The presentation was delivered to a group of new to senior risk managers and sparked some great discussions on what to look for in policies and endorsements, and what information is necessary for the insurer’s protection on Certificates of Insurance.
Seminars like this are great to share information and help further everyone’s expertise. Keep an eye out for ORIMS’ next professional development sessions.
We have included links to pdf versions of our presentations for further reference in the links below.
On May 23, 2012, Tom Golfetto, Executive Director of the FSCO Dispute Resolution Group, issued a letter updating stake holders on the progress of DRS initiatives. The RFP procurement process in nearing completion and he expects that the first set of files will flow to the outsource vendors at the beginning of July. They expect that outsource vendors will be able to handle 2000 mediations per month and 500 arbitrations. This is in addition to the 2,793 mediations being handled per month by FSCO DRG staff. It was conspicuous that Tom’s letter did not give the number of cases currently in backlog but that was estimated at 30,000 (see our previous blog entry)
The problem with the math is that it does not account for the estimated 3,000 new cases coming in per month. If this number stays constant, FSCO staff can only keep up with the new ones and the backlog will be reduced at the rate of 2,000 per month over the next 18 months to 2 years.
In any event, the “warning” to be ready for the onslaught echoes my article “When the Dam Bursts”, FSCO warns: “please ensure that you retain additional staff as necessary, so that there are no scheduling delays due to unavailability of your staff”.
Cameron & Associates would be pleased to assist Insurers to resolve this challenge on a long and short term basis. Contact us for more details.
In this one-day workshop, you will receive tips & coaching in Mediation Best Practices through examples, demonstrations & role-plays. We will help you to effectively prepare for & participate in mediations.
File & strategy preparation
Challenges in file management
Information on relevant regulations, practice notes & forms
Mediation process & goals
Mediation behaviour & etiquette
Settlement practice tips
Stay tuned for our next scheduled session, or let us know how we can tailor this workshop to meet your specific needs.
35,000 cases and counting. What happens when the dam bursts?
Under the current Ontario Insurance Act, if you have a dispute with an Insurer involving the payment of accident benefits under the SABS (Statutory Accident Benefits Schedule), you must file for mediation with the Dispute Resolution Practice Group (DRPG) at FSCO (Financial Services Commission Of Ontario). This mediation must take place before the claimant can proceed to the courts through a law suit or by arbitration (again to be filed with the Dispute Resolution Practice Group).
The Act provides that such mediation shall take place within 60 days of the filing date with FSCO. FSCO have found themselves facing some staffing issues and an unusual volume of cases being presented which resulted in a backlog of about 35,000 mediations.
The Auditor General of Ontario commented on this situation and FSCO has posted an RFP for outside services to assist in aggressively attacking the backlog. One of the problems may be, however, what happens when the case is not settled at mediation. If only 60% settle, 40% of these or 14,000 new cases will appear before the courts or at arbitration within the next few years. Are we ready?
At Cameron & Associates, we are pleased to announce our new Mediation Assistance Program (M.A.P.) for Insurers.
Are you ready?
FSCO has recently initiated a project to clear the backlog of over 30,000 mediation requests.
Implications for insurers:
Your AB team will receive an influx of mediation scheduling requests
Your ADR team and claims handlers will experience a dramatic workload increase to prepare for mediations
Your senior claims handlers will be preparing for mediations, spending less time on active files
At Cameron & Associates, our M.A.P. team is ready and available now for claims handling while your team readies for mediations. Our highly skilled Accident Benefits team provides on-site assistance to insurers on long and short-term contracts.
What our M.A.P. Team can do:
Full AB file handling from Med./Rehab. to Catastrophic Claims
Mediation brief preparation
Help with individual tasks within the AB department:
Respond to incoming forms & mail
Make initial calls & return calls on AB claims
Identify red flags indicating possible fraud
Processing & requesting payments
Correspondence to claimants
HCAI notification clearance
Please let us know how our team can support you.
Brian Grieve, Operations Manager via phone: 416-350-7359 or email:
Nicole Langley, Training & Business Development via phone: 416-306-2857 or email: