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What if Police Departments Can't Get Insurance?

Insurers are starting to address police misconduct by doing what they do: raising rates to reflect risks. And soaring premiums are beginning to change behavior. 

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police

While the debate continues about police departments in the U.S. and sometimes devolves into a national shouting match, insurers are starting to have their say, and their voice will be an important one. 

I've often said that no plan goes forward until the risk is dealt with -- you can talk about innovation all you want, but even Silicon Valley won't try something bold without insurance. Policing is no different. And insurers are starting to address police misconduct by doing what they do: raising rates to reflect the risks.

The costs of those risks have been heightened by the attention policing has attracted over the past few years and the changing attitudes that have resulted among many, including those on juries in civil lawsuits. So, those rate increases have a real bite and are starting to change behavior. 

An article in the Washington Post looks at a small police department with a history of high-speed pursuits and shows how it has had to adjust in the face of soaring insurance premiums. The article also explains how the fear of rising rates is driving change at small to medium-sized police departments across the U.S. (Large cities often just absorb the costs.)

The article opens with a look at St. Ann, Missouri, a city of 12,700 whose police department had been involved in high-speed chases that left 11 people injured in 19 crashes over two years. One man was permanently disabled when a fleeing suspect crashed into his car. (Police were trying to pull the suspect over because his registration had expired three weeks earlier.)

The article says Police Chief Aaron Jimenez "doubled down on the department’s decades-old motto: 'St. Ann will chase you until the wheels fall off.'"

"Then," the article continues, "an otherwise silent stakeholder stepped in. The St. Louis Area Insurance Trust risk pool — which provided liability coverage to the city of St. Ann and the police department — threatened to cancel coverage if the department didn’t impose restrictions on its use of police chases. City officials shopped around for alternative coverage but soon learned that costs would nearly double.... [So,] the chief and his 48-member department agreed to ban high-speed pursuits for traffic infractions and minor, nonviolent crimes.

"'I didn’t really have a choice,' Jimenez said.... 'I was going to have to lose 10 officers to pay'" for the insurance.

The article says departments with a long history of civil rights settlements have seen rates soar by 3X to 5X in the past three years, and insurers "are telling departments that they must change the way they police."

They have effected change, too, in thousands of departments nationwide. The article says "entire states are having to adjust to insurers’ demands." In New Mexico, a risk pool that provides coverage for one-third of the state’s police officers "hired an instructor last year to travel the state and retrain officers in de-escalation skills after private insurance rates climbed by more than 60%.... 

"For some police departments, insurers are refusing even to provide initial coverage unless they change their policies on a variety of matters including body cameras and chokeholds, according to industry experts....

"In Springfield, Ore., complaints and settlements involving excessive force by police became so costly two years ago that the city’s insurance risk pool, Citycounty Insurance Services, was given oversight of overhauling the 82-member police department."

There is, of course, concern about what can happen to policing when insurers start dictating policies. The article quotes one officer who says that "some of the riskiest calls to which patrol officers respond — domestic violence, threats of suicide or disorderly conduct — might be curtailed or eliminated by insurers. 'Their goal is to have no injuries or accidents, but that isn’t realistic, and that isn’t policing.'”

While policing will remain a complex and hot button issue, I think what's happening here shows the real power that insurance has to send signals that carry a punch and that can change behavior on a whole range of important issues.

I'll never understand why more people don't see insurance for the fascinating, powerful industry it is.

Cheers,

Paul

P.S. I'll be at InsurTech Connect in Las Vegas this week. If you see me running around, please say, "Hi."

Today’s Leading P&C Claims Insurtechs

The most successful are focusing on one or two insurance segments but are offering solutions in specific areas across the P&C claims value chain.

Desks with colorful dividers in a work space

Anyone who says insurtech is an up-and-coming space hasn’t been paying close enough attention. The insurtech movement, which began around 2010, is long past its infancy and is both maturing and evolving. This is especially true in the P&C claims space, where companies are gaining traction and having a significant impact on their customers.

To gain greater insights into the claims space, SMA has been tracking over 175 P&C claims vendors in the North American market, comprising 75 insurtechs (startups initiated after 2010) and over 100 incumbents.

We are seeing several notable trends:

  • Specialization is key: Three out of four companies among the 20 most successful insurtechs focus on one or two insurance segments (casualty/bodily injury, auto physical damage, workers’ comp and property).
     
  • Companies are drilling down: While they may be focusing on one or two insurance segments, they are offering solutions in specific areas across the claims value chain.
     
  • Partnerships are prioritized: The most successful insurtechs are partnering with key core system and data analytics providers. Securing these partnerships is often instrumental in boosting brand recognition and gaining market traction. 
     
  • Artificial intelligence (AI) reigns supreme: AI and machine learning are driving much of today’s claims innovation and are being applied in a multitude of ways. Many of the most successful insurtechs have AI as a central element of their solutions.

