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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.
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.
GOAL 1:To advance the art, science and practice of Life Underwriting in the company.
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 to:I. Continue developing our staff into well-rounded professionals of the highest standards in Life Underwriting, by:PLAN 1: ACTIVE PARTICIPATION in Insurance Conventions, 2003 PSIM Underwriting Course 2003 HOLUAP Annual Convention - Fort Ilocandia , April 20032003 International Underwriting Congress - Singapore - March 2003
MEDICAL SERVICES MEDICAL SERVICES To continue developing our staff into well-rounded professionals of the highest standards in Life Underwriting, also by:PLAN 2: Preparing for 2nd set of FLMI Exams FLMI 301 - Insurance Administration - May '03FLMI 310 - Legal Aspects of Life & Health Insurance Nov '03 passed FLIM 280 88% May 6th 2002 ; took FLIM 290 Nov 5th
MEDICAL SERVICES MEDICAL SERVICES II. To enhance the study of mortality and morbidity as it applies to Life Insurance:, by PLAN 1: Maximizing utilization of available references:Resumption of Back-to-Basics Medical Risks Week-end ReviewBack -To-Basics Medical Risks Week-end Review: A 15-min Exercise Every Other Fridays Single Impairment Study - Jan- Jun 2003Only done Jan-April 2002 (Department staff movements affected continuity)Multiple Impairment Study - July - Dec 2003+/- Journal Club - 1-2x / month (Every 2nd & 4th Mondays)
MEDICAL SERVICES MEDICAL SERVICES To Foster favorable professional relations that promote the advancement of Life Underwriting within the department;PLAN 3: More regular Monthly Case Presentation -Interactive Session - Mini-CMEPresentors - Rotation By StaffQTR 1- 4, 2003
MEDICAL SERVICES MEDICAL SERVICES .To continue to be a well-managed department.
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.
MEDICAL SERVICES MEDICAL SERVICES Goal 2: To provide the company an indispensable arm in the evaluation and processing of the businesses.
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: Maintain an effective delivery of general medical services nationwide by -PLAN 1: Improving the pool of accredited MD’s in accordance with Sales thrust of P550M target for 2003
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 dwindling list of NCR-based Medical Examiners, by:ACTION 1 : Recruitment of dedicated Roving Medical Examiners of other companies (‘Special’) ACTION 1a: To designate a particular referral area for each accredited MD, andACTION 1b: To design a pricing system for servicing beyond a certain radius, at an amount better than industrial clinics rates- TARGET DATE December '02-Jan '03
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 all areas ACTION 1: To review Med Examiners’ availability in focus areas of sales force(Angeles, Cabanatuan, La Union, Olongapo) and increase as necessary - (Nov 02 - Dec 03)
Isabela 10 Ilocos Nueva Ecija 5 La Union 6 National Demographic Distribution of FLIC-affiliated MD’s - Nov 2002 Benguet 2 Pangasinan 4 Tarlac 1 Pampanga7 Zambales 7 Quezon 5 Camarines Sur 1 Bataan 1 Bulacan 3 *Albay 6 CEBU 1 + FCC Batangas 3 Eastern Samar 1 Cavite10 Iloilo 3 Bacolod 1 Laguna 4 Or. Mindoro 2 Butuan 1 Occ. Mindoro 1 Agusan del Norte 1 ***METRO MANILA Agusan del Sur 1 Lanao del Norte 4 Aklan 1 Davao del Sur 1 Roxas City 1 South Cotabato 4 Zamboanga 2 Branches
Finding the Medical Examiners Identifying focus areas Medical Societies Database General Practitioners Communication Hiring
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 all areas ACTION 2: To continue helping in the creation of an association of Medical Examiners (Nov 02 - Dec 03)
FME The Federation of Medical Examiners shall provide Medical Examination requirements of the life insurance industry via an established network of accredited General Practitioners
MEDICAL SERVICES MEDICAL SERVICES … On Maintaining an effective delivery of general medical services nationwide also, by:PLAN 3: To improve utilization of FCC services by communicating with FCCandaddressing common issues affecting operations of both parties.Issues related to incompletely accomplished FME forms1.Fast turn-over of FCC clinic staff2. Unavailable directory and varied availability of services in each satellite clinics3. More than 1 person accomplishing forms(nurse does 1 part, MD does other part)4. Missing urinalysis reports , cxr film not submitted together with FME...
MEDICAL SERVICES PLAN 4: To improve utilization of FCC services by communicating with FCCandaddressing common issues affecting operations of both parties. ACTION 1: Periodic dialogue re: Fortune Life’s expectations on their (FCC) servicesOn-Going...
MEDICAL SERVICES MEDICAL SERVICES PLAN 5: 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 Clinics
MEDICAL SERVICES Insert NCR map with MDs availability The FCC Services
MEDICAL SERVICES MEDICAL SERVICES PLAN 4: To continue Monitoring and Updating Medical Service Fees(Latest Survey Nov 06th '02 = P300/ FME)Awaiting approval of increased Medical Fees
MEDICAL SERVICES MEDICAL SERVICES PLAN 5: 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/FME
---------- PF Levels of Medical Examiners 400 SPECIAL PREFERRED 350 GENERAL 300
MEDICAL SERVICES Plan 6.ContinueProviding support to Claims and Sales Force in improving delivery of benefits by -ACTION 1: Release a Mid-Year and 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 anaverage of 21.4 days from approval of Underwriting to Actual payment )“Have we improved?”-TARGET DATE QTR 1, 2003
MEDICAL SERVICES • Plan 6.ContinueProviding support to Claims and Sales Force in improving delivery of benefits by -ACTION 2: More ACTIVE participation on evaluating HIR CLAIMS - • A Cross-Sectional Study on HIR Claims (discussed with A Abad) • Demographic distribution • Nature of claim Target Completion Date QTR 2
MEDICAL INFORMATION II. Enhancing procurement of clients’ medical documents or information PLAN 1: Maintain visibility in the MIB Project ACTION 1: Participate in the periodic Upgrading of the system On-Going ...MIB Ad Hoc Meet - Dec 2003Gen Assembly Users' Meet - Jan week 4 2003 (discussed with PLIA)