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How to Get in Front of 2023 Trends

Times like these are when bold leaders who believe in trust and value can really shine, so challenge yourself to be that intrapreneur or entrepreneur.

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As carriers, agencies and brokers begin the new year, economic uncertainty is on everyone’s mind, and insurers are looking for ways to increase and maintain wallet share. One thing is certain: Loyalty is earned and not bought. A new year is a great time for a fresh start, and decision-makers are evaluating their organizations’ approach to core functions and workflows, including the role insurance technology plays in creating loyalty and generating revenue.  

They’re taking stock of the customer experience across the board, from quoting to claims and payments to referrals, in the context of the entire insurance ecosystem and its multiple stakeholders. Many are finding they’ve drifted away from the cadence they were striving for, and they’re struggling to support their distribution and partner ecosystem and stay top of mind with customers. 

In 2023, doubling down on loyalty will be key. For insurers, this starts with reflecting on why you’re in the industry in the first place. Insurance company slogans are all about rock-solid steadiness, reliability and protection and caring, and that’s why you’re in the business -- to provide guardrails so individuals, families and businesses can move seamlessly and safely through their lives with the appropriate coverage.   

That mission is shared throughout the digital insurance ecosystem, so now is a great time to get back to this promise by doubling down on loyalty. By building trust in a social environment where we are at a low point and showing up to support your ecosystem, you can defend wallet share. Here’s a look at how you can harness trends to create more loyalty and trust across the board in 2023: 

  • Sharing quality data: It’s easy to lose sight of this critical objective because there are so many stakeholders involved, but carriers, agencies, brokers and distribution networks need to share fresh, relevant data across channels and as needed to better serve customers. Sharing data empowers the digital ecosystem with the right information at the right time to leverage the investments you and your partners have made in the cloud. But while collecting data securely and enabling data application at scale is important, it’s time to challenge yourself to make the most of it by using data to create value across the entire customer journey. Start creating loyalty at the first interaction.  
  • Refining your ideal customer profile: The current economic situation isn’t the only factor that contributes to a pervasive societal feeling of unease. Weather patterns are changing. Concerns about cybersecurity are on the rise. It’s time to ensure you are growing and adjusting your business to match your ideal customer, while at the same time acknowledging that your ideal customer may not be who you started with. Sometimes your ideal customer will change, and at other times your product will need to change so you can continue to support your ideal customer. It’s integral to the promise you make to customers to be there for them, so help customers by providing the right policies for them.  
  • Bringing policyholders and end consumers into the conversation: This isn’t a new trend, but communicating with customers is even more critical in a time of uncertainty and when consumer spending is down. Obtain the appropriate consent from the customer and get the data you need to be part of their life on whatever channels they choose. Help customers understand what’s covered and what’s not. Communicate about policy changes. Remember that policyholders typically don’t shop for insurance until they buy something new that needs to be insured or after filing a claim. That’s when churn happens, but you can prevent it by working to build a long-term relationship with customers at the start and respecting their communication preferences.  
  • Delivering convenience by moving seamlessly between channels: The demand for convenience is a persistent trend, and it will continue. So it’s essential to create convenience at every point of contact, from the first quote to claims resolution. Optimize your workflows and offer multiple channels so customers can complete a task from the first time they reach out to you. Allow them to move seamlessly through channels, i.e., from a call to a text to a secure web interface. The old customer service standard used to be “first-call resolution,” but in a multichannel world it’s now first-touch resolution.  
  • Providing reassurance on privacy and safety: With trust at a low point, it’s important to assure all stakeholders that you’ll be honest and straightforward and follow through on this promise. That goes for end customers and the partners in your ecosystem. If something goes wrong, get out in front of it and be forthright. Admitting mistakes and working to correct them builds trust and nurtures valuable relationships.  

See also: What's in Store for Us in 2023

Here’s another prediction to keep in mind: Times like these are when bold leaders who believe in trust and value can really shine, so challenge yourself to be that intrapreneur or entrepreneur. If you're honest and upfront with people, offering convenience, sharing data and being a good partner, you’ll be in the best position to fulfill the industry’s promise of stability and safety. And trust, loyalty and success will flow from that, even in an uncertain world.


Tara Kelly

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Tara Kelly

Tara Kelly is founder, president and CEO of Splice Software. She has a passion for enabling clients to engage in a meaningful, data-driven dialog with their customers.

Has the Remote-Work Trend Peaked?

When the pandemic hit, the world didn't have a choice: Everyone who could work from home worked from home. The question was whether the trend would last.

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When the pandemic hit nearly three years ago, the world didn't have a choice: Everyone who could work from home worked from home. And after we all sorted through the many kinks -- figuring out when to mute ourselves so colleagues didn't hear toilets flushing on Zoom calls, how to keep the cat from jumping onto the keyboard and in front of the camera, how to firmly signal to the kiddos that Mommy and Daddy are working, etc. -- work from home seemed to go well. Companies reported increased productivity, and employees appreciated the flexibility, as well as the time and money they saved by not having to commute.

The question was whether the trend would last. Certainly, some major companies indicated it would, by moving out of big chunks of office space. And employees who want to work remotely seem to still have considerable leverage, given the low unemployment rate and number of job openings. But some companies, especially in the tech world and in finance, have initiated returns to the office, and they are often bellwethers. 

So, where do we stand? Well, LinkedIn has weighed in with data based on a study of paid employment ads on their site, and the answer is: Yes, remote work seems to have peaked last summer.

Actually, the study isn't just from LinkedIn and based on 60 million paid job postings. It's from a longtime friend and colleague from my days at the Wall Street Journal, George Anders, who is now senior editor at large there. I trust LinkedIn's data plenty. I trust George implicitly.

