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2706 Alternate 19
Suite 270
Palm Harbor, FL
34683
Phone: 1-800-654-7611
Key Contacts:
Cheryll Wing,
President
Craig Zivolich, Dir. of Technology
Vendor Objective: To provide comprehensive risk and claims management systems to insurance industry and risk management professionals. Slowly, but surely, the firm is building a solid client base across a wide functional and geographical area. Name recognition is still not high but is gaining in popularity.
Year Founded: 1986
Annual Revenue (1994): $1.3 million
Corporate Status: Independent; Joint ventures with Quaester and Westbrook File Magic
Number of Direct Users: 106 (475 indirect)
Staff Breakdown:
Locations: Florida, California, and Michigan
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
none |
|
Standalone systems |
49% |
|
Customized system development |
21% |
|
Database Mgt./Conversions |
4% |
|
Employee Benefit System (24 hour coverage) |
2% |
|
Other (consulting) |
14% |
Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
25 |
|
Captives, RRGs, Pools |
5 |
|
Manufacturing |
10 |
|
Retail |
3 |
|
Service Provider (TPA, insurer, broker) |
3 |
|
Health Care |
3 |
|
Other (financial services) |
15 |
Major Competitors: Pyramid; Dorn Technology Group
Global Efforts: Under development
Research & Development Activities: Software enhancements
Users' Groups: None, per clients' decision.
Training: Initial 3 to 5 day session; then as necessary
Related Services: N/A
Name/Key Functions:
|
System |
Function |
|
ATS/Comp |
WC claims administration |
|
ATS/PAC |
Multi-line liability claims admin. |
|
ATS/Med |
Group health claims system |
|
ATS/Risk |
Risk management modules |
|
ATS/Agency Mgt. |
Agency/underwriting system |
|
ATS/UR |
Utilization review module |
|
ATS/Image |
Document management (imaging) (OCR capacity) |
Preferred Platform Architecture
Installations:
|
Mainframe - 0 |
PC-LAN - 16 |
|
Minicomputer - 67 |
PC Stand Alone - 20 |
|
Client/Server - 3 |
Software:
|
Software Level |
Packages |
|
Operating System |
Unix; OS2; Windows; Windows NT; Theos; C |
|
Applications Languages |
Access; Focus; Theos; Informix; SQL; ODBC |
|
Network Environments |
Novell; Vines; Unix; DEC; Windows; IBM |
Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
N |
medical mgt (including fee schedules) |
Y |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
N |
|
1-800 reporting |
Y |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
Y |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
N |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
N |
|
|
|
Property valuation |
Y |
|
|
Property (ies) |
Y |
Benchmark analysis |
Y |
|
Vehicles |
N |
|
|
|
N |
detailed "drill down" analysis |
Y |
|
Y |
point-in-time reports |
Y |
|
interface with other software |
Y |
Technology:
Basic System Price Range: Confidential by request
User feedback was quite positive. ATS personnel executed solid installations and provide good service. Functionality is good. No significant weaknesses were detected.
|
Major Strengths |
Weaknesses |
|
Comprehensive RMIS (all modules) |
Marketing, name recognition |
|
Good use of technology |
Still using Theos (not industry standard) |
1185 Avenue of the Americas
New York, NY 10036
Phone:
1-212-238-1830
Key Contacts: Mary Villiani, Global Director
Lee
Topham, VP
Vendor Objective: To provide a comprehensive automated risk management information system, with support financial services, to a full range of risk management professionals. Systems and support are offered to both Alexander & Alexander and non-A&A clients.
Year Founded: 1970
Annual Revenue (1994): Not reported (included in parent corporation's numbers)
Corporate Status: Parent is Alexander and Alexander.
Number of Direct Users: 240
Staff Breakdown:
Locations: New York, Dallas, Atlanta, London, San Francisco, Sydney, Paris, and Toronto
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
none |
|
Standalone systems |
32% |
|
Customized system development |
included |
|
Database Mgt./Conversions |
35% |
|
Employee Benefit System (24 hour coverage) |
10% |
|
Other (consulting) |
13% |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
45 |
|
Captives, RRGs, Pools |
0 |
|
Manufacturing |
143 |
|
Retail |
10 |
|
Service Provider (TPA, insurer, broker) |
3 |
|
Health Care |
8 |
|
Other (financial services) |
31 |
+ Major Competitors: David; Dorn; Pyramid; J&H; Risk Sciences Group
+ Global Efforts: Significant RMIS activity in Europe; beginnings in Far East.
+ Research & Development Activities: Continued development of OMEGA system.
+ Users' Groups: One established in London with 25 members.
+ Training: Standard training immediately after purchase of new module with follow-up every several months, if necessary. Classes are kept to a minimum of five for maximum results. A special session is given on reports as well.
+ Related Services: Risk financing consulting is a major service of Anistics and has been since its inception.
