Auto Claims Investigation (ACI)
Introduction It is a well know fact that the Short Term Insurance Industry loses Millions of Rand per year due to being overcharged by some Panelbeaters for new parts replacements, but in actual fact used parts are used. This can almost never be proofed after the car has been repaired. It is also a major problem in the Industry that some Assessors are on the take and millions are lost due to irregularities. This is why A.C.I. was formed with over 32 years of experience between the 2 founding members to help eliminate this problem and losses. A.C.I. is a registered PTY (Ltd) Company formed in 2005. A.C.I. Purpose To monitor and regulate the quality of workmanship and authenticity of part used during the repair prose's on accident motor repairs. In the process we Monitor any irregularities by all parties involved. Our Goal To Inspect, Monitor, Audit and Investigate all claims appointed, during the repair process. Advantages 1. Maintain and ensure high quality of workmanship 2. Ensure Client satisfaction 3. Reduce the actual cost on motor accident claims. 4. Eliminate assessor irregularities 5. No additional expense for this service. 6. Reduce Annual Loss Ratios 7. No new appointment to the Insurer/Underwriter - Outsourced. 8. No Audit Fees. Investigator Mr. Malan Smal has 4 years of Claims Investigation experience and has started 4 Successful Short Term Insurance Brokerages (Broker-on-Line, Seafirst Broker, Broker-on-Call and Elite Telesales) in the past 15 years. 1. Has personally handled 8000 motor claims. 2. Saved millions for our clients 3. Manage a 19.7% average saving on +- 50% of all claims we do. 4. We do work in progress inspection. Monitor quality of claims. 5. Do audits on all claims. 6. Investigating fraudulent or fabricated invoices. 7. Have been offered R 100000's of bribes for not exposing corruption (will take polygraph test to confirm that I have not taken 1 Rand for a bribe) 8. Have caught some repairers in Johannesburg & Durban for been dishonest. 9. Have exposed a number of corrupt assessors. 10. We don't charge any fee for my service, only a percentage of savings (Surg. 45%) obtained, as we are confident that we can save on almost any claim. (No Saving - No Commission) 11. We have a website www.aci.co.za that handles the entire claims process,from appointing assessors (Insurer), assessors report (By assessor), authorizations by Insurer),final costing (by Panelbeater) and savings by (Ourselves). Anyone can monitor the progress on the claim online, with only the claim number. 12. We are a registered VAT trading (PTY) Ltd Company. 13. Have exposed corrupt Clients. (Fraudulent Claims) 14. Have proofed drunk driving. How does it work? The Insurer/Underwriter sends the claims details by e-mail or fax to A.C.I. after the Assessor has assessed the vehicle and repairs been authorized. A.C.I. inspects the vehicle at the repair shop not less than twice during the repair proses. A.C.I. inspects authenticity of spare, quality of craftsmanship. A.C.I. agrees a saving on the job complete with the Panelbeater. A full report is drafted after each claim, including photos and documentation; this report is then forwarded to the Insurer/Underwriter. A.C.I. expects its payment when the claims are settled with the panelbeater. A.C.I. is paid and fixed pre-arranged fee on each claim and a percentage of the savings off original quote. ACI -Manager ACI has developed and introduced an Internet bases system; witch handles the complete process of a claim. With this system anyone can be given access to monitor the claims process and status of the claim at any given time. This way anyone know exactly what is happening with the claim at any stage of the process. With the system, the client can log a claim, claims technicians can accept and process the claim, appoint assessors (per region), handle and complete assessors report, do invoicing on behalf of assessor, do automatic authorization instructions, request final costing from panelbeaters, handle final costing from panelbeaters, send final invoice to insurer. Conclusion There is no additional cost or expense to the Insurer/Underwriter, only a percentage of the actual cost saver on each claim. This is a win-win situation. This method will keep the all parties involved on a higher stadard off service and honesty. Over time less and less advantages will be taken in the industry, witch will make help maintain a higher degree of professionalism. A.C.I. (Auto Claims Investigation PTY (Ltd) P.O.Box 494, Stellenbosch, 7599 Tel:086 1114339 Fax:086 673-9392 aci@aci.co.za www.aci.co.za