Here is the basic finding:

Chart of Percentage of Remote Work from January 2021 to October 2022

Now, the data don't even show that the percentage of job postings for remote workers has headed back down to where it was at the beginning of 2021, after vaccines had started to become available, let alone to where remote work was during the first, unrelenting wave. But it does show what looks to me like a significant trend. 

George quotes Marc Benioff, the CEO of Salesforce, who was an early enthusiast about remote work, as worrying in December about whether remote work "could undermine the cohesive, get-it-done culture of the physical workplace. 'Are we not building tribal knowledge with new employees without an office culture?' Benioff asked in an internal Slack message at Salesforce. He played coy in his note, saying he was 'asking for a friend.' But Benioff’s message quickly leaked to the media, generating wide debate about whether remote work might not be such a win for employers after all."

That's not to say that a wholesale return to the office is a done deal. George reports that "LinkedIn’s Economic Graph team tracked the intensity of application rates for what’s now a shrinking pool of remote-focused jobs. Candidates’ appetite for such positions is so keen that remote jobs in recent months have been getting as much as 50% of all job applications tracked by LinkedIn — even though such positions are barely 15% of the total jobs pool."

In other words, while employers may want everyone back in the office, that doesn't mean potential employees are ready to head there.

I, for one, am a big fan of remote work. That's pretty much been my work life since I became a reporter at the WSJ in 1986 -- you're expected to be out and about, and you're judged entirely by what you get into the paper, not by whether you're in the office. When I left the WSJ to become a partner at a consulting firm a decade later, I ran an organization of remote workers that was successful enough that our little publication was a finalist for the National Magazine Award for General Excellence. And I've been working remotely ever since. 

I also think that a large percentage of jobs in insurance are amenable to remote work, and that any serious effort to deal with the industry's talent crisis needs to lean into workers' desire for flexible work schedules. 

I just think it's worth noting that the peak for work-from-home appears to have past, at least according to the hopes of employers.

Cheers,

Paul

 

 

Elevate Your Success Through Gratitude

Lead by example and embody positivity, confidence, humility and gratitude. You will have a significant impact on the success of your team or organization.

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The New Year is the perfect time to take a moment to show gratitude and thank the people who contribute so much to our businesses -- employees and clients alike. After all, they are two of the most important parts in making a business successful.

I. Employees

Our remarkable team works tirelessly, day in and out; whether it be delivering solutions to customers or creating ground-breaking innovative solutions. With their dedication, entrepreneurial energy and commitment, we are able to capitalize on opportunities that drive success all year round - making them an integral part of realizing any dream.

As leaders, we owe a debt of thanks to our employees for their hard work and dedication in making our businesses successful.

II. Partners

Business success relies on developing positive partnerships with our clients. By listening to their needs and considering their perspectives, we show them that they are valued partners in the process -- not just customers but collaborating partners.

This helps build strong relationships based on mutual trust and respect, where all parties benefit from working together toward shared goals; something that often leads to friendship among employees and clients alike! While there may be challenges along the way, when you treat your clients like true partners it sets everyone up for greater opportunities down the road.

III. Perseverance

Succeeding in any goal requires a combination of both perseverance and luck. It's not enough to just rely on chance; having the inner strength, motivation and courage to bravely tackle whatever challenges stand between you and your goal is equally essential.

I've been fortunate enough to have the right people come into my life at the right time, and their support has been instrumental in helping me reach my goals. I'm grateful for all the help and guidance I've received along the way, and I know that, without it, I wouldn't have achieved as much as I have.

There really is no "i" in team.

IV. Leadership

Leadership is the ability to guide and direct others toward a common goal or vision. It involves inspiring and motivating team members, setting clear expectations, providing support and guidance and making tough decisions when necessary.

It's important for leaders to show appreciation and gratitude to their team members for their hard work and contributions. When team members feel valued and appreciated, they are more likely to be motivated and engaged in their work. This helps foster a positive and collaborative work environment and can lead to better outcomes for the team and organization.

Leadership will have a significant impact on the success of a team or organization. Showing gratitude and being open to feedback are key components of effective leadership that can help to inspire and motivate team members.

See also: 7 Things Sailing Taught Me on Leadership

So what does the sailing photo have to do with gratitude?

That's me on the bow of an Oyster yacht racing at Antigua race week. Sailing is one of my passions. Without success, I'd likely not be able to to sail as much. For that and for all those who have put their trust in me and helped along the way, I am truly grateful.

I hope this year brings all the growth and success you wish for.

Fair Winds and a Happy New Year!

Rethinking Provider Networks in Work Comp

Companies with custom physician provider networks experience 50% shorter treatment duration, 60% lower average medical expense and 35% shorter claim duration.

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Traditionally, preferred provider networks take a one-size-fits-all approach, building broad networks of providers to serve a wide range of needs. However, that approach isn’t ideal for every organization. As the industry shifts to a more holistic approach to managing claims, a tailored approach to provider networks, from medical care to ancillary services, is a smarter solution for many payers. 

It’s time to examine what injured workers need from their providers, which providers deliver the best outcomes and how a customized network supports the organization’s goals. Leveraging technology to analyze claims data gives the insight to curate a network of providers that matches the requirements of each unique organization.

The Shift to Custom Network Solutions

As the workers’ compensation sector adopts a more patient-centered care model for injured workers, the approach to developing provider networks is changing. Instead of asking, “how many providers can fit in the network?” the question is now, “how many providers in this network can deliver the outcomes our clients require?” It is important to select providers near where injured employees live and work, but an optimized provider network takes a deeper dive into the types of medical care needed for the most common work-related injuries. It is also crucial to identify the providers that produce the best medical outcomes by evaluating the appropriateness of their medical decisions, their ability to engage patients in recovery and their focus on treating the whole patient. 

