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Telehealth in Work Comp Is Here to Stay

Workers’ compensation navigated the unprecedented waters of a global pandemic and, in response, the onslaught of telehealth.

A woman with headphones on talking to a doctor wearing a mask via laptop

Telehealth experienced a surge in use during the COVID-19 global pandemic. According to McKinsey, consumer interest in telemedicine rose from 11% to 76% during the pandemic. In addition, 57% of healthcare providers said they viewed telemedicine more favorably, and 64% of providers said they were comfortable using telemedicine. In the course of just a few months, telemedicine physician visits increased by 50% to 175%, depending on geography and type of practice. The popularity of telehealth has continued to grow post-pandemic.

“Telehealth has become a useful resource in the workers’ compensation arena,” said Lisa Haug, assistant vice president of medical management at Safety National. “However, it is essential to perform a good hands-on assessment by a specialist or physical therapy provider for the initial treatment or visit, then transition to telehealth. It is imperative to assess the overall well-being of the individual in a brick-and-mortar environment, because it is extremely difficult to effectively assess movement via telehealth, for example, seeing how the patient transitions from sit to stand, how they move about the room, their range of motion and overall well-being.”

The following are advantages and disadvantages of telehealth.

Advantages

  • Immediate triage, assessment and diagnosis of a workplace injury or illness, acceleration of diagnosis and treatment plan, increased adherence, speed of recovery and improved outcomes.
  • Efficient and personalized treatment.
  • Time savings by eliminating trips to the ER, urgent care, clinic or provider’s office.
  • Same licensing standards for physicians as in brick-and-mortar setting, and they must be licensed in that particular state to practice via telehealth.
  • Convenient access for injured workers in rural areas that may not have healthcare entities nearby. This helps to avoid the transportation issue of showing up for doctor’s visits.
  • Easy ability to perform physical therapy, including home exercise program via telehealth.
  • Early intervention of therapy without delay due to access to the therapy facility and transportation issues.
  • Potential of earlier return to work for many.
  • Better access to clinicians, including infectious disease specialists and pulmonologists for respiratory conditions. Prior to COVID, it was rare to make a referral to these types of specialists, but, with the onset of COVID, these referrals became more commonplace.
  • If there are language barriers, patients can align with a translator via telehealth, which is oftentimes easier than arranging for a translator at the appointment.
  • Many areas have a shortage of specialists, such as dermatologists. With cross-licensing, we can offer a provider from a larger geographical space via telehealth.
  • Reduced wait time for telehealth, which reduces time away from home/office.
  • Earlier treatment intervention, which allows for the ability to prescribe treatment sooner for items like medications, physical therapy, durable medical equipment and diagnostics.
  • Ability to empower employees to use technology and take a more active role in their care.

See also: How Digital Health, Insurtech Are Adapting

Disadvantages

  • Lack of in-person experience. Severe injuries and diagnoses require physical hands-on assessment with the patient.
  • Potential for inaccurate diagnosis based on video. Some diagnoses require a hands-on visual component.
  • Initial PT evaluation and final PT evaluation/FCE need to be in person for a thorough assessment.
  • Limitations for assessing body image, gait and overall well-being, which can tell a lot about a patient’s status.
  • Poor patient perception. Some patients feel that they are not getting the proper care with telehealth.

As a resource, telehealth is here to stay. If used properly, it is another tool in the toolbox to allow the continuation of treatment for injured workers. The key is knowing when and when not to use it.

The Next Generation of Talent

With those born at the peak of the Baby Boom having reached 65 years old, here are five ways to attract the next generation of agents and brokers. 

Six hands over a desk stacked on top of one another

Like other industries, insurance is undergoing a talent crisis. The Baby Boom’s peak was in 1957, and talent born that year has now reached the typical retirement age of 65, leading to record high retirement numbers. As a result, the World Economic Forum expects Gen Z and millennials to make up more than half of the tech workforce by 2025. 

Contrary to their predecessors, Gen Z and millennials think differently about where, when and how they work. Those thoughts must be considered when trying to attract and bring this talent profile onboard. To further complicate things, when surveyed on potential career choices,

Gen Z and millennials ranked insurance below mining and manufacturing, according to research conducted by ACORD. This is due in part to the fact that any industry rumored to have manual, time-consuming and error-prone processes will keep them away in droves -- a perception that, unfortunately, many Gen Z and millennials have about the insurance industry. It will require investment in technology, as well as some cultural and process changes internally to engage this group and encourage them to consider a career in insurance. 

Read on for five ways to attract, recruit and retain the new generation of talent, ensuring you have the right talent, in the right role, at the right time. 

Embrace Digital Transformation 

Gen Z and millennials are digital natives. Not only do these tech-savvy generations expect cutting-edge technology as consumers, they also expect it in the workplace. There’s a belief among these generations that if an organization isn’t adopting the latest technology, it’s not likely to be around in the long run. A lack of technological investment deters serious candidates and is often one of the reasons existing employees become frustrated and leave. 

Digital transformation reduces manual tasks and processes, empowering employees to see beyond their day-to-day tasks. Freeing their time gives them more flexibility to concentrate on meaningful and rewarding work like client retention and enhanced customer experience. 

Your brokerage can make your business more appealing to a workforce expecting instant, customer-centric experiences by implementing a digital strategy that enables: 

  • Innovation: Using digital technology to transform business operations. 
  • Flexibility: Providing mobile-friendly applications and remote work options. 
  • Security and Sustainability: Future-proofing the brokerage to ensure business longevity and stability. 

Reimagine Job Descriptions 

Brokers face an enormous task when they post a new job, and how you write your job descriptions can make or break finding top talent. 

You might already be opening your job description with a promotional summary of your brokerage, but does it tell a story about your culture, work environment and plans for the future? Be sure to include details that distinguish you from your competitors, including higher compensation, greater flexibility, better work/life balance, increased learning and development opportunities and mental health and wellness support. These are all compelling benefits to the evolving profile of insurance brokers and are likely to intrigue candidates. 

We all know that insurance is a jargon-based industry that uses countless acronyms. This may turn off candidates, especially those looking to break into the industry. Indeed.com suggests avoiding internal or industry-specific lingo, acronyms or other terms candidates are less likely to search for or understand. 

See also: 5 Ways Tech Can Draw Young Talent

Emphasize a Diverse and Inclusive Culture 

There is no longer a “typical” profile of an insurance professional. Their ages and origins are different — they speak multiple languages and have different beliefs, practices and backgrounds. According to Deloitte, Gen Z and millennials see diversity as something that boosts performance, especially when senior management teams are diverse insurance brokers. They must then demonstrate a commitment to workplace diversity and recruiting. While this can be challenging in a flexible work environment, leveraging digital communication channels, such as interactive webinars, community channels, a company intranet or other online collaboration tools, can create a culture in which you purposefully develop a sense of belonging, diversity and inclusiveness.

Aligning with Gen Z and millennial values is key. Nearly two in five say they have rejected a job because it did not align with their values. Meanwhile, those who are satisfied with their employers’ societal and environmental impact, and their efforts to create a diverse and inclusive culture, are more likely to want to stay with their employer for more than five years. 

Revitalize the Onboarding Process 

The onboarding process shifted considerably during the pandemic. New hires didn’t meet their team in person, and training was virtual. Even though many brokerages have returned to working in the office full-time, 75% of Gen Z and 76% of millennials prefer a hybrid or remote working situation. Your brokerage must adjust to this pattern, especially during onboarding, if you want to keep them. 

Onboarding a new hire remotely (or a mixture of in-person and online onboarding) is here to stay. Consider integrating technology into your employee orientation processes to simplify compliance aspects, such as filling out paperwork and learning the basic rules of the organization. For instance, by using digital documents, the employee can confirm they have watched presentations and video material explaining the organization’s rules using a digital signature.

Developing programs that include on-the-job learning, social learning and formal learning in a format of the candidate’s choice, whether digital or in-person, will demonstrate that they’re a valued team member and that you’re committed to making their integration a success. 

Provide Career Development Opportunities 

It has become essential to provide career paths within your business. A new study by Amazon finds that almost three-quarters of millennial and Gen Z workers are planning to quit their jobs in 2023 due to a lack of skills-building opportunities. Millennials and Gen Z want to know there is room to grow if they join your brokerage, so providing them with a clear path to future development can help attract and retain that talent. Some ways you can do this include:

  • Identify clear goals to work toward: Collaborate and clearly identify their career goals and then come up with a development plan to achieve them. 
  • Create a mentorship program: Offer opportunities to be paired with mentors who can help guide their careers with the company. 
  • Promote from within: Consider hiring from within when a position becomes open. If you know you will need to fill a position in the future and it aligns with one of your employees' career goals, create a cross-training program that will enable them to earn that spot. 

See also: 3 Reasons Millennials Should Join Industry

Every corner of our industry is facing a talent crunch. In addition to recruiting more producers, marketers and customer service representatives (CSRs), we also need more actuaries, accountants, social media experts, data analysts, benefits experts, IT professionals and experienced managers.

Potential candidates need to know that the people working in insurance are problem solvers with bright futures and use their talents to help their communities. Using these five points can aid in not only attracting and retaining the new generational talent, but also fostering an environment that promotes growth and embraces change, allowing your talent to count on having a long and fulfilling career in insurance.


Phil Yob

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Phil Yob

Phil Yob joined Applied Systems as senior director of talent acquisition in January 2022.

Yob has spent all of his 17-year, post-graduate career in the talent acquisition space, spanning multiple verticals, including sales, marketing, ops, tech and healthcare. His most recent experiences are centered on the health and fintech spaces, specializing in global hiring initiatives and hiring solutions for vertical SaaS companies.

Yob has a BSBA management, HR, from Bloomsburg University in Pennsylvania and earned his MBA from the University of Illinois. 

The Many Facets of DEI

DEI encourages us to understand and feel empathy for the experiences of others. When we do this, attitudes and behaviors change.

Five women sitting at a white desk in an office talking with computers in front of them

Diversity, equity and inclusion have come under fire recently, as people question the need for DEI, its effectiveness and occasionally even the motives behind it.

In many cases, the criticisms may be because of a lack of understanding about all that DEI entails. People hear about a DEI program or initiative and they think only about race, or perhaps about efforts to get more women into the C-suite. And they think that for conditions for one group of people to improve, conditions for others must be made worse.

Certainly, race and the effects of systemic racism remain at the center of DEI discussions, and with good reason. If we can’t fix that, we won’t be able to fix anything else. But with that said, DEI is about more than race. DEI also includes people with varying degrees of physical ability, neurodivergence, illness, sexual preference, economics, trauma and more. 

DEI also is not a zero-sum game. Improving one person’s situation doesn’t mean someone else must lose. The goal is equity, removing barriers so that everyone gets access to the same opportunities.

Another thing critics miss is that embracing DEI is crucial for any business. Not only are companies that support the concepts of DEI more profitable than those that don’t, as shown by a 2020 study by McKinsey & Company, but DEI also can play a significant role in risk management.

As just one example, when businesses fail to address DEI issues, their reputation can be at risk. Think back to 2020 and the political, business and social climate surrounding the murder of George Floyd. It became clear that not addressing DEI or sharing thoughts publicly about inequities in society could affect a business's public perception and bottom line.

But here’s another example, perhaps more directly relevant to the culture within a company. All people have biases, and that’s true no matter their race, their gender or any other characteristic connected to them. Biases are universal. But the fact that this is a problem we all share doesn’t make it less of a problem. Businesses that ignore this problem – that pretend it isn't there – run the risk of legal troubles when a supervisor or an employee crosses the line and discriminates or creates a hostile work environment.

See also: April ITL Focus: Diversity, Equity, and Inclusion

Part of the work of DEI is to get everyone involved; to make DEI everyone’s responsibility. The more people who have buy-in, the less likely the business is to run afoul of any law and end up on the wrong side of a lawsuit.

