1 / 33

GOAL 1:To advance the art, science and practice of Life Underwriting in the company.

livana
Download Presentation

GOAL 1:To advance the art, science and practice of Life Underwriting in the company.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. VISIONOf FLIC Underwriting Department We are world-class life underwriters,experts in insurability risk assessment dedicated to the advancement ofthelife underwriting with the primary role of providing prudent but competitive evaluation and prompt processing of all clients' applications for any form of life and health coverages and/or claims for any benefits.

  2. MISSION of FLIC Underwriting DepartmentTo be a consistent provider of accurate and complete information to the agency force and a reliable decision maker in lay and medical underwriting at all times.

  3. GOAL 1:To advance the art, science and practice of Life Underwriting in the company.

  4. GOAL 1:To advance the art, science and practice of Life Underwriting in the company. MEDICAL SERVICES MEDICAL SERVICES To this end, we reiterate our commitment :I. Continue developing our staff into well-rounded professionals of the highest standards in Life Underwriting, by:PLAN 1: ACTIVE PARTICIPATION in Insurance Conventions2004 HOLUAP Annual Convention -Summer 20042004 PSIM Underwriting Courses - Date IIAP/Reinsurers CME Activities -

  5. MEDICAL SERVICES To continue developing our staff into well-rounded professionals of the highest standards in Life Underwriting, also by:PLAN 2: Preparing for the subsequent sets of FLMI Exams FLMI 311 - Insurance Laws - May '04missed –reseched Nov 2004 (Support From Marketing: New reference required) FLMI 320 - Nov 2004

  6. GOAL 1:To advance the art, science and practice of Life Underwriting in the company. MEDICAL SERVICES MEDICAL SERVICES To this end, we reiterate our commitment :II. To enhance the study of mortality and morbidity as it applies to Life Insurance:, by PLAN 1: Maximizing utilization of available references:Action: Routing References Reviews with notations….On-Going

  7. MEDICAL SERVICES GOAL 1:To advance the art, science and practice of Life Underwriting in the company. MEDICAL SERVICES To this end, we reiterate our commitment :III. ToFoster favorable professional relations that promote the advancement of Life Underwriting within the department;PLAN 2: More regular Case Presentations -monthly Interactive SessionQTR 1- 4, 2004

  8. MEDICAL SERVICES GOAL 1:To advance the art, science and practice of Life Underwriting in the company. MEDICAL SERVICES To this end, we commit :III. ToFoster favorable professional relations that promote the advancement of Life Underwriting within the department;PLAN 3: To create a basic workflow chart in the evaluation of any life coverage application particularly in searching for adverse medical conditionsQTR 1, 2004 USI Underwriting Scene Investigation

  9. MEDICAL SERVICES GOAL 1:To advance the art, science and practice of Life Underwriting in the company. MEDICAL SERVICES To this end, we commit :III. ToFoster favorable interdepartmental professional relations that promote the advancement of Life Underwriting;PLAN 4: To assist Claims in creating a basic workflow chart in the evaluation of any claims application particularly in searching for preexisting undeclared medical conditions QTR 2, 2004 USI Underwriting Scene Investigation

  10. MEDICAL SERVICES GOAL 1:To advance the art, science and practice of Life Underwriting in the company. MEDICAL SERVICES To this end, we commit :III. ToFoster favorable interdepartmental professional relations that promote the advancement of Life Underwriting;PLAN 4: To support SALES Drive in conserving pending casesAction 1: Monthly Pending-Case Hour with Lay QTR 1-4, 2004 USI Underwriting Scene Investigation

  11. MEDICAL SERVICES MEDICAL SERVICES IV.To continue to be a well-managed department.PLAN 1: To anticipate exit movements from within the unit and avoid workflow vacuumAction: Train / Hire New Staff Redirect existing staff who have the potential to carry over specific functionsTarget : QTR 2

  12. MEDICAL SERVICES MEDICAL SERVICES IV.To continue to be a well-managed department.PLAN 2: To assure the department a continuous and smooth workflow at all times.Action: Create an Endorsement Plan on which to base responsibility assigning in case one officer is temporarily not availableTarget : QTR 2

  13. MEDICAL SERVICES MEDICAL SERVICES IV.To continue to be a well-managed department.PLAN 3: To assure the department a continuous and smooth workflow at all times.Action: To have an Quarterly Intradepartmental review of our plans Target : Mar-Jun-Sep 2004

  14. VISIONOf FLIC Underwriting DepartmentWe are world-class life underwriters,experts in insurability risk assessment dedicated to the advancement ofthelife underwriting with the primary role of providing prudent but competitive evaluation and prompt processing of all clients' applications for any form of life and health coverages and/or claims for any benefits. MISSION of FLIC Underwriting DepartmentTo be a consistent provider of accurate and complete information to the agency force and a reliable decision maker in lay and medical underwriting at all times.

  15. MEDICAL SERVICES MEDICAL SERVICES Goal 2: To provide the company an indispensable arm in the evaluation and processing of the businesses.

  16. MEDICAL SERVICES MEDICAL SERVICES Goal 2: To provide the company an indispensable arm in the evaluation and processing of the businesses.To this end, we, in the department, are committed to: Maintaining an effective delivery of general medical services nationwide by -PLAN 1: Improving the pool of accredited MD’s in anticipation for more regular businesses esp in key cities

  17. MEDICAL SERVICES MEDICAL SERVICES Goal 2: To provide the company an indispensable arm in the evaluation and processing of the businesses.To this end, we, in the department, are committed to:Improve the list of NCR-based Medical Examiners, by:ACTION 1 : Recruitment of 3-4 Roving Medical Examiners of other companies (‘Special’) with competitive ratesTARGET DATE : QTR 1 04

  18. MEDICAL SERVICES MEDICAL SERVICES Goal 2: To provide the company an indispensable arm in the evaluation and processing of the businesses.To this end, we, in the department, are committed to:Maintaining an effective delivery of general medical services nationwide also, by:- PLAN 2: Improving the method of filling up the medical needs of sales force in other areas ACTION 1: To reaffirm Med Examiners’ availability in 2004 focus areas of sales force- QTR 1 2004

  19. Isabela 11 Ilocos Nueva Ecija 7 La Union7 National Demographic Distribution of FLIC-affiliated MD’s - Oct 23 2003 Benguet 1 Pangasinan 4 Tarlac 1 Pampanga8 Aurora 3 Zambales 7 Quezon 3 Camarines Sur 1 Bataan2 Bulacan2 *Albay 6 CEBU 1 + FCC Batangas 3 Eastern Samar 1 Cavite10 Iloilo 3 Bacolod 1 Laguna 5 Or. Mindoro 2 Butuan 1 Occ. Mindoro 1 Agusan del Norte 1 ***METRO MANILA Agusan del Sur 1 Lanao del Norte 2 Iloilo 3 Davao del Sur 1 Roxas City 2 Cag de Oro 1 South Cotabato 4 Tagbilaran, Dipolog, Surigao Palawan, Zamboanga 2 Branches Iligan City 5

  20. Finding the Medical Examiners Identifying focus areas Medical Societies Database Medical Practitioners Communication Hiring

  21. MEDICAL SERVICES MEDICAL SERVICES Goal 2: To provide the company an indispensable arm in the evaluation and processing of the businesses.To this end, we, in the department, are committed to:Maintaining an effective delivery of general medical services nationwide also, by:- PLAN 2: Improving the method of filling up the medical needs of sales force in other areas ACTION 2: Active participation in Key Opinion Leaders Meeting of Rx companies and Round-Table discussions in medical societieson-going …

  22. MEDICAL SERVICES MEDICAL SERVICES … On Maintaining an effective delivery of general medical services nationwide also, by:PLAN 3: To maximize utilization of improved FCC services- less blanks- rare 3 inks / writing patterns- more complete

  23. PLAN 4: To Maintain Accreditation with Industrial Clinics with ROVING Medical Examiners and One-Stop-Shop Facilities, for areas where no FCC services are available.HealthWay Medical Clinicsand revive affiliation with other Industrial clinicsHealthLab, Biolab, Heart-Lung Dx Clinic, Medstar, MEDEXQTR 4 2003 -QTR1 2004 MEDICAL SERVICES

  24. MEDICAL SERVICES Insert NCR map with MDs availability The FCC Services

  25. MEDICAL SERVICES Insert NCR map with MDs availability

  26. MEDICAL SERVICES MEDICAL SERVICES PLAN 5: To continue Monitoring and Updating Medical Service Fees(As of October 2003 = ~ 300.Those >2yrs ~300-500/FMESurvey Nov 06th '02 = P300/ FME)+/- include the transportation fees of MDs, just like how we accommodate HMCsAmount?

  27. MEDICAL SERVICES MEDICAL SERVICES PLAN 6: To give recognition to Medical Examiners who have delivered exemplary services“Preferred” Medical ExaminersQualifications:- Consistently detailed FME Reports- No reports required verification / clarification- Accredited for 5 years or moreP350/FMEPriority MD for Jumbo Cases

  28. ---------- PF Levels of Medical Examiners 400 SPECIAL PREFERRED 350 GENERAL 300

  29. MEDICAL SERVICES Plan 6.ContinueProviding support to Claims and Sales Force in improving delivery of benefits by -ACTION 1: Release a Year-End update on Time Study on HIR CLAIMS - …<<<(In the initial Nov 2001 study, there is a 31-day interval from arrival of medical documents to actual payment and an average of 21.4 days from approval of Underwriting to Actual payment )“Have we improved?”-TARGET DATE QTR 1, 2004

  30. MEDICAL INFORMATION II. Enhancing procurement of clients’ medical documents or information PLAN 1: Maintain visibility in the MIB Project ACTION 1: Monthly 1-hr PLIA MIBCOmm Meeting On-Going ...

  31. MEDICAL INFORMATION II. Enhancing procurement of clients’ medical documents or information PLAN 1: Maintain visibility in the medical and pharmaceutical communityACTION 1: Active membership in various medical organizations On-Going ...

  32. Insert: HMOs require completion of Discharge Summary and copy of Ammitting hisdotry before hospital bills are paid – this affects NKI policy. Therefore, if we talkxthis out with FCC, their client file can improve, FLIC clai m can be enhanced by thesaid policy. Sept 1 2004

  33. Support Needed by Medical Underwriting to be able to smoothly continue providing these Medical Services • Separate PC in Medical Director’s Office • FDD (to exchange info within department) • CDROM (to review arriving reference materials) • With USB port • With built-inModem • MS Office • MS ACCESS • Separate High-Speed Printer (DMtrx) • New Telephone Unit

More Related