These tailored preferred provider organizations (PPOs) may include specialized physicians for common injuries, diverse office locations, access to remote care, educational or translation services, mental health options and ancillary services. With ancillary services making up an average of 30% of total medical expense, a complete range of ancillary service providers should go through the same vetting process as physicians and physician specialists. These services include physical therapy, durable medical equipment, diagnostic imaging, home health, transportation and translation assistance.

See also: Highlights on New Workers’ Comp Rules 

Listening to the Data for Network Development  

Today, data analytics is being leveraged to create tailored provider networks. The geographic location of businesses and employees, and details of the nature and severity of injuries, provide insight into the needs of a patient population and the types of services that should be included in the network. Comparing data on diagnosis code, time to initial treatment, total duration of care, total cost of the claim and return-to-work days with industry guidelines allows organizations to assess individual providers and adjust the network to reach performance goals.  

Technology also connects providers to patients through telehealth, improving access and outcomes by delivering care quickly and conveniently. Patients who have difficulty getting to appointments due to distance, transportation or scheduling issues experience delays in treatment and longer claims. Virtual care can close this gap with connectivity from the initial report of injury, to physical therapy and cognitive behavioral therapy, to the delivery of prescriptions and durable medical equipment. Integrated portals link providers for greater visibility and real-time access to information, while frequent touchpoints ensure efficient care and appropriate utilization. 

Developments in machine learning and AI-driven technology constantly improve methods for gathering, storing and analyzing data on claims processing and compliance reporting. This data continually informs decisions about network development and management. With assistance from technology and codified data, tailored network solutions are monitored and refreshed to ensure that care options remain current and that the claims process flows seamlessly from beginning to end.

Improved results are a testament to the value of customized, technology-driven networks. Research has shown that networks leveraging these technologies have 30% greater data accuracy, an average of 80% network utilization and a 43% decrease in medical costs.

Customized Networks Deliver Tangible Results 

Using advanced technology to create tailored PPOs improves outcomes while delivering significant savings. Companies with custom provider networks experience 50% shorter treatment duration, nearly 60% lower average medical expense and 35% shorter claim duration. For ancillary services, CorVel’s tailored approach results in 21% lower average physical therapy (PT) claims, 32% lower average visits per PT claim and 21% lower total PT costs compared with other providers. Expenses for durable medical equipment are even 40% lower per claim than competitors'. 

With the right provider network, patients receive the care they need and return to health more quickly. A holistic network model offers the best value for employers, insurers and everyone else involved.


Rhonda Moran

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Rhonda Moran

Rhonda Moran is senior vice president, network services, at CorVel.

With more than 20 years of managed care experience at CorVel, she is responsible for strategy and operations of provider networks, pharmacy and specialty networks, including PT, imaging, DME, IME and translation and transportation. On a daily basis, she is focused on strategic planning around the latest software enhancements, new product updates, billing platforms, and network alignment.

Moran serves on the board of directors for Indiana Kid’s Chance and is a member of the Indiana Workers’ Compensation Institute. She began her career as a registered nurse and holds a degree from Indiana University.

A New Year's Resolution for Procurement

Let's behave less like the secret police in a totalitarian state and procure in a more empathetic, flexible, open, friendly and fair way.

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I don’t want to be known as a grumpy old man, so I limit my public railings against the state of the business world to one a year. This time last year, I let loose on the overuse of hyperbolic language in marketing content. This year, it is procurement departments that have incurred my wrath.

By way of context, I’ve never been very good on rules for rules' sake. I went to an all-male private school in the 1970s that was still working on the assumption that Britain had a huge empire and needed competent, compliant and uninquiring young men as officers for the armed forces and to send to distant corners of the empire to keep the locals in check. School rules included not putting your hands in your pockets and, more irksome, being banned from the fish and chip shop. I repeatedly broke both rules and instead of accepting my punishment exacerbated the situation by asking the teachers to justify the rules, as I thought they were pointless. Have you any idea how much trouble you get into in a minor public school for asking a teacher to justify a school rule?

Which brings us neatly to procurement and my issues with it. I understand the need for it, just like I understand the need for school rules. Every business needs to manage supply chain risk, comply with the law, maintain certain ethical and environmental standards and ensure that the suppliers they engage with do, too. Nor is there anything wrong with seeking to negotiate the best price and contractual terms. What is wrong, and it was the same at my school, is to enforce a wide-ranging set of rules initially derived for perfectly justifiable ends in a way that has become completely devoid of context, common sense, proportionality and pragmatism.

Let me illustrate with some insights into how procurement affects small companies like ours. For context, we have 18 employees, and our average invoice is £10,000 for a year of membership. I’ll divide my observations into categories – the five P’s.

Process – there seems to be only one kind of process – a very long, rigorous and cumbersome one. It is drawn up for use on multiyear contracts involving many millions of pounds. There seem to be no shortcuts and no alternative process for smaller engagements. It takes on average two to three months to fulfill the procurement requirements and a lot of hard work - the cost of which eats up much of the fee. On one £10,000 contract in 2021, we took five months to get through procurement and another month to be paid.

Policies – one of the more time-consuming parts of the process is the production of policies. Company policies run to hundreds of pages and cover many aspects of the way we run the business - Health and Safety, Data Protection, Sustainability, Equality, Sub-Contracting and many more. All these things were at one stage dealt with by way of contractual provisions in the master contract.

See also: State of Mental Health in the Workplace

My particular bugbear is to have to produce an anti-slavery policy. We work our staff pretty hard, but we don’t keep them in chains, and they do get paid! Why can’t we have a line in a contract in which we commit not to use slaves? Not difficult to sign up to! When you’re a company of 18 employees, all based in the U.K., what does producing a policy about use of slaves achieve? But produce it we must, and it means that many of us owe a massive debt of gratitude to the person who first produced an anti-slavery policy years ago -- the one that thousands of companies like ours have been cutting and pasting ever since.