Lastly, there is no one-size-fits-all approach to a claims insurtech’s success. Funding amounts vary, as do types of partnerships and even go-to-market strategies. However, claims insurtechs at all stages must keep the problem they are solving in sight and the experience of their customer front and center at all times.


Mark Breading

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Mark Breading

Mark Breading is a partner at Strategy Meets Action, a Resource Pro company that helps insurers develop and validate their IT strategies and plans, better understand how their investments measure up in today's highly competitive environment and gain clarity on solution options and vendor selection.

Insurance Lines for Back to School

From tuition insurance to life, health, auto or renter’s insurance, parents and their students should get ready for the risks a school year has in store. 

Two young students in front of a school bus

As the bell rings on another school year, a host of insurance topics are showing up for class. 

From tuition insurance to life, health, auto or renter’s insurance, parents and their students should get ready for the potential risks and insurance opportunities a school year has in store. 

Tuition Insurance

After a school year begins, families only have a very short and very defined window in which they can pull their student and ask for a full refund on tuition. If an emergency happens outside of that window, families are going to be left owing at least some of that bill.  

That is where tuition insurance comes in. Tuition insurance protects families from emergencies that pop up that prevent the student from completing their semester. Typical tuition insurance policies protect students from a sudden serious injury or illness, a chronic illness, death of the student or tuition payer or a mental health emergency. 

Typically, these policies refund some or all of the tuition, room and board costs if the student is unable to complete their term. Some even help the student return home and return their vehicle home in the case of an emergency. 

It is important for families to know, however, that the triggers for payment have to be verifiable and outside their control. Simply losing steam and choosing to withdraw is typically not covered, though families may be able to find broader coverage with certain policies. 

These policies are available for universities but also for some private K-12 schools, as well. 

Life Insurance

College students may not be the typical audiences for a life insurance pitch, but two factors have changed that reality – parenthood and student loans. If the student has children of their own, then the typical life insurance conversation would be in play. What would happen to that child if the student dies? And when it comes to student loans, even a childless student may think about a term life insurance policy. 

Traditional federally issued student loans taken in the student’s name — subsidized, unsubsidized and even Parent PLUS – get discharged if they die, so those aren’t the ones in play here. Private loans get more complicated. 

When it comes to private loans, there are no universal standards for what happens if the student dies, so if that loan does not discharge on death, there is a great case to be made that an inexpensive term life policy makes sense for the student until that loan is paid off, especially if someone – such as a parent – is the one who is signing or cosigning for that loan. 

Health Insurance

Most colleges require students to show that they are covered by a health policy as a condition of enrollment. And most colleges also partner with a campus health insurance provider for students who don’t have suitable coverage and add those policies onto the tuition bill. 

While those campus-issued policies do make sense for many students, they shouldn’t be the automatic solution for everyone. If the student is covered by their parent’s private health policy, the first thing to do is look for coverage networks. If the policy has providers available near the school, then that might be all they need, and they should petition the school to drop that automatically issued coverage. 

Even if the typical preferred provider network doesn’t cover the area around the school, some private policies allow parents to buy out-of-network coverage option that might be worthwhile if it means not having to buy a separate plan. 

If the parents have a Marketplace Plan, then it is essential to double check the preferred provider network because, in most cases, they won’t cover out of state providers. In this case, it may make sense for the student to also apply for their own Marketplace Plan in their new state. 

The parents’ and the student’s incomes will both be counted toward both Marketplace policies for the purposes of calculating any subsidy, so there isn’t a rule of thumb for everyone on whether this option makes the most sense. 

The bottom line is to ensure that the student has access to the providers they need, and then look at what it is going to cost to ensure they are properly covered. 

In the case of K-12, if the parents are uninsured, they need to know the options available through the state Child Health Insurance Program, which may offer low- or no-cost insurance for their pupils. 

See also: How to Help Children Deal With Trauma

Auto Insurance

When it comes to auto insurance for a student, the most important question to ask is “where is the car?” according to the guidelines covered in insuranceQuotes.com’s 2022 Back to School & Insurance Report.

If the student brings the car to school, they should let the insurer know where it is going to be parked. The new community may require higher rates, and those may depend on whether the vehicle is in a secured parking garage or out on the street. 

If the student leaves the vehicle at home, the insurer also needs to know, because if the student is away at school more than 100 miles from home, they may qualify for a discount because the car is going to sit idle for much of the year. 

In some rare cases, such as if the parents lived in a high-insurance-cost community and the student moved away to a low-cost community, or if the parents have an exceptionally poor driving record, it may make sense for the student to take out a completely separate policy, though those cases are few and far between. It is almost always a better financial deal for the student and parents to be on the same policy. 