+ Name/Key Functions: OMEGA
|
System |
Function |
|
Claims Management |
WC and Liability claims administration |
|
Policy Management |
Insurance policy register |
|
Property Management |
Property valuation module |
|
Exposure Module |
Exposure analysis |
|
Triangles/Loss Forecasting |
Develops claim reserves, estimates future payouts |
|
Allocation |
Cost-of-risk allocation module |
+Preferred Platform Architecture
Installations:
|
Mainframe - 0 |
PC-LAN - 218 |
|
Minicomputer - 0 |
PC Stand Alone - 22 |
|
Client/Server - 0 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
OS2; DOS; PCDOS, Windows; Windows NT |
|
Applications Languages |
MS-Graph; Word-Perfect; Word; R&R; ACCESS; FoxPro; Excel; Lotus |
|
Network Environments |
Novell; Vines; Unix; 3COM LAN; ARCNET; IBM; 10NET |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
Y |
medical mgt (including fee schedules) |
N |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
Y |
|
1-800 reporting |
N |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
Y |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
Y |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
N |
|
|
|
Property valuation |
Y |
|
|
Property (ies) |
Y |
Benchmark analysis |
Y |
|
Vehicles |
Y |
|
|
|
Y |
detailed "drill down" analysis |
Y |
|
Y |
point-in-time reports |
Y |
|
interface with other software |
Y |
+Technology:
+Basic System Price Range: Confidential by request.
User feedback was most positive. Omega is a relatively new system but has been received quite well. It is very comprehensive functionally but not as technically advanced as its closest competitors at present. However, service is reported as good.
|
Major Strengths |
Weaknesses |
|
Fully functional RMIS |
Still perceived as broker system |
|
Global RMIS capabilities |
Awaiting client/server module |
|
Insurance Administration |
Catching up technologically |
|
Risk Financing |
25572 Avenue Stanford
Valencia, CA 91355-1102
Phone:
1-805-294-1300
Key Contacts: Jerry C. Buckley, President
Ralph
Flygare, Vice President
+ Vendor Objective: To provide a comprehensive automated risk management information system, specifically emphasizing workers compensation, liability and group medical claims. The company has survived apparently difficult financial times of four years ago with a nice recovery of new clients in California and the Southwest.
+ Year Founded: 1977
+ Annual Revenue (1993): $ 3.3 million
+ Corporate Status: Independent
+ Number of Direct Users: 246
+ Staff Breakdown:
+ Locations: Valencia, CA, Cocoa Beach, FL, and Sausalito, CA
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
3.5% |
|
Standalone systems |
19.5% |
|
Customized system development |
7% |
|
Database Mgt./Conversions |
35% |
|
Employee Benefit System (24 hour coverage) |
10% |
|
Other (consulting) |
20% |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
39 |
|
Captives, RRGs, Pools |
3 |
|
Manufacturing |
2 |
|
Retail |
36 |
|
Service Provider (TPA, insurer, broker) |
186 |
+ Major Competitors: David; Pyramid; Corporate Systems
+ Global Efforts: US and Virgin Islands.
+ Research & Development Activities: Knowledge-based systems for reserve establishment.
+ Users' Groups: Yes; 30-40 attendees.
+ Training: Standard training is available immediately after purchase of new modules with follow-up every several months, if necessary. Regular sessions are available on an annual basis and whenever needed.
+ Related Services: Some employee benefit systems.
+ Name/Key Functions:
|
System |
Function |
|
GenComp |
WC claims administration |
|
GenPac |
Liability claims administration |
|
GenMed |
Group medical claims administration |
|
PDRS |
Permanent Disability Rating |
|
GenRisk |
General risk management module |
|
GenStation |
Remote incident reporting module |
+Preferred Platform Architecture
Installations:
|
Mainframe - 2 |
PC-LAN - 4 |
|
Minicomputer - 97 |
PC Stand Alone - 143 |
|
Client/Server - 0 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
UNIX; Windows NT; some Windows |
|
Applications Languages |
VMark's Universe; Coopers & Lybrand's Exhibitmaker; Softouch; C++; Object Vision; SQL; BASIC |
|
Network Environments |
Novelle Netware |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
Y |
medical mgt (including fee schedules) |
N |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
Y |
|
1-800 reporting |
N |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
Y |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
Y |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
N |
|
|
|
Property valuation |
Y |
|
|
Property (ies) |
Y |
Benchmark analysis |
Y |
|
Vehicles |
Y |
|
|
|
Y |
detailed "drill down" analysis |
Y |
|
Y |
point-in-time reports |
Y |
|
interface with other software |
Y |
+Technology:
+ Basic System Price Range (includes initial and 1st year maintenance):
|
Number of Users |
|||||||||
|
Platform |
1 |
10-20 |
20-50 |
50-100 |
100+ | ||||
|
Mainframe |
$16,000 |
$33,000 |
$52,400 |
$76,800 |
$100,000 |
||||
|
Minicomputer |
-- |
$55,160 |
$87,008 |
$131,027 |
$158,000 |
||||
|
PC-LAN |
$27,440 |
$55,160 |
$87,008 |
$131,027 |
$158,000 |
||||
User feedback was mostly positive. CIC continues to offer one of the best stand-alone workers compensation systems anywhere. Service responsiveness is excellent. There were some complaints about the user friendliness but the new Unix version upgrade has seemed to solve that problem.
