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Why APIs Work Better in the Cloud

While APIs have become commonplace, we are running into the danger of creating too many point-to-point tethered connections and losing the value that we had found.

Sailboat on clear blue water in the mountains

California is a gorgeous state, unfortunately known to the rest of the world for its wildfires, a high cost of living and, in some locations, bad traffic. But bad traffic makes for good analogies, especially when it comes to application programming interfaces (APIs). Both traffic and APIs require a bit of advance planning, so let’s consider road planning for a moment as a model for API gateways.

When the Spanish founded Los Angeles, they probably weren’t planning for a population of 12 million people geographically locked between an ocean and a desert and mountain range. So, they didn’t plan their streets for the future. Traffic, since the 1800s, has always been an issue. Public transportation hasn’t helped much. Freeways are often more gridlocked than ancillary roads. Growth and use has always eclipsed capacity. I’m sure today’s city planners wish they could start from scratch.

With APIs, we have the ability to strategically plan our routes for today and the future — acting right now to plan the digital roads that will allow for smooth sailing and avoid frequent gridlock. Once we uncover some of the crucial issues that APIs present, we can then assess the thoughtful solutions that are available to us to help us tame the traffic. Our goal is to answer the question:

“How does the world of APIs change and get transformed by leveraging the cloud?”

APIs began with the concept of simplicity. One road led to one destination. This is why APIs were developed in the first place. We needed one-to-one, easy plug-and-play connections to relieve the stress of coding issues within monolithic systems. APIs answered the question, “What if we could reduce the number of points of implementation impact by creating one-off pathways?” APIs allowed for microservices. APIs allowed us to talk to outside entities much more easily. APIs opened new doors of data that were previously difficult to ingest and consume. APIs allowed the digital world to work in real time.

The issue is that, while APIs have become commonplace, we are running into the danger of creating too many point-to-point tethered connections and losing the value that we had found in the original point-to-point idea.

Right now, much API development and administration is still point-to-point between one system and another system, multiplied by many systems and hundreds of APIs. What happens to API development and administration when you’re dealing with hundreds or thousands of separate APIs? This is like paving a separate road for every commuter where the rules for the road are all different and yet they all cross at random locations. A growing population of APIs without an effective way to manage the traffic represents an untenable future. The cloud takes this impossible situation and makes it manageable and less strenuous for everyone involved.

The stresses in the system that necessitate an API gateway

The simplest way to understand the value of an API gateway is to understand what could go wrong if APIs aren’t managed properly. Here are just a few issues:

  1. Poor performance and operational inefficiency.
  2. Lack of effective documentation, responsibility, administration and governance.
  3. Lack of adequate security.

See also: How API Hub Can Spark Innovation

API gateways tame the traffic

An API gateway acts as a proxy for each of the APIs that it manages.

Let's assume there are 1,000 APIs. Each API is a point-to-point interface. If there is an API between system A and system B, it is a one-to-one relationship. A gateway is a proxy, exposing the public-facing API endpoints. It then routes the incoming client requests to the relevant services. So, let’s say there is a request coming in from an outside entity that needs to go to two different systems internally. The standard process with no gateway would be that there are two calls made: one from the external system to internal system A and one from the external system to internal system B. That’s two calls. Multiply those two calls for each required function times 1,000. This is what leads to latency and traffic jams.

The API gateway not only routes the incoming client requests to relevant services, but it also aggregates the response data from a variety of different internal APIs and sends back the responses with one request. Less traffic to point A. Less return traffic from point A.

The API gateway also acts as border security for anything entering the organization. But, like a border security post, monitoring isn’t just about finding insecurity, it is about organizing tasks and proper routing. At the border, there are queues, split apart by various destinations. If you’re traveling to/from an international airport, you’ve seen how border security works to process people based upon where they are coming from and where they are going. An API gateway efficiently guards the organization’s systems from overuse and abuse by queuing properly. All of the most important performance metrics that would commonly define the success of an API, such as requests per minute, latency, errors per minute and API uptime — are threatened when APIs are distributed and disorganized outside of the gateway.

We should mention here that if an organization isn’t seeing clogged traffic just yet, they will. Insurance customers are increasingly choosing “data-heavy” products and services that will require more API integration and use, as shown in Majesco’s latest consumer research. APIs aren’t going away, and they aren’t becoming fewer in number. Remember the city planners who should have planned ahead. If you are in a position to save your company from future grief by moving APIs to an API platform in the cloud, now is the time to speak up.

API gateways avoid “chatty” outgoing client requests

With distributed APIs and no coordination mechanism, a single outgoing client request can result in multiple round-trip requests. Being able to make a single request to an API gateway, which then routes calls and collates responses is far more efficient. This also dramatically improves performance.

API performance isn’t just about traffic flow, it’s about reducing API traffic “accidents”

APIs are game-changers, so there’s no doubt that organizations are finding them useful in every respect. In some innovative organizations, there is a charter that stipulates that they need to use APIs as the primary nodes of interaction between various systems, both internally and externally. But if you’re doing that and you aren’t using an API gateway in the cloud, you’re running the risk of having a bunch of connected streets and avenues with no sense of logic or a set of rules constructed among them.

Without an API platform-based approach, you run the risk of a network of connectivity where the systems and functions are too complex to understand the impact of changes. When you end up having to either upgrade a particular API or troubleshoot it, it becomes an exercise in network engineering. Imagine being an electrical engineer, sorting through a host of painted wires that are mixed up with no schematic, and you have to literally take out each wire by itself. Simple APIs lose their simplicity as they multiply with no documentation or governance. As the network slows, the errors will grow.