But that’s just part of the legal reason behind the need for DEI initiatives. There is also the more compelling reason that it’s the right thing to do, and that DEI comes with the bonus feature that the right thing also happens to have benefits. The company culture becomes more inviting, more inclusive for all employees.

This is because everyone, regardless of background, has at some time felt rejected, exploited or completely invisible. For some, those experiences have been few and far between. For others, they are common due to historic systems of oppression in employment, healthcare and social structures.

Part of what DEI does is encourage us to understand and feel empathy for the experiences of others, helping us better recognize that all people are entitled to humanity and dignity. When we do this, attitudes and behaviors change. People look forward to coming to work, rather than dreading it. Absenteeism rates go down. Employee engagement goes up. Turnover is less of a problem as the improved culture makes workers want to stay where they are, rather than go in search of something better. The company saves money because it is not constantly searching for and training new employees.  

Sometimes people criticize DEI efforts, saying the point is to make white people feel guilty, or to imply that white people don’t have significant problems. But DEI work doesn’t suggest that white people have never suffered burdens or hardships. It’s just that those burdens or hardships were not caused by skin color. 

All of this said, it’s important to consider that everyone has a DEI story. Even if you aren’t a member of a historically marginalized group, you have a story. 

This is because diversity is about how things differ, and when you think about how people differ – in age, race, gender, sexual preference, physical abilities, neurodivergence and much more – no one is left out


Dr. Nika White

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Dr. Nika White

Dr. Nika White, the author of "Inclusion Uncomplicated: A Transformative Guide to Simplify DEI," is president and CEO of Nika White Consulting.

Dr. White is an award-winning management and leadership consultant, keynote speaker, published author and executive practitioner for DEI efforts in the areas of business, government, non-profit and education. Her work helping organizations break barriers and integrate DEI into their business frameworks led to her being recognized by Forbes as a top 10 diversity and inclusion trailblazer. The focus of Dr. White’s consulting work is to create professional spaces where people can collaborate through a lens of compassion, empathy and understanding.

Unlike Fine Wine, Claims Don’t Age Well

The length of time it takes to settle an auto claim is key to customer satisfaction --  one of many reasons touchless claims are finding a stronghold.

A person's hand holding a glass of red wine in a dark room with some lights

Ahhh... a full-bodied merlot or cabernet sauvignon. Nothing tastes better than an aged red wine. The longer these vintage spirts lay dormant, the better. 

Unfortunately, there is no such happy result when it comes to delayed vehicle claims. In fact, the more time a claim goes unattended, the more “collateral damage” is created, with increases in (already challenged) cycle times and decreases in customer satisfaction. 

Cycle Times and Customer Satisfaction 

A recent J.D. Power report reinforces the correlation between delayed cycle times and reduced customer satisfaction, citing a notable drop in satisfaction when claims exceed two weeks.  

Specifically, compared with the quickest claims (resolved in less than one week), satisfaction levels dropped 56 points for the 34% of claims that stretch beyond two weeks, and plummet nearly 90 points when lasting beyond a month and 140 points among the longest claims. Time to settle is a key driver of overall satisfaction. 

bar graph from J.D. Power showing satisfaction by length of claim

Source: J.D. Power

Communication-related metrics, such as for keeping the customer informed of progress, also notably decline.  

Mark Garrett, director of insurance intelligence at J.D. Power, recommends a “laser focus on both speed and high-quality communications to maximize customer satisfaction.”

And that is one of the many reasons touchless vehicle claims are finding a stronghold. 

From Novel to Mainstream 

Once considered novel, these fully automated, touchless claims are now growing in popularity, empowering customers to jump-start the claims process, anytime, anywhere.   

But that’s not their only superpower.   

The portability and convenience of touchless claims open the door to a fully streamlined, virtual experience – from first notice of loss (FNOL) to settlement, repair and getting customers back on the road. There’s no waiting for callbacks, navigating busy phone lines or moving your day/week around the confines of set service hours. Instead, touchless claims bolster consumer confidence via personalized, proficient claims experiences. 

It’s all about managing consumer expectations through positive carrier experiences, and while not for everyone, touchless claims place the customer in the driver’s seat, keeping them engaged with every step of the claims process.  

Tech-Savvy Customers  

Make no mistake, current and prospective customers are primed and ready for digital experiences, including Millennials and GenX individuals – often referred to as the Digital Generation – who essentially grew up with technology and digital innovation. 

Those experiences embedded in AI – the “engine” of touchless claims – are no exception. Look no further than the findings of the Solera Innovation Index 2022, a survey of 2,000-plus consumers, OEM dealers, repairers and insurers regarding their view of AI technology and its impact on the claims/repair journey: 

  • 79% of tech-savvy customers would trust automotive claims powered entirely by AI (up 7% year-over-year) 
  • Approximately 1/3 of respondents personally completed a claim devoid of human interaction 
  • 49% of consumers prefer end-to-end self-serve claims options 

Accelerating Carrier Adoption 

With all of the upsides to touchless claims, the exceptional customization features make their use a blend of art and science. While carrier adoption is underway, the pace is closer to a crawl than a sprint. Some may turn to a plug-in option to their existing, legacy process, then discover the approach is more clunky than seamless and throw in the touchless towel only to revert back to old ways.   

Garrett suggests a more holistic view. “The best way forward is for insurers to start focusing on carefully managing customers’ expectations and fine-tuning their digital engagement strategies to shepherd their customers through the process,“ he said.   

Improving Communications 

The J.D. Power ACS findings also point to the role of communication in the claims process, noting the three most affected key performance indicators (KPIs) when cycle time extends beyond two weeks as:  

  • Accurate claim length expectations  
  • Unnecessary delays  
  • Updates 

A well-designed touchless claims model can provide avenues and features to address these KPIs, customized to reflect your carrier’s own unique flow, customer engagement cadence and process touchpoints.    

See also: How Claims Process Must Drive Change

Intentional Design vs. Afterthought 

To that end, carriers that can reimagine touchless claims as an intentionally designed service of their business plan vs. a piecemeal afterthought to an outdated, longtime existing “legacy” system stand to have better outcomes in the long run.   