|
Major Strengths |
Weaknesses |
|
Excellent WC Claims administration system |
Technologically behind closest competitors (not yet client-server) |
|
West Coast orientation |
|
|
Claims orientation, not risk management |
12377 Merit Drive, Suite 100
Dallas, TX 75251
Phone:
214-419-5005
Contact: Geoff Baker, EVP
1. Firm Profile:
+ Vendor Objective: To provide a technologically superior, comprehensive claims management information system to large self-insureds, insurers, and third-party administrators.
+ Year Founded: 1992
+ Annual Revenue (1994): Not reported
+ Corporate Status: Independent; joint venture with Perot Systems Corporation
+ Number of Direct Users: Not reported
+ Staff Breakdown: 265 (not broken down)
+ Locations: Dallas, TX, Tallahassee, FL, Tampa, FL, Bristol, TN, Covina, CA, Troy, MI, and Los Angeles, CA
+ Client System Profile: Not broken down
+ Principal Target Markets: Breakdown not reported; however, the company describes its preferred target markets as large self-insureds, governmental entities, insurers and third-party administrators.
+ Major Competitors: EDS; Big 6 Accounting firms IT areas
+ Global Efforts: Significant RMIS activity in Australia; discussions ongoing in Europe.
+ Research & Development Activities: Continued development in other functional areas such as group health and disability, general liability and risk management.
+ Users' Groups: N/A
+ Training: Standard training immediately after purchase of new module with follow-up every several months, if necessary.
+ Related Services: N/A
+ Name/Key Functions:
|
System |
Function |
|
Claims Management |
WC and Liability claims administration |
|
Integrated Medical Management |
WC fee schedule, patterns of treatment expert medical system |
|
Triangles/Loss Forecasting |
Develops claim reserves, estimates future payouts |
|
Allocation |
Cost of risk allocation module |
+Preferred Platform Architecture
Installations:
|
Mainframe - 0 |
PC-LAN - 0 |
|
Minicomputer - 0 |
PC Stand Alone - 0 |
|
Client/Server - several |
+ Software:
|
Software Level |
Packages |
|
Operating System |
Unix; Windows |
|
Applications Languages |
Oracle RDBMS, Uniplex, CCMail |
|
Network Environments |
Novell |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
Y |
medical mgt (including fee schedules) |
Y |
|
automated reserve calculations |
Y |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
Y |
|
1-800 reporting |
N |
litigation mgt. |
N |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
N |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
N |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
N |
|
|
|
Property valuation |
N |
|
|
Property (ies) |
N |
Benchmark analysis |
Y |
|
Vehicles |
N |
|
|
|
Y |
detailed "drill down" analysis |
Y |
|
Y |
point-in-time reports |
Y |
|
interface with other software |
Y |
+Technology:
+ Basic System Price Range: Confidential by request. However, the company's pricing tends to be high if priced straight. If a contingency approach is used, whereby CARE realizes a percentage of savings from the use of its system, the total cost is in accord with that of other vendors' systems and, in some cases, lower.
User feedback was most positive. One client reports significant reduction on its overall cost of workers compensation due to usage of the CARE system. Others have commented on how well the system is supported by the combination of Perot and CARE personnel.
|
Major Strengths |
Weaknesses |
|
Excellent integrated WC/Medical Mgt. System |
Limited to WC at present |
|
Excellent expert systems |
Costly (unless contingency plan is used) |
|
Technology |
Larger clientele sought |
|
Service |
6360 I-55 North
Suite 300
Jackson, MS 39211
Phone:
601-957-7400
Contact: Ken Walz, Director of Marketing
1. Firm Profile:
+ Vendor Objective: To provide a solid automated claims management information system, with ancillary risk management modules.
+ Year Founded: 1978
+ Annual Revenue (1994): Not reported
+ Corporate Status: Independent; some joint ventures with specialists such as fee schedules and medical management.
+ Number of Direct Users: 45 (6200 end users)
+ Staff Breakdown:
+ Locations: Jackson, MI and New Orleans, LA
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
none |
|
Standalone systems |
26% |
|
Customized system development |
24% |
|
Database Mgt./Conversions |
36% |
|
Claims Administration |
8% |
|
Policy Administration |
8% |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
2 |
|
Captives, RRGs, Pools |
10 |
|
Manufacturing |
3 |
|
Retail |
4 |
|
Service Provider (TPA, insurer, broker) |
9 |
+ Major Competitors: Corporate Systems; David; PDS
+ Global Efforts: N/A
+ Research & Development Activities: Advanced utilization review; outsourcing services for insurers.