It is also important for the families to brag about junior’s grades. If the student is on the honor roll, they may qualify for a good student discount. 

If the family is tempted to drop coverage altogether, it is essential that they know that it would be strictly forbidden for the student to drive when they come home. 

Renters Insurance

Protecting the student’s belongings while they are away is the role of homeowner’s or renter’s insurance. 

If the student is living in the dorm, their parents’ homeowner’s insurance may be sufficient, though deductibles and policy limits may cut into the usefulness. Typically, each policy limits how much property is covered when it is not within the premises of the parents’ home, so the student may be limited to $10,000 in coverage when they are off to school. 

On top of that, if the parents have a $1,000 deductible, then, even if the student’s dropped mobile phone would otherwise be covered, there wouldn’t be much coverage left after the deductible is paid. 

If a student moves off campus, the homeowner’s question is a moot point. Nothing would be covered by a parents’ policy if the student was living in their own apartment (rather than a dorm.) 

This is where a renter’s policy would make sense. Because the policies don’t cover the structure, they tend to be very reasonably priced, and they can carry a much lower deductible, meaning that broken cell phone may be covered after all. 

But just like with homeowner’s policies, floods and earthquakes are excluded by typical policies.

ML Improves Life Settlements

Advancements in machine learning are changing the landscape of the life insurance industry, making life settlements more accessible to policyholders.

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The life settlement is a legal, regulated process for liquidating life insurance. Unfortunately, the regulations in place don't fully address the culture of mistrust in the industry. That culture is an outcome of the traditional process: Life settlement cases have historically been managed behind the scenes, with each stakeholder having access to only some of the case details. That veiled environment allows providers, agents, advisers, investors, brokers and policyholders to work at cross purposes.

Complicating matters more, the amount of funds available to buy policies has exploded in recent years. As more money circulates in the industry, dishonesty and deception remain key issues that ultimately work against all stakeholders. 

However, advancements in machine learning technology are changing the landscape of the life insurance industry, making life settlements more open and accessible to policyholders than ever before. 

Underlying mistrust and lack of transparency 

The traditional life settlement auction process has pockets of secrecy. Insureds, agents, advisers, life settlement brokers, life settlement providers and life settlement funds rarely have access to the same set of information. Brokers typically act as gatekeepers, with the freedom to share or withhold details as they see fit. That naturally creates a lack of transparency and fosters mistrust. 

Some of that mistrust is warranted. Unethical brokers will award cases based on relationship rather than bid size. That's a clear disservice to the insured, who assumes the broker is working to negotiate the highest selling price possible. In these cases, the broker must intentionally limit the auction information provided back to the insured. The insured certainly won't see the highest bid -- and also may not know how the winning offer was calculated or where it came from.  

Fortunately, these problems are solvable with technology. Life settlement auction platforms create transparency by giving all stakeholders access to the same information. With case details and bids accessible electronically, the auction becomes unbuyable. Whoever submits the highest bid wins the case, period. There is simply no room to make a backdoor deal, which ensures a fair process for everyone involved.

See also: Adding Transparency to Life Settlements

Poor communication

Poor communication, whether intentional or by accident, worsens the lack of transparency in the traditional life settlement process. Layers of hidden fees charged by providers or brokers cut into the insured's proceeds -- often, without the insured's knowledge. 

As an example, a broker might deliver a net offer to the insured, with no breakdown of the gross selling price and the broker's commission. As well, providers may put in offers net of their fee, essentially hiding those fees from funders.

Policy metrics can be another area of confusion. Actuarial firms, responsible for valuation, may be inconsistent on key metrics, such as life expectancy. That misalignment of data works against providers that are trying to put their best offer forward to win the deal. 

Again, technology can solve for missing or inconsistent data. Life settlement auction platforms state valuation metrics upfront so all parties are working from the same set of numbers. They also require families to sign off on commissions for every transaction -- ensuring full transparency into the fees paid out of sale proceeds. 

Reinventing the life settlement market 

Until now, it took months for financial professionals to understand and identify which life insurance policies have value and provide the proper guidance. A primary cause for this is cost of insurance (COI) data being fiercely protected by life insurance companies. COI incorporates several variables, such as when the insured purchased the policy, how old they were when they bought it, their health at the time and the policy type, which determines how much each policy is worth.

Thanks to machine learning technology, the future of the life settlement industry is bright. Financial professionals can now use a life settlement calculator to evaluate their entire book of clients in a matter of minutes and identify which would benefit from a life settlement. Technology makes the life settlement decision process easier than ever so advisers can understand their client's full financial picture and provide the right guidance, especially during times of economic distress. 

The life settlement industry is growing 34% per year on average and is expected to be worth $212 billion by 2028. Each and every American deserves to know the true value of their assets so they can make the best decisions for themselves and their families. With AI-powered technology, life settlement valuations are now a far more accessible, honest process for more policyholders nationwide. 


