Title: Branch Claims Manager (WORD version ) (Customer diagram)

Industry: Insurance

Function: Customer Service

Value-Added Results/Weights
Performance Standards
Satisfied policyholders and claimants (30%)

• Fast and fair claims settlements

• Answers to questions

• Investigations

• Understandable explanations of settlements

• 85%—90% of policyholders say:

• They were pleased with how quickly they were contacted.

• The settlement process was quick, easy and caused no surprises.

• The settlement was a fair one.

• They were able to contact someone when they needed to.

• They understand why they received what they did as a settlement.

• (Shared with Claims, Underwriting, Marketing, Actuary and the agencies.) 2% increase in retention rate.

Improvements to claims services and processes (15%) • At least 1 improvement idea for each employee/year.

• At least 3—4 improvements implemented/year that produce a positive effect on customer satisfaction and/or costs.

Budget management (10%) • Regional Claim Manager is satisfied that all expenditures are justified and support business goals.
Quality services from vendors and suppliers (10%)

• Accurate information

• Payments

• Compatible procedures

• 95%—98% of customers say they are satisfied with the:

• Overall quality of work done by the vendor.

• Vendor doing work as promised.

• No vendors have a pattern of customer complaints.

Motivated, productive and innovative branch management team (20%)

• Corporate vision

• Management training

• Tools and equipment

• Authority

• Support

• Expectations

• Feedback

• Rewards and recognition

• Information

• The Regional Claim Manager is satisfied that:

• All employees have written performance standards.

• All employees know how they’re doing compared with their standards.

• All employees receive at least 1 informal interim review/year.

• All employees receive an annual written performance appraisal.

• All employees are meeting their performance standards or a performance improvement plan is in place.

• A reward and recognition system exists and is being used.

• Salary increases are differentiated based on performance.

• Surveyed branch employees say:

• They understand the Company's direction, branch goals and their role in achieving these goals.

• They understand specifically what their supervisor expects of them.

• They understand how well they are performing and where they need to improve.

• They have the necessary tools and equipment to accomplish their work. Where they do not have what they need, they understand why.

• They have the necessary authority to perform their job.

• Their performance appraisal accurately reflects their performance.

• They have the skills and knowledge they need to do their jobs, or a plan to obtain them.

• Their good performances are acknowledged and appreciated.

Effective agencies (5%)

• Answers to coverage questions

• Trained agents and staff

• Feedback on risks

• 98%—99% agents say:

• The training is worth the time they spent.

• They’ve had access to all the training they’ve needed.

• They can get questions answered in time to satisfy their customers.

• They don’t find out later that the information provided by Claims was incorrect.

New business leads (5%) • At least 1 quality lead/week is turned in for each adjuster. (The agent finds that the lead is interested in receiving a competitive quote for Company products.)
Special projects completed (5%) • To be developed when projects are assigned.

 

Customer Diagram: Branch Claims Manager