PCIC conducts retooling course on claims processing


Adjusters from PCIC Regions V-VIII,  their regional managers and officials and select staff from the PCIC head office gathered for a retooling training on adjustment approaches and procedures in Legazpi City. The event was the first in a series of similar area-based workshops that shall be conduct this year involving adjusters from Mindanao and the Northern regions of Luzon Island. It featured a lecture on pest and diseases and related adjustment approaches deliver by former PCIC senior vice president Bonifacio Pales, now a university  professor, and updates on insurance procedures presented by HO officials. Photo inset shows from left Vice President Segundo Guerrero, Region VI Manager Eva Laud and Senior Vice President Luther Salting 

The Philippine Crop Insurance Corporation (PCIC) has conducted a seminar-workshop on the agency’s updated claims adjustment procedures for its inhouse insurance adjusters from the Bicol Region as well as from the three other regions, namely Region VI,  Region VII and Region VIII in the Visayan area.

The retooling course aimed to provide updates on claims-related policy enhancements contained in the recently revised operations manuals; review the claims adjustment and settlement procedures; provide update on the tablet-enabled claims processing attached to the PCIC Automated Business System or PABS; and conduct actual loss adjustment and verifications in the fields.  

The expected outcomes of the endeavor was the standardization of the claims adjustment practice across regions and heightened vigilance against moral hazards and fraudulent claims.

The workshop, held in Legazpi City from July 18-22,  was the first conducted since the onset of the Covid 19 pandemic, and is the first in a series of three such island-wide area gatherings.  Next forums will be conducted in Mindanao and the rest of Luzon.

The course included a review of prevalent pests and diseases in the region affecting rice and corn, the dominant agricultural crops,   re-orientation and retooling on adjusting for these pests and diseases,  updated claims and settlement guidelines,  and the revised claims settlement approaches and procedures.  A field test of the learning from the lectures was conducted, particularly on claims assessment and computations that enabled a comparison of the full-manual process and the tablet enabled process. 

Mr. Bonifacio Pales, PCIC’s former senior vice president and an agriculture professor,   conducted a lecture on recognizing crop pests and diseases and adjusting for the damage they bring.

The session included plenary reporting on the results of the field adjustments using manual and tablet-enabled processes.  The  data gathered and the actions done were examined by a panel that included Dr. Pales and PCIC officers and enhancements were recommended.

The adjusters  were joined by PCIC’s senior officials, namely acting senior vice president Luther Salting and vice president for support services Segundo Guerrero, Jr.,  regional managers in the three participating regions as well as the department managers and junior officers from the regions and the PCIC head office.

The seminar-workshop involved not just classroom learning but actual adjustment activities also for claims filed by insured rice and corn farmers in Ligao, Albay and Ocampo, Camarines Sur by learning teams led by designated insurance adjusters. The process involved both manual adjustment and table-enabled adjustment that transmits to regional offices in real time data gathered by adjusters for quick onward processing.

After the actual field adjustments, the learning teams gathered back in classroom session where the information gathering process undertaken and resulting adjustment recommendations were shared by the designated team reporters. 

Former SVP and crop pest disease expert Bonifacio Pales, SVP Salting and VP Jun Guerrero, together with Region VIII Manager Clarence L. Jereza, Region VI Manager Eva Laud, Region V Manager Frankie Armena and Region VII OIC Manager Paulita Secuya commended use of proper and innovative responses to certain farm situations, noted the weak actions and provided alternative alternative or better  actions  as guidance for future adjustment activities.