Holdouts to touchless claims may argue that nothing can replace human touchpoints that come with relating to customers personally during one of the most stressful times in their lives. That’s true for some claims and why all roads lead back to enhancing customer satisfaction by managing expectations. We realize no single workflow for non-complex auto claims pleases every customer. That’s why complementing a customer-friendly touchless claims workflow with a hybrid model -- where digital customers may opt out to immediately speak with a human (a well-trained adjuster) when desired -- is ideal for the future claims design. 

Being empathetic throughout the process is key, especially for the longer-tailed claims that can create more effort for customers who have questions, need updates and are trying to determine next steps, Garrett says. 

Touchless claims offer many ways for carriers to personalize updates and foster strong communication – there are no cookie cutter approaches.  

If there’s any doubt about whether your current – and future – customers are ready for a touchless claims experience, cast that thinking away. They’re here, and they’re ready. Take the time to develop your unique process – rushing through the steps to “check the box” is ill-advised.  

The best results are always aligned with timely, quality claims communications, says Martin Ellingsworth, executive managing director, P&C insurance intelligence at J.D. Power. “You can never go wrong with the foundational underpinnings,” he said.

Let's have a toast to a touchless claims future. 

Cheers! 

Deteriorating State of Car Insurance

There are accusations of insurers pressuring repair facilities to use generic parts or cut corners to save on costs.

A blue car on a road at night with lights on while it's raining

The challenges drivers and insurance companies face in 2023 are multifaceted—ranging from rising premiums to delayed repairs. As the auto industry navigates these obstacles, it needs to identify potential ways to enhance customer satisfaction.

This article analyzes the current car insurance landscape, drawing from the recent MarketWatch Guides article.

Rising Car Insurance Rates

Insurance rates have been steadily climbing, posing a burden for drivers. Factors include external elements beyond the control of insurance providers.

Supply chain disruptions, chip shortages and labor shortages have sharply increased car repair costs. These challenges have resulted in extended repair durations due to limited parts availability. Repairs that once took days to complete now span weeks. The effects of the pandemic and global economic factors exacerbate these issues.

Insurers and repair facilities must collaborate more effectively to address the shortage of parts and labor. Anticipating potential supply chain disruptions and identifying alternative solutions could mitigate the impact on insurers and policyholders.

See also: Can Insurers Connect to the Connected Car?

Impact of Sluggish Claims Process on Customer Satisfaction

The J.D. Power study for 2022 on U.S. Auto Claims Satisfaction reports that the delay in processing claims has hurt customer satisfaction. Insurers must explore new options to enhance customer satisfaction, such as streamlining the approval process, to reverse this trend. Improved communication at every stage of the claims journey is also crucial.

Insurance company involvement in repair decisions has come under scrutiny. There are accusations of insurers pressuring repair facilities to use generic parts or cut corners to save on costs.

In response to these concerns, the state of Connecticut proposed House Bill 5366. It prohibits insurer influence over collision repair decisions at auto repair facilities. Though the bill did not pass, it highlights the debate surrounding insurance company interference in repairs.

How can insurance companies build trust with their customers in this context? To do so, insurers should maintain transparency in their dealings with repair facilities. Also, they should prioritize customer safety and satisfaction over cost-saving measures.

Insurance companies can strengthen customer relationships and enhance their reputation by fostering a culture of openness and accountability.

Customers Switching Car Insurance Providers

As frustrations mount, more customers shop for new insurance providers and switch coverage. This increase in insurance shopping and provider-switching rates has coincided with a decline in advertising by insurance companies.

Insurance companies should reconsider their advertising and retention strategies. With customers frustrated by rising rates and exploring new providers, insurers must enhance how they convey their services' value and retain current customers. Offering incentives for long-term customers could also boost loyalty.

Telematics Adoption: A Silver Lining?

There is a ray of optimism in the acceptance of telematics. Programs that offer usage-based insurance have become popular with drivers as they provide incentives for safe driving by monitoring driving behavior.

The availability of more driver data enables insurance providers to simplify coverage and expand customization choices. As a result, insurers can offer more personalized policies that better reflect individual driving habits, leading to fairer pricing and lower overall premiums.

Furthermore, telematics can reduce accidents by encouraging safer driving, benefiting drivers and insurance providers in the long run.

See also: Automakers Build New Insurance Future

Final Word

The car insurance industry is grappling with increasing costs and growing customer dissatisfaction this year. Insurance companies can better navigate their challenges and work toward a more customer-centric future by adopting strategies such as providing telematics, fostering transparency and streamlining claims processes.


Daniel Robinson

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Daniel Robinson

Daniel Robinson has written for numerous automotive news sites and marketing firms across the U.S., U.K. and Australia, specializing in auto finance and car care topics. Robinson is a guides auto team authority on auto insurance, loans, warranty options, auto services and more.

Insurers Are Feeling Prepared

Insurers are feeling more prepared than they did in 2021 and 2022 on a whole range of issues — but are nervous about geopolitics. 

Image
Woman Writing Notes

The annual Global Priorities survey by the International Insurance Society found that industry executives are feeling more prepared than in the previous two years on a whole range of issues: cybersecurity, climate change, inflation, competition for talent, data security and expense management.

In addition, major concerns from prior years — how to cope with the pandemic and how to adapt to a hybrid workplace — have greatly diminished.

The major uncertainty among executives is geopolitics. What will happen in Ukraine? Will China invade Taiwan? Will the trend toward what the report called "backsliding democracies" continue? 

While I'm delighted by the upbeat responses to the survey, I'd add one uncertainty to the list, echoing what an executive said in a webinar that the IIS held to analyze the report. Worried about misplaced complacency, he said: "I'm surprised anyone can feel comfortable about the level of cybersecurity protection that insurers have in place."