And I haven’t finished yet. Say I did use slaves; would I really admit it in the procurement process? No, you’d just produce a policy that you didn’t adhere to and carry on. And how about if I was self-employed? Would I still need to produce a policy on how I don’t intend to treat myself as a slave?

The PO Number – now, you might think that, having been put through procurement hell at the start of the contract, you might be spared further pain when it came to renewal at the end of year one. But no, that is not how it works in some cases. To get the invoice for year two fees paid, you need a PO number, which comes from – you guessed it – the procurement department. Incredibly, the production of this number takes on average one to two months and in one case this year five months. Really?

Payments - there are some kind and sympathetic senior executives in big companies with muscular procurement departments who know what it is like to comply with procurement and are in truth embarrassed by what it puts suppliers through. So, they, unlike the procurement teams, exercise some initiative and find a way around it. The most common workaround is to pay the small invoices like ours on their corporate credit cards. I can’t tell you how much we appreciate the folk who put themselves out to do this, but it does have a side effect. They can rarely pay the full amount all at once, so we agree to two or three installments over the year, and lo and behold we’ve ended up financing the invoice of companies that all earn more income in two minutes than we earn in a year!

People – it is very rare that you ever meet anyone who works in procurement or will admit that they do. But given the amount of resource it involves, there must be many hundreds of thousands of people engaged in procurement roles. That being the case, why can’t I get hold of anyone? Why will no one speak to me when I plead for mercy? If the process wasn’t so charmless and faceless, it might be bearable – but it’s usually both.

To be clear, this rant is not aimed at a handful of companies that have offended me in the last couple of years. This issue and the experience described is widespread and not limited to insurance. As a rule of thumb, the bigger the company, the more insensitive it is.

So, what’s the point of writing this? I can’t deny that it’s a cathartic to get it off my chest, but the real reason is to raise awareness of it as a phenomenon and encourage a second look at the purpose of procurement, a re-evaluation of the extent to which it really is achieving its desired objectives given the collateral damage it causes both reputationally and to third parties.

It's also worth asking whether the procurement process is really saving money? Every procurement department can point to the millions of pounds saved each year as result of their intervention, but is it materially more than the cost of running the procurement department plus the expense the supplier is out plus the financial effect of the delays it causes? Bear in mind that counter-parties with real leverage will load the costs of meeting procurement requirements into the contract price. When all the consequences to all the parties to the contract are considered, procurement doesn’t reduce the total cost – it just shifts the economic benefit in favor of big companies over small companies. And it fortifies the status quo because it favors bigger, better-resourced companies over younger, smaller more innovative companies that either can’t jump the required hurdles or spare the resources to meet them.

Nor do I understand why smart companies that put so much effort into customer satisfaction care so little about their supplier relationships. When most big companies are so desperate to burnish their corporate credentials as green, caring and socially responsible, why act so inconsistently with those values and regularly dump on suppliers? Many senior executives in big companies are embarrassed by what their procurement department puts suppliers through, and that can’t be right.

You may not think so if you’ve got this far, but I’m not a grumpy old git – I’m an optimist, an innovation evangelist and a great believer in the next generation. They have already shown that they have the attributes required to do a better job of running the world than my generation have. I reckon that with climate change, housing prices, national debt and pensions funding, to name but a few, we are going to leave enough messes for them to sort out. It’s not difficult for big companies to make the small adjustments required, so let’s not leave the next generation to sort this issue out, too.

So, here’s my 2023 New Year’s resolution for the insurance industry and all those that deal with it – let’s start getting better at procurement. Behave less like the secret police in a totalitarian state and procure in a more empathetic, flexible, open, friendly and fair way. Be a company that suppliers find good to work with and not painful.

As for my own New Year’s resolutions, I have a few, but I’m still that unteachable schoolboy at heart, so I suspect it won’t be long before they’re breached. In the meantime, I’m off to the fish and chip shop with my hands in my pockets while I still can! Happy New Year.

January ITL Focus: Claims

ITL FOCUS is a monthly initiative featuring topics related to innovation in risk management and insurance.

This month's focus is Claims

ITL Focus: Claims
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FROM THE EDITOR 

In the going on 10 years that I've been editing ITL, there have been two truisms about claims.

First is that claims are "the moment of truth" for insurers. That's certainly true, and, taking that notion to heart, insurers have made real progress. They've made it easier for insureds to report claims -- via app, sending in their own pictures rather than waiting for an adjuster, and so on. They've used new technologies, such as drones to survey damage after a storm, and have become much better at triage so they respond faster to the situations that are the most important and most urgent. Many have institutionalized compassion, for instance by quickly providing money to people forced out of their homes in a major storm, rather than making them wait for a full inspection and settlement. I could go on.

The second truism, which has taken its full form more recently, is that the industry needs to get to straight-through processing. It's certainly worth heading in that direction. You can already see the benefits that have come from those apps for reporting claims, submitting photos of damage, etc. But it also seems to me that making straight-through processing the Holy Grail has obscured some real opportunities for progress.

I'm thinking, in particular, of all the attention paid to AIs that can look at pictures of damage to cars and, increasingly, homes and render a quick estimate for repairs. The technology is as cool as can be, but having the AI take the place of an adjuster may take two or three minutes out of a process that lasts days or weeks -- and developing the AI is expensive. I believe the AI will eventually prove its worth, but, in the meantime, it may be distracting us from ways that we can shorten the process much more while saving money, rather than spending it.

For instance, as you'll see in detail if you read this month's interview with Andy Cohen, president and chief operating officer at Snapsheet, an insurtech focused on claims management, there are massive savings to be had by implementing a workflow redesign and using AI to play traffic cop on a claim -- acknowledging receipt of documents, sending status updates, responding to routine inquiries from the claimant, etc. None of that is remotely sexy, like the AI that immediately spits out an estimate for repairs, but it takes an awful lot of the burden off adjusters, who can then devote their time and intelligence to more complex (and interesting) issues. 

