEO’s of the “legacy” vendors rolled their eyes in obvious annoyance at these barbarians at the gate causing them so much grief and discomfort in their otherwise comfortable lives back home.

Like I said… the dialogue was predictable and mostly forgettable. But one exchange shocked my face off.  When it occurred, I was so stunned that I lost my ability to concentrate on anything else over the last 30 minutes of the panel discussion.  In fact, a year later I just can’t get it out of my head.

Hear it is.  About mid-way through the panel discussion the moderator asked the question: “Do you, as the CEO of your Company,  feel a responsibility to introduce forward thinking, creative innovation to the industry even before the industry demands it?”

One of the CEO’s (and this wasn’t one of the legacy vendors) actually said the following… “Absolutely not! There is no way that we can know what the future will bring so we just wait for our clients to tell us what they want and we give it to them.”

WHAT?!?!  You have got – to – be – kidding – me! THIS IS THE PROBLEM!  With all due respect to this CEO, the client doesn’t know what they do not know and they do not have time to research technology innovations and then dream about how these innovations might apply to Risk Management!  That’s what they are depending on you to do.  With this attitude, is there any wonder that Risk Management is the most un-automated discipline in the world?; that many TPA’s are still pushing paper files around?; that insurance brokers are still suffering from chronic spreadsheet’itis?; that risk management professionals are drowning in mountains of paper and inefficiency? My goodness Mr. CEO.  Are you serious?  Are you satisfied running a company that does enough to sell a bunch of systems, make some money and retire rich?  Is that really all there is to this thing we call a career?  I would suggest the answer is “NO.”

Let’s get busy folks. Unfortunately, I am 60 years old and don’t have 30 years to dedicate to this challenge. I can give it a few more years, but you youngsters… don’t let this CEO – born of the “me generation” – influence you.   Don’t sit back and cruise.  Don’t take the easy way out.  Look around you at all the life change in our world made possible by technology driven improvements.  Don’t we in Risk Management deserve better?  I would suggest the answer is “YES!”  I, for one, am desperate to leave this place better than I found it.  I’m going to figure out what you all will need next year and get busy on it this year.  Let’s do this together.

Posted in Miscellaneous Rant | Tagged , | Leave a comment

Risk Assessment for Acquiring a RMIS: Risk #4 – RMIS Vendor Ceases to offer the service.

Reduce-Energy-Turn-Off-LightsThe acquisition of a Risk Management Information System (RMIS) is a project that presents serious long-term implications for your organization.  Here are some of the risks, along with proven ways to improve your satisfaction with your new RMIS, regardless of which vendor you select:

THE RISK
This industry has a history of vendors “getting out of the business”, being acquired or being divested.  Historically, vendors have notified clients that they will be dissolving and that the client has a period of time (3-6 months typically) to find another system. No matter the size of the RMIS vendor, the chance of dissolution is a risk that must be considered and mitigated.

MITIGATION

  1. Be certain you understand the stability of your vendor. Do not take this for granted. Conduct due diligence on the financials of the vendor by requesting and reviewing audited financial statements.
  2. Take steps that will allow you to continue to run the system in the event of a vendor stoppage. Implement a data back-up strategy that guarantees your access to the back-up data files without a dependence on the vendor.
  3. Escrow the software with an independent escrow house and make yourself the beneficiary.
  4. If your vendor runs on a commercial cloud environment, get pass through language in your contract guaranteeing  that if your vendor were to dissolve, your system would continue to operate and be available on the cloud platform under the existing terms of your contract.   This will allow you to negotiate directly with the cloud provider to have them continue to run your system beyond the period of the agreement if so desired. Warning: Most legacy vendors are built with custom code.  Without those custom code developers around to maintain the code, those systems will soon cease to operate even if you have agreements with the cloud provider to continue running the system.
  5. Make sure you have written clarity around your data.  You own your data.  This should be expressly agreed upon in the contract.  And, should the vendor dissolve, you should have rights to get access to your data immediately, in a readable format, without charge and without obstacles.
  6. Additionally, your vendor should provide even further assurances around your data by having near real-time failover replication between two geographically separated data centers.  This gives you additional protection against a system failure, allowing you to completely switch to another node and continue to operate without disruption.
Posted in Risk Assessment for Acquiring an RMIS (or RMAP) | Tagged | Leave a comment

Imagine Series – Lawyers love T&E. Risk Managers don’t.

