How to Cut COLOSSUS Down to Size
If you have handled "minor impact tissue injury" (MIST) cases,
you
may have encountered a computerized evaluation tool that many
insurance companies use to aid in their conduct of the case.
These tools have been around since the early 1990s and the uses
and
applications of these tools have left many angry people in
their wake.
One of the common ones is called COLOSSUS. Originally
developed in
Australia, the program is now owned and licensed by
the Computer Sciences
Corporation http://www.csc.com, a California
corporation.
The anger that has been generated by the uses and applications of
tools
like COLOSSUS has been expressed in many websites by
several law firms
handling these cases. Therefore, there is a
real challenge to find
practical data that can advance your
client-representation goals
because the emotion generated by
these cases tends to be fresh and raw
and the emotion is
reflected in the adjectives and adverbs used
on these websites.
In your analysis of these materials for your cases,
do not forget
that the ethical obligation of zealous representation
can
sometimes drive attorneys to frame issues and data in polemical
ways that make information distillation difficult.
If you suspect a computerized evaluation tool is in use
by an
insurance company involved in your case, you will need
some basic data about the tool in context, specific data
about the major tool you are likely to face, and some general
questions about artificial-intelligence tools that will apply to
any computerized case-evaluation tools.
Basic Data Sources
There are two sources that will give you the basic data you need
to
frame your questions about COLOSSUS or some other
insurance-case
management tool. One comes from the Association
of Trial Lawyers of
America (ATLA) and one came from a Florida
law firm. (When I tried
to use direct citations to Computer
Sciences Corporation web pages
other than its home page, I found
many broken links or pages that
were not available.)
ATLA's contribution here is a two-page article that appeared in
the
Consumer Attorneys of California Forum in the July/August
2001 issue,
pages 10-11. It was written by Roselyn Bonanti and
David Ratcliff, from
the State Affairs Office of ATLA. The
article provides basic data about
COLOSSUS, the scope of its use,
and a list of insurance companies that
use the program and when
each one started using it.
The other helpful document that I would absolutely command you to
get
if you were handling one of these cases is a document by a
Florida
attorney, William F. Merlin, Jr., called "Collision
Course with the
COLOSSUS Program: How to Deal with It,"
available on his website at
http://www.insurance-law.com/pdfs/Colossus/Whatweknow.pdf.
(You will need
the Adobe Acrobat Reader to read the document,
since the document
is online in the Adobe Acrobat Portable
Document Format (PDF). You can
download the Adobe Acrobat Reader
free of charge at
http://www.adobe.com .) The document
provides you with vaulable guidance,
lists of questions to ask,
factors to consider, elements of damages, and
other data really
helpful in handling the computer program.
How to Question the Artificial Intelligence Tool
Artificial intelligence tools like computerized
claim-handling
systems have two major components--the rules and
the data set.
The rules consist of programmed decisions and data input and
output--the conceptual plumbing of the system. It is
reminiscent of the law school and bar-examination experience
of burning the basic checklists for crimes, contracts, and
torts into our brains. Those checklists would be the "rules"
you would use if you were to create an artificial intelligence
system to take the bar examination.
The data set consists of the information the system gathers
and manipulates. The data may come from a number of sources--
both credible and faulty. Data are influenced by interactions
with other data and with human custodians.
With both the rules and the data set in mind, here are a few
questions you should either ask or discover about the
computerized
claim-handling systems you encounter:
What are the sources for the rules?
Does the program apply
the rules accurately?
What data are used by the program?
What are the sources of those data?
How often are the data
changed or updated?
How often are the data checked or verified
for accuracy or integrity?
The answers to these questions will provide leads for your
investigation
of how computerized claim-handling systems like
COLOSSUS affected your
client's interest.