| When most people enter a department store such as | | | | infrastructure,†Schnure says. |
| Macy’s or Bloomingdale’s, they | | | | “We would run the application off their |
| anticipate a day of shopping, not mulling over the | | | | server, and it would not utilize our internal IT |
| intricacies of insurance and risk management. But to | | | | resources. However, we also saw this model as a big |
| Ann Schnure, director of self-insurance and claims at | | | | disadvantage to our specific needs and corporate |
| Federated Department Stores (FDS), millions of | | | | philosophy. We wanted to have control and make |
| square footage of retail and merchandising space | | | | direct modifications if necessary.†|
| translates into critical claims and risk management | | | | The other vendor was Valley Oak Systems (VOS), a |
| issues. | | | | company perceived as predominantly focused on the |
| As one of the nation’s leading department | | | | California workers’ compensation market. |
| store retailers, Federated operates more than 450 | | | | “We knew that Valley Oak had expanded |
| stores in thirty-four states under the names | | | | to national capability, and in all honesty, California |
| Bloomingdale’s, The Bon Marché, | | | | drives one of the most complex workers’ |
| Burdines, Goldsmith’s, Lazarus, | | | | compensation markets in the country,†|
| Macy’s and | | | | says Schnure. “When we looked at their |
| Rich’s-Macy’s. | | | | system, we realized that Valley Oak’s |
| Since the early 1990s, the company has covered its | | | | feature, initially built for California, really could be used |
| general liability and workers’ compensation | | | | in any state.†|
| claims through a self-insured, self-administered | | | | Data Conversion |
| program. In 2001, FDS decided that it needed a new | | | | By February 2002, Federated signed an agreement |
| claims administration system to update some of the | | | | to license VOS Portal. After some initial planning, |
| critical processes and procedures in their claims | | | | Schnure’s department began work with |
| department. The department was using an old, limited | | | | the Valley Oak implementation team to jump-start |
| product. Although it had been cutting-edge when it | | | | the data conversion process in May 2002. They were |
| was implemented, it could no longer effectively | | | | under a tight deadline. |
| manage an electronic claims workflow and information | | | | “We had to go live with the system either |
| exchange between different systems. The claims | | | | before our 2002 holiday season, or after,†|
| department had turned to building labor-intensive | | | | says Schnure. “A huge portion of our claims |
| workarounds when the task of finding a new system | | | | activity occurs during the busy holiday season. If we |
| fell to Schnure. She had to find the system to meet | | | | didn’t have the system ready to go by |
| her company’s needs, but wanted to | | | | November, we would be forced to push the |
| avoid a lengthy request for proposal (RFP) process. | | | | implementation back until February 2003.†|
| A Shopping List of Features | | | | She knew that data conversions were typically a |
| Federated was looking for a system to handle | | | | nightmare. With their prior system, they had |
| multiple workers’ compensation states | | | | performed a product upgrade only to discover the |
| that also could be customized to handle disability | | | | system had a bug that corrupted their data. Having |
| claims. Since Federated had always been progressive | | | | gone through this experience, Schnure’s |
| in implementing state-of-the-art technology, it wanted | | | | team wanted to make sure that the conversion and |
| to select a system that could adapt to changing | | | | implementation went forward without a hitch. |
| times and have long-lasting benefits. | | | | “Our main strategy was to test, test and |
| “If it made good business sense, we | | | | test,†Schnure says. “My IT |
| didn’t mind investing in the IT | | | | counterpart played a huge role in this process. Valley |
| infrastructure up front. That always has been our | | | | Oak had a well thought-out implementation process, |
| approach to technology in claims and risk | | | | which included a protocol for verifying data integrity |
| management—have systems in place to | | | | and system functionality. During the conversion, we |
| control the data so that it can be analyzed later, and | | | | had about one-third of our staff involved in making |
| have systems to control the claims process to | | | | sure the data was solid. As a result, we went live on |
| carefully monitor losses along the way,†| | | | October 15, 2002—an extremely short |
| Schnure explains. | | | | conversion time.†|
| “When we first decided to go to a | | | | Immediate Workflow Benefits |
| self-insurance model, we approached a vendor that | | | | Once the new claims administration system went live, |
| had a paperless claims administration product. We | | | | the adjusters were the first to experience immediate |
| made this decision and investment relatively early | | | | workflow benefits. |
| because we recognized the long-term benefits and | | | | “The adjusters noticed that a lot of |
| advantages to our claims operations. That system | | | | thought had been put into the usability of the |
| worked for ten years.†| | | | system,†says Schnure. “For |
| When Schnure’s team went shopping for | | | | instance, in the prior system, the general liability and |
| a claims system the second time around, they utilized | | | | workers’ compensation modules both |
| this same forward-looking philosophy, and had a | | | | looked the same. This made it awkward to know |
| specific list of features and functions they were | | | | which module you were in. |
| looking for: | | | | “[With the new system] the general liability |
| Paperless claims system. Since FDS had been using a | | | | and workers’ comp modules looked |
| paperless claims process since 1991, the new system | | | | different, so adjusters knew they were operating in |
| would likewise need to have this feature. | | | | different lines and intuitively knew the claims needed |
| Electronic data interfaces. One of the main reasons | | | | to be handled differently.†|
| FDS needed a new system was to leverage the | | | | The new system also allowed adjusters to work on |
| power of electronic data interfaces to easily | | | | more than one claim at a time. “From the |
| exchange information with its partners and other | | | | adjusters’ viewpoint, this alone was a |
| internal applications. | | | | tremendous workflow benefit.†|
| Sophisticated reporting. Another benefit that the prior | | | | In addition to these immediate usability benefits, the |
| system could not deliver was specific reports that | | | | new system has other advantages. |
| the risk management team needed. It was important | | | | With automated correspondence and state forms, |
| to have “as of†reporting with | | | | instead of creating a letter from scratch, printing it, |
| snapshots of financial data for analysis, trending and | | | | and then scanning it into the system, FDS is now able |
| actuarial projection. They needed a system that | | | | to run an automated correspondence template. The |
| would allow anyone to generate ad hoc reports with | | | | letter is part of the trackable claims file. This results in |
| ease. | | | | huge clerical savings. |
| Automated forms and letters. FDS wanted a module | | | | Previously, FDS had two people manually entering the |
| that would automatically generate custom letters and | | | | workers’ compensation medical bills into |
| state mandated workers’ compensation | | | | the claims system. The new system provides an |
| forms, with data fields automatically populated from | | | | electronic data interface with Federated’s |
| the claims system. | | | | bill review vendor, so they can electronically import |
| Shopping at the RIMS Exhibit Hall | | | | the medical payments, eliminating the need for data |
| Schnure saw the 2001 RIMS conference as a perfect | | | | entry. |
| opportunity to meet various vendors and obtain a | | | | In order to monitor the claims process, FDS also set |
| comprehensive overview of the claims administration | | | | up business rules that triggered automatic responses |
| market in one convenient location. In anticipation of | | | | to generate a notepad entry, or set a reserve |
| the conference, her team looked over the exhibit | | | | amount on a claim. These rules allow for consistency |
| directory and determined which companies they | | | | in claims handling and reduced the possibility of |
| wanted to meet. | | | | unnecessary losses. |
| “We were interested in twelve vendors | | | | The inclusion of an automated explanation of benefit |
| that were exhibiting,†she says. | | | | (EOB) within the check-writing interface is another |
| “We didn’t make appointments | | | | improvement. At one time, FDS produced and mailed |
| in advance. That way, if the system didn’t | | | | their EOBs and checks from two different locations. |
| have the minimal requirements we were looking for, | | | | Payers then had to manually match payments to |
| we could simply move on.†| | | | EOBs, and often called FDS to ask which EOB went |
| At the conference in Atlanta, Schnure discovered | | | | with which check. Now, the EOB appears on the |
| that every vendor’s application had unique | | | | check stub, eliminating work for the claims |
| features. Some were stronger in specific modules, | | | | department, reducing provider calls and improving |
| but weaker in other areas. | | | | provider relations. |
| “A major stumbling block for many of the | | | | Future Improvements |
| vendors was our paperless claims process,†| | | | Now that the new system has been implemented, |
| says Schnure. “Some of the vendors were | | | | Schnure and her team are getting ready to make |
| very honest, and said their system | | | | further improvements and enhancements to the |
| wouldn’t work. Others said they could | | | | claims operations. |
| develop something for us, but quite frankly, we | | | | They are in the process of rolling out Web-enabled |
| didn’t want a vendor to make special | | | | claims reporting. Managers will be able to submit a |
| accommodations. We wanted a system that | | | | claims report through the company’s |
| contained most of our vision coming off-the-shelf. | | | | intranet, which connects all 450 stores. |
| Otherwise, we knew from experience that | | | | In addition, FDS is linking its claims system to its gift |
| customizations could give us problems with future | | | | card center. If a customer sustains an injury on the |