There are plenty of other areas, too, where technology can take time and money out of the claims process without trying to duplicate the straight-through processing attention-grabber that Lemonade gave us a few years ago when it paid a claim in three seconds. AI can respond instantly and help sort through issues with tow trucks that can come up in the first half-hour after a crash and that can sidetrack a car, and thus the claim, for days. At a more mundane level, AI can do a pre-evaluation of a claim file and point out important gaps or discrepancies right as the adjuster starts to dive in, rather than making the person sort through a thick stack of documents and find them all himself or herself. AI can triage files to make sure that the files that need the most immediate attention get the most immediate attention.

So, while claims should certainly be sped up as much as possible and while lots of expense can come out of the process, I think we're better off if we think of straight-through processing just as a useful concept, while focusing on fixing discrete problems that technology can tackle now and deliver significant benefits.

As a New Year's resolution, I could aim to get back into the kind of shape I was in at 25 years old -- but I'd just hurt myself. I've set more realistic exercise and health goals and suspect I'll be a lot better off.

Cheers,
Paul 

 

2022 was a confusing year in claims. Inflation wreaked havoc in many ways – but technology matured and helped many claims operations streamline their work significantly. To see what 2023 holds in store, ITL Editor-in-Chief Paul Carroll talked with Andy Cohen, president and chief operating officer at Snapsheet, an innovator in claims management. Cohen says claims operations are poised to go on the offensive in 2023 and make great progress – though not necessarily in the ways you often read about.

Read the Full Interview

"I think 2023 is when the major carriers really start to focus on automation. It’s not for the sake of reducing people. It’s moving claims from a reactive process – think of an old school, diary-driven, analog process – to a digital, proactive process. " 

—Andy Cohen
Read the Full Interview
 

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FEATURED THOUGHT LEADERS

 

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.

An Interview with Andy Cohen

To see what 2023 holds in store, ITL Editor-in-Chief Paul Carroll talked with Andy Cohen, president and chief operating officer at Snapsheet, an innovator in claims management.

Interview with Andy Cohen
Andy Cohen

 

2022 was a confusing year in claims. Inflation wreaked havoc in many ways – but technology matured and helped many claims operations streamline their work significantly. To see what 2023 holds in store, ITL Editor-in-Chief Paul Carroll talked with Andy Cohen, president and chief operating officer at Snapsheet, an innovator in claims management. Cohen says claims operations are poised to go on the offensive in 2023 and make great progress – though not necessarily in the ways you often read about.


ITL:

To get us started, how would you summarize the year in claims in 2022?

Andy Cohen:

2022 was a really challenging year for the industry, writ large, both from a macro and a micro perspective. Inflation obviously affected the cost of repairs and all the inputs in the insurance value chain. And you had this bounce back of both frequency and severity of losses. The year was pretty benign for Cat, but then Hurricane Ian was one of the biggest storms ever. From a claims perspective, people were resetting and on the defensive in 2022.

That really sets up for 2023 for the carriers. I think most carriers are going to go on the offensive now that they have an established base on frequency, have their staff fully back and can execute a playbook to attack both expense and loss costs.

ITL:

In terms of the technology that you and others are developing to process claims faster and more efficiently, how would you describe the progress in 2022? And then what do you see maybe being possible in 2023?

Cohen:

2022 was very much a continued acceleration of technology that can drive the right work to the right people at the right time. Technology increasingly helps reduce human interactions on claims, managing expense while sifting through the files and identifying those that need a human touch. There was a huge amount of progress among companies that are bringing claims in-house for the first time, insurtechs that are building claim operations and MGAs [managing general agencies].

I think 2023 is when the major carriers really start to focus on automation. It’s not for the sake of reducing people. It’s moving claims from a reactive process – think of an old school, diary-driven, analog process – to a digital, proactive process. That’s where we're seeing carriers really focus the capex investment and R&D dollars. You’ll have this whole new cohort of claims resources that replace the people who left the workforce, and the technology will point them in the right direction and guide them through the claims management process in a way that hasn't been possible with legacy technology.

ITL:

I'll run something by you that I wrote recently. I think people are maturing in their understanding of technology. Rather than seeing AI or some other technology as the answer to everything, they’re focusing more on how it can solve actual problems in a real business setting, even though some of those problems may not be that sexy.  For instance, there’s a ton of focus on how AI can inspect photos of auto damage and render a quick estimate – but that doesn’t actually take that much time out of a claims process that can last weeks, and AI can speed that process in lots of other ways, too, perhaps more important ways. Does that thesis make sense?

Cohen:

Your thesis is spot-on. The tag line I like to use is, Let's move from alchemy to reality.

There's a huge opportunity to take these discrete steps, whether it's models, whether it's AI, whether it's workflow, whether it's predictive analytics, and string them together to get to a much more powerful outcome. You get a much clearer ROI, whether that’s in a better customer experience or in reduced loss cost or expense.

It's really about simplifying the process. When anyone in the world gets in an auto accident, only three things can happen. They're going to have the vehicle repaired, they're going to cash out or it's going to be a total loss. Carriers are using technology and workflow to figure out as fast as possible, is it going to be a cash out, is it going to be a repaired claim or is it going to be a total loss. Then they get the right resources, including the right people when a person is needed, based on the desired outcome. Carriers of all types – auto, home, commercial lines, personal lines – are tackling these really challenging issues with design-based thinking that starts with, What is the best outcome for the customer?, and uses technology to free up scarce, knowledgeable human capital to work on the parts of the process in the middle that aren't super easy or aren't super clean.

ITL:

Triage based on AI seems to be something that loads of companies are working on.

At the risk of digressing for a moment, how good has AI estimating based on photos gotten?

