Future Is Already Here in Claims

A supercharging of trends has produced almost touchless processes for claims and cut cycle times to minutes instead of days.


A perfect storm of macro factors has supercharged several trends in the insurance industry, producing almost touchless processes for claims and enabling cycle times of seconds, minutes and hours instead of days and weeks. Advancements in areas such as machine learning, robotics and connected IoT devices will continue to bring a dramatic shift in the way claims are processed, managed and reported and will result in better operational performance and improved customer satisfaction.

How We Got Here

Traditionally, insurance companies were organized into several distinct and separate operating verticals; product and underwriting, sales and marketing, claims, finance and investment. Adding to the complexity, the property and casualty segment of the industry was further divided into personal auto and home, commercial auto, property and liability, specialty lines and workers' compensation. The mountains of information needed to enable a meaningful digital transformation of these enterprises were trapped inside numerous vertical silos and resided on a wide variety of separate storage systems and architectures.  

Initial efforts to digitize these disparate operating verticals soon revealed that only an enterprisewide digital transformation strategy would yield the results required to justify the effort, disruption and costs. These initiatives required well-informed, committed, visionary leadership to marshal and lead management teams and organizational staff through the necessary battles. Not all insurance leaders were up to the challenge, but those who were won differentiation in the market.

Digital Transformation and Insurtech 1.0

Meanwhile, technologies that enabled digital transformation continued to emerge from incubators in Silicon Valley and beyond, further complicating the effort to design and implement a digital enterprise strategy. As fast as carriers could incorporate a new technology into the enterprise, it was superseded by newer, better and more effective solutions. 

This same period also saw the rise of insurtechs, basically tech-enabled digital startups that planned to compete as “full stack” insurance companies directly against well-established insurers whose attempts at digital modernization were weighed down by legacy systems and siloed data. Professional investors, who had accumulated unprecedented levels of available investment capital (referred to as “dry powder”) seeking deployment, became enamored with the insurtech segment and provided firms with all the development capital they needed while driving their valuations to previously unthinkable heights. The investment thesis was that these companies would either take significant market share from the established carriers or would be acquired by those same carriers as a defensive strategy. Both assumptions turned out to be correct.

See also: The Connected World: How It Changes Claims

During this period, which we will call Insurtech 1.0, the newcomers viewed themselves as direct competitors to the incumbents, and, similarly, incumbent carriers felt the pressure to transform more quickly or lose ground to the insurtechs. However, after almost a decade in this mode, both sides began to adopt more pragmatic strategies that involved strategic alliances, partnerships and even investment, which we will call Insurtech 2.0

Claims Transformation and Insurtech 2.0

Of all the operating areas within the insurance enterprise, claims arguably warranted and received an oversized percentage of attention in terms of investment, innovation and digital transformation. 

The reasons for this were apparent. Claims costs consume an average of approximately 80% of all premium income. Claims also represent the single best opportunity that insurers have to interact with their customers and deliver on the insurance promise, at what is frequently referred to as “the moment of truth.” Because consumers had already become enamored by the allure and convenience of mobile, digital experiences delivered by the “FAANGs” (Facebook, Amazon, Apple, Netflix and Google/Alphabet) and others like them, customers naturally began to evaluate all other service levels by those standards. 

Claims has historically been a complex, labor- and paper-intensive process with stubbornly long cycle times involving large numbers of different types of service providers in fragmented industries. Many of the providers were small, independent, unsophisticated businesses, so effective digital transformation seemed overwhelming, if not impossible. Here again, strong visionary leadership, new technologies and large pools of investment capital combined to begin meaningful digital claims transformation, initially in portions of personal auto and eventually across the entire end-to-end claims process. Advancements in artificial intelligence, machine learning, robotics, connected vehicles, drones and IoT devices brought a marked shift in the way claims were being processed, managed and reported and improved operational performance as well as customer satisfaction and retention.

COVID-19 and the Future of Claims

The global pandemic emerged suddenly early in 2020 and instantly changed everything about the way we lived and worked – and insurance claims were no exception. Indeed, the pandemic forced the acceleration of the future of claims to arrive much sooner than anyone expected.

While some types of claims, including personal auto, temporarily fell significantly due to a decrease in travel, claims overall still required attention, even as insurance offices were being vacated. The industry, to its credit, repositioned almost all of its hundreds of thousands claims professional to work from home within two weeks. Now, the technologies that were driving earlier transformation became critically important as the virtual and touchless claims concept became a reality almost overnight. Insurers' use of customer self-service, photo estimating and artificial intelligence-supported claims expanded at a record pace, exceeding double-digit growth since just the beginning of the year, as auto insurers accelerated the use and adoption of digital tools in response to COVID-19. Digital claims payments also attracted increased attention as the printing and mailing of paper checks was no longer a practical option and claimants needed their settlement funds more quickly than ever.

Connected Claims

Fortunately, connected autos, homes, property and even people have proliferated and become the backbone of connected claims, so the future is bright.

See also: Managing Risk in a Pandemic  

To learn more, join us for Connected Claims USA Virtual on June 23-25 as Insurance Nexus by Reuters Events welcomes an expected 10,000 insurance claims industry executives, professionals and ecosystem partners to participate in an unprecedented virtual learning and networking experience.

Stephen Applebaum

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Stephen Applebaum

Stephen Applebaum, managing partner, Insurance Solutions Group, is a subject matter expert and thought leader providing consulting, advisory, research and strategic M&A services to participants across the entire North American property/casualty insurance ecosystem.


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