The API platform-based approach brings order to the chaos. Traffic management is far easier because the system knows and understands the APIs and their relationships to one another. And, it’s smart enough to be able to share its knowledge with us, which is something we’ll discuss in a few weeks when we talk about an API gateway and its ability to automatically document the details of each API.

API gateways are cloud-based because that’s where they are effective

If we step back and look at the pre-cloud-driven services world, to implement an effective API gateway would entail a huge amount of redesign, reworking of existing APIs and then making sure that all of the connections, programming and system protocols are aligned. There are organizations that do this, but the cloud has given us a much more logical option. 

What we have today is not necessarily “drag and drop” programming, but it's closer to drag and drop than to reprogramming. Cloud-based solution providers like Microsoft Azure have made the process workable and efficient. Everything that an organization would have needed to invent on their own in-house is provided as a standard part of the process. Cloud technology choices are so much simpler because of their ease of use, their pre-built functions and their simple configurability. And, of course, cloud gives us the speed that we and our customers crave in our transactions and communication. There is simply no comparison when working with APIs in-house. Those who do still find themselves turning to hybrid solutions or mirroring data on the cloud to stay secure. 

See also: A Cloud Platform's Role in APIs

The “hurdle” of API migration

Of course, one of the biggest hurdles to migrating your APIs to a cloud-based solution is just the decision to do it. The actual migration itself is fairly simple. The API migration playbooks already exist. They are precise, “hands on” directions for making the switch. It’s not neuroscience. The ease of migration is actually one of the greatest motivators to do it.

Cloud providers make it possible to envelop an existing API architecture and a library of existing APIs with cloud-enabled orchestration. They have a toolkit that provides you with everything you need for API discoverability, plus a documentation library, with a system-generated capability of defining new APIs so that you don't have to unlearn and relearn how to define and document your APIs. The process is thoughtful and smart.

Things like security and load balancing are all predefined in these platforms. You simply have to customize the API gateway to your organization's needs. It’s like selecting a new Tesla. You can’t change the primary functions of the car, but you can add the various options that fit your taste. This is what a cloud-based solution does for insurers for organizations that already have APIs. It not only delivers the cloud, but it easily guides IT teams through the process. We’ll discuss this more when we talk about developer and user roles in coming weeks.

In our next cloud blog, we’ll discuss documentation, administration and governance in the new API platform environment. (Spoiler alert: It’s much simpler, highly automated and built for security and consistency.)


Ravi Krishnan

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Ravi Krishnan

Ravi Krishnan, chief technology officer at Majesco, oversees the architectural and technical direction for all Majesco SaaS platforms.

How Billing Models Can Keep, Recover Business

Billing is important enough to the business that it requires a future-focused strategy. Billing innovation and transformation strategy pays for itself.

Back of a football ref

Sheila is shopping online for a new auto policy. Marketing has done its job to get the ball in play. Sheila made a few simple choices. She received a timely quote. Underwriting catches the pass. Like running down the field with the football in hand, the full insurance team has taken the ball to the goal line and is ready to issue a new policy…and then…fumble.

Sheila wants a usage-based policy for her second car, a convertible that doesn’t get driven in the winter. Fortunately, her insurer will allow her to turn on and off her insurance with the click of a button on their website. Unfortunately, she pays semi-annual premiums, which means that she doesn’t actually see her savings “catch up” until months later, creating a massive inconsistency in her billings. When she tries to switch to monthly billing, she realizes that she loses her pay-in-full discount. The modern insurance product and the fantastic UBI capability are of no value because the carrier’s billing system isn’t aligned to its capabilities and her expectations.

Sheila pauses and considers shopping around. This is the point of fumble. Who is going to recover the ball? Whoever can match the customer’s billing needs to the customer’s billing expectations.

There are a hundred different scenarios we can replay in this situation, but many of them end in similar results. Billing is important enough to the business that it requires a future-focused strategy. Billing innovation and transformation with a customer-first strategy pays for itself.

Majesco released a joint thought-leadership paper with Deloitte titled, Insurance Billing and Payments: From Back Office Calculators to Channel Growth Accelerators, based on an executive round table with industry leaders. The paper examines how and why billing’s operating model is changing within the insurance organization — seen through the eyes of insurance executives. It also makes an excellent practical case for a quick, sustainable and valuable ROI.

“Put me in, coach.”

Rapid digital transformation across industries is pulling billing and payments off the bench and into the game. Once considered to be back-office financial functions, billing and payments are now at the center of the digital customer relationship, along with innovative products and services, and they are as adept on offense as they are on defense. Billing is a key component in any growth and innovation strategy. A redesigned billing experience can anchor an insurer’s future success and survival. The reason? Billing sells!

Data from venture capitalist Mary Meeker indicates that over 60% of transactions are digital, ranging from mobile payments, messenger apps and contactless payments through online commerce sites and buy buttons. Yet most billing systems are not prepared to meet the higher challenges of service expectations and customer success. Billing is a universal touch point for insurers. Customers may never deal with claims. They may only deal with underwriting once. Billing, however, will follow them into the future with frequent communication. The time to rethink the billing and payments foundation is now, before billing’s technology and service gap becomes insurmountable.

