Tuesday, January 21, 2014

How to Research Insurance Companies

Before you subscribe an insurance you need to understand how insurance companies work. To help understand that we have provided a detailed explanation of Insurance Companies Business Model based on internet research and talking with some friends that are experts and work on the insurance professional field. Let's breakdown the model in components:
  • Underwriting and investing
  • Claim
  • Marketing
Underwriting and investing
On raw terms we can say that the Insurance Companies business model is to bring together more value in premium and investment income than the value that is expended in losses and at the same time to present a reasonable price which the clients will accept.
The earnings can be described by the following formula:
Earnings = earned premium + investment income - incurred loss - underwriting expenses.
Insurance Companies gain their wealth with these two methods:
  • Underwriting, is the process that Insurance companies use to select the risk to be insured and chooses the value of the premiums to be charged for accepting those risks.
  • Investing the values received on premiums.
There is a complex side aspect on the Insurance Companies business model that is the actuarial science of price setting, based on statistics and probability to estimate the value of future claims within a given risk. Following the price setting, the insurance company will consent or refuse the risks using the underwriting process.
Taking a look at the frequency and severity of the insured liabilities and estimated payment average is what ratemaking at a simple level is. What companies do is check all those historical data concerning losses they had and update it on today's values and then comparing it to the premiums earned for a rate adequacy assessment. Companies use also expense load and loss ratios. Simply putting this we can say that the comparison of losses with loss relativities is how rating different risks characteristics are done. For example a policy with the double losses should charge a premium with the double value. Of course there is space for more complexes calculations with multivariable analysis and parametric calculation, always taking data history as it inputs to be used on the probability of future losses assessment.
The companies underwriting profit is the amount of premium value collected when the policy ends minus the amount of paid value on claims. Also we have the underwriting performance A.K.A. the combined ratio. This is measured by dividing the losses and expenses values by the premium values. If it is over 100% we call it underwriting loss and if it is below the 100% then we call it the underwriting profit. Don't forget as part of the Companies business model there is the investment part which means that the companies can have profit even with the existence of underwriting losses.
The Float is how insurance companies earn their investment profits. It is amount of value collected in premium within a given time and that has not paid out in claims. The investment of the float starts when the insurance companies receive the payments from the premiums and end when the claims are paid out. As it is this time frame is the duration from which the interest is earned.
The insurance companies from the United States that operate on casualty and property insurance had an underwriting loss of $142 Billion in the five years ending on the year of 2003, and for the same period had an overall profit of $68 Billion consequence of the float. Many professionals from the industry think that is possible to always achieve profit from the float not having necessarily a underwriting profit. Of course there are many thinking streams on this matter.
Finally one important think you should consider when subscribing a new insurance is that in economically depressed times the markets have bear trends and the insurance companies run away from float investments and causes a need to reassess the values of the premiums which means higher prices. So this is not a good time to subscribe or renew your insurances.
The changing on profit and nonprofit times is called underwriting cycles.
Claims
The actual "product" paid for in insurance companies industry are the claims and loss handling as we can call it the materialized utility of insurance companies. The Insurance Companies representatives or negotiators can help the clients fill the claims or they can be filled directly by the companies.
The massive amount of claims are employed by the claim adjusters and supported by the records management staff and data entry clerks within the Companies claims department. The classification of the clams are made on severity criteria basis and allocated to the claim adjusters. The claim adjusters have variable settlement authority according to each ones experience and knowledge. After the allocation, follows the investigation with collaboration of the customer to define if it is covered by the contract. The investigation outputs de value and the payment approval to the client.
Sometimes a public adjuster can be hired by the client to negotiate an agreement with the insurance companies on his behalf. On more complex policies where the claims are hard to manage the client may and normally uses the a separate policy add on for the cover of the cost of the public adjuster, called the loss recovery insurance.
When managing claims handling functions, the companies tries to steady the requirements for customer contentment, expenses of administrative and over payment leakages. Insurance bad faith usually comes from this equilibrium act that causes fraudulent insurance practices which are a major risk that are manage and overcome by the companies. The dispute between the clients and insurance companies often leads to litigation. The claims handling practices and the validity of claims are the escalating issues.
Marketing
Insurance Companies use negotiators and representatives to initiate the market and underwrite their clients. These negotiators are bond to a sole company or they are freelancers, which mean that they can rules and terms from many other insurance companies. It is proven the accomplishment of Insurance Companies goals is due to dedicated and tailored made services supplied by the representatives.

Set Up For Failure In Sales Career

There are those who aspire to a career in Insurance sales. This choice can lead exceptional financial rewards, prestige and a solid profession. There are many benefits with a career in Insurance sales.
Yet when people apply to become an agent I find that the depiction of the new career tells only one side. New agents hear about the money, freedom, positions and benefits of the position. Yet there is always another side to any story. That story not only shares the positive but the negative aspects to the decision to pursue this career.
I am not a negative person. But it is time to share the story so that people know exactly what they are getting into before they make the decision. Consider the following;
1) This is not a job, but a career choice to become self employed - when you are looking for a job you should not consider a career in Insurance sales. With a job you work and get a check after a few weeks. With insurance you have no guarantee of a check even if you go to work, prospect as they tell you to and do all that is required. The average income for a 1st year agent is under $25,000. Yes there are some high producers but that is the exception, not the norm. For most self employed businesses it takes years to earn a profit.
2) Consider this position from an accounting perspective - On a balance sheet it lists the assets (things you own) and liabilities (what you owe) along with owners equity and it all must balance. In sales you have your assets(benefits from your new position) and that is where most managers stay when they are interviewing. But the liabilities (expenses) associated with this position are not offset by income initially. You have to pay to keep your car running; gas to get to appointments; lunch money; money to pay your household bills; money to cover expenses that need to paid in order to work. These expenses must be covered by someone and it typically is not the insurance company.
3) Great rewards involve great risk- you can get great rewards from taking great risks. If you are willing to handle all the risks associated with succeeding big in Insurance, you can see great rewards. The key is to see where you want to be and then pay the price to get there.
This is a great career for the person who is prepared to cover all expenses until income starts to come in.

The Insurance Loopholes That Public Adjusters Maximize On

Insurance companies have always marketed themselves by portraying their companies as honest, 'charitable' organizations ready to help you in case of any peril. Although they are helpful in protecting assets, they are still businesses. That means their main goal is making profit and staying in business. The only way they can do this is ensuring that the pay outs are far much lower than the overall premiums being paid.
One of the tricks insurance companies use to do that is introducing loopholes to help them avoid compensating some of their clients when claims are filed. Fortunately for them, most people do not pay attention to the 'fine print' before signing insurance papers. They therefore willingly commit themselves to insurance contracts without a comprehensive understanding of the terms and prospective 'loopholes'.
So, what happens when you file for a claim and you are shocked to find out that you cannot be compensated because of a particular loophole? That's exactly where public adjusters come in. They challenge the insurance companies on the loopholes to negotiate for a fair compensation. Some of the common loopholes they deal with include:
Double Tragedies
Some people lose their property through double tragedies. For instance, your house may be hit by a hurricane and still get swept up by floods. In such a case, some insurance companies can only compensate you if both tragedies are covered regardless of the sequence in which the tragedies occurred. Therefore, if you were covered for hurricanes but not floods, your claim will probably be turned down. Public adjusters however, can negotiate your claim to help you avoid falling victim to such a loophole.
Pre-existing Conditions
Many insurance companies will not compensate you if you file a claim for a condition that existed prior to being insured. For example, a cancer patient may not benefit from his health insurance if the insurance company discovered that he had already been diagnosed prior to applying for the insurance cover. Many times insurance company adjusters mistakenly associate new damage to a pre-existing condition, when they are actually unrelated. In other words, a homeowner might have their claim wrongly denied under a pre-existing condition. Public adjusters are very helpful especially in cases where the victims were not knowledgeable on the existing condition, and how damage is evaluated.
The best way to avoid falling victim to such loopholes is comprehensively reading the policies on the respective insurance covers. Do not sign anything without comprehending the terms and conditions. In addition, if you think you are thinking of filing an insurance claim, contact a public adjuster.