| upgrades.†| | | | premises, in addition to the medical care those |
| Headquarter Demos | | | | individuals receive, FDS will also be able to |
| By the time they returned home, | | | | automatically generate a gift card to its stores. |
| Schnure’s team had whittled down their | | | | “We’re thrilled to have a system |
| initial list of vendors from twelve companies to five. | | | | that works well within our paperless claims |
| They had completed a significant portion of their | | | | process,†says Schnure. “As an |
| vendor research and developed a cursory list of the | | | | off-the-shelf package, it was not only close to our |
| pros and cons for each system. | | | | initial vision, but in some ways it has exceeded |
| “We were getting ready to send out RFPs, | | | | it.†|
| but, instead, we invited each company to our | | | | Creating a Short List of Qualified Vendors |
| Cincinnati headquarters to provide an in-depth | | | | Requests for proposals can total one hundred pages |
| product demonstration,†Schnure says. | | | | and the process—from development, |
| “Each demo lasted two to four hours, and | | | | distribution, review and evaluation—takes |
| in the end, the RIMS conference and the in-person | | | | up to a year to complete. It is no wonder risk |
| demos saved us an enormous amount of time and | | | | managers dread the laborious task of selecting a new |
| resources.†| | | | information technology system. It is a project that |
| Checking Twice | | | | requires large investments of time and resources, |
| After the demonstrations, the list of five had been | | | | even before a penny is spent on the application. |
| narrowed down to just two companies. Schnure did | | | | There are ways, however, to efficiently narrow the |
| not leave any stone unturned. In the | | | | universe of vendors to a strategic short list of |
| reference-checking process, she requested contacts | | | | qualified providers. Here are some tips to abbreviate |
| from other self-insured companies. | | | | the process: |
| “We did conference calls and checked very | | | | Select a strong leader who can serve as the project |
| thoroughly on what these clients liked and | | | | advocate, helping to drive the evaluation and section |
| disliked,†she says. “We checked | | | | process. |
| on each company’s level of service and | | | | Identify the key decision makers that will form a |
| support and asked what they wanted to see | | | | small, effective committee, dedicated to making |
| changed. We spent a good hour or two talking to | | | | decisions that are right for all users. |
| each reference.†| | | | Develop a complete list of system needs both from |
| The IT department was also intensely involved in the | | | | a business and IT perspective. Start by having each |
| selection process, making sure the application would | | | | group clearly articulate system specifications and |
| work with what the company already had in place. | | | | compile these requirements into a centralized |
| For instance, the systems manager made sure the | | | | document. This may be in the form of an RFP, or it |
| prospective application would work with an Oracle | | | | could be just a list of needs and wants. |
| database, InfoMaker and Crystal Reports. | | | | Utilize an exhibit venue, like the RIMS conference, to |
| “The systems manager and I were about a | | | | arrange for product demos in one location. These |
| 50-50 team in making the final decision, and were | | | | initial demos will allow you to quickly eliminate |
| really well complemented to select the | | | | systems that do not meet your requirements. |
| system,†Schnure says. | | | | IT Checklist for New Claims Systems |
| “We also were under tremendous pressure | | | | Purchasing a new claims system often involves two |
| to present a sound business case to our vice | | | | critical groups—the business users and the |
| president of risk management, Tim Schwirtz. We | | | | IT department that will support the system. Both of |
| prepared a proposal with the specific reasons we | | | | these groups will have specific needs and |
| required a new claims system; the specific benefits | | | | requirements. An IT department should consider this |
| we would obtain; the savings we would experience, | | | | checklist of common items: |
| and even drill-down details on the administrative head | | | | Will the claims system work with the existing |
| count it would affect. As a result, we had looked | | | | platform, infrastructure and database? |
| closely and critically at the specific benefit breakdown | | | | Is the application architecture progressive? |
| between the two remaining competitors.†| | | | Can the claims system interface with other |
| The Decision to Control their Destiny | | | | departmental applications, such as HR and accounts |
| Schnure realized that the two vendors were very | | | | payable? |
| different and saw that there was a business case for | | | | What types of system-support options are available? |
| both products. | | | | |
| One was a task-oriented system that charged every | | | | Is the vendor a good partner? Do they have a |
| time the company used the application. “It | | | | client-focused culture and service-oriented philosophy? |
| would eliminate our need to support the IT | | | | |