+ Users' Groups: Yes; all current clients are in the group.
+ Training: Training is offered at the client's location after purchase, then on an as-needed basis.
+ Related Services: N/A
+ Name/Key Functions:
|
System |
Function |
|
Claims Management |
WC and Liability claims administration |
|
Policy Management |
Insurance policy register |
|
Property Management |
Property valuation module |
|
Exposure Module |
Exposure analysis |
|
Triangles/Loss Forecasting |
Develops claim reserves, estimates future payouts |
|
Allocation |
Cost of risk allocation module |
+Preferred Platform Architecture
Installations:
|
Mainframe - 0 |
PC-LAN - 218 |
|
Minicomputer - 0 |
PC Stand Alone - 22 |
|
Client/Server - 0 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
OS2; DOS; PCDOS, Windows; Windows NT |
|
Applications Languages |
MS-Graph; WordPerfect; Word; R&R; ACCESS; FoxPro; Excel; Lotus |
|
Network Environments |
Novell; Vines; Unix; 3COM LAN; ARCNET; IBM; 10NET |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
Y |
medical mgt (including fee schedules) |
N |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
Y |
|
1-800 reporting |
N |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
Y |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
Y |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
N |
|
|
|
Property valuation |
Y |
|
|
Property (ies) |
Y |
Benchmark analysis |
Y |
|
Vehicles |
Y |
|
|
|
Y |
detailed "drill down" analysis |
Y |
|
Y |
point-in-time reports |
Y |
|
interface with other software |
Y |
+Technology:
+ Basic System Price Range (includes initial and 1st year maintenance):
|
Number of Users |
|||||||||
|
Platform |
1 |
10-20 |
20-50 |
50-100 |
100+ | ||||
|
Minicomputer & Client/Server |
$51,000 |
$73,000 |
$99,000 |
$122,000 |
$122,000 |
||||
User feedback was positive. Excellent service and solid system design is universally reported by clients. Again, Conway's focus is mostly on claims and insurance administration and not as much on the higher risk management areas in a minicomputer environment.
|
Major Strengths |
Weaknesses |
|
Solid claims administration system |
Not as risk management administration system oriented |
|
Good underwriting system |
Awaiting client/server module |
1200 Corporate System Center
P.O. Box 31780
Amarillo,
TX 79102-4410
Phone: 806-376-4223
Key Contacts: Dave Duden, Dir.
Marketing
David Chzaszcz, Dir. Product Development
+ Vendor Objective: To provide a diverse client base with a comprehensive risk management information system solution, including a variety of support services. In the company representatives' words, their goal is to provide Òan intense commitment to client/server knowledge-based technologies, the capital and resources available to achieve these goals, coupled with an outstanding array of professionals to service and consult with clients, prospects and consultants....Ó
+ Year Founded: 1967
+ Annual Revenue (1994): $39.5 million
+ Corporate Status: Independent. Joint ventures with: GMIS, Inc.; Health Payment Review; MEDICODE; Medirisk; MedView; Bottom Line Technologies; and Milliman and Robertson.
+ Number of Direct Users: 646 (5037 indirect clients)
+ Staff Breakdown:
+ Locations: Amarillo, TX, Lisle, IL, and Hartford, CT
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
62% |
|
Standalone systems |
11% |
|
Customized system development |
22% |
|
Database Mgt./Conversions |
13% |
|
Claims Administration |
n/a |
|
Employee Benefit System (24-hr. cov.) |
n/a |
|
Other (Teleclaim, Medical Cost Containment) |
22% |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
159 |
|
Captives, RRGs, Pools |
22 |
|
Manufacturing |
2,586 |
|
Retail |
1,153 |
|
Service Provider (TPA, insurer, broker) |
303 |
|
High Tech |
58 |
|
Non-Profit |
12 |
|
Educational Institutions |
353 |
|
Private Consulting Companies |
4 |
|
Health Care |
42 |
|
Other (trucking, wholesale, construction) |
375 |
+ Major Competitors: DAVID; Anistics; Pyramid; ATS; Risk Sciences Group
+ Global Efforts: CS Knowledge is available now in the United Kingdom, France and Germany. Continued penetration of overseas marketplace is ongoing.
+ Research & Development Activities: Continued development of a full-scale client server environment in multiple platforms such as UNIX, PC file servers, parallel processors and IBM AS/400. Planned 1995 releases in the client/server environment include: certificates of insurance tracking; CS TeleClaim; property/fixed asset management system; benchmarking/best practices; executive information system; CS claims; medical bill scanning including OCR; and electronic data interchange.
+ Users' Groups: Yes; all clients are members, and there are annual conferences sponsored by CS.