Lucas Siegel

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Lucas Siegel

Lucas Siegel is the founder and CEO of Harbor Life Settlements, a life settlement company that is dedicated to helping seniors and the terminally ill sell their life insurance policies, and Harbor Life Brokerage, a life settlement broker.

A Surprising Opportunity

Agent and Brokers Commentary: September 2022 

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As the momentum for "embedded insurance" has built in recent years, I assumed it would mark yet another attempt to cut agents and brokers out of the sales process. So I was intrigued when, in this month's interview, the director of agency accounts at Clearcover suggested embedded insurance could actually mark an opportunity for agents and brokers.

Clearcover's Kaitlyn Taylor said that the insurtech is working to help agents and brokers remain part of the process even if someone who is, say, buying a car is prompted to purchase auto insurance while at a dealership. The buyer could be presented with a QR code, for instance, that would steer the insurance purchase through an agent, or some other link could be provided. 

Lots of details remain to be worked out, so the customer could both get the convenience of buying insurance while it is top of mind, without having to reenter all sorts of personal and financial information, and get the comfort of dealing with an agent on any questions, both during the sales process and during the relationship that follows. Commissions will, of course, have to be resolved, too, based on who gets credit for initiating the sale and who services the customer and policy from then on. 

So, Taylor cautioned that the work at Clearcover is in its very early stages. Still, I found the notion intriguing.

People keep trying to disintermediate agents and brokers... and keep failing.

Cheers,

Paul
 


P.S. Here are the six articles I'd like to highlight this month for agents and brokers:

 

You May Be Lighting Benjamins on Fire

You are passing up maybe $1,000 in commissions per client if you aren't cross-selling instant-issue term life insurance policies that don't require a medical checkup.

Why Brokers Have a Leg Up in Insurtech

While insurtechs are struggling, established brokerages have deep industry knowledge and solid businesses from which to build and evolve technology solutions. 

5 Keys to a Low-Stress Work Environment in 2022

Stressed employees are less engaged and have lower productivity - and some may even left their job. Here is how to promote a low-stress work environment.

Fried Chicken and Customer Loyalty

Customer loyalty, and thus retention and profitability, isn’t driven by cheap prices, AI bots, big data or nifty phone apps.

2 Areas of Focus for Distribution

Distribution partners are focused on two key areas – user experience and ease of doing business – and are looking to work with insurers.

Power of Partner Ecosystems

Insurers seem stuck in traditional channels rather than expanding channel choice and reach, meeting customers where and when they want.

 

 


Paul Carroll

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Paul Carroll

Paul Carroll is the editor-in-chief of Insurance Thought Leadership.

He is also co-author of A Brief History of a Perfect Future: Inventing the Future We Can Proudly Leave Our Kids by 2050 and Billion Dollar Lessons: What You Can Learn From the Most Inexcusable Business Failures of the Last 25 Years and the author of a best-seller on IBM, published in 1993.

Carroll spent 17 years at the Wall Street Journal as an editor and reporter; he was nominated twice for the Pulitzer Prize. He later was a finalist for a National Magazine Award.

An Interview with Kaitlyn Taylor

In this month's interview, Kaitlyn Taylor, director of agency accounts at Clearcover, talks about helping agents be more confident about their opportunities to take advantage of technology and serve customers.

Kaitlyn Taylor banner

ITL

There was a time, not so long ago, when the mantra of the insurance experts was disintermediation. Agents and brokers? Let's get rid of them. But agents and brokers not only survived; they're thriving, to the extent that a successful insurtech like Clearcover has someone—that would be you—focused on nurturing relations with them. Could you start us off with a bit of perspective on Clearcover's thinking?

Kaitlyn Taylor:

Yes, many thought that agents would be old news pretty soon, and the pandemic probably heightened that belief, but we don't think that's the case. That's why we launched the independent agent channel starting in 2019.

There are some  customers who have strong digital desires but who rely on agents for their insurance needs, and we need to make sure we're paying attention to those people. Agents have such a plethora of knowledge, not only about insurance, obviously, but also about customer expectations. We want to ensure that they can continue doing what they’re doing by embracing technology that we can bring them.

ITL

What does that technology look like?

Taylor:

D2C [direct-to-consumer] companies brag about how quickly you can quote and bind by yourself online, while talking about how you may wait on hold for an agent, or your producer is out of the office and you wind up in a long, drawn-out process. We feel like we have the responsibility to help speed up this process for agents so they're just as competitive as if their customers were going to D2C. And our AI makes decisions in a tenth of a second on whether a customer is a good fit for our products.

There's also the nitty gritty stuff in the agency. It's important that we're integrated with the agency’s CRM [customer relationship management], so information is being transferred from our database to theirs. We also, in general, need to help agencies speed up their processes so they can keep up with customers' expectations.

