When I heard the news yesterday that the National Insurance Crime Bureau (NICB) has named Safelite Solutions as a “strategic partner,” I truly was overcome with emotion. Does this mean that glass claims fraud will be at last rooted out and stopped? Or is it a classic case of having the fox stand guard over the chicken coop?
First of all, who is the NICB? Since it is not connected with any state or federal regulatory agency, why does it exist? I must surmise that it must be indeed the brainchild of the public relations department for the insurance industry. Does the NICB supervise fraud prevention or does it just report and compile statistics that are sent to them? Does the NICB serve a real purpose or is it just a mouthpiece for insurers to justify claims management?
It would be my fondest wish that the auto glass industry would be perceived as possessing great integrity. I would hope that every American consumer could get the highest craftsmanship, quality products and the greatest value when their need for auto glass arises. In truth, it is roulette plain and simple. From the largest installation company to the smallest mini-pickup purveyor, a customer is taking his chances on getting the best that the industry can offer.
Right now, that “best” hardly would make a needle move on a quality meter. First of all, a tech is only as good as the products they install. Wholesale glass prices have dropped tremendously over the past 15 years, but so has the quality of those products. It is my strongest belief that much of the aftermarket glass is of substandard quality, in strength, fit or clarity in comparison to what was branded as original equipment. The substitution of moulding products is rampant, the application (or non-use) of primers and adhesives is unprofessional, and the technical expertise and pride of far too many installers is non-existent.
Oh yes, Virginia, fraud does exist. Given the creativity of the human mind (and cyber one as well), numerous scams and schemes have been uncovered and continue to bedevil insurers in a timeless and tireless manner. Now a self-proclaimed super hero has come forward to help insurers combat this apparent assault on insurer profits.
Over the past 10 to 15 years, a marriage of convenience has existed between insurers and a very small group of glass companies through a corporate entity known as third-party administrators (TPA). TPAs have relieved much of the economic burden on insurers of both internal and externals costs that would be associated with glass claims. One popular feature that a TPA like Safelite Solutions uses to attract new insurer clients is its Guaranteed Average Invoice pricing. One way a company like Safelite Solutions can live by such contractual limits is that it happens to be owned by the nation’s largest (albeit the world’s as well) glass installation concern. Much has been said and written about the perceived abuses this corporate gatekeeper has allegedly inflicted upon its competition, both large and small at the time of first contact with a claiming policyholder. Now as a strategic partner for the NICB, the company seems to be working it way into being the “top cop” against fraud.
Look at what Safelite’s parent company, Belron, has developed into here in the United States over the past ten years. By its own words, the company is the TPA for 19of the top 30 insurers in this country. The company just wrestled Allstate away from LYNX Services, leaving State Farm as the only vehicle insurer of any real size that is not a Safelite Solutions client. The amount of claims and client data Safelite has amassed over the years is astronomical and while it can be said that the company can provide insurers with needed proof for fraud, the opportunity for abuse is just as great. That greatly concerns me.
Fighting “windshield bullies” is one matter. Alerting clients to a flood of chip repairs is another, but who is to say that this is not corporate altruism but self preservation of the ugliest kind? Windshield repair is a highly profitable revenue stream for Safelite. If that is threatened in certain areas by an aggressive competitor, who is paying for and providing fraud detection? One would bet that video surveillance and undercover operations are not being conducted by the NICB.
The issue of glass inspections has become a very contentious one for independent glass shops. An insurer has every right to ask for, or, in fact, demand to inspect glass damage prior to a repair of any kind. However, most insurers do not want to waste their limited adjuster resources on common claims. However, it becomes a whole different issue when a repair or replacement technician from the TPA’s sister’s stable shows up fully prepared to complete the claim once the “inspection” takes place at the expense of a delayed competitor. This is not altruism but outright theft. To broach another subject, how many “repairs” have been turned into profitable replacements by our nation’s largest? Does that sort of tactic get reported to the NICB under “questionable claims practices?” I would bet Mitt Romney the answer would be no.
Last of all, it is fact that Safelite owns the lion’s share of the insurance market. What if a competitor emerges to try to challenge the company in either a regional or on a national level? Will that challenger be immune from all sorts of claim reviews that emanate from one particular TPA? Also the data collected from previous claims can be used strategically against the newcomer to help thwart its growth. Who is to say that won’t or hasn’t happened?
From this viewpoint, I believe the NICB spews factoids to help fill newspaper space. Its sole purpose is to place in the American public’s mind that it is simply “not safe” to think independently when it comes to making a claim. The implicit message the NICB is trying to transmit is that you should trust the insurer’s judgment when it suggests an “approved” vendor when a claim arises. That becomes Claims 101 in consumer “education.”
If the TPA was truly independent from any corporate glass connection, fraud detection would certainly be a reasonable activity to undertake. However, with that not being the case, the process is gravely tainted. It is one more reason to legally demand TPAs should not be owned or controlled by any company with a connection to auto glass. What we have now is completely unacceptable with the fox plumping up the chickens to ensure a steady food supply for years to come.