Lorez_shutterstock_69358039

Have your ever been frustrated trying to keep legal expenses under control?   You have defense firms all over the place and some of them seem to rack up T&E billings with impunity. What do you do?  Well, how about setting up a web portal where your defense firms go to submit their budgets. When a budget is submitted (with an accompanying defense plan) the budget is routed through your approval que.  Once it is approved, the budget (and potential billing) is set in stone unless the attorney submits a request for additional funding. Its sort of like an adjuster having to fill out a reserve worksheet and submitting it for approval. (We’ll cover that in another blog post),

Now, when the bill comes in, there had better be an approved budget or the bill doesn’t get paid. Yes, you can buy expensive and complicated systems to accomplish this task, but how about taking a few days out of your schedule to add this functionality to your RMIS. Even setting the whole thing up yourself at no additional cost.

This capability exists today and is being used by your peers!

Posted in Imagine Series, Risk Management Automation Platform (RMAP) | Tagged | Leave a comment

Imagine Series – Customer Liability disguised as Customer Service

customer-centricImagine that your department is tasked with handling customer liability claims.  You would like to make this a “customer service” experience but your manual processes make it difficult to keep the customer in the loop at all times.  You just can’t afford to staff a customer service hotline where the customer can call at any time, day or night to inquire about the status of their claim.

Suppose, however, that you could set up a special “status” field in your claims administration system and sprinkle workflow throughout the system that keeps the status field up to date. For example, when a check is cut and mailed, the system updates the status field with “Check mailed on <date>”.   When the claim is first set-up, an e-mail is automatically sent to the claimant that says… “Hi customer, anytime you would like to know the status of your claim, just -REPLY- to this e-mail and the status will arrive in your e-mail inbox within two minutes.”

This capability exists today and is in use by your peers.

Posted in Imagine Series, Risk Management Automation Platform (RMAP) | Tagged | Leave a comment

Risk Assessment for Acquiring a RMIS: Risk #3 – Inadequate Vendor Security.

The acquisition of a Risk Management Information System (RMIS) is a project that presents serious long-term implications for your organization.  Here are some of the risks, along with proven ways to improve your satisfaction with your new RMIS, regardless of which vendor you select:

lock-and-key-chula-vista Security is a huge factor in this industry for many reasons, but notably because your RMIS will store personally identifiable information.

THE RISK
No matter how much money, resource and expertise an IT team or organization dedicates to security, there is still the possibility of a breach.

MITIGATION

  1. Make sure the vendor you select has written, current SOC2-II security audits of their data center. If the vendor cannot produce an independent, certified SOC2-II audit that is current and comprehensive of all data center operations (whether that be a cloud platform or a home-grown data center) then move on immediately.  By the way, most vendors have this… they shouldn’t be in business if they do not!
  2. In addition, it is imperative that the RMIS provider has a SOC2 Type II audit of every aspect of their infrastructure and processes (not just an SSAE16/SOC1). This includes everything – not just their cloud provider or data center, but should include their own brick and mortar infrastructure, their office security, their processes and procedures surrounding client data, laptops, mobile devices, document disposal, entry and exit into the work space, flash drives and more.  You should expect the vendor you select to invest time and significant money in full security audits at least once a year – including the homes of any home-based employees.  Note: It’s not easy auditing people working out of their kitchen with a lightly secured home wireless router. Some RMIS vendors cut cost by allowing the majority of their employees to work out of their house.  This sounds cool and results in a cheap system, but it is a potential data security disastor.

At some point in this industry, there will likely be a data breach.  Turn on the news every day and you will see why I say that.  If your data is affected by a breach and you do not have the appropriate audits in hand, you will most likely be asked the question:  “Why did you put our confidential data in an unaudited environment?”  In the U.S., a vast majority of the states require a class action plaintiff to prove negligence before the owner of the data is liable.  As a part of the risk management team for your organization, you must assess and mange this risk.  You will want to have confidence and be able to defend your decision to select a vendor that is fully audited versus one that has either failed audits or never invested at this level.  Oh… and do not be fooled by things like “HIPAA Compliance” or “EU Safe Harbor Compliance”, etc. These are often self-audits and can mean very little.