Billing plays offense. Billing plays defense.

In billing and payments, insurers will find that they need to think in terms of defensive tactics and offensive strategies. Today’s billing is versatile enough to be on both sides of the team.

Making the big plays to outperform the competition is the role of the offense. These are the billing model innovations that will excite the business because they enable the whole organization to think big without billing constraints. 

The defense reacts to market necessities, responding to what is current and holding the ground already gained. This would be akin to maintaining service levels, tracking information for reports and keeping omni-channel service strong during moments of stress, such as internet outages or high call center volumes.

The offense adapts to new business demands and strives to leap ahead of the competition. The defense maintains operational effectiveness, executing today’s business. Front-office opportunities are handled by the offense. Back-office optimization is pure defense. Today’s rapidly changing market requires that both are done with excellence, but, more importantly, that they are executed with balance.

“We are constantly playing defense because of the legacy technical debt that we are burdened with. It generates an enormous amount of friction. There’s significant value when you focus on the offensive side with new things that can be done to drive customer retention, satisfaction and more." — Round Table Participant

See also: Myths on Reference-Based Pricing

Billing on Defense – Optimized Operations and Customer Engagement

Insurance billing sits at the intersection of cashflow and customer engagement, so it can’t be ignored.

The foundational elements of billing and payment solutions are task-oriented:

  • Set up payment plans
  • Calculate payments due by customers (including fees)
  • Produce invoices
  • Create reports for management
  • Record premium payments made to customer accounts

These tasks are important in providing effective billing processes that deliver quality of service, support financial operations and encourage customer and distributor relationships.

But these are just the operations that will keep the insurer on the playing field, not what will catapult them over the competition. More than optimized operations and customer engagement are needed to meet the digital demands of today’s customers.

Billing on Offense — Innovation and Customer Experience

Billing is more than a financial arrangement. It has a significant role to play in the overall customer experience. Billing encompasses significant events, such as renewals and claims. These are trust building opportunities — times when insurers follow through on the brand promise of protection and service.

Experience also encompasses e-commerce, a concept far removed from yesterday’s electronic payments. The payment portion of the transaction is now a component of an integrated digital value chain that includes search features, bundling, recommendations, quotes and complex schedules. It necessitates the free streaming of data in and out with numerous integrations.

Innovation within insurance products and services is causing insurers to offer new transaction types and new payment methods that may be unlike anything they have ever seen or that can be handled by traditional billing processes. Embedded insurance makes a great example. Can an insurer’s billing and payments processes easily communicate with a partner’s transactional channel? What steps does an insurer need to take to prepare for billing innovations that are the trickledown from a new product or service?

One way an insurer can play offense is to integrate only enterprise billing solutions that have been designed with the future-focused, front-office approach in sight, rather than considering a legacy replacement of a back-office transactional process.

The growing demand for new payment methods, billing plans and access to real-time billing information can transform digital capabilities. It can improve communication and fuel growth to leap ahead of the competition and capture new markets while growing existing markets.

The Billing Operating Model — A Strategic Enabler for Growth

A billing operating model shift allows insurers to keep one eye on the customer and another on the company.

Insurance operating models have traditionally been functional (policy, claims, and billing) and product-focused (commercial/personal). This has resulted in distribution and servicing technologies that mirror the priorities and limitations dictated by traditional strategies.

The evolution of traditional operating models has been incremental and directed toward centralization to deliver scope and to scale benefits. Today’s billing models will still need to meet internal demands, but they will also need to account for customer desires and trends in billing and payment capabilities.

Every insurer must undergo an introspective analysis if they hope to maximize value from their functional and technology transformations. They must look at themselves in light of reality and determine what it will take to reach their customer-focused transformational objectives.

“Billing is not just a cost center anymore. There’s significant value in moving to a new, different operating model that opens up possibilities for business growth — scaling to adapt and use new enabling technologies and creating new experiences.” — Round Table Participant

A customer-first approach requires a deep understanding of the carrier’s customer base as well as the various interactions that will make a meaningful difference. Furthermore, "customer first" operating models are not an evolution of the current state and are not limited to customer interactions with insurance carriers. Amazon, Google and Apple experiences are pervasively re-defining CX. The impact delivered by new experiences will accelerate, not only because of these major tech players, but also in response to the smaller tech/fintech/insurtech firms that are seeking a competitive advantage.

Matching the agility and speed of the startup

Startups have a billing advantage. They can engage customers from the outset, unencumbered by technical debt or the need to convert data. This allows them to play offense, developing customer-first operating models powered by tech/data capabilities to deliver insights that will shape interactions. For example, startups can begin with optimized workflows to automatically create best practices in retention. A modern workflow with embedded "next best action" can be crafted to prioritize each customer interaction through the lens of retention analysis.

Startup insurers are often able to sort, rank, rate and predict with efficiency and clarity. Customer effort scoring is a crucial improvement metric that startups would find much easier to implement than a traditional insurer. This is just one example of hundreds, but it makes the case that the world of customer experience is moving quickly, and insurers need to move with it.

Large carriers are still focused on assimilating changes in customer behaviors with limitations imposed by their operations and legacy technology debt. The traditional contact center is a prime example. How adept are carriers at mixing customer service channel methods in the midst of an omnichannel revolution? Insurers are grappling with perfecting service in light of shifting customer expectations.