To tick through the main numbers in the IIS summary

  • Cybersecurity: "In 2021, 83% of executives who were prioritizing cyber security said they felt their company was prepared to do so. By 2023, that number increased to 94%."
  • Climate change: "In 2021, 62% said their company was prepared to address the effects of climate change, and, by 2023, 78% said the same."
  • Inflation: "89% prepared in 2021, to 93% in 2023."
  • Competition for talent: "59% to 79%." (One executive said in response to the survey: “We are faced with numerous retiring subject matter experts without having new talent coming in behind them to continue moving the business forward from here. Huge legacy knowledge bases will be disrupted, shrunk, or lost altogether.”)
  • Data security: "87% to 97%."
  • Expense management: "94% to 97%."
  • Hybrid workforce: "46% of executives were prioritizing a hybrid workforce in 2022, but that number dropped to 14% this year."
  • COVID: "In 2021, the pandemic response was the top economic priority, with 63% of executives saying that the pandemic recovery was one of their top-three economic issues. In 2023, however, the pandemic is a top-three economic priority for only 11% of executives."

To put the report in perspective, IIS President Josh Landau conducted a webinar with two longtime stalwarts of the IIS: Andreas Berger, CEO, Swiss Re Corporate Solutions, and John Spence, retired regional head, M&A and strategy, Generali Asia. This is where Spence said he couldn't understand anyone feeling comfortable about the current level of cybersecurity. 

"I was surprised by the answers around cybersecurity and the sort of view that insurance executives felt they could cope with cybersecurity," he added. "I don't know where that strength of position comes from. Cybersecurity really has to be at the top of the agenda.... And I'd encourage significant caution and investment to deal with that issue." 

Berger added his own note of caution about inflation. "Inflation should remain a top concern for executives this year and beyond," he said. "Global inflation rates are easing more slowly than desired... [and] executives in service industries like ourselves in insurance, where labor is the key input, will have to really watch [wage] inflation [to see if it] is set to stay structurally higher over the longer period."

Concerning geopolitical uncertainties, he said he sees them leading to three profound changes that will play out over many years in how the world economy operates — and, thus, in where the opportunities for insurers will lie:

"Number one, it's a reorientation of global supply chains to insulate economies against future trade disruptions. That's what we see. Number two, added impetus to the green transition, given worries of energy security that Russia's invasion of Ukraine has sparked, and number three, potential risk of global food security."

Spence emphasized the need to focus on acquiring AI talent. "Insurers need to be thinking very carefully about the people they have on their teams that are equipped to understand the transformation or issues associated with AI, ... [who are developing the use cases] that are improving customer service, that are personalizing products, that are optimizing the pricing and detecting fraud and reducing costs.... It's a significant challenge, and insurers who in many ways have been very slow to adopt new technologies will need to move rapidly in this new area or be left behind," 

That's a lot for you to sort through, I know, and I encourage you to dig into the report and watch the webinar. But here's my summary:

Insurers have been working hard for years to tackle a whole array of problems and can feel good about being better prepared but still need to stay on alert, especially about cybersecurity and inflation, in addition to the scary possibilities of today's geopolitics.

Cheers,

Paul

3 New Trends in Life and Health

They are: ecosystem partnerships, the convergence of group and individual offerings and emergence of new opportunities for critical illness cover.

Man with scrubs and a scrub cap on sitting at a desk with a computer open in front of him

It is an exciting time for the life and health insurance industry. Traditional and new entrants are introducing novel coverages and opening distribution channels to build market share, expand coverage availability, manage risk, save costs and improve the health and wellbeing of the people they serve. Ultimately, the real winner is the consumer, who is benefitting from creative propositions offering enhanced financial protection. 

Three new business trends are particularly worth noting. The first centers on ecosystem partnerships. The second is the convergence of group and individual offerings, and the third is the emergence of new opportunities for critical illness (CI) cover. 

Trend 1: Ecosystem Partnerships

Insurers are developing ecosystem partnerships with non-traditional insurance market participants to create and distribute new products and services, reach new markets and ultimately improve engagement with their policyholders. Some examples: 

  • One company supplies a single point of contact to collect data using a contactless video-based software solution. The company deploys machine learning to capture micro changes in facial skin color to measure stress, heart rate, blood pressure and other metrics. 
  • Another business addresses the challenge of collecting data from multiple sources. After securing customer permission to collect personal healthcare data, the company provides insurers with a complete and unified view of a consumer’s health, medical and wellness information. 
  • A clinical stage healthcare company is applying artificial intelligence and deep learning with dermoscopic imaging to detect within seconds skin lesions with a high risk of being cancerous lesions. Besides saving lives, the approach improves outcomes and reduces health claim costs. 
  • One vendor offers eight online mental health treatment programs, each confirmed effective by at least one randomized controlled trial, to improve mental health while managing claim costs. Given the increase in depression since the onset of COVID-19, successful and cost-effective mental health programs are more necessary than ever. 

These new digital entities come from outside the insurance industry. They are joining the insurance ecosystem and working with insurers to create consumer propositions that enhance the customer experience, improve consumer health outcomes and ultimately strengthen the insurance value chain in areas such as underwriting and claims. 

Trend 2: Converging Group and Individual Coverage 

Propositions are emerging that blur the lines between group and individual cover, allowing the consumer to enjoy the best of both worlds. This convergence is occurring against the backdrop of a changing workforce and the explosion in freelance or “gig” workers. Broadly, group and individual insurance are converging in two different ways:

  • Strategic archetype 1: Insurers sell individual products through the employer channel, thus tapping into the employee base as another conduit for alternative distribution.
  • Strategic archetype 2: Insurers define criteria to combine disparate individuals into a group of their own and offer group products to them (as key decision makers) or voluntary-style products that provide individual choice with elements of group underwriting.  

An example of strategic archetype 1 is a group-focused startup offering employee benefits and rewards for working to improve physical and mental health. A proprietary gamified interface with a unique digital currency engages employees with a suite of health services, including employee assistance programs, mental health support, access to virtual physicians and more. The platform also offers the opportunity to “top up” traditional group benefits and add more individually selected products, effectively opening a new channel to make incremental insurance sales. 