Effective Workers' Compensation Using Claims Management Software

No matter how many health and safety measures an employer implements, industrial jobs are still vulnerable to workplace injuries and deaths as they deal with heavy machinery and work in hazardous conditions. Insurance providers are liable to pay employees the compensation benefits in case of occurrence of any such incidents.
It covers all the medical bills, compensates lost wages, compensates for loss or death of an employee to his/her dependents, etc. So, processing these claims accurately is very crucial to the insurance company as well as the employer as it directly impacts the revenue and growth of the organization.
Workers' compensation software is an application that helps insurance providers in managing and settling the claims effectively, compensating the insuree with accurate amount and avoiding fraudulent claims.
Workers' compensation system helps insurance providers in many ways. It
Enables fast reporting of an incident
It is important that the incident must be reported immediately after the occurrence (reporting doesn't mean that the claim is accepted). But, immediate reporting is critical for both claimant and the employer as claimant receives compensation quickly and employer saves additional cost that he has to pay towards late settlement. It provides template to report the claim making it easier and faster to report the incident immediately after the occurrence.
Records, maintains and tracks the previous claims
Workers' compensation software and its claim management software records all the critical information of the claim and saves them. The critical information of the claims will be useful in settling them. Claims manager of workers' compensation system avoids tedious paper work, effort and time of recording, updating and verification of the claims. It is also helpful in tracking and retrieving the records easily.
Measures the claim settlement amount accurately
Settling claim is the key phase of claims management. With the help of all the critical information stored, claims management system calculates the premium or settling amount fairly and accurately. This avoids headache for the insurer to calculate the settling amount manually or worry about over or under-payment. Workers' compensation software itself calculates the accurate amount.
Helps in avoiding fraudulent claims
Avoiding fraudulent claims is the most critical factor that determines the growth and respect of the organization. Fraudulent claiming is commonly a single employee claiming for compensation frequently. Workers' compensation software avoids the fraudulent claims by verifying previous records every time a claim is made to identify if the same employee have claimed before or how frequently the claims are made.
By using effective workers' compensation software, claim performance of the organization can be improved. By effective claims management and settlement you can not only compensate fairly and quickly but also save operational costs.

The Importance of Vaccinations When Travelling

It is quite likely that you spend considerable amounts of time planning your yearly holidays. You probably consider the merits of different hotels and research the kinds of activities that can be enjoyed in various parts of the world. However, it is important to remember that there are quite a number of holiday risks: your flights could be unexpectedly delayed; you might require medical attention after a nasty fall; there may even be a chance of contracting serious diseases. If you were worried about such scenarios (and you should be), it would be worth investing in single trip travel insurance and following the advice in this article.
Planning Ahead
It is worth pointing out there is some variation in the types of vaccinations required before travelling to different countries. It is possible to obtain information from specialist medical websites, however you should visit your local doctor for further clarification regarding the necessary ones. This visit should be made at the earliest possible opportunity, as the medical practitioners may have to arrange a course of immunisation. Your single trip travel insurance provider may reject claims if you haven't taken the advised precautions.
Different Kinds Of Inoculations
There are three kinds of vaccinations required by those travelling abroad. The routine immunisations are given as a means of protection against common diseases such as measles and rubella, and doctors may recommend others depending upon the countries visited. People planning trips to India are advised to take precautions against hepatitis A and polio, while rabies shots are recommended to those planning trips to Thailand. Others may be required before travellers are allowed to enter some foreign countries; for instance, it is necessary to provide proof of yellow fever inoculation before entering Anguilla and Angola. Travellers may also take tablets and other medical provisions to reduce the chances of having to make single trip travel insurance claims against the costs of medical care.
Serious Travel Risks
Those who have scheduled trips to the more developed countries may mistakenly believe that immunizations aren't required. However, it is worth pointing out that there is a chance of contracting influenza and tick borne encephalitis in certain parts of Scandinavia, for example. People travelling to the UK or America for the first time may also be surprised by the need. Of course, the risks are far greater in the developing countries of Latin America, Africa and the Middle East and it is also worth noting that the levels of medical provision are fairly poor in these regions - travellers may even have to be airlifted to quality medical establishments in other parts of the world. The costs of foreign medical transfers are particularly high and travellers may be glad of the financial protection guaranteed by single trip travel insurance.