+ Training: Account support is provided for every level of client service. Customer hot lines are available six days a week. Each client has an account support service team including the Account Executive, Account Service Representatives, Data Conversion Specialist and Applications Programmers. Larger dedicated service units handle the large clients such as the insurers.
+ Related Services: Besides providing RMIS services, CS's significant complementary services include data conversion. Also, with EMLICO, CS has developed an integrated 24-hour coordination project, combining workers compensation and disability (short- and long- term disability), TeleClaim (1-800 dial-in claims reporting service), and CS Managed Care for interfacing medical bill audit, automated case management and return-to-work systems.
+ Name/Key Functions:
|
System |
Function |
|
CAS |
WC and Liability claims administration |
|
CS TeleClaim |
1-800 accident reporting system |
|
CS Legal Case Mgt. System |
Interactive legal system monitoring litigated claims |
|
CS + Case Management |
Integrated medical cost mgt.system |
|
Triangles/Loss Forecasting |
Develops claim reserves, estimates future payouts |
|
Work Flow Imaging |
Document mgt./ scanning system |
|
CS Knowledge |
Executive information reporting system |
|
Risk Management Information System |
Combines elements of other system for client assisted decision support in risk financing and risk control |
|
Cost-of-Risk allocation |
Cost of risk allocation module |
|
24-hour Coordination |
Combination WC and Disabililty information system |
|
CS Disability Claims Mgt. |
Short- and long-term disability claims administration |
+Preferred Platform Architecture
Installations:
|
Mainframe - 261 |
PC-LAN - 0 |
|
Minicomputer - 385 |
PC Stand Alone - 0 |
|
Client/Server - 0 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
DataComDB; OS/400; Windows |
|
Applications Languages |
Oracle; SQL |
|
Network Environments |
Novell; IBM based LAN |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
Y |
medical mgt (including fee schedules) |
Y |
|
automated reserve calculations |
Y |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
Y |
|
1-800 reporting |
N |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
Y |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
Y |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
Y |
|
|
|
Property valuation |
Y |
|
|
Property (ies) |
Y |
Benchmark analysis |
Y |
|
Vehicles |
Y |
|
|
|
Y |
detailed "drill down" analysis |
Y |
|
Y |
point-in-time reports |
Y |
|
interface with other software |
Y |
+Technology:
+ Basic System Price Range (includes initial and 1st year maintenance):
|
Number of Users |
|||||||||
|
Platform |
1 |
10-20 |
20-50 |
50-100 |
100+ | ||||
|
Mainframe |
$26,850 |
$38,750 |
$47,750 |
$92,850 |
$116,150 |
||||
|
Minicomputer |
$47,200 |
$53,100 |
$64,900 |
$88,500 |
$135,700 |
||||
User feedback was positive. CS has made significant strides in a more user-friendly, technologically advanced and diversely functional system. As with all large vendors that have older systems still in place, there are the continued discussions of service response time (especially with smaller clients). However, the direction of CS is most encouraging, and clients are quite pleased.
|
Major Strengths |
Weaknesses |
|
Most comprehensive RMIS and related services in today's industry |
Still some service response questions from certain clients and remarks of inflexibility of existing systems |
|
Reasoned application of available technology |
Awaiting client/server installation on key product lines |
580 California Street
23rd Floor
San Francisco,
CA 94104
Phone: 800-55-DAVID
Key Contact: Jennifer James
+ Vendor Objective: To provide self-insureds and service providers with a solid, automated claims management information system, with additional risk management modules.
+ Year Founded: 1983
+ Annual Revenue (1994): Included as part of parent's revenue.
+ Corporate Status: Owned by the Wyatt Company, Chicago, IL, a professional services firm.
+ Number of Direct Users: 240
+ Staff Breakdown:
+ Locations: San Francisco, CA, Dallas, TX, Detroit, MI, and Boston, MA
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
none |
|
Standalone systems |
50% |
|
Customized system development |
10% |
|
Database Mgt./Conversions |
40% |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
38 |
|
Captives, RRGs, Pools |
10 |
|
Manufacturing |
33 |
|
Retail |
25 |
|
Service Provider (TPA, insurer, broker) |
44 |
|
Educational Institutions |
18 |
|
Health Care |
21 |
|
Other (transportion, utilities, etc.) |
51 |
+ Major Competitors: Pyramid, Paradigm(RSG), DORN
+ Global Efforts: Minimal
+ Research & Development Activities: Electronic filing; medical fee schedule. and client/server architecture.
+ Users' Groups: Yes: several regional groups and one national conference per year.
+ Training: Training offered is at the client's location for 4-5 days after purchase, then on an as-needed basis.