Cohen:

The AI is exceptionally strong at identifying whether the car is going to be a total loss, though that was more challenging this year because rapid inflation meant the cars were worth more. Total loss rates actually went down a couple of points this year as a result. The AI is also getting really good on certain use cases – light hits, low damage, older model years – but it's not where it needs to be. If an estimate takes 25 minutes, maybe the AI can shave a couple minutes off a medium-severity estimate, but the AI costs more today than the two minutes is probably worth.

The real benefit is operationalizing technology in the end-to-end and doing it so that as the AI continues to advance and goes from saving two minutes to 15 minutes, we can take advantage of it.

ITL:

When you take a look at the whole process, how much expense can you take out of the claims process?

Cohen:

It depends on the line of business, but with our claims platform we've been able to remove the adjuster from significant chunks of work. If you think about the adjuster in the legacy world as a switchboard operator, they had to do things like confirm coverage, understand the limits deductible, set the reserve, send an email, acknowledge it, perhaps pass it over to a vendor to go assess the damage or fix the car. Think about all the steps the adjuster had to take to keep everything moving. But we’ve seen dozens of carriers go from automated coverage verification or fraud detection through setting the reserve and communicating automatically and passing the assignment out. 65% of all communications coming out of our platform are automated.

That’s where you’re not talking just about taking out minutes of work but can get three or four times the level of efficacy out of your adjusters by removing administrative tasks from the equation. On a claim of $4,000, adjustment expenses might be $400 to $500, and you can take a big chunk out of that. Meanwhile, adjusters can spend more time on complex cases, walking the insured through their options and the process and the next steps and generally keeping them informed.

You also get huge benefits from a compliance and regulatory standpoint. If it's a property claim in Florida and you need to attach the Florida Homeowners Bill of Rights to your communications, the system can automatically do that. The customer submits documentation or invoices or receipts, and the system says, Yes, I received them. Think about how much that reduces inbound calls asking about status. We're seeing just massive savings right now.

ITL:

How much time can you take out of the process?

Andy Cohen:

We passed 700,000 appraisals and supplements last year, and we’ve been able to scale while maintaining best-in-class cycle times. We can complete an estimate in just a couple of days, and that's hugely valuable because that reduces the need for rental and storage. Before COVID, the average number of rental days for a claim was roughly 13 days, and in 2022 we approached 21 days. When you shrink that time, you not only cut expenses, you improve the customer experience.

ITL:

To zoom out a bit, I assume that, as chaotic as the auto repair world is at the moment, electric vehicles are going to toss all the cards up in the air.

Cohen:

The penetration of electric cars is far outstripping the ability to repair them. They’re just different. There are way more sensors on the cars, way more parts. Even the bay you use to fix them needs more space.

ITL:

Sounds like there will be plenty for us to talk about this year and well beyond. Thanks for taking the time.


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.

Should Hippo Be in Play?

The latest results still show major problems, but they have some digital assets that could be of great help to an incumbent insurer, and for a modest price. 

Workers on computers

Once upon a time, insurtechs talked trash about incumbent insurers. Nowadays, they definitely have sweeter words for incumbents.

Lemonade moved from affirming customers' distrust to celebrating a partnership with a "known and trusted for years” incumbent. Similarly, at its last investor day, Hippo dropped the names of previous employers (all well-known Insurance incumbents) of their leadership team members to affirm the credibility of their plans:

Hippo's Investor Day

As we did recently for Lemonade, (you can read it here), let's dive into Hippo's investor day (here is the entire recording) and quarterly figures.

In a previous edition of this newsletter, I highlighted Hippo's "connected home approach and the embedded component [I like both these elements] and the bloody technical results of their book of business [I don't like them]."

Top Line

The positive signs shown by Hippo in the second quarter have been confirmed in the third.

Quarterly Gross Written Premiums

Loss Ratio

On the claim side, the signs are less positive. Last quarter had a 110% loss ratio, despite seven percentage points of favorable development from claim reserves. The performance was far worse than at the top 10 homeowner insurers even though they had a horrible 98% loss ratio in Q3 '22, according to S&P Global data).

Hippo's Q3 '22 Shareholder Letter

Even acknowledging that the trend is improving from last year, the loss ratio of 89% in the first nine months of 2022 is far from sustainable.

Hippo's Form 10-Q

See also: Embedded Insurance Is Everywhere

Combined Ratio

And the combined ratio doesn't look good at all... mounting to 138%.

Graph

Net Losses

The quarterly losses are still a major concern: $129 million in the third quarter (even if $53.5 million is for goodwill impairment), which brings:

  • the cumulative losses for the first nine months of 2022 to $270 million
  • the cumulative losses since inception to almost $900 million.

Net Losses

Considering the mounting losses, can a turnaround be quick enough to stop the bleeding before all the cash is gone? In each earnings call, management has reassured investors that they will "reach bottom-line profitability without the need to raise additional capital." However, this is the elephant in the room.

Some of the digital assets presented by Hippo management at the investor day were pretty interesting. Let's look at them:

1) Embedded Distribution. Embedded insurance is the most hyped topic in the sector nowadays, Recently, I commented that "everybody is trying embedding insurance somewhere." However, more people talk about it than are actually selling policies. Well, Hippo performs pretty well with embedded insurance. They created a tech architecture to effectively manage it and an industrialized approach to scale partnerships. About 50% of their homeowner insurance sales in August (maybe they shared this figure just because it was the best month) were from embedded insurance partners. Among these partners, mortgage originators and builders are the best-performing. (It makes sense if you understand the typical behavior of a homeowner insurance policyholder in the U.S.: A survey by the IoT Insurance Observatory a few years ago showed how about 60% of the families interviewed have had the same insurance coverage since they moved to a new home.)

