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Risk Management & Online Resources

Spotlight Report December 1, 1997

Vendors "E-H"

Effisoft USA
ERIC Systems
ESIS Inc.
GAB Robbins North America Inc.
Gallagher Bassett Services Inc.
GatesMcDonald
GenSource Corp.
Health Management Technologies Inc.

Copyright© 1997, 1998 Business Insurance

Effisoft USA

250 Boylston St., Boston, Mass. 02116; 617-437-0660; fax: 617-437-0812 Risk management systems since: 1989.

Parent: Effisoft S.A.R.L.

Software products:

Gestrisk.

System requirements: IBM-compatible PC system; operates in Windows. Customization optional.

First installation: 1989.

Claims/coverages managed: General liability, property, casualty, workers comp, auto, crime, bankers blanket bond, marine-ocean cargo.

Features: Exposure-driven; manages exposures; loss control; engineering recommendations; policies; premiums; losses including incidents and below deductible or SIR; cost of risk and allocating premiums at multiple exposure levels; querying and reporting tools for analysis of risk management programs for all lines of coverages; handles multiple languages and currencies; provides screen label customizations.

WEBRISK.

System requirements: IBM-compatible PC system, client/server; operates in Windows, Internet browser. Online system optional.

Customization optional.

First installation: 1997.

Total installations: One; one in corporate risk management departments.

Claims/coverages managed: General liability, property, casualty, workers comp, auto, marine, crime, bankers blanket bond.

Features: Exposure-driven; net application; worldwide access via Internet browser; data consolidation from multiple sources; unlimited users or connections; limiting access based on log-on; imaging; exposure management; loss control; engineering recommendations; policies; premiums; company hierarchy; losses incidents and below deductible or SIR; cost of risk and allocating premiums at multiple exposure levels; querying and reporting tools including graphs for analysis of risk management programs for all lines of coverages; handles multiple languages and currencies; provides screen label customizations.

User support: User groups/meetings*, onsite training, telephone assistance 14 hours per day*, remote access to data via communication package.

Staff: 30 total, 25 professionals.

Branch offices: Boston; London; Paris; Amsterdam, Netherlands.

1996 revenues: $2 million total. $1.2 million from risk management information systems sales and service, 30% from software sales, 70% from software services.

Officers: Olivier Adler, CEO.

Contact: Cynthia Carroll, director-operations.

*Included in system price.


ERIC Systems

12828 Northup Way, Bellevue, Wash. 98005; 800-283-3742; fax: 425-883-9178

Software products:

ERIC Risk Manager.

Price: $9,995.

System requirements: IBM-compatible PC system; operates in Windows. Customization optional.

First installation: 1984.

Total installations: 100; 25 in corporate risk management departments. Claims/coverages managed: General liability, workers comp.

Features: Claims administration; loss developing; loss prevention; reserve tracking; allocation of premium; safety and loss control; incident reporting; report generation; data analysis; check processing; diary; litigation management; multiple employees and multiple jurisdictions; prints first report of accident; automatically generates government-mandated reports and forms; diary/notes functions; user-defined check layouts/check bundling; automatic check generation for scheduled payments; more than 45 report titles; litigation tracking; audit trail; date, time operator id stamp on transaction records; security privileges; one year free tech support. Optional modules include ADJUSTER - automatically adjusts provider invoices to state published maximums or usual and customary fees.

User support: Onsite training*, telephone assistance 10 hours per day*.

Clients: 20 total. Sold systems to five clients in 1996.

Officers: Frank Dee Jr., Douglas Peterson, Keith O'Daniel, Karen Vanwinkle, David Burnett.

Contact: Keith O'Daniel, product manager.

*Included in system price.


ESIS Inc.

1601 Chestnut St., TL32G, Philadelphia, Pa. 19192-2325; 215-761-6779; fax: 215-761-5476 Parent: INA Financial Services Corp.

Software products:

Risk Advantage.