+ Related Services: N/A
+ Name/Key Functions:
|
System |
Function |
|
CompPlus |
WC claims administration |
|
P&CPlus |
General Liability claims administration |
|
IncidentPlus |
Incident inquiry and quality assurance |
+Preferred Platform Architecture
Installations:
|
Mainframe - 0 |
PC-LAN - 220 |
|
Minicomputer - 0 |
PC Stand Alone - 20 |
|
Client/Server - 5 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
UNIX; OS2; DOS; PCDOS, Windows; Windows NT; SQLServer |
|
Applications Languages |
DataFlex; C++; Visual Basic |
|
Network Environments |
Novell; Vines; Unix; 3COM LAN; ARCNET; IBM; 10NET |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
N |
medical mgt (including fee schedules) |
Y |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
N |
|
1-800 reporting |
N |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
N |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
N |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
N |
|
|
|
Property valuation |
N |
|
|
Property (ies) |
N |
Benchmark analysis |
N |
|
Vehicles |
N |
|
|
|
Y |
detailed "drill down" analysis |
N |
|
Y |
point-in-time reports |
N |
|
interface with other software |
Y |
+Technology:
+ Basic System Price Range: Confidential by request
Although DAVID did not provide a client list, we are familiar with several of their clients. All report a well-functioning claims system and fairly responsive service. The emphasis is claims and, in particular, workers compensation.
|
Major Strengths |
Weaknesses |
|
Solid WC claims administration |
Not risk management systemoriented |
|
Good service |
Awaiting client/server architecture |
Suite 450
38705 Seven Mile Road
Livonia, MI
48152-1005
PHONE: 313-462-5800
Key Contact: Mark Dorn, President
+ Vendor Objective: To provide the risk management and service provider community with a fully comprehensive risk management information system, utilizing state-of-the-art technology at a reasonable cost.
+ Year Founded: 1982
+ Annual Revenue (1993, quoted in Business Insurance): $4.1 million
+ Corporate Status: Independent
+ Number of Direct Users: 520
+ Staff Breakdown:
+ Locations: Livonia, MI, St. Petersburg, FL, and Cincinnati, OH
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
none |
|
Standalone systems |
30% |
|
Customized system development |
15% |
|
Database Mgt./Conversions |
10% |
|
Turnkey consulting services |
35% |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
50 |
|
Manufacturing |
180 |
|
Retail |
20 |
|
Service Provider (TPA, insurer, broker) |
50 |
|
Health Care |
300 |
+ Major Competitors: Corporate Systems; free broker systems
+ Global Efforts: N/A
+ Research & Development Activities: Continued enhancement of DOS system and new client server system.
+ Users' Groups: Yes, 125 clients.
+ Training: Training offered in three levels: pre-implementation; initial training and basic data entry; post-implementation follow-up.
+ Related Services: N/A
+ Name/Key Functions:
|
System |
Function |
|
Claims Management |
WC and Liability claims administration |
|
Policy Management |
Insurance policy register |
|
Property Management |
Property valuation module |
|
Medical cost management |
Medical cost management |
|
Triangles/Loss Forecasting |
Develops claim reserves, estimates future payouts |
|
Allocation |
Cost-of-risk allocation module |
|
Imaging |
Document management module |
+Preferred Platform Architecture
Installations:
|
Mainframe - 0 |
PC-LAN - 400 |
|
Minicomputer - 70 |
PC Stand Alone - 50 |
|
Client/Server - 0 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
Unix, DOS; PCDOS, Windows; Windows NT; SQLServer |
|
Applications Languages |
Oracle; Access, Visual Basic; C++ |
|
Network Environments |
Novell; Vines; Unix; 3COM LAN; ARCNET; IBM; 10NET |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
Y |
medical mgt (including fee schedules) |
Y |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
N |
|
1-800 reporting |
Y |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
Y |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
Y |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
Y |
|
|
|
Property valuation |
Y |
|
|
Property (ies) |
Y |
Benchmark analysis |
Y |
|
Vehicles |
Y |
|
|
|
Y |
detailed "drill down" analysis |
Y |
|
Y |
point-in-time reports |
Y |
|
interface with other software |
Y |
+Technology:
+ Basic System Price Range: Confidential by request
We did not receive a client list from DTG. However, we do know of several installations at clients who report a favorable impression of the system as well as the service. The one area of complaint (common to all vendors) was on data conversion errors.
|
Major Strengths |
Weaknesses |
|
Comprehensive RMIS; proven track record |
No major weaknesses detected without more clients to interview |
3625 Queen Palm Drive
Tampa, FL 33619
800-237-8133
Key
Contact: George Cannon, Director of Sales
+ Vendor Objective: To provide a detailed WC claims management information system to self-insureds.
+ Year Founded: 1985
+ Annual Revenue (1993): $ 2.5 million
+ Corporate Status: Owned by Pharmacy Management Services
+ Number of Direct Users: 140
+ Staff Breakdown:
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
none |
|
Standalone systems |
50% |
|
Customized system development |
5% |
|
Database Mgt./Conversions |
30% |
|
Employee Benefit Systems (24-hr. cov.) |
15% |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
30 |
|
Captives, RRGs, Pools |
5 |
|
Manufacturing |
5 |
|
Retail |
10 |
|
Educational |
10 |
|
Service Provider (TPA, insurer, broker) |
2 |
|
Health Care |
10 |
+ Major Competitors: DORN; David; Pyramid;
+ Global Efforts: Some in Eastern Europe
+ Research & Development Activities: Rewrite of medical bill review system; rewrite to Windows.
