ABS overview - I Love Claims

advertisement
I Love Claims:
Whiplash Reform
Mark Savill:
Date:
Page 1
Managing Director
Lyons Davidson
3rd May 2012
Portal extension
 Change Control improvements
• Release 1: minor amendments and exit process
• Release 2: in testing, release to be delayed
 Civil court consultation response
• Vertical extension: £25,000
• Horizontal development: EL/PL
 Development requirements
•
•
•
•
Page 2
Hardcoded linear process
Long lead in time for delivery
Additional medical reports for increased value
Extended existing framework for new claim area
Average: 65%
Page 3
Trend:
Page 4
Portal lite?
 Potential future development
•
•
•
•
agreed data templates
document transfer
remove detailed rule management
Rules and MI relies on parties own systems
 Provides
•
•
•
•
Page 5
Data and document efficiency
More flexibility in future development
Continued relevance for “complex” claims
Easier applicability to other claim areas
Referral fees
 Legal Aid Sentencing and Punishment of Offenders Act 2012
•
•
•
•
•
•
Royal Assent 1st May 2012 (implementation likely April 2013):
Wide definition including any consideration
Extended to ancillary claims and payments to third parties
Includes legal process supply chain (eg medico legal)
Offset of referral fees with other services likely to be caught
Makes ABS most likely route to maintain income stream
 Still confusion on impact of reform
• Uncertainty on enforcement
• Doubts around extent of “service” exception to allow payment
• Applicability to ancillary services?
Page 6
Referral fees: LASPO
57 Rules against referral fees
(1) A regulated person is in breach of this section if
(a) the regulated person refers prescribed legal business to another
person and is paid or has been paid for the referral, or
(b) prescribed legal business is referred to the regulated person, and
the regulated person pays or has paid for the referral.
(2) A regulated person is also in breach of this section if in providing
legal services in the course of prescribed legal business the
regulated person
(a) arranges for another person to provide services to the client, and
(b) is paid or has been paid for making the arrangement.
Page 7
Referral fees: LASPO
(4) “Prescribed legal business” means business that involves the
provision of legal services to a client, where—
(a) the legal services relate to a claim or potential claim for damages
for personal injury or death, the legal services relate to any other
claim or potential claim for damages arising out of circumstances
involving personal injury or death, or
(b) the business is of a description specified in regulations made by
the Lord Chancellor.
(8) Payment includes any form of consideration whether any benefit is
received by the regulated person or by a third party (but does not
include the provision of hospitality that is reasonable in the
circumstances).
Page 8
Referral fees: enforcement
 Multiple enforcement agencies
 Regulatory matter, not criminal or breach of statute
 No appetite for enforcement
• low risk relative to other issues
• political pressure and statutory obligation
 Difficulty in interpretation of arrangements
•
•
•
•
referral fee or payment for a service?
payments to third parties
including payments by own suppliers
distinguishing commercial/discounted prices
 Impact on sourcing teams?
Page 9
Where are we now: ABS?




Legal Services Act 2007 live October 2011
SRA licence granted December 2011
Applications open from 3rd January 2012
Early stated interests:
• Insurance brands: Das Legal Expenses
• Consumer brands: Co-op Law
• Law firms seeking external capital
 First ABS granted
• Co-op Legal Services
• John Welsh & Stammers, Lawbridge Solicitors
Page 10
ABS positioning
Assumptions about insurer goals:
 Enhance customer journey
 Earn profit from legal services (including injury)
 “Own” legal services supplied to customers
 Develop other legal services
 Develop brand
Page 11
All images in are entirely
fictional and not intended to
represent real people or
organisations!
CMC
s57(2)/(4) £
£
£
£
£
s57(2) £
s57(8)
Page 12
s57(1)
£
£
£
£
All images in are entirely
fictional and not intended to
represent real people or
organisations!
ABS
£
£
£
ABS
S58(8)? £
Page 13
£
Pressure for reform
 Various government responsibility/interest
• MOJ, MOT, No10
 Multiple claimant interests
• APIL, Law Society, MASS, CMC
• AJAG, TUC, CJA, BRC
 Multiple insurer interests
• ABI, FOIL, Downing Street attendees
 Portal Co
 Wide range of organisation interests
 Government focus on insurance premium cost
Page 14
Page 15
Transport Committee Report Response
 Calling for objective evidence of whiplash
• DFT: we are reviewing this
 Transparent referral fees extended to credit hire/repair
• DFT: LASPO/OFT
 Portal fees need to be reviewed
• DFT: this is being done.
 Stricter enforcement of DPA and penalties
• DFT: The ICO has got strong powers already
 All cold calling needs to be reviewed
• DFT: this is already covered
 Real-time access to the DVLA database
• DFT: target of January 2014.
 The penalties on uninsured driving need to be reviewed
• DFT: we will consult on this soon
Page 16
2nd Insurance Summit
Wednesday 2nd May 2012
Next steps towards reform:
 Independent medical experts
 Examination of bio-mechanical evidence
 Potential speed minimum for whiplash claims
 Increase in P.I. Small Claims Limit to £5,000
Page 17
Portal fees
 Current
 APIL
£1200
• no “deal or no deal”
• evidence based
 Guardian Law (Legal Futures):
 Govt (1st insurance summit)
 ABI
• Higher salaries
• Paralegal salaries
Page 18
£800
£300-400
£350
£150
Future reform
 Reduction of profit elements essential
• avoids difficulties of enforcement
• portal costs/ancillary services
 Re-focus on customer
•
•
•
•
role of legal expenses post LASPO
customer service competition
rehabilitation needs
integrated one stop process (at risk from ban!)
 Redefine claims process
•
•
•
•
Page 19
initial rehabilitation assessment/treatment
“Jackson” tariff valuation on rehab report if resolved
limit medical process to on-going injuries
limit legal process to complex assessment/liability issues
Download