System requirements: IBM-compatible PC system; operates in Windows. Online system. Customization optional.

Claims/coverages managed: General liability, property, casualty, workers comp, auto.

Features: Manages both domestic and international claims; performs inquiries utilizing selection criteria; results provide full claim detail and adjusters notes (optional); more than 20 canned reports with flexible selection critera and full sorting capabilities; loss forecasting; as-of reporting. Optional modules include custom programming; cost-of-risk modeling.

User support: User groups/meetings, onsite training* (optional), telephone assistance 12 hours per day*.

Staff: 60 total, 54 professionals.

Clients: 1,400 total. Sold systems to 100 clients in 1996.

Branch offices: Los Angeles; San Francisco; Atlanta; Chicago; Boston; New York; Philadelphia; Dallas; Houston.

Officers: Raymond Hafner, president; Brian O'Hara, vp/CFO; Sharon Simpson, vp-sales operations; Lawrence Keough, vp-information products/services.

Contact: Lawrence Keough, 215-761-6767.

*Included in system price.


GAB Robbins North America Inc.

9 Campus Drive, Suite 7, P.O. Box 316, Parsippany, N.J. 07054-0316; 800-422- 4436; fax: 973-993-9579

Risk management systems since: 1988.

Parent: SGS, Societe Generale de Surveillance.

Software products:

ClienTell.

Price: Platinum: $8,000 annual fee/$1,000 one-time set up fee; Gold: $5,000 annual fee/$1,000 one-time set up fee; Silver: $3,000 annual fee/$500 one-time set up fee.

System requirements: IBM-compatible PC system; Online system (ClienTell Silver).

Customization optional.

First installation: 1995.

Total installations: 148.

Claims/coverages managed: General liability, property, casualty, workers comp, auto.

Features: Claims administration and management for all lines of business. Optional modules include customized data capture; customized cause codes; customer specific hierarchy; customized product enhancements and interfaces.

User support: User groups/meetings, onsite training*, telephone assistance 8.5 hours per day*, 24-hour paging service, e-mail via Internet.

Staff: Nine professionals.

Clients: 148 total.

Branch offices: Parsippany, N.J.

1996 revenues: $500,000 from risk management information systems sales and service, 75% from software sales, 25% from software services.

Officers: Antony M. Czura, chairman; David W.J. McGirr, president/CEO; Al Shahade, executive vp-risk management services; James McGee, executive vp- insurance company services.

Contact: David J. Iannotte, marketing systems manager, 973-993-3219.

*Included in system price.


Gallagher Bassett Services Inc.

The Gallagher Centre, 2 Pierce Place, Itasca, Ill. 60143-3141; 630-773-3800; fax: 630-285-4000

Risk management systems since: 1983.

Parent: Arthur J. Gallagher & Co.

Software products:

RISX-FACS.

System requirements: IBM-compatible PC system; operates in Windows. Online system.

Customization optional.

First installation: 1983.

Total installations: 1,175; 12 in corporate risk management departments.

Claims/coverages managed: General liability, property, casualty, workers comp, auto.

Features: Claims administration; loss forecasting and trending; reserve tracking (MIRA); loss trending; incident reporting; check processing; diary; litigation management; claim notes; claim payment; recoveries tracking; reports: summary loss, loss & claim experiences, specific excess, activity summary, claim activity, claim register, accident loss analysis, claim loss analysis. Optional modules include MICRO-FACS and RISC-FACS for Windows 95.

MICRO-FACS.

System requirements: IBM-compatible PC system; operates in DOS. Online system.

First installation: 1986.

Total installations: 190.

Claims/coverages managed: General liability, property, casualty, workers comp, auto.

Features: Online access to workers comp, property, and casualty claim information; RISX-FACS inquiry including: total payments, recoveries, reserves and expenses by category; type, source, nature, part of body; handling adjuster; listing of check payments; history of changes in total reserves; reported date; accident date and time; location and description of loss; client location and who the claim has been assigned to; claim notes; SELEX-FACS; build-a-record. Optional modules include GB mail.

RISX-FACS for Windows 95.

System requirements: IBM-compatible PC system; operates in Windows, Windows NT. Online system.

First installation: 1996.

Total installations: 154.

Claims/coverages managed: General liability, property, casualty, workers comp, auto.

Features: Online access to workers' compensation, property and casualty claim information; RISX-FACS inquiry including: total payments, recoveries, reserves and expenses by category; type, source, nature, part of body; handling adjuster; listing of check payments; history of changes in total reserves; reported data; accident date and time; location and description of loss; client location and who the claim has been assigned to; claim notes; SELEX-FACS; build-a-record. Optional modules include GB mail

User support: Onsite training*, telephone assistance 24 hours per day*, manuals*.

Staff: 112 total, 105 professionals.

Clients: 1,144 total. Sold systems to 13 clients in 1996.

1996 revenues: $145.2 million total. $8 million from risk management information systems sales and service,

Officers: Peter J. Durkalski, president; John G. Campbell, chairman; Richard McKenna, Wally Gawaluch, Michael Billings, executive vps.

Contact: Tracy D. Mock, vp-marketing services, 630-285-3593.

*Included in system price.


GatesMcDonald

3455 Mill Run Drive, Hilliard,

Ohio 43026; 800-336-4733;

fax: 614-777-3355

Risk management systems since: 1989.

Parent: Nationwide Insurance.

Software products:

Cascade.

Price: $5,500 per year for first installation, $2,595 per year for additional installations.

System requirements: IBM-compatible PC system; operates in Windows. Online system.

Customization optional.

First installation: 1995.

Total installations: Nine, all in corporate risk management departments.

Claims/coverages managed: Workers comp.

Features: Online access to account; claim, payment and reserve information; standard and ad hoc reporting; 13 standard reports with 60 variations, including claim and payment activity logs; loss triangles and summary reports; four standard graphs with 13 variations; custom reports library; electronic mail; claims administration and tracking; loss development and forecasting; risk and trending analysis; online help. Optional module allows users to store claims data on their PCs; claims data updated monthly and sent to user on CD-ROM.

User support: Onsite training*, telephone assistance eight hours per day*, travel expenses for training.

Staff: Eight total, six professionals.

Clients: Nine total, all corporate risk management departments. Sold systems to six clients in 1996.

Branch offices: Columbus, Ohio.

Officers: David Hollingsworth, president/COO; Dave Brown, vp-corporate marketing/business development; Gerry Sheldon, vp-risk management services; Peg Bainbridge, vp-state fund; Peter Barr, vp-health care management services plus; Rich Hoyt, vp-unemployment compensation; Kelly Hamilton, vp-finance.

Contact: Dave Brown.

*Included in system price.


GenSource Corp.*

25572 Ave. Stanford, Valencia, Calif. 91355; 805-294-1300;

fax: 805-294-1310

Risk management systems since: 1977.

Parent: Incomnet Inc.

Software products:

GenIRIS -- Integrated Risk Information System.

System requirements: IBM-compatible PC system; operates in Windows, Windows NT or mainframe, IBM RS/6000.

Customization optional.

Claims/coverages managed: General liability, property, casualty, workers comp, auto, group medical, risk management.

Features: Twenty-four-hour claims administration system providing fully integrated processing of workers' compensation, property and casualty, disability management and group medical claims; modules for managed care and risk analysis; customized for specific client needs; available on multiple platforms, including AIX on IBM's RS/6000, Windows NT and other UNIX platforms. Optional models include additional third-party products.

GenCOMP -- Workers' Compensation Claims Administration.

System requirements: IBM-compatible PC system; operates in Windows, Windows NT or mainframe, IBM/RS 6000.

Customization optional.

Claims/coverages managed: Workers comp.