An example of strategic archetype 2 is a digital insurance broker and robo adviser that offers income continuation to independent contractors and freelancers in case of illness, sick leave, disability or death. The platform gathers a disparate community of individuals (freelancers) and effectively recreates the employee benefits those individuals would have enjoyed were they employed in a more traditional arrangement.  

See also: Selling Where Life Happens

Trend 3: Expanding Critical Illness Coverage

CI provides a great canvas for innovation because insurers can experiment with a wide array of benefit designs, payment types and segment-specific strategies. The possibilities for consumer propositions are almost limitless.  

Medical innovation plays a significant role in CI product development. A greater understanding of illness and disease creates possibilities for insurance coverage, and insurers around the world are taking advantage. Four emerging areas of innovation include dementia benefits, defined disability benefits, precision medicine benefits and pre-early benefits.

Dementia benefits are evolving and taking various forms. For example, riders are expanding cover to include in-home care facility admission and caregiver support. Insurers are also offering benefits that cover services for preventing and detecting milder or earlier cognitive impairment and help senior citizens age in place to reduce the need for expensive nursing home care.

Defined disability benefits, also known as functional impairment benefits, are a hybrid of CI and disability coverage. For example, one company pays a lump sum for a specific defined medical event, based on the diagnosis and its severity, for those who otherwise would not qualify for traditional occupational disability. The tiered benefit covers a range of CI categories, from upper limbs to cardiac and respiratory events. 

Precision medicine benefits provide incremental coverage for higher-cost or specialized medical services for a particular disease. The approach enables insurers to create a comprehensive value proposition around a critical illness in highly competitive markets. As an example, one insurer offers an array of support services to help cancer patients financially, emotionally and physically. 

Finally, pre-early benefits expand traditional CI benefits to less critical but still important early-stage diseases. The expectation is that diagnosing diseases sooner will help the consumer secure treatment earlier to reduce the risk of disease progression to later stages.  

As medical innovation continues to advance, CI innovation must likewise advance to keep pace. 

Conclusion

Thanks to product and distribution expansion, life and health insurers are finding new ways to differentiate their brands. Fueled by innovation in technology, medicine and financial services, these advances will help shape life and health insurance in the years to come.


Jaqui Wassenaar

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Jaqui Wassenaar

Jaqui Wassenaar is vice president and head of digital distribution at Reinsurance Group of America, where she is primarily responsible for establishing distribution pathways that unlock new markets and contribute to further growth.

Prior to her current role, she was vice president, market development director for RGA's EMEA region, jointly responsible for setting strategy for expansion into underserved and underdeveloped markets with RGA assets and solutions.

Wassenaar is also a fellow of the Actuarial Society of South Africa.
 


Daniel Lyons

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Daniel Lyons

Dan Lyons is vice president, business initiatives, at Reinsurance Group of America, where he leads the global product initiatives team and supports RGA's offices and clients in maximizing the value from RGA's product development and digital product assets around the world.

Lyons also works with local RGA business development teams to support client engagement planning and collaborates with clients to identify opportunities for securing the full benefit of a RGA partnership.
 

Auto Insurers Need Aggressive Defense

This is the time to use precision marketing techniques to protect market share and uncover untapped avenues of growth.

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The post-pandemic years have not been kind to U.S. personal auto insurance underwriters. Drivers' return to the road, high inflation and several catastrophic events compounded by an auto parts shortage contributed to higher-than-expected claim costs. 

In 2022, the 10 largest publicly traded U.S. personal auto insurers with the exception of Progressive all reported combined ratios ranging from 103.8% to 119%. That means for every $100 in premiums, these insurers had to pay out between $103.80 and $119 in claims and expenses. Mutually owned State Farm also reported an auto-underwriting loss of $13.5 billion against $45.7 billion in premiums in 2022.  

To improve auto-insurance underwriting profitability, insurance leaders are turning to tried-and-true methods: raising rates, stricter underwriting requirements and expense management. 

However, auto insurance is a highly elastic good. When prices rise, consumers will start switching in an effort to save. Allstate expects only 85% of its annualized written premium increases to be realized as customers modify policy terms or don't renew. Some auto insurers are also starting to lose market share. In a recent SEC filing, Berkshire Hathaway shared that GEICO's market share has declined from 14.4% in 2021 to 13.9% in 2022. 

Simon-Kucher expects customer churn and switching behaviors in auto insurance to increase sharply in 2023. In a recent Simon-Kucher project, 74% of personal P&C insurance customers said they are comparison shopping more frequently in response to inflation. More than half of these customers said they are likely to switch providers, and nearly 60% of customers said their policies included features they did not need or value.

As auto insurers hunker down to address their profitability challenges, some more aggressive players smell opportunity. These insurers are leveraging advanced customer segmentation, pricing accuracy and opportunistic marketing to grow market share. For example, Progressive is finding ways "to grow as fast as possible while delivering a calendar year 96 combined ratio." 

Underwriting discipline and expense management are important, but insurers must not neglect retention, opportunities to cross-sell and upsell to existing customers and ways to improve conversion. This is the time to play defense and focused offense using precision marketing techniques to protect market share and uncover untapped avenues of growth. 

Advanced segmentation and personalization

Instead of a broad-strokes approach to segmentation, auto insurers' segmentation efforts must be more granular, precise and strategic. Auto insurers must be able to position the right product to the right customer segment at the right time as part of a wider retention, cross-selling and up-selling strategy. 

For example, price-conscious customers can be offered telematics or usage-based insurance, while customers who are buying a home can be offered options to bundle policies in exchange for discounts or rewards. Data-driven approaches coupled with advanced segmentation techniques can uncover unmet customer needs, behaviors patterns and customer lifetime value for product development and new experiences. 

See also: Nonstandard Auto Insurance's Key Role

Feature bloat

Precision marketing techniques can also be used to address feature bloat, a phenomenon where executives include product features or attributes that they assume are valuable to their customers, but that in reality lead to overloaded products. Instead of adding value, these extra 'bells and whistles' cost too much, overdeliver, confuse and overwhelm customers. 