Posted in Risk Assessment for Acquiring an RMIS (or RMAP) | Tagged | Leave a comment

Imagine Series – The Chevy No Go… bottom up strategic risk

nogoLet’s talk strategic risk for a few minutes. Organizations of all sizes and types face daily risks that fall outside of the “insurable” risk space. The news is chock full of stories about rogue traders, failed mergers, currency conversion implosions and the like. I’m reminded of the story back in the 60’s when GM tried to sell the Chevy Nova in Latin America, only to realize that Nova means “No Go” in Spanish. (Of course, the story is bogus but is makes a great illustration)  What about the reputational risk of an oil rig disaster only to find out that whistle blowers had been complaining for some time about the potential for failure. What we learn from these stories is that Strategic Risk Management is almost impossible in a “Top Down” scheme.

The ivory tower just cannot be expected to understand all of the risk facing the “boots on the ground.”   Strategic Risk Management must have a bottom up component or, to quote Molly Hatchet, “you’re flirting with disaster every day.”  The facilitation of bottom up strategic risk management requires collaboration tools that heretofore did not exist. But imagine this scenario:

Technology is put in place that continually polls the people closest to the front lines about risk that they face in their particular function. Easy interfaces are presented that facilitate rapid updates of the details of these risks. Electronic conversations are started between the Top Down risk experts and the Bottom Up operational experts regarding things like likelihood, potential severity and possible controls/mitigations. Risk owners are assigned, plans are logged and connected to the risk and the owner and the plans are scheduled for periodic exercise and/or update. Of course all of this activity is logged and organized in reports, dashboards and heat maps and is available in real time to the Board of Directors.

Of course, one of the side benefits of this scenario is the avoidance of one particular major insurable risk that is of great interest to the board… D&O claims by the shareholders.   The good news is that this technology exists and is being used today by your peers.

Posted in Imagine Series, Risk Management Automation Platform (RMAP) | Tagged | Leave a comment

Risk Assessment for Acquiring a RMIS: Risk #2 – Bad Implementation

The acquisition of a Risk Management Information System (RMIS) is a project that presents serious long-term implications for your organization.  Here are some of the risks along with proven ways to improve your satisfaction with your new RMIS, regardless of which vendor you select:

THE RISK – Managing Your Implementation.

Many organizations in this industry have been burned by poor or completely failed implementations.  While a certain amount of hesitation is expected, it is entirely possible to manage the implementation stage to meet scope, timeline, and budget. Will your organization experience a failed implementation that must be aborted?

MITIGATION

  1. Avoid making assumptions. For example, a client asks the vendor if they can do web-based intake.  The client assumes all state reporting and EDI is included in the intake, and the vendor assumes the client is just asking if they can do web-based intake. Each process should be discovered and documented as a part of the Statement of Work (SOW), including very clear deliverables.
  2. Never depend on a timeframe estimate from sales.  Insist on hearing it directly from the person in the vendor organization that is responsible for actually delivering the Implementation. (and make sure sales isn’t in the room glaring at the promiser)
  3. Make resources available to properly scope the project.  Revisit scope and budget during contract negotiations to remind the vendor they are about to sign their name to a legal document that contains cost and timeframes.
  4. Facilitate the transfer of your data from any third parties (TPA, broker, etc.) to the vendor.  Data problems, including very late arriving data or poorly formatted data arriving with errors, can severely set back an implementation plan. If possible, find out from your data sources what they can deliver, when and for how much before you sign a statement of work. (The data providers OFTEN charge to produce the data files – this is not typically covered in the RMIS vendor’s quote)
  5. Be patient with the different teams the vendor will bring in to help with your implementation (sales in the beginning, then security, then data converters, then technicians, etc).  You may have to repeat some of the discovery for these teams, but recognize that the process helps validate your needs, scope and the overall design of the project.
  6. Discuss with your vendor your own resource requirements and the amount of time that will be required at different phases of the implementation.  Ensure those resources are available as needed.
  7. Apply project management skills to your implementation to avoid negative consequences caused by undefined or changing scope, and keep the lines of communication open between your team and your vendor.
  8. If you do bring in an outside consultant to help manage the project, instruct your consultant that their job is to facilitate communication BOTH ways – not just beat up the vendor.  I’ve seen many clients get frustrated because “it seems so simple” to them despite their lack of any experience in this technical area.    They need an objective third party to give them some hard truth from time to time.
Posted in Risk Assessment for Acquiring an RMIS (or RMAP) | Tagged | Leave a comment