Some Important Insurance Coverage Concepts You Should Know

Coverage and Limits:
• Liability: Any type of insurance policy that protects an individual or business from the risk that they may be sued and held legally liable for something such as malpractice, injury or negligence. Liability insurance policies cover both legal costs and any legal payouts for which the insured would be responsible if found legally liable. Intentional damage and contractual liabilities are typically not covered in these types of policies.
• Bodily Injury: Damages to third party when insured is at fault: Medical bills, loss of income, pain and suffering, and other results of the physical harm incurred.
• Property Damage: Physical injury to tangible property (third party) when insured is at fault: including loss of use of such property. This coverage is mandatory in the state of Florida. (Damages to another vehicle, house, electrical poles, a fence, etc.).
• Medical Payments: Pays expenses incurred for necessary medical and funeral services to persons injured by accident, without regard to fault or legal liabilities.
• Uninsured Motorists: This coverage is a form of coverage to pay compensatory damages for bodily injuries, under one's own policy, for amounts which would otherwise have been recovered from the liability insurance of another (when the injured is NOT at fault). Uninsured Motorists is not intended to duplicate payments otherwise available.
• Stacked or Non-Stacked: Stacked coverage means the coverage limits provided for two or more vehicles are added together to determining the limit of insurance coverage available to an injured person in any one accident; while the Non-Stacked is available to a person injured while occupying a motor vehicle is only the limit applicable to that motor vehicle.
• Personal Injury Protection (PIP): Personal injury protection (PIP) can cover expenses related to injuries you sustained in a covered accident. These expenses can include medical and hospital bills as well as expenses not covered by your health insurance. Coverage will vary depending on the state you live in, and it can be a great supplement to your health insurance.
>> The law requires that PIP insurance be carried by the owners of motor vehicles, and imposes penalties for failing to do so.
• Comprehensive: Cover the damages to the insured's vehicle for Other than Collision like: fire, theft, vandalism, falling objects (hail), explosion, windstorm, flood, contact with animal or bird, breakage of glass.
• Collision: Upset (overturn) or impact with another object.
Eligibility:
• Eligible types are a private passenger auto and a pickup or van that has a Gross Vehicle Weight of less than 10,000 pounds and is not used for work. The eligible vehicle may either be owned by the insured or long-term leased for a period of six month or more.
Insured:
• To insure the vehicle under a Personal Auto Policy, the vehicle must be registered under a person's name; not all insurance companies accept vehicles under a corporation's name under a Personal Auto Policy.
• For some companies the insured must be registered owner(s) of the vehicle, and the policy cannot be written under one of the driver's name.
Rating:
• Determined by the address (zip code) where the vehicle is garaged.
• If there is more than one vehicle on the policy, they can be rated in different territories depending on the garage address. i.e.: Students away to college.
Driver Classification:
• The age, sex, and marital status of the operators, and how much they drive the vehicle(s) determine the driver classification.
• Rates are highest when the principal operator is a youthful unmarried male and lowest when they are no youthful operators.
• All drivers of the household have to be listed on the policy and are considered to rate it; or they can be excluded, but a premium will be charged.
Driving Record:
• Points are assigned for at fault accidents and major (serious) traffic violations during a prior three year period. Points are counted different then in the Driver License.
• Drivers with their License Under Suspension are not acceptable by some companies, and a License with Suspension (already Reinstated) are also considered to determine the premium of the policy. They lose the entire safe driver discount.

The Importance of Life Insurance

When we are young, we think that we are invincible. Because we think we are invincible we don't think too much about what would happen after our passing. If you have a family you need to be thinking about what would happen if you suddenly passed away, even if you are young and you assume that you will live to an old age. This is what life insurance is for. While most of us don't like to think about our death, we should all think ahead in think about how we can ensure that the people we love will be able to continue to live the lifestyle to which they are accustomed even after our passing.
Life insurance is like all types of insurance, you pay for it and hoping that you will never need to use it. While you don't plan to have to use it anytime soon, it is a nice safety net to have in the event that you did pass suddenly. The idea is that you will pay life insurance premiums over the course of your life. This will allow you to have a sum of money that will be available to your beneficiary. The purpose of the money will be to pay for any end-of-life expenses such as the funeral, as well take care of any debt that you may have in your name. Many people also like to take it a step further and ensure that they have enough coverage for their loved ones to make housing payments and continue to live in the way that they have been. This is especially important if you are the main provider for your household.
Life insurance is particularly valuable for those who have children. When you have children, you need to think about how they will be taking care of over the course of their life. While most parents hope to be alive to see their children into adulthood, accidents happen. Life insurance will be there with an accident happens. It will be funding that will allow your spouse to be able to continue to care for your children even in your absence.
Because we never know what is going to happen tomorrow, it is better to take the time today to plan for what could happen. Life insurance is available in many different types and you can choose how much life insurance you would like to buy. If you have older children that will not require a spouse to care for them through childhood into adulthood, you can choose to have a less life insurance. You can choose just to have a policy that will cover basic end-of-life expenses. If you want to ensure that your spouse or your children will be comfortable even upon your passing in terms of finances, you can elect to have tens to hundreds of thousands of dollars in life insurance coverage.
Planning ahead today will give you peace of mind for tomorrow. No one likes to think about their desk, but thinking about it now and applying those thought to life insurance, will help to ensure that even upon your passing yourself and your children will be well taken care of. It is worth the time and consideration now as it will be an invaluable asset in the event of your death.