ITL

How far along do you think you are in the process? And what would be the next step or two that you could take to make the life of an agent easier?

Taylor:

More and more agents are hearing the term "embedded insurance," and we want to help agents make sure they can participate. We want to provide them with the APIs [application programming interfaces] or QR codes so they can tie into referral networks and make it easy for customers to click on a link and get a quote. We're hearing a lot about embedded insurance.

We also need to help agents adapt to new technology. At the end of 2021, we did a survey of agents—they weren't necessarily Clearcover agents—and found that 90% said they had to change their technology practices to keep up during the pandemic. Okay, that's not too surprising. But 67% said they still lacked confidence in their ability to keep up with technology. That was really surprising to me, because they had just gone a year and a half fully living in a techie, probably virtual environment.

When we have one-on-one conversations with agencies, we try to give them confidence, and we talk them through how things work in the background, to remove any concerns. For instance, we push hard to make sure customers download the mobile app, where you can digitally sign your documents. And I think some agents worry: What happens when a customer downloads the Clearcover app? Do I lose some control over the customer’s experience and their insurance journey? So, we assure agents that we’re only going to feed, positively, into the journey.

We also educate agents. My favorite example about the power of a mobile app is a personal one. I just had to update my banking information with another carrier I will not name. They sent me a secure PDF that I could use to provide the information, which they would then put into their system. That made me wildly uncomfortable. And we know from our own research that a big reason that customers want to download the mobile app is just to put in their own banking information.

With a mobile app, documents are sent to the customer’s email. That's one less thing for the agent to worry about. And now we have a permanent digital file of it. The mobile app also means they're already equipped with the ability to submit a claim and with the ability to update certain things about their policy on a Saturday morning when maybe the agency isn't able to.

ITL

Are there other technologies that you think are especially important that you're going to lean into?

Taylor:

We've been using AI since 2020 to help agents find quality long-term prospects by predicting if a customer is a good fit for them and us.

We've also focused a lot on speeding the claims process, so agents can instead direct their attention to generating more business in their agency. Like a lot of carriers, we have a lot of data on claims, so we determine if one is eligible for an expedited payment. We've paid a claim in as little as seven minutes from the time we received it.

ITL

How about digital payments?

Taylor:

Yes. And here's a cool thing: We now offer Uber credits to eligible customers if they don't need a rental car right away. I, myself, am currently in a rental car because of a claim that happened in April, and the parts just now came in. So, I would be a good case: You could give me the Uber credits in April, but I'm not going to use them until August.

ITL

Last question: What would you say most makes Clearcover stand out from your competition?

Taylor:

I think ease-of-use is where we have a leg up, especially if we have an agency that's particularly passionate about us.>

ITL

I'm a big fan of ease-of-use. Good luck, and thanks for taking the time.

 


 

Kaitlyn Taylor

Kaitlyn Taylor

Kaitlyn Taylor is the director of agency accounts at Clearcover, the tech-driven car insurance company. She currently oversees the distribution of Clearcover's product through Clearcover's growing independent agency channel.


Insurance Thought Leadership

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Insurance Thought Leadership

Insurance Thought Leadership (ITL) delivers engaging, informative articles from our global network of thought leaders and decision makers. Their insights are transforming the insurance and risk management marketplace through knowledge sharing, big ideas on a wide variety of topics, and lessons learned through real-life applications of innovative technology.

We also connect our network of authors and readers in ways that help them uncover opportunities and that lead to innovation and strategic advantage.

Payment Processes Must Be Simplified

Insurance companies pursue digital transformation and customer experience optimization but overlook some of the fundamentals. This is exemplified by payments.

Person holding credit card in front of a laptop

The insurance industry continues to aggressively pursue digital transformation and customer experience optimization but is still overlooking some of the fundamentals. This is exemplified by payments, which remain fragmented and needlessly complicated.

A key goal of digital transformation is to provide customers with streamlined, consistent user experiences. PYMNTS, a data, news and insights firm, reported that 67% of insurance carriers view digitizing payments as an important part of their digital upgrade plans. Yet large brokers and insurance carriers may have upwards of 40 payment providers with potentially hundreds of payment contracts—each with different reporting, pricing, capabilities and accounting interfaces. While this creates a challenging environment, improving this part of the business doesn’t require a significant investment. 

Whether you’re a carrier, broker, MGA or just about any entity in the insurance ecosystem that accepts and makes payments, it’s important to prioritize your payments strategy and create a unified experience to better meet the needs of customers and internal teams. 

