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Audit pinpoints Citizens' failures |
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Tallahassee Democrat |
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By
Paul Flemming |
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1/27/2006
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State-run company
mishandled claims,
had no code of
conduct
Florida's Auditor
General Thursday
released its audit
of Citizens
Property
Insurance,
pointing out
management and
policy failures of
the financially
strapped state-run
company.
Among 17 specific
points, the audit
said Citizens'
management failed
to document that
its rates were
actuarially sound
to cover possible
losses, had no
code of conduct to
curtail conflicts
of interest or
personal gain for
officers, didn't
take competitive
bids on much of
its outside work
and had poor
customer service
and claims
handling.
Two
years of active
hurricane seasons
have battered the
insurer-of-last-resort
that has been
criticized for its
poor customer
service and
skyrocketing rates
that include a
proposed average
80-percent
increase for
premiums charged
coastal
homeowners.
Floridians are
paying for the
company's losses
with extra charges
on all property
insurance premiums
to cover a $516
million deficit in
2004 and an
estimated $977
million for 2005
losses.
Citizens'
President Bob
Ricker said
changes are under
way , while
acknowledging that
the company was
ill-prepared to
handle the
onslaught of
hurricanes the
past two years.
''We will use the
findings of this
report and other
internal and
external reports
and audits to
continue to
improve our
infrastructure,
processes and
procedures,''
Ricker wrote in a
Jan. 23 letter to
Auditor General
William Monroe.
In
its formal
response to the
audit, Citizens
wrote of how it
was overwhelmed in
2004.
''Faced with more
than 120,000
catastrophe
claims, and 30,000
or more new
applications for
coverage filed
each month, which
Citizens is
obligated by law
to insure, it
became clear that
the lack of
infrastructure and
heavy reliance on
outsourcing was
misplaced.''
Among the specific
findings of the
audit:
Claims were
mishandled. The
audit found in its
examination of 219
claims files there
''was often a
significant lag
between the filing
of a claim and the
assignment of the
claim to an
adjuster.'' There
were also
''significant
delays'' closing
claims.
Often, Citizens
record keeping
made determining
time frames
impossible. In 42
percent of the
2004 claims, the
auditor was unable
to determine when
an adjuster was
assigned. In 15
percent of the
files examined, it
took more than 29
days. Nearly a
quarter of the
2004 claims took
more than six
months to close,
the audit found.
Citizens had no
code of conduct to
direct board
members,
management or
employees until
Oct. 20, 2005.
''It is essential
to the proper
conduct and
operation of
Citizens that
board members,
management and
employees be
independent and
impartial and that
service in such
roles not be used
for personal
gain,'' the audit
said.
Former officer
Paul Hulsebusch
left Citizens last
year after a civil
suit claimed he
steered business
to friends and
business partners.
He's the subject
of a grand jury
investigation.
Other officers
left last year
after it became
known they were
setting up private
businesses to take
Citizens' work.
Citizens had no
appropriate
control or bids on
much of its
contract work.
The
audit reviewed 17
contracts for
Citizens work
totaling $33
million. Of those,
16 did not have
competitive bids.
Citizens has poor
customer service.
The
audit included a
survey of 392
policyholders and
an analysis of
complaints made to
the Department of
Financial
Services.
There were nearly
9,500 complaints
lodged against
Citizens relating
to 2004 hurricane
losses,
representing 7.6
percent of the
claims it had. For
the rest of the
insurance
industry, the
complaint-to-claims
rate was 3.2
percent.
Chief Financial
Officer Tom
Gallagher said the
audit would prove
helpful in making
changes to
Citizens and noted
that many of its
conclusions
matched changes he
and others have
been calling for.
''With additional
support from an
audit called for
by the Legislature
last year, I'm
confident that
state lawmakers
will join me in
approving reforms
that will result
in greater
transparency,
oversight and
accountability of
Citizens,''
Gallagher said in
a statement.
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