Features: Claims management system; integration with GenSource's other claims management systems to provide a 24-hour claims system; claims adjudication; reserve analysis; bill re-pricing; PPO discounts; state reporting; claims notes; diary/calendar; online ad hoc access to all claims information; variety of standard and custom management reports; archival and retrieval system (GenARS) for scanning, storing and retrieving documents stored via optical disks. Optional modules include additional third-party products.

GenRISK -- Risk Analysis and Reporting System.

System requirements: IBM-compatible PC system; operates in Windows, Windows NT or mainframe, IBM/RS 6000.

Customization optional.

Claims/coverages managed: General liability, property, casualty, workers comp, auto, risk management.

Features: Analyzes and controls total risk exposure; serves as a central data storage system for claims processed by an in-company system, an insurance company and/or a third-party administrator; accepts data from multiple sources; builds loss triangles using any combination of user-specified parameters. Optional modules include additional third-party products.

GenDIS -- Non-occupational Disability Claims System.

System requirements: IBM-compatible PC system; operates in Windows, Windows NT or mainframe, IBM/RS 6000.

Customization optional.

First installation: 1997.

Total installations: Three.

Claims/coverages managed: Non-occupational disability.

Features: Aadjudicates all non-occupational disabilities; by teaming with GenCOMP, is an integrated lost time management system that combines occupational and non-occupational claims administration to permit consolidated management of disabilities; facilitates use of common treatment protocols and return-to-work disciplines; local check issuance/voucher interface; automated tax withholding; specific and aggregate reinsurance tracking; flexible benefit plan set-up; treatment and back-to work programs; optional payroll/HR; W-2 and actuarial system interfaces. Optional modules include additional third-party products.

GenPAC.

System requirements: IBM-compatible PC system; operates in Windows, Windows NT or mainframe, IBM/RS 6000.

Customization optional.

Claims/coverages managed: General liability, property, casualty.

Features: Property and casualty claims administration system; multiple lines of coverage, including general liability and automotive; controls reserve practices; assists in setting reserves; calculates and verifies payments; eliminates duplicate payments with online payment history; tracking and reporting on reinsurance levels by policy period; tracking subrogation information, including recoveries; automatically produces Form 1099 reports in both hard copy and tape form. Optional modules include additional third-party products.

User support: User groups/meetings**, onsite training**, telephone assistance nine hours per day**.

Staff: 40 total, 35 professionals.

Clients: 300 total. Sold systems to 20 clients in 1996.

Branch offices: Cocoa Beach, Fla.

1996 revenues: 5% from hardware sales, 45% from software sales, 50% from software services.

Officers: Eric Hoffberg, president; Michael Ewing, vp-sales/marketing; Nora Kenner, vp-consulting services.

Contact: John M. Carolan, regional account executive.

* Formally California Interactive Computing (CIC). **Included in system price.


Health Management Technologies Inc.

3687 Mount Diablo Drive, Suite 200, Lafayette, Calif. 94549; 800-647-7007 or 510-299-700; 510-299-7010

Risk management systems since: 1988.

Software products:

Return for Managed Care.

System requirements: IBM-compatible PC system; operates in Windows.

First installation: 1994.

Total installations: 200.

Claims/coverages managed: Workers comp, auto medical, managed care, short-and long-term disability, health.

Features: Medical case management, utilization review, provider network management, safety and loss control, incident reporting, report generation, data analysis, including case outcome analysis, provider performance; network and case manager performance; ad hoc reporting; diary of events; direct medical treatment data input.

User support: User groups/meetings, onsite training*, telephone assistance ten hours per day*.

Staff: 23 total, 13 professionals.

Branch offices: Silver Springs, Md.; San Antonio; Layton, Utah.

Officers: K.J. Wolfe, president; James W. Wolfe, chief marketing officer; Eric Wolfe, senior vp-technical services; Michael White, vp-sales/training; Stanley J. Pence, vp-client services.

Contact: James Wolfe or Stan Pence.

*Included in system price.