Traditional ways
to settle claims
SettleOnline
president James Dutton says Resolute Systems differs from its
competitors by encouraging consumers to seek the following conventional
forms of mediation when online negotiations fail:
Binding
high-low arbitration. Both sides agree on a low and high dollar amount.
The arbitrator is not told what those numbers are. If, after hearing
both sides, the arbitrator decides on a figure that exceeds the high
number, the defendant must pay only the high number, and not the
arbitrator's stated amount.
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If you're worried about the prospect of a lengthy sparring match with your insurance company over a claim, a mediation service offers a way to settle with little more than a few clicks of your mouse.
Resolute
Systems Inc., an alternative dispute-resolution provider based in
Milwaukee, Wis., joins the small but growing online dispute-resolution
arena with SettleOnline.com. SettleOnline is part of an expanding trend
in alternative dispute resolution, joining Cybersettle.com, based in
New York City, and ClickNsettle.com, based in Great Neck, N.Y. Settling
a case online can be faster than resolving a case either through a
mediator or through the courts, which could take years. SettleOnline allows both consumers and insurance companies
to initiate the process by registering and proceeding through
resolution "rounds'' of offers and demands. If the case doesn't settle
online, SettleOnline will attempt to get opposing sides to negotiate in
more conventional ways through its parent company, Resolute. "I think it's going to be something that grows," says
James Dutton, president of Resolute. "It's something that will take
time for people to learn how to use." SettleOnline
accepts all types of insurance claims "where the parties are disputing
an economic outcome." That includes auto, homeowners, health, property
damage, commercial, and workers compensation insurance. Personal
injury cases arising out of auto accidents or "slip and fall" mishaps
comprise most of the disputes at SettleOnline. Representatives for
insurance companies initiate most of the cases, because they generally
are more familiar with the site than consumers. Any person can initiate
an online settlement, but some insurers might decline to participate.
Dutton notes that attorneys for people suing their insurers are often
harder to convince to participate than the insurance representatives.
| "We
have dozens of professionals on staff who do nothing other than
convince people to participate in alternative-dispute resolutions." |
One
of the disputing parties (either the insurance company or you, the
policyholder) initiates the process by registering. SettleOnline does
not charge a filing fee, but the side filing the case must pay a $50
agreement fee if the other side decides to participate. Once logged on,
the user must enter information about the case, including contact
information about the opposing party, to move the case along. The other
dispute-resolution sites charge registration fees, plus additional
engagement fees. Dutton says there are no hidden
costs taking a bite out of any final settlement. The settlement fee
amounts to $200 per party for cases settling for more than $10,000, and
$75 for cases settling for $10,000 or less. The process
involves potentially five rounds of making offers or demands. During
negotiation rounds, neither side sees the other's offer or demand. And
because offers and demands are made online, neither side can engage in
the posturing or bullying sometimes associated with face-to-face
mediation. Let's
say you, the policyholder, or your lawyer, file a case with
SettleOnline. After you've decided the amount you're willing to settle
for, you enter three demands, all at once, in descending order (for
example, $80,000, $60,000, and $40,000). Each of the three entries
represents a round, and the insurer later will enter dollar amounts
that will be compared against your demands. Your first number would be
roughly the best settlement you hope for, while the last number would
be the minimum settlement you would accept. The computer uses a formula
to calculate the lowest possible settlement for the first two rounds
(your demand, minus 8 1/3 percent). For your high number, $80,000, your
minimum settlement would be $73,336 using the formula. After
you've entered the numbers, it's the insurer's turn. The company has up
to 90 days from the time you filed the case to enter its offers, and
the insurer can enter each of the offers at different times. Each offer
is compared, in order, against the three demands you entered, with the
insurer's last three offers compared against your third demand. The case settles for your demand if the insurer, on any given round, enters an offer that exceeds your demand.
| "It's something that will take time for people to learn how to use." |
Here's
an example of how the case could settle another way: If the insurer
offers $70,000 during the first round, that number is compared against
your first offer of $80,000. The case then would settle at $75,000
(SettleOnline calculates the average of your first demand and the
insurer's offer. The settlement sticks because it exceeds the minimum
amount for that round, $73,336). SettleOnline's program does not allow
the case to settle for anything less than your third and lowest number.
Except for the way the minimum settlement is
calculated, the process works similarly if the insurer initiates the
case. If, as an example, the insurer enters $10,000 as an offer, the
maximum settlement would be the offer plus 10 percent ($11,000). The
insurer ultimately enters three offers, which are matched against the
five demands you enter later. Resolute
has not sought a patent for its system, unlike Cybersettle, which
accepted its first claim in August 1998 as a strictly online venture
and has a patent pending. James Burchetta, chairman and co-CEO of
Cybersettle, expects to receive the patent within in the next few
weeks. He suggests SettleOnline and other competitors could find
themselves in a legal battle after the patent is issued. Burchetta
asserts that other online resolution sites have been copying
Cybersettle. "In one sense, it's a form of flattery. In another sense,
it disturbs us,'' he says. "We have a large budget and intend to defend
our intellectual property. We consider SettleOnline, like ClickNsettle,
to be in violation of our patent." Dutton says SettleOnline will continue to offer its
services, despite Cybersettle's pending patent, and acknowleges
SettleOnline works much the same way as its competitors. If the patent for Cybersettle is issued, Dutton
believes he might have to modify SettleOnline. But Dutton does not
think the basic idea of settling disputes online can be patented.
"Saying they're going to be able to patent settling disputes over the
Internet is like Amazon.com saying they could patent selling things
over the Internet," Dutton says.
| A little more than one-third of the cases end up settling online. |
In
distinguishing his site from the others, Dutton notes Resolute offers
other settlement options for users if they've failed to reach an
agreement online. Resolute, a 12-year-old company, has long been
working with lawyers and mediators in conventional alternative dispute
resolution. "One of the things that differentiates us
from [the competition] is the ease with which parties who don't settle
online can access other forms of dispute resolution," Dutton says. For
example, a Resolute Systems worker can mediate a case either by
telephone or face-to-face with at least one of the parties if online
negotiations fail. "We have dozens of professionals on staff who do
nothing other than convince people to participate in alternative
dispute resolutions. So when we brought SettleOnline to the
marketplace, most of these plaintiffs' attorneys already were familiar
with us,'' Dutton says. "Probably the biggest advantage SettleOnline
has over [the others] is our ability to get the plaintiff's attorney to
participate." Since it was launched in April 1999, Dutton says
SettleOnline has helped resolve between 200 and 300 disputes, and
roughly 300 to 400 cases are currently pending. On average, a little
more than one-third of the cases end up settling online. Industry clients include The Chubb Corp., Nationwide
Mutual Insurance Co., and Zurich-American, according to Dutton.
Policyholders and insurers can gain access to settlement data for their
own past cases, but not other parties' cases. "We can customize reports
for the clients who want to look at their cases," Dutton says.
Consumers have no access to general average-settlement data that's not
their own. |