Insurers need to take a closer look at their products and their features to ensure they are aligned to customers' needs. Packing too much or too little into a product means the insurer is either not meeting clients' needs or hitting the appropriate price point. 

To capture customers in the current environment where insurers are increasing rates at a time of sharpening pricing sensitivities, optimized products are critical. Insurers products must have the right market fit, be compelling when compared with competitors' offers and communicate clear value to the target customer segment. This is the key to differentiating what increasingly seems like commoditized products to the consumer.  

Marketing efficiency

Auto insurance has one of the highest customer acquisition costs of any industry. P&C insurance analyst Adam Klauber estimates U.S. auto and home insurance providers spend more than $53 billion annually on commissions, customer-facing expenses and advertising to attract customers.  

To stay on the path to profitability and sustainable growth, auto insurers must improve marketing efficiency. There are customer segments in P&C insurance willing to pay for high-value insurance products, secure more coverage and upgrade to more comprehensive products and services. If insurance providers can identify these customers and find ways to engage them, these can become opportunities for growth. 

Using data-driven and advanced segmentation, auto insurers can also find ways to optimize the customer journey for conversions. For example, some customer segments might appreciate more personalized or human-assisted interactions. At certain junctures of their buying journey, these customers can be directed to an agent or representative.  

The current environment should be viewed as an opportunity for carriers to secure their book, retain their customers and capture new customers who are looking to switch.


Nick Frank

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Nick Frank

Nick Frank is a partner with Simon-Kucher, where he leads the North American Insurance practice.

He has more than 20 years of experience helping insurance carriers and producers reimagine sales, product design and revenue models. Frank has worked closely with insurance leaders to implement advanced digital technologies to improve sales funnel ratios, refine customer segmentation and optimize pricing. His expertise spans across property and casualty, life and annuities, reinsurance carriers and producer organizations.

Frank has a BSc in computer engineering and mathematics from the University of Florida.


Michael Nadel

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Michael Nadel

Michael Nadel is a senior director at Simon-Kucher, where he is focused on helping insurance companies figure out how to drive profitable growth through the optimization of pricing, sales, marketing and digital strategies.

Nadel has more than a decade of experience in insurance and financial services. His work includes new carrier-agent models that deliver higher growth, improving cross-selling, bundling and sales incentives and leveraging game mechanics, AI and data analytics to future-proof distribution. 

Nadel has an MBA from Northwestern University's Kellogg School of Management and a MSc in information systems and a BSc in finance from Indiana University's Kelley School of Business. 

 

Benefits Are Ripe for a Tech Upgrade

Nearly half of adults with employer-sponsored insurance report being frustrated because their benefits are hard to understand. 

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While the insurance industry as a whole has made some strides in deploying technology to achieve efficiencies, the area of employee benefits is underserved. Generally, employee benefits remain mired in traditional low- or legacy-tech ways of administering these all-important amenities, hindering the industry’s ability to create much-desired modern solutions and elevate experiences to levels we are all accustomed to across banking, ecommerce, entertainment and more. 

Employee-sponsored benefits such as health insurance and retirement plans  play an essential role in American life, yet they are hard to access and use. Just 9% of employees understand benefits terms like coinsurance; meanwhile, choosing the wrong health plan can be a $2,000 mistake. 

A recent Harris Poll consumer survey of 2,000 employed adults with employer-sponsored insurance benefits reported that nearly half the respondents cited frustration when using their insurance benefits because they are hard to understand. Meanwhile, two in five indicated they have received inaccurate bills, been unable to access care or been harmed to delays because of errors in their insurance coverage.

In an era when consumers expect a seamless experience across the board, insurance carriers must focus on elevating the customer experience to keep pace. This shift is forcing stakeholders to apply more “hands and heartbeats” to achieve that experience – when much of that work should be automated and streamlined, and personal touches could be better applied to functions that truly require and benefit from human intervention and care.

Sources of Resistance

Why is benefits lagging? In a single word: acquiescence.

The status quo is often the sector's biggest hurdle; accommodating a lack of technology and services with workarounds hinders the industry's ability to innovate. Paper-based systems and manual data entry dominate industry workflows, making it very challenging for benefits software, insurance carriers, brokers and employers to keep key employee information in sync.

Other barriers to digital transformation in the benefits industry include:

  • Slowness in developing a connected industry mindset; data is typically thought of in silos
  • A lack of a single group or person being accountable for improving outcomes
  • General lack of awareness that technology serves data but that people should serve customers

Factor in the inherent difficulty of adapting older systems to receive a high volume of data while ensuring the integrity and cleanliness of that data, as well as managing security and privacy concerns, and you’ve got a significant amount of industry inertia to overcome.

See also: Digital Insurance 2.0: Benefits

Embracing a Tech-First Approach in Benefits

The opportunity lies in adopting  a tech-first approach to benefits design and delivery. Legacy manual approaches need to be contrasted with everyday processes like opening a bank account, applying for a mortgage online or moving money to/from a 401(k). There is a need to boost efficiency, replace antiquated processes and upgrade to more modern systems. In 2023, carriers continue to rely on paper, web portal entry, email, phone and electronic data interchange (EDI) for data exchange to support important functions of enrollment and member changes. This is unacceptable. 

Everyone across the industry is being asked to do more with less — while advancing the business. Sometimes, this means using fewer employees or deploying new technology to realize efficiencies. However, technology can be costly, as well. The ideal balance is to identify those areas where technology can be effectively implemented, such as handling the synchronization and validation of data. Doing so frees up “human hands” to focus on activities that create the experiences that drive net promoter scores, boost customer satisfaction and instill brand loyalty. 

Taking a tech-first approach that prioritizes modern data management will boost efficiency and help create enhanced, frictionless benefits experiences. These will include customized benefits options, a streamlined buying process and the deployment of people to the “human side” of the business. With a tech upgrade, the industry can do more with less and ultimately create better outcomes for all.


