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BENCHMARKING. Performance standards. Compliance
audits. These are becoming familiar words and terms to risk managers.
Much of Corporate America is undergoing significant changes to become
more efficient and is using these tools, as well as strategies like
downsizing, process re-engineering, outsourcing and others, to
accomplish this goal.
This search to improve efficiency of operations
encompasses all business activities: management, sales and marketing,
customer service, administration, product development, research and
development, information systems, etc. This drive for greater
efficiency applies not only to internal operations but to external
relationships with vendors, as well.
How does this apply to the user of risk management
services? With the risk management department undergoing the same
level of scrutiny by ``corporate re-engineers,'' why not apply these
same tools and techniques to evaluating the department's external
vendors? The efficiency of brokers, insurers, third-party
administrators, risk management information system vendors and a host
of ancillary groups (such as medical and vocational rehabilitation
providers, defense attorneys, safety engineers, etc.) all can be
assessed.
In short, the bottom line today is ``compare and
evaluate.'' To decide what is the best or most efficient method to do
this, clients want answers to the following questions:
- How is my service provider measuring up to industry standards?
- By the way, what are the industry standards, anyway?
- How does our vendor compare with other vendors for the same type
of client?
- Can we do it more efficiently by either outsourcing or bringing
the function inside?
- How do we quantify services that tend to be quite subjective?
Given that this is Business Insurance's Spotlight
Report on Risk Management Systems & Analysis, I thought this would
be a particularly germane topic, since organizations are constantly
looking for some methodology of evaluating their systems and vendors.
Furthermore, since I will be coordinating and speaking at next
spring's Risk & Insurance Management Society conference on the
topic of ``Measuring the Value of Vendor Services,'' it makes sense
for me to discuss some of the more common techniques and tools
available for use by risk managers. These same tools and techniques
are applicable to the various types of service providers used by risk
managers.
The three major methods of evaluating efficiency
are performance assessment reviews, benchmarking studies and
outsourcing analyses. Lack of time and space prevent me from going
into great detail to explain the usefulness of these three techniques.
However, in my experience, these three are among the most valuable
that can be employed.
Performance assessment reviews. This is one of the
best methods of determining the efficiency of an operation, service or
department, whether internal or external. For a service, such as
claims administration, the operation is evaluated and compared
against:
- Existing claims-handling standards by the TPA, insurer or
self-administered organization.
- Industry averages.
- Best practices, or what the best organizations have as their
standard.
At Deloitte & Touche, we call this method
measuring the ``PAR value'' of a service.
Of course, to do this requires that we know what
the standards are. In the claims industry, for example, there are no
published standards. Yet most claims professionals would generally
agree on standards based on principles of claims handling, case loads
per adjuster, timeliness of claimant contact and the like. Therefore,
we have gathered generally acceptable performance standards to
facilitate the review process.
The RMIS is a particularly useful tool for
analysis. With the right system and data, one can perform a PAR
analysis 36.
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