Domain Expertise Is Key

Why have payments in insurance become so fragmented and inefficient? There are hundreds of payment providers, but very few have the insurance domain expertise and offer the services to adequately serve a complex, regulatory-heavy B2B2C industry like insurance. Oftentimes, they only provide an application programming interface (API), forcing carriers or brokers to build workflows or other capabilities on their own and take on the responsibility of maintaining highly customized integrations and interfaces. Further, some payment processors enlist third parties to underwrite transactions, which can lead to clunky customer experiences like having to re-enter credit card information and navigate multiple screens. Or, some brokers might rely on multiple payment processors, each offering different ways to accept premium payments.

For these reasons, it’s crucial to work with payment providers that have a deep understanding of insurance management systems and offer core technology and services such as payments underwriting, credit approvals, fraud prevention, administration and policyholder support.

On the operations side, insurance companies using multiple payment providers and workflows invite inconsistent pricing and reporting. For example, agency branches with different payment processors will pay varying fees for the same type of transaction. In other cases, outsourced billing firms have software on the front end but humans performing manual invoicing on the back end, which leads to higher transaction overhead. 

Consolidating payment processing helps standardize the workflow, the reporting and the costs. Of those surveyed in the PYMNTS report, 64% say those upgrade plans are motivated by their desire to be less dependent on paper checks, and 53% are looking to reduce their internal expenses. And the cost savings can be staggering. Bank of America has estimated that paper checks can cost approximately $4 to $20 per check based on the check price and postage, which doesn’t even take into account the labor costs of writing, mailing, collecting and reconciling the check, not to mention the increased exposure to fraud.

See also: Using Payments to Improve the CX

Customer Experience and the Bottom Line

In general, customer experience drives retention, new and expanded business and Net Promoter Scores, but when it comes to payments, the customer experience can also accelerate (or impede) cashflow. For an insurer, money that gets in the door faster will be invested faster. A complex digital payment experience can result in delay or abandonment of the process, as questions get answered or as the policyholder regresses back to sending a paper check. These are outcomes that not only delay the payment but add cost.

Digital insurance payments are a key part of the customer experience and yet often get overlooked. Nothing will change if payments are viewed as “checking off a box” rather than a critical component of the business that demands oversight and strategy. Many insurers and brokers are stuck in the first phase of digital payments, where the market had forced its adoption. Now it’s time to enter the next phase, where insurance organizations become more adept at managing their payments, and, as a result, reduce costs, streamline operations, improve cashflow and provide a seamless experience to customers.


Michele Shepard

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Michele Shepard

Michele Shepard is chief commercial officer of Paya.

She focuses on developing and executing forward-thinking customer engagement strategies across sales, marketing and customer success. Shepard's previous experience includes leading high-growth sales and business development teams as well as implementing successful go-to-market strategies at high-growth vertical software companies Insurity and Vertafore. Shepard also served as a senior sales leader at Gartner, focusing on tailoring sales to targeted vertical end markets.

Blueprint to Counter Ransomware Attacks

Insurers have collaborated on a detailed plan for small and midsized businesses, which find themselves in the sweet spot for ransomware attacks. 

Hand typing on a colorful but dark keyboard

In 2021, crypto analysis firm Chainalysis estimated that victims of ransomware paid over $692 million in extortion payments. This marked a 70% increase from the previous worst year on record (2020), and it only tells a small part of the story.

Analysis from cyber insurance claims shows that, as frustrating as it is to pay criminals to restore critical data, the cost to the business is significantly worse. Data from insurance broker AON projected that the business costs from ransomware attacks in 2021 would top $20 billion.

70% of ransomware victims are small to midsized enterprises (SMEs) with fewer than 500 employees. This is a sweet spot for criminals because these organizations – many of which are cities, hospitals and school districts – can’t afford to shut down but also can't afford to compete for expertise, given the 700,000 open cybersecurity positions across the U.S.

At Resilience, we are laser-focused on these middle-market organizations and see firsthand the pain enacted by this menacingly profitable form of cyber crime. The school district that not only struggles to restore teachers’ computers but also worries about criminals leaking student personal data. The manufacturer that missed a critical patch and now wonders how long it can afford to delay orders. The city with thousands of civilians that has to choose between funding more crime fighting or keeping critical services running. Organizations must build resilience in their digital systems that allows them to defend against ransomware attacks and recover in a manner that doesn’t necessitate paying a ransom. 

Our drive to build cyber resilience in our customers led us to join our partners on the Ransomware Task Force to launch a tool specifically focused on supporting SMEs, the Blueprint for Ransomware Defense. 

From the start, we wanted to move past the various vendor-sponsored “top 10 lists” for how one product or another could protect against ransomware attacks. This type of FUD (fear, uncertainty and doubt) marketing promises that a specific product or solution will make a company completely secure against attacks. As cybersecurity and insurance specialists, we know the hard truth: no system is completely safe from a determined adversary, and success relies on an organization’s ability to take a punch and maintain operations. 

Instead, the blueprint begins with data-backed security control recommendations from the non-profit Center for Internet Security. With their assistance, task force members prioritized security measures based on: 

a) what has been proven to be most effective at stopping attacks; and
b) what is reasonable for an SME with minimal staff and funding to accomplish.

