First Notice of Loss is like other insurance niches. It uses a lot of acronyms to describe the methodologies and nuances that are relevant for both consumers and providers. It can be confusing for both consumers and providers. Consumers can be considered claimants for the purposes of this article. Providers can include TPAs, insurance carriers, and FNOL Call Centres. Let’s start by explaining what First Notice of Loss is. A First Notice of Loss is an alert to the responsible insurance provider about the theft or destruction of property that is covered by a policy. Sometimes, notification can precede filing a formal claim. Some insurance companies use a particular process or documentation to record a first loss notice. Others simply follow the guidelines. It is quite simple: an individual or company experiences a loss (fire damage, theft, vandalism etc.). Contacts an insurance provider or representative to notify them about the loss. This is where you will find a multitude of acronyms. Below are some of the most common definitions and acronyms in alphabetical order.
Absence Reporting System (ARS),Employee feedback system that can increase employee satisfaction and decrease employer costs.
Average Speed to Answer : This is the metric that determines how efficient a company responds when dealing with incoming FNOL claims and calls.
Average Time to Abandonment (ATA: This is the average time that a claimant has to wait before disconnecting their call.
All Trunks Busy : A telephone status that indicates limited call throughput and denotes that all trunks have been used. This means that the trunk group is unable to accept new outbound or inbound calls.
Call Handling Time (CHT: This is the time a FNOL representative spends talking to a claimant, including post-call processing. This is also known as Average Handling Time.
Electronic Data Interchange :An industry standard that allows electronic data transfer. This allows for efficient and accurate communication between all parties involved in claims management. FNOL requires accurate EDI integration. Incorrect data could result in penalties and fines.
First Notice of Loss : This is a compressive process that can or should include incident report, claims management and state filing. Data recording and retrieval are also possible.
First Report of Incident : At the moment that claim handling starts or notice of absence is given.
First Report of Injury : FROI is about workers compensation compliance. No matter if an employer agrees to a claimant, an FROI must still be filed. These reports are required for employees who have been injured and miss more than five workdays. They must be filed within seven days of the fifth day. Each state has its own FROI form.
Full-Cycle Claims and Incident Reporting : Solutions to improve productivity and lower costs for self-insured and commercial insurance companies, managed care organizations, third-party administrators, and self-insured businesses.
Incident Reporting (IR). Clear and well-defined incident reporting procedures can help with claims processing, to reduce claims paid out and to handle expenses and administrative costs. Effective incident reporting can help to reduce both medical expenses as well as litigation costs.
Intake Specialists : FNOL staff trained in FROI and claim handling.
Subsequent Report on Incident : Conciliating the status of the reported problem with the status and method of resolution.
Third Party Administrators : An entity that processes employee benefits plans or insurance claims for another entity. TPAs typically handle claims processing for employers who fully self-insure their employees.
Both the employer and employee need to have a prompt, accurate, and efficient First Notice Of Loss response. Intake and reporting are crucial. The first few minutes are crucial. Documenting the FNOL process and procedures will greatly improve data accuracy and reduce the amount of work needed later on. A well-designed and automated process can reduce costs and minimize errors. This can lead to better outcomes for everyone involved.