2) Smart Home. This has been an element of Hippo's story since inception. Challenged about the benefits of this technology in some earning calls by analysts, Hippo has talked about acquiring less risky homeowners (more self-selection than a real risk reduction).

I've seen many incumbent insurers doing much more better with he usage of smart home devices. Being a promoter of smart home insurance approaches for a while, I believe their use of this technology is pretty primitive. It is disappointing to hear that the best they can actually do is only to know that a device is still active and to confirm a discount based on that. The IoT paradigm should be used for something better.

3) Home Care and Maintenance Checklist. This tool to engage with the policyholder and influence behavior is definitely more interesting! Initial traction had already been impressive, with half of the policyholders (who downloaded the app) activating Home Care and one-third of those implementing the recommendations. They also implemented a feature to provide a virtual service call. This will probably not affect the loss ratio in the short term but definitely has potential for a return in a few years. (I've already seen positive impacts generated by the usage of QR code-based IoT approaches to promote compliance with safety and maintenance tasks.) Some of the Home Care features seem to be the foundation for monetization. Hippo shared the ambition (even if still has to figure out how) to sell additional services to its customers.

4) Book a pro. Here is the monetization through a platform strategy for home protection services!

One of my 2022 posts that was read the most was about "why should an incumbent buy one of the listed full-stack insurtech carriers?" That was almost a year ago. I was pretty skeptical that there was any rationale for an incumbent.

Since then, valuations have dropped significantly. Maybe it is time to consider the opportunity. Hippo's digital assets would generate hundreds of millions of dollars in synergies on the homeowner insurance business of a large incumbent. Moreover, as I write this in late December, Hippo is trading at something below 0.5 their tangible book value. Their market cap is around $270 million (down about 85% in the last 12 months).

HIPO Price to Tangible Book Value

I would not be so surprised to see an established U.S. insurance incumbent acquiring them at the current valuation as an answer to the bold innovation moves already done by some of their competitors on homeowner insurance.

2023 Plans for Transformational Technologies

Investments in digital, AI and connected world technologies remain top priorities for insurers, but they are being strategic about how they accelerate certain technologies.

Electronics parts of a motherboard

Commercial lines insurers have endured their fair share of ups and downs since COVID-19 was declared a global pandemic over two years ago. And, through the course of 2022, geopolitical conflicts and inflation have rocked economies, leading to further uncertainty about the stability of markets worldwide. Undoubtedly, insurers are planning for expected and unexpected events that may disrupt their businesses in the New Year, but are these plans shifting how insurers approach innovative, transformational technologies?

For years, SMA has been tracking insurers' plans and progress in transformational technologies in commercial lines and is revealing new insights in the recently published report, "Transformational Technologies in P&C Commercial Lines: Insurers' Progress in 2022 and Future Predictions." The report examines 13 transformational technologies and their impact now and in the future. What is evident is that investments in digital, artificial intelligence and connected world technologies remain top priorities for insurers, but data shows they are being strategic about how they accelerate certain technologies.

One example of a technology that has high activity around it moving into 2023 is machine learning (ML). Eight in 10 commercial lines insurers are investing in ML today, mainly via predictive models, and insurers increasingly recognize its foundational support of other AI technologies and applications. In fact, at this pace, ML is expected to become embedded in nearly every aspect of the insurance business soon. Computer vision is on a similar trajectory of becoming a revolutionary technology and is slowly gaining traction within commercial lines. Although some insurers have progressed with computer vision in the past few years, most remain in the beginning planning stages. But given how valuable aerial imagery is for claims and underwriting, solutions based on computer vision are expected to become standard and mandatory within the commercial property segment.

See also: The Risks of AI and Machine Learning

Insurers are also keeping a pulse on technologies that may be further out on their strategic planning horizon but have potential long-term implications. For example, autonomous vehicles (AV) could transform many aspects of our lives, and tests are already underway in controlled, campus-like environments. There are vehicles on the roadways with various levels of autonomous features. Insurers' activity in AV today is very low – only 18% have plans moving into 2023 – but it is still critical for commercial lines to fully understand the nuances of these vehicles and the risks they may present.

Although some insurers are practicing moderation in their activity and investment in some technologies, it would be imprudent to hold back plans and risk falling behind peers. The rapidly advancing technological environment and the dramatic changes wrought by the seemingly never-ending pandemic indicate that transformational technologies demand constant monitoring. Insurers must continually renew and review strategies to prioritize and address business problems and new opportunities.

For more information on commercial lines insurers' plans for transformational technologies, see SMA's recently published research report: “Transformational Technologies in P&C Commercial Lines: Insurers' Progress in 2022 and Future Predictions." Watch for a companion report on personal lines that will be released in the near term.


Heather Turner

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Heather Turner

Heather Turner is the lead research analyst at Strategy Meets Action.

Turner supports SMA's advisory and consulting engagements through rich written content, quantitative and qualitative primary research, market and technology trend analysis and the management of SMA IP materials.

Prior to SMA, Turner was managing editor of the NU Property & Casualty Group at ALM, which includes the insurance industry publications PropertyCasualty360.com and NU P&C and claims magazines. She started her career as a journalist reporting on the property and casualty insurance industry at Insurance Business America and its sister publications in Canada and the U.K. 

A Blueprint for Winning the War for Talent

Here are six creative approaches that are enabling insurers to uncover, connect with and hold on to top talent at a time when it's at a premium.

Person shaking hands with another person

As focused as the South African insurer Discovery has been on breaking new ground with lifestyle-oriented, incentive-driven products and supporting them with a superior customer experience, company officials came to realize that something had to change for those products to fulfill their promise. 

“Our existing processes generated complexity, high costs, significant inefficiencies and high volumes of mundane administrative tasks. We needed to make a change and transform the services we provide to our people,” Kammy Sing, group head of people operations at Discovery, recounted in a recent blog post.

