InDUSTRY LEADERSHIP award
Industry Leadership Award — presented to the organization that has demonstrated industry leadership through the implementation of a solution or service in an innovative manner to solve a particular business need, setting an example for the industry.
Winner
Company: The Hartford
Project Title: Exceed Client C.0 Upgrade to Production
Project Description: The Hartford worked closely with CSC to upgrade Exceed from version 1.7 to C.0+. The Hartford evaluated cases needed and negotiated with CSC to determine the full scope of cases required to implement Client C.0 to production. In addition, CSC worked with The Hartford to fine tune the code and to mitigate performance concerns. The Client C.0 Upgrade is the first major production release of the Exceed product and is in alignment with the Continuous Delivery Process (CDP). In flight policy development is pinned in the current C.0 swim lane. Unifying the environments on Exceed C.0 created an opportunity to establish development, training and staging environments. The management of code migrations in the optimized environments is less complex, preparing the program for the complexities of third-party development integration. Production Exceed Client was based on older technologies (e.g., Visual Basic). The C.0 upgrade modernized the platform and better aligns with The Hartford’s supported technologies. The C.0 upgrade unlocks The Hartford’s ability to take enhancements via Continuous Delivery Release (CDR), optimizing the value of the Client maintenance fee.
Honorable Mentions
Company: FBL Leasing Inc.
Project Title: EZ-Data Capture Implementation
Project Description: With the ever-increasing variations of policy attachments, many insurance companies are faced with implementing forms that require variable data that may not be captured on the policy administration system, or require unique information to be added in a subjective fashion. Even though this can be accomplished by routing these forms into a Media Management Work In Progress (WIP) session, the data entered is not retained on the policy for future endorsements or renewals. This causes repetitive re-entry whenever the forms are triggered again since the data is not stored on the database. The EZ-Data Capture add-on enhancement provides the ability to define data capture areas within POINT IN for fields on a form that cannot be mapped because the data does not exist on POINT IN. Once a form is identified as an EZ-Data Capture form, a user is automatically routed to enter subjective data within POINT IN as part of the normal entry process. The data is retained on the policy for endorsements and renewals, which reduces repetitive re-entry whenever the forms are triggered again. FBL’s early adoption of the EZ-Data Capture solution will allow multi-day processing of certain policies with WIP data to be reduced to one day. It will also allow the data captured on any EZ-Data deployed forms to be retained and reused at endorsement and renewal, eliminating the need to research and reapply uniquely entered form data. As part of the implementation of this enhancement, FBL transformed two high volume WIP forms in use today into EZ-Data Capture documents. The “Evidence of Property Insurance (ACORD 25)” and “Certificate of Liability Insurance (ACORD 27)” are provided to various policy interests as proof of insurance and require unique variable descriptive information depending on the interest type or certificate holder. By capturing this data as part of the initial POINT IN data entry process, it is retained on the database for future use on endorsements and renewals, as well as removing the multi-day aspect of entering and releasing the final print within a WIP session. With this enhancement, FBL expects to reduce processing time while increasing productivity.
Company: Methodist Healthcare
Project Title: Paperless Workers' Compensation
Project Description: Methodist Healthcare (MH), based in Memphis, Tennessee, is a faith-based, not-for-profit, 1,689 bed, seven-hospital system including home health, ambulatory surgery centers, outpatient diagnostic centers, outpatient treatment clinics, a transplant institute, teaching facilities and a comprehensive children’s medical center. It is the largest healthcare provider in the Mid-South and third largest in the country. MH is listed in the Top 100 Integrated Healthcare Networks in the country and was named among 50 Exceptional Hospitals. Its Workers’ Compensation Department keeps an electronic record with the only exception being legal documents, which require a signature. MH has developed an extensive, intuitive Power View in RISKMASTER X that allows frontline supervisors to submit injuries directly into its database. The Power View is configured to MH’s specific needs and workflow, allows immediate access to event information, and allows for strict security limitations on the end user. It also makes data entry more efficient, and keeps errors at a minimum by providing specific field-level help, enforcing required fields, and forcing appropriate correlations between Organizational Hierarchy, Primary Location and Cost Center. Provider bills are sent directly to MH’s third-party bill reviewer, whose payment recommendations and Explanation of Benefits is then imported directly into the appropriate claim through the Medical Bill Review Interface (MBRI). The Payment Update Module interface automatically sends MH’s released payment details to its third-party accounting system, SAP. Specific check information such as Number and Date are automatically transferred back into RISKMASTER. This interface has eliminated nearly 100 percent of previous errors. MH uses the Electronic Data Interface program, which autofills required jurisdictional forms for FROI and SROIs. This interface then sends the data to the state and receives updates from the state back into RISKMASTER. MH uses the Diary function to assure that it is meeting best practice standards. It prints OSHA forms and logs directly from RISKMASTER with information already captured in the database. MH established SORTMASTER and BI libraries that allow users to easily retrieve real-time data results and view risk. All these tools make MH’s self-insured and self-administered WC Department more efficient, enabling it to effectively manage an average of 500 claims per year with minimal staff.