Risk Assessment for Acquiring a RMIS: Risk #1 – Legacy System

m4frontThe acquisition of a Risk Management Information System (RMIS) is a project that presents serious long-term implications for your organization.  Here are some of the risks along with proven ways to improve your satisfaction with your new RMIS, regardless of which vendor you select:


THE RISK
 – Selecting the Correct System for Your Organization.

There are approximately 12 vendors in the market today who purport to have a broad-based RMIS.  How do you select the right system for your organization? The key risk is that you end up with a legacy system, or with a RMIS that will soon become a legacy system.

MITIGATION

Due diligence is critical.  Don’t wait for a list of hand-picked references from the vendors.  Begin conversations with your peers early in the process.

  1. Ask your peers detailed questions about their experiences including their implementation(s), scope of their project(s), support teams, day-to-day processes within their system(s), ability to do new things or ability to use the system to help with team goals and organizational vision, ongoing costs or additional costs for upgrades, new features, etc.
  2. Compile a list of things you want to accomplish with your new RMIS.  Ask your peers if they can achieve those things with their system.
  3. Invite 5 – 6 RMIS vendors to provide an hour and a half web demonstration for a select group of people in your organization. (see http://www.rimsmarketplace.com/sites/Risk+Management/Software for a representative list of potential vendors)  Ask the vendors to concentrate on features that they believe differentiate them from their competitors.
  4. Take notes and compile a list of the features you saw that would be beneficial for you and your organization.
  5. Using your combined list of features, provide a script of key items you want to see in each vendor’s follow-up demonstration.  Provide the script one week prior to your follow-up demo and invite the three most impressive back for a 2-3 hour demonstration of the the feature and function list you submitted

Provided that your team has time to commit to a full trial evaluation, request a trial from each finalist vendor.  When comparing systems in a trial, dig deep.  Don’t be fooled by systems that seem user friendly because they “lead you by the nose”.  Try to test scenarios that take you off the vendors “path’ and see how user friendly the system is after you are off the beaten trail.  Often the initial reaction is bias’ed by pretty screens and glitz.  Remember, you are going to be using the system as a work platform.  Too much glitz gets really old after awhile.

Posted in Risk Assessment for Acquiring an RMIS (or RMAP) | Tagged | Leave a comment

Imagine Series – Collecting values from the field is like herding cats!

cat_edsIs your annual property renewal a fire drill of e-mails, spreadsheets, cutting ‘n’ pasting, and phone calls as you attempt to collect various exposures and values from the field. I’ve seen this process take as much as six weeks in some cases. How about this for a better solution?  Imagine a trigger date added to your policy record in the RMIS.  Let’s say that at 90 days before the renewal, a workflow fires off that loops through all of the properties, creates a dynamic web site for each property manager (one website for each manager even if the manager has multiple properties).  The website contains a column of last years values, provides fields for this year’s values, allows for values cloning or cloning with inflation and contains reasonability checks that force comments on large increases.  As each dynamic website is created, an e-mail is sent to the property manager with a link to his or her website with instructions on what to do.  Of course, the e-mail can be forwarded to others if appropriate. Oh, and another workflow is triggered that watches each property manager for timeliness and thoroughness and sends reminders and escalations if things are not progressing well.  I’ve actually seen a six-week process become a six-day process.  Welcome to Risk Management technology, as it ought to work.  This capability exists and is in use by your peers.

Posted in Imagine Series, Risk Management Automation Platform (RMAP) | Tagged | Leave a comment