Mission accomplished. Today, the company, which employs about 12,000 people, reports significant improvements in employee productivity and satisfaction as a result of efforts to enhance the employee experience. And that’s translating into success for products like the behavior-based Vitality Drive automotive offering, according to Discovery. The insurer reports that it has seen a sharp reduction in customer accident frequency with the product, along with claims savings, improved loss ratios and a significant increase in good drivers on the books, all while paying out the equivalent of $70 million in incentives to customers.

The insurance industry’s struggles to attract and retain people to replace an aging, eroding employee base are well-documented. But as companies like Discovery have learned, it takes the right people to sustain innovation, stay relevant and grow the bottom line. Here are six creative approaches that are enabling insurers to uncover, connect with and hold on to top talent: 

1) Position insurance as an “in” career path.

Insurers have a compelling story to tell,” PWC asserts in a 2022 report. “If they open up and start promoting themselves and the industry, they’ll put themselves in a strong position for growth, led and supported by intelligent and capable people.”

The story insurers should be telling is one that resonates with Millennials and Generation Z and rebrands a career in insurance. The goal should be to shift the perception of insurance as a staid, impersonal industry, to one that gives employees an opportunity to be a positive force in peoples’ lives and the community by protecting them from risk and serving them in times of need. Appealing to people's entrepreneurial sensibilities, with pathways for adjusters and independent agents to run their own business, should also be part of that rebranding.

They should promote the opportunity to participate in exciting, higher-risk/higher-reward startup-type opportunities with digital spin-off companies like MassMutual’s Haven Life. How about offering people the chance to build new business ecosystems and lifestyle-oriented products centered on, or involving, insurance? These are the kinds of opportunities that appeal to people who want to ply their skills in the digital economy and, in the process, help to remake an entire industry.

According to the Boston Consulting Group, 2020 was the first time insurance employees included company values among the 10 workplace attributes that they care about most. So, as part of the rebranding, insurers also need to demonstrate and tout their ability to connect people to a higher purpose. 

2) Cast a wider net.

The pandemic has helped usher in an era of recruiting beyond borders, as access to talent is no longer restricted by geographical proximity to a physical office. To take advantage, insurers first need to zero in on the skills they need to recruit to execute their business strategies, then find ways to tap the broader talent pools to which they now have access. 

Besides expanding the scope of their recruiting efforts geographically, companies can use new talent sourcing models to find the right people. Offering the opportunity to work for a multi-company, multi-industry ecosystem with an insurance industry component could be compelling to younger members of the workforce. So could a shared-talent type of model, where someone could have a chance to work for a partnership between an insurer and a fintech company, for example.

Insurers also need to consider new models for attracting and building talent internally. Chubb, for example, launched Chubb Academy to recruit a diverse range of younger talent from across Continental Europe, with no requirement for a university degree or previous insurance industry experience. The program is designed to develop people via a two-year program in property and casualty commercial insurance, with the opportunity to move elsewhere within the company. 

See also: The Staffing Crisis in Insurance

3) Reel them in with a superior recruiting experience.

A highly engaging, transparent and easy-to-navigate recruiting experience is a must for insurers to attract the right talent. Recognizing that hiring processes were lengthy, expensive and risked putting off talented candidates, Discovery reinvented certain key internal and external-facing aspects of the hiring journey with intelligent technologies like robotic process automation (RPA) and virtual assistants, which resulted in a 25% reduction in time-to-hire. 

4) Be progressive and flexible with hybrid work.

During the pandemic, according to BCG, 75% of insurance employees worked remotely some or all of the time (well above the 51% cross-industry average); 94% said they prefer to work remotely some or all of the time. Providing employees with flexibility as to when and where they work not only can help insurers attract and retain talent, it can also reduce costs.

5) Provide a superior employee experience.

Providing an empowering and unique employee experience is a must in today’s talent-constrained world. And while robust benefits and flexible work arrangements are a good start, it’s important that insurers build on that by arming employees with the latest digital tools to excel in their interactions with clients, and in their collaboration and communications internally. The opportunity to be hands-on with artificial intelligence, machine learning and other emerging technologies is highly appealing, particularly to younger members of the workforce. 

In the BCG survey, insurance workers ranked good relationships with colleagues as the most important facet of their job. So, if companies are sourcing talent and assembling teams from geographically diverse areas, they must have tools that enable collaboration and communication from anywhere. 

Insurers also can give themselves an edge by providing superior experiences to their external workforce, such as by providing tools that streamline commission processing and licensing for agents. And behind all this, insurers also need to be hyper-focused on the employee experience, using tools to monitor and manage that experience across every level of the organization.

6) Offer opportunities for mobility and upskilling.

People want the ability to build new skills, take on new challenges and find interesting new pathways within a company. To cater to those sensibilities, “prescient companies are creating rotations within and across functions, especially at junior levels, to create more diversity of experience,” PWC observes. “They’re giving individuals exposure to different parts of the business — including leadership — and even arranging temporary gigs outside the company at start-ups (including insurtechs). The end result is a larger pool of internal talent that can be plugged in when and where it’s needed.”

In early 2021, AXA UK launched a data academy to upskill workers across all its insurance divisions, exactly the type of creative approach insurers should be taking to ensure they’re well-positioned from a talent perspective to thrive in a fast-evolving business environment. 


Toni Tomic

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Toni Tomic

Toni Tomic is global head of Insurance Business Solutions SAP SE.

He is responsible for the SAP global industry strategy, solutions, partnerships and go-to-market for the insurance vertical. He is part of SAP’s global financial services and industries leadership team. Tomic leads global and regional teams dedicated to executing on SAP's digital transformation and innovation agenda for insurance, covering current SAP solutions as well as disruptive technologies such as AI/machine learning and blockchain. In addition, he is managing the strategic co-innovation initiatives with SAP’s customers and partners.