+ Users' Groups: Not reported
+ Training: Standard training immediately on site up to five days after purchase. One free day at ISP per month; as needed help.
+ Related Services: N/A
+ Name/Key Functions:
|
System |
Function |
|
MediStar |
Medical bill review |
|
CompStar |
WC claims administration |
+Preferred Platform Architecture
Installations:
|
Mainframe - 0 |
PC-LAN - 120 |
|
Minicomputer - 0 |
PC Stand Alone - 20 |
|
Client/Server - 0 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
DOS; PCDOS |
|
Applications Languages |
FoxPro |
|
Network Environments |
Novelle Netware |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
N |
medical mgt (including fee schedules) |
Y |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
Y |
|
1-800 reporting |
Y |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
N |
|
|
Policy register |
N |
Cost of Risk Allocation |
N |
|
Certificates Tracking |
N |
Actuarial (loss development & forecasting) |
N |
|
Certificates Issuance |
N |
|
|
|
Property valuation |
N |
|
|
Property (ies) |
N |
Benchmark analysis |
N |
|
Vehicles |
N |
|
|
|
Y |
detailed "drill down" analysis |
N |
|
Y |
point-in-time reports |
N |
|
interface with other software |
N |
+Technology:
+ Basic System Price Range: Confidential by request.
User feedback was generally positive. ISP's WC claims administration module, with the medical bill review module, is a substantive stand-alone system.
|
Major Strengths |
Weaknesses |
|
Good WC and medical management system |
Technologically behind |
|
Lack of risk management analysis |
90 Grove Street
Suite 207
Ridgefield, CT 06877
Phone:
203-438-3883
Key Contact: Bill Kuebler, President
+ Vendor Objective: To provide a comprehensive RMIS to large self-insureds and service providers in a cost-efficient manner.
+ Year Founded: 1988
+ Annual Revenue (1994): $3.2 million
+ Corporate Status: Owned by AON Corporation, Chicago, IL; joint venture with Resource Information Management System
+ Number of Direct Users: 165
+ Staff Breakdown:
+ Locations: Ridgefield, CT, Pittsburgh, PA (1), Atlanta, GA (1), Kansas City, MO (1), Ann Arbor, MI (1), San Francisco, CA, Denver,CO (1)
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
|
|
Stand alone systems |
|
|
Customized system development |
|
|
Database Mgt./Conversions |
|
|
Policy administration |
|
|
Other (medical cost containment) |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
14 |
|
Captives, RRGs, Pools |
11 |
|
Manufacturing |
19 |
|
Retail |
23 |
|
High Tech |
3 |
|
Non-Profit |
5 |
|
Private Consulting Companies |
2 |
|
Educational |
4 |
|
Service Provider (TPA, insurer, broker) |
17 |
|
Health Care |
10 |
|
Other (trucking, wholesale, construction) |
57 |
+ Major Competitors: Corporate Systems; Risk Sciences Group; DAVID; DORN
+ Global Efforts: N/A
+ Research & Development Activities: Windows 95; upgrades on existing systems.
+ Users' Groups: Yes; All clients are members, and there are annual conferences sponsored by Pyramid.
+ Training: Both onsite and classroom training is available.
+ Related Services: N/A
+ Name/Key Functions:
|
System |
Function |
|
Claims Management |
WC and Liability System claims administration |
|
First Report |
1-800 accident reporting system |
|
Integrated Medical Mgt. |
Integrated medical cost mgt. system |
|
Medical cost management |
Medical cost management |
|
Risk Mgt. Information |
Combines elements of System other system for client- assisted decision support in risk financ ing and risk control |
|
Cost-of-Risk allocation |
Cost of risk allocation module |
+Preferred Platform Architecture
Current Installations:
(Direct Basis)
|
Mainframe - 0 |
PC-LAN - 150 |
|
Minicomputer - 70 |
PC Stand Alone - 0 |
|
Client/Server - 15 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
UNIX, OS2; DOS; PCDOS; Windows NT; Windows; Oracle; Sybase; Gupta; SQLServer |
|
Applications Languages |
Visual Basic; C; C++ |
|
Network Environments |
Novell; IBM based LAN; 3COM Lan; Arcnet; 10Net; Vines |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
Y |
medical mgt (including fee schedules) |
Y |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
N |
|
1-800 reporting |
Y |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
Y |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
Y |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
Y |
|
|
|
Property valuation |
Y |
|
|
Property (ies) |
Y |
Benchmark analysis |
Y |
|
Vehicles |
Y |
|
|
|
Y |
detailed "drill down" analysis |
Y |
|
Y |
point-in-time reports |
Y |
|
interface with other software |
Y |
+Technology:
+ Basic System Price Range (includes initial and 1st year maintenance):
|
Number of Users |
|||||||||
|
Platform |
1 |
10-20 |
20-50 |
50-100 |
100+ | ||||
|
Client/Server & LAN |
$5,500 |
$34,000 |
$78,000 |
$112,000 |
$240,000 |
||||
User feedback was mixed. Pyramid's functionality, innovation and use of technology are among the best in the RMIS industry. On the other side of the coin is the service problem, either in implementing new systems or ongoing maintenance. Essentially, the company has a small service staff, considering the size of the clientele.
|
Major Strengths |
Weaknesses |
|
Comprehensive RMIS |
Service response questions from certain clients |
|
Good application of available technology |
Awaiting finalization of client/server installation on key product lines |
5620 Glenridge Drive 15395 SE 30th Street
Atlanta,
GA 30342 Bellevue, WA
Phone: 404-847-4511 206-746-4559
Key
Contacts: Jack Tatum, President, RSG;
Rick Hoehne, Principal, RSG
(Paradigm)
+ Vendor Objective: To provide a comprehensive RMIS to large self-insureds and service providers in a technologically advanced environment.
+ Year Founded: 1978
+ Annual Revenue (1994): $18 million
+ Corporate Status: Owned by Crawford & Company, Atlanta, GA
+ Number of Direct Users: 234
+ Staff Breakdown:
+ Locations: Ridgefield, CT, Pittsburgh, PA (1), Atlanta, GA (1), Kansas City, MO (1), Ann Arbor, MI (1), San Francisco, CA, Denver,CO (1)
Client System Profile:
|
Revenue Source |
% Revenue |
|
Timeshare systems |
37% |
|
Stand alone systems |
10% |
|
Customized system development |
15% |
|
Database Mgt./Conversions |
21% |
|
Other (medical cost containment) |
3% |
+Principal Target Markets:
|
Client Description |
Installations |
|
Public Sector |
5 |
|
Captives, RRGs, Pools |
3 |
|
Manufacturing |
45 |
|
Retail |
66 |
|
High Tech |
57 |
|
Non-Profit |
0 |
|
Private Consulting Companies |
0 |
|
Educational |
6 |
|
Service Provider (TPA, insurer, broker) |
33 |
|
Health Care |
5 |
|
Other (trucking, construction) |
131 |
+ Major Competitors: In-house systems; carrier systems; J&H STARS; Pyramid; Corporate Systems; Anistics
+ Global Efforts: Significant European activity (UK) and in the Far East.
+ Research & Development Activities: Full release of client/server on Sybase and Oracle; state expansion on provider bill audit.
+ Users' Groups: Yes; 110 members.
+ Training: Both onsite and classroom training is available.
+ Related Services: Crawford & Company services, from claims adjusting and claims administration to Sentinel bill audits/medical reviews.
+ Name/Key Functions:
|
System |
Function |
|
Claims Admin. System |
WC and Liability claims administration |
|
First Report |
1-800 accident reporting system |
|
Integrated Medical Mgt. |
Integrated medical cost mgt. system (hook in with Sentinel) |
|
Medical cost management |
Medical cost management |
|
Risk Management Information System |
Comprehesive module combining elements of other systems for client-assisted decision support in risk financing and risk control. |
+Preferred Platform Architecture
Current Installations:
(Direct Basis)
|
Mainframe - 220 |
PC-LAN - 6 |
|
Minicomputer - 0 |
PC Stand Alone - 2 |
|
Client/Server - 6 |
+ Software:
|
Software Level |
Packages |
|
Operating System |
Nomad; Windows NT; Windows; Oracle; Sybase; Teradata; SQL Server; 4th Dimension (Mac version) |
|
Applications Languages |
Nomad procedural language; Visual Basic |
|
Network Environments |
Novell; IBM-based LAN; Mac |
+Functionality:
|
Basic Analysis |
Yes/No |
Advanced Analysis |
Yes/No |
|
|
||
|
online hookup with other claim organizations |
Y |
medical mgt (including fee schedules) |
Y |
|
automated reserve calculations |
N |
|
|
1099 issuance |
Y |
"patterns of treatment" analysis |
Y |
|
1-800 reporting |
Y |
litigation mgt. |
Y |
|
bank reconciliation |
Y |
|
|
|
financial models comparison |
Y |
|
|
Policy register |
Y |
Cost of Risk Allocation |
Y |
|
Certificates Tracking |
Y |
Actuarial (loss development & forecasting) |
Y |
|
Certificates Issuance |
Y |
|
|
|
Property valuation |
Y |
|
|
Property (ies) |
Y |
Benchmark analysis |
Y |
|
Vehicles |
Y |
|
|
|
Y |
detailed "drill down" analysis |
Y |
|
Y |