Gary Davis

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Gary Davis

Gary Davis is national practice leader at Noyo

He leads digital transformation efforts – built on a foundation of clean, accurate and secure data – for employee benefits partners. He has nearly 30 years of experience driving innovation through the employee benefits ecosystem, including a previous position as AVP national small business practice leader at Humana.

Tips for Improving Customer Experience

Only 11% of policyholders think their insurer is among the best in providing a good experience when compared with other companies they do business with.

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Customers expect great experiences, yet they’re often getting the opposite. According to Broadridge’s 2023 CX and Communications Consumer Insights report, only 11% of policyholders think their insurer is among the best in providing a good experience when compared with other companies they do business with.

Customer dissatisfaction can directly affect the bottom line. In fact, the majority of surveyed consumers (65%) have cut spending with companies that don’t meet their customer service expectations. What’s even more alarming is that the dissatisfaction trend continues: 69% of consumers indicated that most of the companies they do business with need to improve their customer experience (CX). That’s up from only 35% in 2019. 

There are steps you can take to improve your CX while controlling costs. But before doing so, it’s critical to understand two vital components to enhancing the customer experience: communicating with policyholders how they want, and then leveraging technology to deliver communications how and where they want them.

First and foremost: Keep things clear

Communications play a central role in overall customer experience. For instance, policy documents, premium invoices, claim notifications, policy updates and renewal reminders may collectively represent a policyholder’s most frequent points of interaction with an insurer.

Perhaps most importantly, communication affects a consumer’s perception of a company: About three in five consumers (61%) judge a company’s level of innovation based on the communications they send. Consumer feedback on the clarity of communications across industries indicated that insurers rated poorly, with more than a quarter of policyholders confused by communications from their carriers. 

Considering that more than two-thirds (69%) of consumers look elsewhere for similar products or services after just two to three poor experiences, you must ensure that policyholder communications are clear and have a modern design.

See also: Payoff From Great Customer Experience?

The role that digital can play for policyholders and insurers

Consumer appetite for digital communications has grown, but so have consumer standards. 

Only 41% of policyholders reported receiving paperless insurance communications, but a further 11% would prefer to. Many insurers would prefer that their paperless adoption rates get even higher than that. While some policyholders will always prefer to hold on to paper, we found that 82% of consumers would go paperless if they found the digital experience more engaging.

How can insurance companies provide more value to their policyholders? Eighty percent of consumers want companies to customize their experience based on what the company knows about them. Nearly a quarter would like an interactive summary of important billing or statement information directly within the emails sent to them, instead of being prompted to log in to company websites. 

These are just a few ways you can do more to harness the power of customer data. And, by leveraging technology to provide this level of customization, you can provide policyholders with the value they seek.

Customers want simple interactions

There’s work to be done in making insurance communications more useful. Ninety-two percent of consumers said it was important to have a simple way to interact with companies across all channels – with 57% considering it very important. Yet only 35% of consumers believe the companies they do business with are actually providing a simple way for them to engage across channels.

When asked to indicate what was most important in the print and digital communications they receive from companies, respondents had three simple requests:

  • Use plain language
  • Summarize important information
  • Let customers choose how to receive communications

With these findings in mind, insurers may want to consider: 

  • Using simplified language — a sixth-grade reading level is recommended
  • Taking a policyholder-first approach to how communications are organized and presented
  • Offering a good preference management tool for policyholders to set their communications preferences

In the words of one survey respondent, “Keep it simple, be honest, be informative and tell me the most important things first.”

Keep customer data a secret (but don't hide your security efforts)

Enhanced digital experiences and trust go hand in hand. Privacy and data security are top of mind with consumers, especially when they’re deciding whether they can trust a company. In fact, 42% said they stopped doing business with a company because of a hack that exposed consumer data. 

It’s not surprising that 62% of consumers agree that the use of digital identity security measures — like Face ID and PIN codes sent via email or text — would make them more likely to engage digitally with a company. Another survey respondent said companies should “provide more electronic security” to improve the experience. 

It’s vital for insurers to not only provide adequate data security, but to communicate about those measures to reassure customers. Almost a third of respondents said the most important feedback they’d give to companies is to be more open about how they protect consumer data and privacy. The more you can tout the steps you take to keep customer information safe, the likelier they are to hear you.

Look to the leaders

To get better at communications and CX, look at who’s doing it well. Insurers looking to elevate their CX may want to consider what banks and credit card companies are doing. Specifically, survey respondents said that these industries: 

  • Make it easy to navigate account details online (43%)
  • Communicate clearly (43%)
  • Make it easy to talk to a real person (41%)
  • Send notifications when there’s something important to look at (34%)
  • Allow customers to select how they want to receive communications (25%)

You don’t have to reinvent how you communicate with your policyholders. Instead, consider how these best practices would fit within your organization. Much, if not all, of the top-scoring traits are replicable across industries. Mutualized solutions can help here: They allow you to free time and resources while providing you with market-leading tools to make your communications ecosystem run more efficiently, leading to the ability to create better experiences.

See also: 'It’s the Customer Experience, Stupid'

Takeaways for insurers looking to elevate their CX

Taking these steps can be a win/win for insurers and policyholders alike. For instance, leveraging technology to streamline processes through automated solutions can make an insurer more efficient, while improving the policyholder’s CX. And the Broadridge survey indicated that insurers don’t have to shoulder the financial burden alone. In fact, 44% of consumers indicated their willingness to spend more to receive a better customer experience and service. 

Carriers can also turn to outside vendors to help create the solutions that both insurers and policyholders need. Outsourcing this function can help them gain economies of scale, workflow efficiencies and cost reductions — while leveraging the latest technologies to enhance CX.

Insurers that take the right steps today to provide a better customer experience will benefit from enhanced policyholder loyalty — and the resultant higher persistency rates, which are key in today’s challenging economic climate.


Matt Swain

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Matt Swain

Matt Swain is head of communications insights and experience at Broadridge.

He is a recognized customer communications industry thought leader, the host of the Reimagining Communications podcast and a frequent keynote speaker around the world. He provides market research and consulting expertise to clients relative to benchmarking, customer experience optimization and digital transformation.