As an insurance provider, Resilience was also able to offer insight into which controls had the greatest effect on lowering the damage of successful attacks and helping companies recover without paying a ransom. 

See also: Ransomware Grows More Pernicious

The blueprint prioritizes these controls along seven categories:

  • Environment
  • Secure Configurations
  • Account and Access Management
  • Vulnerability Management Planning
  • Malware Defense
  • Security Awareness and Skill Training
  • Data Recovery and Incident Response

While none of this is earth-shattering to security professionals, we believe that the core value of the blueprint lies in its ease of implantation by the partners that serve this highly targeted group of SMEs, including cloud providers, consultants and managed service providers. As these organizations look to defend their clients from ransomware, we will continue to maintain this list as a prioritized “building code” for what is currently working best to build resilience against attacks.

As noted in the report, the ransomware blueprint also provides two critical elements for the cyber insurance industry’s fight against the rise in criminal ransomware attacks.

First, the blueprint provides a practical, data-driven guide specifically for middle market and small businesses, which often struggle the most with defending their systems. Starting with the CIS Implementation Group 1 control set, the task force selected these security measures as the most critical defenses against ransomware. Underwriting and claims professionals have also reviewed these measures to ensure they match with what is being seen to help lower the likelihood of attacks.

Second, the blueprint helps the insurance industry better understand what signals to look for when underwriting accounts. In other lines of insurance, engineering-based loss data drives underwriting and risk mitigation efforts by carriers and reinsurers. Because of its human adversarial element and highly technical nature, cyber insurance has often relied on data breach litigation data to drive actuarial pricing and determine underwriting guidelines. The rise in ransomware has dramatically shown the need for a greater focus on security controls that can stop attacks and speed recovery so that insureds are not forced to pay extortion to recover their critical systems quickly.

As a newer cyber insurance provider, Resilience believes in sharing insights we’ve gained as security practitioners with the broader insurance community. A unique feature of the insurance industry is that many firms provide capital for insuring a single organization. This process is called building an insurance “tower," meaning that competing insurance providers may share the risk on the same account. We believe that sharing public resources like the blueprint can help less technical underwriters better understand the risks they are underwriting, which benefits the industry.

Some of these best practices from the blueprint that Resilience considers when underwriting against ransomware risk include: 

  • Implementation of strong backups;
  • Security awareness and incident response training;
  • E-mail security deployed across the entire enterprise;
  • Advanced endpoint protection against malware; and
  • Network visibility and security.

Building cyber resilient companies is about more than setting up strong defenses or paying insurance claims. The ambitious nature of ransomware actors has led to consistently evolving tactics that thwart common defensive measures. Focusing solely on prevention is a risky endeavor if an organization has not also thought about how to maintain operations during a disruption. 

Coming back from a successful attack without resorting to extortion payments or a complete overhaul of critical systems is the other half of a cyber resilient mindset. Resilience believes the traditional cyber insurance market has to evolve from simply transferring financial burden of an incident toward using data and knowledge to increase the safety of customers. At Resilience, this virtuous cycle of security and insurance has been shown to reduce claims costs, increase patching cadence and drive executive attention across our customer base. 

We feel bold enough to say the cyber resilience model must be the next insurance market evolution for this product. With the Ransomware Task Force Blueprint launch, we believe this is a concrete first step down that path and encourage you to join us. 

Access the blueprint for yourself at: https://securityandtechnology.org/ransomwaretaskforce/blueprint-for-ransomware-defense/


Davis Hake

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Davis Hake

Davis Hake is the co-founder and vice president of policy at Resilience.

Prior to co-founding Resilience in 2017, Hake managed cybersecurity strategy for Palo Alto Networks, served on the National Security Council and was a lead author of cybersecurity legislation in the U.S. Congress. Hake is an adjunct professor of risk management at the University of California, Berkeley, and is a term member of the Council on Foreign Relations.

He holds a master’s in strategic security studies from the National Defense University and a bachelor’s in international relations and economics from the University of California, Davis.

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Majesco is the partner P&C and L&A insurers choose to create and deliver outstanding experiences for customers. We combine our technology and insurance experience to anticipate what’s next, without losing sight of what’s important now.  Over 350 insurers, reinsurers, brokers, MGAs and greenfields/startups rely on Majesco’s SaaS platform solutions of core, digital, data & analytics, distribution, and a rich ecosystem of partners to create their next now.

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What Customers Actually Value

A survey by Hi Marley identifies two problems in the claims process that annoy customers, yet that would be easy to fix via technology and some training. 

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What Customers Actually Value

A partner of mine at a management consulting firm introduced me to the idea of "break points" in customer expectations some 25 years ago, and they struck me as a revelation.

I had just thought of, say, faster response to customer calls as a good thing, and assumed that the faster the better. In fact, there were break points. Customers would get royally hacked off if kept on hold for a certain number of minutes -- let's say 10 -- so it was worth the effort to keep response times below that threshold. But -- and this was the revelation -- you didn't get additional credit from customers if you cut response time to nine minutes or eight or seven or.... You didn't get credit until you reached the next break point, perhaps at less than a minute, a response time that would delight customers.

But that didn't necessarily mean you should try to delight customers. The expense might be prohibitive. You might make an economic calculation to merely satisfy them. 

That idea got refined for me a few years later in a conversation with Mike Hammer, the pioneer of business process reengineering and all-around famous professor at MIT. He told me of a large utility that found that the key metric for customer satisfaction when it started service for a customer wasn't what I would have expected: the number of days between the request for service and its initiation. In fact, the key metric was whether the utility lived up to its promise about when service would start. In other words, whether it took one week or two to start service mattered less than whether the technician really showed up between, say, 2 and 4pm on the appointed day.

That's a bit of a long windup, but I wanted to make clear why I was so intrigued by a Hi Marley survey about what really matters to customers in the claims process. While two of the main concerns that surfaced strike me as hard and expensive to resolve, one seems to be really low-hanging fruit ("process explanation and expectation setting"), and another seems within reach ("responsiveness and availability").  

The Hi Marley survey looked at thousands of four-star ratings in their database and identified 1,300 claims in which policyholders relayed issues that, had they been handled differently, would’ve resulted in a five-star rating. Of those, 95% fell into four categories: process explanation and expectation setting (34%), unresolved claim issues (28%), responsiveness and availability (18%) and adjuster attitude, approach and level of knowledge (15%).

You will decide for yourself how hard each of the four issues would be to attack, but it strikes me that process explanation and expectation setting should be relatively easy to improve, especially because of new technology tools.

Think of how package deliveries used to work, vs. how they work now. A decade ago, deliveries were a black box. You placed an order, and it eventually showed up at your doorstep, but you had no visibility about what happened during the days in between. You could call and ask for an update, but the customer service rep often had no more information than you did -- something you'd find out only after working your way through a phone tree and spending time on hold listening to bad music or ads. Now, you can simply check an app and know that the item has shipped, see where it is in the USPS, FedEx or UPS delivery network and get a precise idea of when the item will arrive. More advanced companies, such as Amazon, automatically text you or email you alerts about where your item is in the process, when it will arrive and when it has, in fact, landed on your doormat.

Why couldn't that sort of system work for claims? Yes, it would take work on the back end to automate updates, but then the marginal cost would be almost zero -- and customers would be a lot happier if they knew where their claim stood in the process. Even if they just got a notification every few days letting them know that you were still working on resolving a particular issue, they'd know you hadn't forgotten about them. That sort of notification would be especially valuable these days, given that supply chain issues can mean long waits for parts for a repair. 

Some training and continual communication would also, in my experience, be needed to improve process explanation and expectation setting. An awful lot of experts I've dealt with over the years, whether a plumber or a lawyer, have forgotten that they're experts. They assume I know things that I have never remotely experienced. Those working on claims would likely benefit from training and then frequent communication reminding them that they need to start from zero as they're explaining the process to someone filing a claim, that they should avoid all jargon at all costs and that they need to set realistic expectations (or under-promise and overdeliver). 

Technology can help here, too. The ease of electronic communication can let companies develop standardized materials that can be shared with claimants and explain the process in a thorough but friendly way. (Lemonade makes for a good model.) Electronic communication can also serve as a backstop -- if a claimant says you didn't warn them about something, you'll have a record showing that you did. 

The other point where I think real progress can be made -- responsiveness and availability -- is rather trickier, because that may require additional resources, but technology can take at least some of the load off agents. The sort of digitization of the claims process that would allow for automated updates would also provide for self-service and remove the need for any kind of response from an agent. A claimant doesn't have to place a call and wait for a response from an available agent if the person can just go to a website and look something up or interact with a chatbot and get a question answered at 2am or on a weekend. The responsiveness and availability are instantaneous.

The other two issues identified by Hi Marley -- unresolved claim issues and adjuster attitude, approach and level of knowledge -- are surely worth addressing but seem to require more systemic change. Claim issues involve the whole process, from beginning to end, and attitude, approach and knowledge depend not only on training but on finding the right talent. 

With all four of the issues identified in the survey, Hi Marley suggests that there is a clear benefit just to getting customers to raise your rating. I'm not necessarily convinced. You still have to do the analysis to see if the expense of resolving the issues would matter enough to get past a break point and lead customers to change their behaviors.

But I also don't think that it would take that much effort to improve on process explanation and expectation setting and on responsiveness and availability. 

Cheers,

Paul