See also: Integrating Chatbots, Policy-Handling Apps

Billing’s Role in Communication — Making the Touchdowns

Communication with customers is where the whole thread comes together. It’s where the touchdowns are scored. Previously, all of the aspects of billing were more clearly separated from channels of service and communication. Today, however, insurers are giving agents and customers faster and easier access to those portions of the billing system that will assist them to accomplish their goals.

Streamlining communications in an omni-channel age has many hurdles. Billing, because it is so customer-service heavy, has to stay in constant contact with communication management. For example, during the last two years of pandemic, contact center staffing has been a concern. Insurance is the third-largest user of call centers, ahead of even healthcare and telecommunications. Any point of difficulty with this portion of the omni-channel communication strategy needs to be offset by technologies that can help to pick up the slack — integrated with billing.

Carriers need to consider the details (What alternative user support channels can we use for billing and payments?) and the larger concerns (How do we use intelligent routing that balances the optimal customer experience with our staffing and resources?).

A redesigned operating model for billing will consider the impact and future-focus that may include greater agility, reprioritization, replacement of siloed operating models and the leveraging of ecosystem partners. These greater efforts will pay off in many ways, not the least of which will be customers who quote, buy and stay because their carrier allows them to do business in the way they want.

Today’s blog is written with Ajay Radhakrishnan, managing director at Deloitte Insurance.


Denise Garth

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Denise Garth

Denise Garth is senior vice president, strategic marketing, responsible for leading marketing, industry relations and innovation in support of Majesco's client-centric strategy.

Coping With Insider and Outsider Fraud

Recent macroeconomic events involving supply chain slowdowns, flexible work arrangements and rising inflation have paved the way for a possible uptick in crime.

person using computer

While fraud has existed for as long as there have been companies, when changes occur in how an organization operates, new doors open for people inside and outside an organization to steal.

Recent macroeconomic events involving supply chain slowdowns, flexible work arrangements and rising inflation have paved the way for a possible uptick in such crimes. Changes in the supervision of an employee coping with financial pressures, for instance, may encourage the person to commit fraud or invite a con artist to deceive the employee in a sophisticated social engineering scam.

Both types of criminal deceptions are widespread and expensive. According to the Association of Certified Fraud Examiners, occupational fraud causes an average 5% revenue loss annually, with the average loss per incident estimated to exceed $1.5 million. Social engineering scams have tripled since 2020, according to the Anti-Phishing Working Group, which tallied 316,747 phishing attacks in December, the highest monthly total since the organization began reporting on the subject in 2004. 

In our annual Midsize Company Risk Report, fraud-related theft was cited as the top concern of financial risk managers. Because fraud involves insider and outsider deceptions tricking people into believing something that is not true, internal controls are the primary means of thwarting the schemes. 

The Insiders

In cases involving an employee committing a fraud against an employer, criminologists have cited three factors at work: financial pressures, opportunity and rationalization. At present, the opportunity to commit fraud may appear greater for employees feeling the pinch of inflation at a 40-year high. 

Under this pressure, some employees may rationalize that they are being unfairly penalized for economic factors beyond their control. If an opportunity presents itself to commit fraud, they may be tempted into thinking they won’t get caught. 

A case in point is the disruption in the supply chain. The difficulties sourcing needed supplies have impelled many manufacturers to contract with new suppliers in unfamiliar locations. Given high demand for the company’s products, time is of the essence, possibly compressing the customary due diligence performed into the new supplier’s controls. 

An employee with financial stress may decide to impersonate an accounts receivables executive at the new supplier to trick the company’s accounts payable into sending a payment into a bank account held by the employee. Or the employee may instead collude with someone working at the new supplier to manipulate the invoice, overcharging the company by 30% and sharing in the illicit proceeds. 

The Outsiders 

Threats from outsiders continue to grow at an alarming rate. FBI statistics show crimes involving phishing/vishing/smishing/pharming nearly tripled from 2019 to 2021. In cases involving social engineering schemes, today’s more prevalent remote work options constitute a greater opportunity for success, because employees are under less physical supervision. 

A different set of factors are at play in committing social engineering frauds. A common scam is for the fraudster to gather information from social media about an employee and a high-ranking executive within the company or at a key customer or supplier. The fraudster perpetrates a cyberattack to penetrate the company’s network and then impersonates the senior executive in a series of emails that appear legitimate. 

If the impersonation is convincing, the employee can be duped into doing something that seems perfectly normal, such as  transferring company or client funds into an illicit bank account held by the fraudster. 

See also: Global Trend Map No. 11: Fraud

Warning Signs and Controls

Against this backdrop, financial risk managers have an array of defensive and offensive tactics at their disposal. 

With regard to insider fraud, warning signs include sloppy record-keeping, accounts that often fail to balance, incomplete or undetailed bookkeeping records and missing documentation in financial reports and statements. Other red flags include a sudden shortage in inventory that is inconsistent with prior practice, frequent cash shortages and baffling adjustments to payable and receivable accounts. 

If any of these warning signs are in place, question the employee, as there may be a plausible reason for the discrepancy. If the stated reasons are insufficient, and evidence suggests the employee is having personal financial problems, conduct an internal investigation to gather the facts. 

During this period, curtail the employee’s access to company funds and other resources, as well as their involvement in supplier and other vendor transactions. If the company is publicly traded, external auditors should be alerted to the internal investigation. 

To reduce the potential for fraud and theft, a strong system of internal controls must be in place. Practices like the segregation of duties ensure that no single employee can simultaneously commit a fraud and conceal it, because other people are required to countersign any transactions. Multiple tiers of review and approval, both with the payment of goods and services and the approvals of electronic fund transfers, are mitigants that work.

With regard to outsider fraud involving remote work by employees, warning signs include repeated non-use of the company’s VPN (virtual private network) by employees. Use of employee home WiFi systems increase the possibility of network penetration, setting the stage for a social engineering scam.

To reduce risk, encourage protections like multi-factor authentication, software updates and regular changing of passwords on employee laptops, routers and modems. 

Alert employees to be extra vigilant about social engineering attempts, pointing out the three “unusual” components of a typical scam—an unusual request by someone in authority at the company, customer or supplier; an unusual sense of urgency in the request; and an unusual appeal to take immediate actions. If anything seems out of the ordinary, the employee should pick up the phone and call a supervisor.  Employees should also use dedicated internal phone directories when confirming requests with other employees and outside vendors rather than relying on the phone contact information provided within the suspected email.

Lastly, in both insider and outsider frauds, there is wisdom in periodically having the above procedures vetted through internal and outside audits. It’s one thing to have a policy in place and another to make sure it is being followed, especially in times of stress.

Risk Transfer

No control system is foolproof, of course, hence the purchase of a fidelity bond absorbing the costs of the aforementioned scams, as well as other financial losses incurred due to theft, forgery and other fraudulent acts. Because fidelity bonds differ, it is prudent to discuss with an insurance broker or agent which type is best suited to the organization’s risk exposure, such as financial institution bonds, first-party bonds, third-party bonds or a commercial crime insurance policy. 

An insurance broker or agent also can help explain each policy’s coverage nuances. Some fidelity bonds, for example, may exclude losses if company anti-fraud/anti-theft control policies and procedures were not followed or the fraud was directed by an outside entity like a supplier or a client.


Kevin Mason

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Kevin Mason

Kevin Mason is lead underwriter, private company management liability, financial lines, QBE North America.

He has four years of experience helping private and not-for-profit companies manage their management and professional liability risks. Before joining QBE in June 2021, Mason served in key underwriting positions at Berkshire Hathaway Specialty Insurance and CNA Insurance.

He holds a bachelor's degree in economics from the University of Wisconsin-Madison and is working on an MBA from the University of Illinois-Chicago. Mason has also earned the RPLU designation.


Antonio Trotta

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Antonio Trotta

Antonio Trotta is vice president, claims practice leader, cyber and professional liability, financial lines, QBE North America.

Trotta has 20 years of experience handling and advising on claims involving management and professional liability insurance coverage. Before joining QBE in August 2021, he led the claims team for cyber/tech E&O/media/ commercial crime at Beazley for three years. Before Beazley, he was the senior claim counsel for CNA's MPL, technology, fidelity, cyber and media claims. Trotta also spent five years as a lawyer.

He holds a JD from New York Law School and is a certified information privacy professional.

Mental Health Challenges (Part 2)

Central to the conversation of how best to support the mental health of BIPOC and AAPI communities is to realize one size does not fit all.

Woman with a phone smiling at something off-camera

Potential for improvement of Asian American and Pacific Islander (AAPI) and Black, Indigenous and people of color (BIPOC) mental health support, mental health treatment and mental health recovery abounds. BIPOC and AAPI need more equitable reimbursement rates from insurance companies, less bias in diagnosis and treatment and help overcoming mental health stigma in their communities. The disparity in providers (psychiatrists, social workers, psychologists and nurses) also needs to be addressed.

Acknowledgment and inclusion of all challenges AAPI and BIPOC face are essential. “How can we ‘treat’ individuals and ignore the historical trauma and systemic racism?” asks Pata Suyemoto, feminist scholar, writer, educator, diversity trainer and mental health activist. “How is this even ethical?”

“When it comes to historical trauma, if you lie to people long enough, they’ll begin to believe it’s the truth,” adds Dr. Brenda Wade, clinical psychologist. “This is why it’s a challenge to dislodge the fear and mistrust of ‘The System.’”

Solutions

How can BIPOC and AAPI people receive the most equitable care and sustainable results?

“We don’t exist in a vacuum,” explains Dr. JaNaè Taylor (she/her), licensed psychotherapist, private practice owner, podcaster and emotional wellness consultant, “and to approach our medical care without seeing the whole being is irresponsible and damaging. In our BIPOC communities, we’ve learned that we are our own best asset, and things like peer support, healing circles and mutual aid fill those gaps.”

Brianna Baker, Ph.D. student in counseling psychology at Columbia University, recommends an approach that is adaptable and culturally responsive to provide the most equitable care and sustainable results. Suyemoto recommends enabling AAPI and BIPOC communities “to define for ourselves what is helpful and useful and culturally relevant.”

Central to the conversation of how best to support the mental health of BIPOC and AAPI communities is to realize one size does not fit all. An approach that works for one community does necessarily work for others. Additionally, improvements to mental health treatment and support for BIPOC and AAPI include:

  • Culturally Representative Providers: Mental health systems need more providers that understand BIPOC and AAPI and how to advocate for their needs. We need to train more clinicians to address racial trauma and systemic racism in practice. We need to create stronger opportunities for people of color to serve as mental health providers.
  • Dismantle Systemic Racism in Mental Health Systems: Address the white supremacy culture and a Eurocentric perspective that imbues the mental healthcare system.
  • Understand BIPOC and AAPI Mental Health Through a Trauma-Informed Lens: Improve access to trauma-informed interventions to acknowledge and address the historical racial trauma and current systemic racism all BIPOC and AAPI experience. Stop misdiagnosing and pathologizing trauma.
  • Partner With Organizations of Color and Community Leaders: Assess best mental healthcare practices and supports for particular communities—ASK and LISTEN.

Community Care – An Alternative to Medicalized Mental Health Treatment

Community care is a viable option for more holistic and helpful mental health treatment. “Community care is critical for everyone, but especially for BIPOC and AAPI communities,” Suyemoto says. “Often, what professionals in the mental health field consider as ‘care’ is medicalized and not in alignment with BIPOC needs or cultures.”

“Community care” is a holistic approach to identifying and understanding each individual’s needs in the context of the social and physical landscape. It’s about developing a culture of shared mental wealth in which collective healing and liberation are the priority. In this framework of mental health support, BIPOC and AAPI people are valued as a whole person and as an integral part of the intersecting communities of which they identify. This culturally congruent approach to mental health care which values a person’s culture while validating their experiences as an individual.

There are many benefits to this approach. First, “community care” provides great accessibility and equity. This form of support meets a person where they are physically, emotionally and cognitively and brings traditional cultural practices to the forefront of treatment. These practices include spiritual practices (e.g., meditation, chanting, drumming, dance), oral traditions, kinship systems and the arts.

See also: Why We Don't Say 'Committed Suicide'

Emphasis on Community Resilience, Strength and Hope

AAPI and BIPOC have strong traditions in their cultures that have endured centuries of oppression and efforts to eradicate them. This resilience and tenacity, and the increased recognition and respect these traditions are beginning to garner, offer hope for the future. Africanity, for example—community-supporting beliefs and practices that originated on the African continent—have survived enslavement and modern-day racism. “Please remember that Africanity … has infiltrated America and world culture through dance, music, visual art and Black inventions,” Wade says. “Cultivate Africanity in your life, and celebrate the courage and strength of ancestors who made our lives possible!”

Resources

This blog is based on an #ElevatetheConvo Twitter chat hosted July 8, 2021, by Dr. Sally Spencer-Thomas @sspencerthomas. Advocates and experts unpacked the many ways disparities show up in our BIPOC and AAPI communities and opportunities for change and help. Special thanks to guest panelists:


Sally Spencer-Thomas

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Sally Spencer-Thomas

Sally Spencer-Thomas is a clinical psychologist, inspirational international speaker and impact entrepreneur. Dr. Spencer-Thomas was moved to work in suicide prevention after her younger brother, a Denver entrepreneur, died of suicide after a battle with bipolar condition.

Mental Health: Challenges and Opportunities

Discrimination and historical trauma have shaped the mental health of our BIPOC and AAPI communities and the treatment they receive. How can we do better?

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Racism, discrimination and historical trauma have played major roles in the mental health of our BIPOC (Black Indigenous People Of Color) and Asian American Pacific Islander (AAPI) communities and the treatment they receive. According to Dr. Brenda Wade, clinical psychologist, “Systemic racism permeates every layer of society, education, health and mental health—not just police departments and fire departments.”

Why do these barriers persist, and what can we do to improve AAPI and BIPOC mental health supports?

Part one of this two-part series shares data and observations regarding the current state of mental health challenges and supports for BIPOC and AAPI.

The Current Situation

“Discrimination, race-based stress and trauma, structural oppression all contribute to the genesis and continuation of racial mental health disparities,” explains Brianna A. Baker, second-year doctoral student in counseling psychology. “Exposure to racism is correlated with increased stress levels (Peters, 2006), accelerated aging (Carter et al., 2019; Gee et al., 2019), and a variety of other mental health disparities in BIPOC populations (Jackson et al.,2010; Miranda et al., 2008).”

Elected officials and all other systems reflect underlying—often unconscious—racism that the research shows creates devastating outcomes for BIPOC,” Wade adds.

Did You Know?

  • Mental Health America, reports that 17% of Black people and 23% of Native Americans live with a mental health condition
  • According to the national Alliance on Mental Illness, Asian Americans and Pacific Islanders (AAPI) have the lowest help-seeking rate of any racial/ethnic group:
    • Only 23% of AAPI adults with a mental health condition receive treatment.
    • Researchers have learned this is often due to:
      • Cultural shame
      • Language/cultural relevance barriers in current mental health services options
  • Suicide was the leading cause of death for AAPIs ages 15 to 24 in 2019. (CDC)
  • Mental health issues are on the rise for AAPI/Native Hawaiian young adults. (SAMHSA’s National Survey on Drug Use and Health)
  • Major depressive episodes increased from 10% to 14% in AAPI youth ages 12 to 17, 8.9% to 10% in young adults 18 to 25, and 3.2% to 5% in the 26-to-49 age range between 2015 and 2018.
  • Research indicates that BIPOC are:
    • Less likely to seek mental health care
    • More likely to experience mental health provider bias
    • Less likely to have access to mental health services
    • More likely to receive poor quality of care
    • More likely to end services early

See also: Five Things Employers Need to Know About Mental Health

The Caveats

Available data tracking of AAPI and BIPOC mental health can be misleading for the following reasons:

  • Due to prejudice and discrimination around mental health conditions and suicide, suicide deaths or mental health challenges are most likely underreported in most BIPOC and AAPI communities.
  • Available data reported does not reflect the great variability that exists within subcultures of BIPOC and AAPI groups.
  • Current statistics do not reflect the rise in anti-Asian hate and its impact on AAPI mental health.

Other Obstacles to Unbiased Treatment and Support

  • Language and cultural barriers
  • Dismissing, denying or neglecting symptoms due to mental health bias in many Asian cultures
  • The erroneous model minority myth that AAPI communities are doing well and don’t need any services or attention
  • BIPOC self-devaluation, one of the saddest byproducts of racism, which causes redirection of anger at the system toward “myself and those who look like me”
  • Coping by repressing emotions such as sadness, grief, shame, and loneliness—a necessary strategy to survive racial trauma
  • Lack of representation in the field
  • Multi-layered bias and discrimination
  • Historical betrayal by the scientific community
  • Disregard for cultural congruence
  • The current medical model, which is neglectful, dismissive and oppressive

Despite current challenges to equitable and meaningful mental health support for AAPI and BIPOC, helpful insights and opportunities for improvement are out there.

Resources

This blog is based on an #ElevatetheConvo Twitter chat hosted July 8, 2021, by Dr. Sally Spencer-Thomas @sspencerthomas. Advocates and experts unpacked the many ways disparities show up in our BIPOC and AAPI communities and opportunities for change and help. Special thanks to guest panelists:


Sally Spencer-Thomas

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Sally Spencer-Thomas

Sally Spencer-Thomas is a clinical psychologist, inspirational international speaker and impact entrepreneur. Dr. Spencer-Thomas was moved to work in suicide prevention after her younger brother, a Denver entrepreneur, died of suicide after a battle with bipolar condition.

Union Pacific Leads on Suicide Prevention

As the second-largest railroad company in the U.S., they took the bold leadership move to take the pledge to make suicide prevention a health and safety priority.

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Those in the railroad industry know about the toll suicide takes on employees, customers, families and communities. As an industry ranked in the top 10 for highest suicide rates, railroad corporations lose employees to suicide each year. Additionally, however, trains are also used as a means for suicide, so, tragically, people in the rail industry are often traumatized by witnessing pedestrians ending or trying to end their lives on the tracks.

So, Union Pacific decided to do something about it – as the second-largest railroad company in the U.S., they took the bold leadership move to take the pledge to make suicide prevention a health and safety priority and have been implementing the practices of the National Guidelines for Workplace Suicide Prevention. They started using education and information tools to help remove barriers mental health support and connect their employees with meaningful assistance. The mission? Let people know it’s normal to struggle, it’s okay to reach out for help, you don’t have to go it alone, support is available, and you won’t be penalized.

[Suicide is] the second-leading cause of death for middle-aged men,” says Mark Jones, Ph.D., Union Pacific’s former director of Employee Assistance and Support Services and member of the national Workplace Suicide Prevention and Postvention Committee. “Union Pacific is involved because our employees live and work in thousands of communities across 23 states, and it’s important that we’re part of this solution.”

Further, former Union Pacific Senior Vice President Robert Turner, now private sector chair of the National Action Alliance for Suicide Prevention, offered this personal testimony at the U.S./Canada Forum on Workplace Suicide Prevention.

Each year, Union Pacific supports World Suicide Prevention Day and spreads awareness about the importance of taking action to prevent suicides. After weeks or coordination, Union Pacific mobilizes approximately 200 volunteers to meet their fellow employees as they report to work or leave work and hand them wallet-sized cards about suicide prevention and a key chain imprinted with the inspiring message “Stay Connected.” The volunteers estimate they reach approximately 10,000 of the 50,000 Union Pacific employees through this effort in just one day.

See also: Workplaces Coping With Suicide Trauma

In addition to the World Suicide Prevention Day program, Union Pacific’s suicide prevention efforts go wide and deep. They include Operation RedBlock, a drug and alcohol prevention program; Union Pacific’s Peer Support volunteers, employees trained to help co-workers cope with difficult events; and Union Pacific’s occupational health nurses, who speak with employees system-wide about suicide warning signs and available resources. They even convened an international railroad summit that brought together representatives from most of the major railroad stakeholders to find industry-wide solutions.

For more on Union Pacific’s leadership in suicide prevention, visit: 

https://www.up.com/aboutup/community/inside_track/suicide-prevention-8-31-2016.htm

https://www.up.com/aboutup/community/inside_track/suicide-prevention-awareness-210910.htm.


Sally Spencer-Thomas

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Sally Spencer-Thomas

Sally Spencer-Thomas is a clinical psychologist, inspirational international speaker and impact entrepreneur. Dr. Spencer-Thomas was moved to work in suicide prevention after her younger brother, a Denver entrepreneur, died of suicide after a battle with bipolar condition.

A Frenzy of Activity in Commercial Lines

Research finds that insurers in small commercial lines are further along in their digital transformation journeys than their peers in mid/large commercial lines.

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Since 2020, there have been endless discussions around COVID-19’s impact on customers’ needs and how the insurance industry adapted swiftly to unprecedented times. Although the pandemic helped accelerate innovation in some areas, many commercial lines insurers came to realize how unprepared they were for the digital demands resulting from the global crisis. In fact, a recent SMA survey found that fewer insurers consider themselves to be in transformation mode today compared with in the pre-pandemic era. So, it is no surprise that, in 2022, many senior executives across commercial lines see how imperative it is to transform and innovate, and a sense of urgency is driving a frenzy of new activity.

SMA’s newly released research report, “Digital Transformation in Commercial Lines: Project Priorities for 2022 and Beyond,” identifies specific project plans for insurers in small commercial lines and mid/large commercial lines this year. Across all lines in the commercial market, insurers are focusing on operational transformation and the technologies needed to enhance data and analytics capabilities in different business areas. There is also more significant activity in initiatives to improve digital interactions with agents and policyholders. However, unique project priorities emerge when looking separately at insurers in small commercial versus mid/large commercial lines. 

Within small commercial, SMA’s research finds that insurers are further along in their digital transformation journeys than their peers in mid/large commercial lines. Specifically, small commercial insurers are increasing their investments in straight-through processing (STP). For insurers serving the mid/large commercial segment, modernizing core systems and eliminating manual processes are their top two project areas in 2022. Advancements in these areas will be essential for insurers handling complex and specialized risks that involve vast amounts of forms, documents and data.

See also: Emerging Tech in Commercial Lines

Insurers’ plans in 2022 will only continue in the years to come, and it will be become ever-more critical in a competitive industry environment. Upgrading digital capabilities to serve agents, policyholders, employees, members and shareholders will be hallmark traits of future market leaders engaged in their digital transformation journeys today.


Deb Smallwood

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Deb Smallwood

Deb Smallwood is the founder and CEO of SelfPowerment.

She spent four decades in corporate leadership across the insurance industry, operating at the intersection of business, technology, and organizational transformation. Her leadership inflection point led her to research the experiences of more than 50 high-achieving women and 10 men leaders. This formed the foundation of her book, SelfPowerment: The Inner Shift for High-Achieving Women Who Want More Than Just Success. The work introduces a research-informed framework that redefines success from within and invites women to shift the question from, “Will they choose me?” to “Do I choose them?”

How Analytics Can Democratize Insurance

Analytics are finally catching up to the vision, letting everyday business users harness the power of data through easy-to-use tools and advanced automation.

graphic showing a chart

One of technology’s best promises is democratization–taking specialized capabilities meant for a few people and then making them cheaper, simpler and more accessible to everyone. We’ve seen many examples in modern consumer products, such as computers, cars or even the internet itself. We’re starting to see examples of this in business, as well, such as in healthcare and logistics, and I believe we are on the cusp of a big change in insurance, too.

Although the insurance industry has always been about serving people, both individuals and groups, I think technology hasn’t always made insurance easier and more accessible for everybody. In fact, sometimes it seems to do the opposite. We are an analytics-driven industry, and analytics tools are still very hard to deploy and often harder for ordinary people to use. Most companies still rely on IT or business intelligence (BI) specialists to make sense of data so others can make smarter decisions.

But I think analytics and BI technology are finally catching up to our vision, allowing us to let everyday business users harness the power of data through easier-to-use tools and advanced automation. This is a huge opportunity for our industry, and I think embracing data analytics for all will pave the way for us to make insurance even more transparent and delightful (well, certainly less painful) for all of our customers.

The dream of democratized data in insurance

We have all dreamt of an insurance agency where every employee uses insights from data to make decisions and C-suite executives have on-demand dashboards with updated key performance indicators (KPIs). Line-of-business leaders use weather data to identify geographies potentially exposed to coming storms. Marketing teams combine U.S. Census Bureau data with internal data to discover business opportunities based on demographics and claims information.

At Hastings Mutual, we have finally been able to make this dream a reality, and I know that we aren’t alone.

For us, the key to making this possible has been to rethink how we use analytics in the first place. Like most organizations, we began using analytics by relying on static mainframe reports that had a refresh cycle of 30 to 45 days. Even when we centralized our data into a data warehouse, only IT specialists had the skills to query it. This led to a constant, growing backlog of requests from business users, which was frustrating for everybody involved. IT was exhausted, business users were using data that was already out of date and, of course, our customers and policyholders suffered as a result. No matter how much we tried to streamline the analytics delivery process, we always struggled with that last mile—actually getting the data insights into the hands of the people who needed them.

The revolution has been to take the opposite approach: Use new technology, such as self-service dashboarding tools, embedding and AI, to put the business users first—let them analyze data on their own, wherever they are, in whatever applications they’re already using, without having to first turn to IT, BI specialists or other experts.

In practice, this looks like employees who build their own dashboards, partners who discover opportunities using visualizations embedded into existing portals and policyholders who receive data-driven alerts via email or phone. In short, we put the end user first and bring the data to them, not the other way around.

See also: Setting Goals for Analytics Leaders

Creating insurance opportunities with analytics

It’s understandable that many people wonder if relying on analytics even more will turn insurance into an automated, robotic industry that simply does whatever the data decides is best, but the truth is precisely the opposite. As with computers or the internet, when we put analytics and insights from data into the hands of everyone, we all benefit.

Take something simple like weather data. By combining weather forecasts with maps and policy data, our internal business teams have been able to understand the effects of damaging weather conditions and, importantly, what to do about it. This combination has led to an improved bottom line through better data reporting and subsequent cost savings, but more importantly lays the foundation for a more positive customer experience through weather-related alerts to policyholders.

I’m excited to see how new technologies will continue to take insurance to the next level. AI can help automate much of the slow, manual processing of policy changes. Machine learning can increase the speed and accuracy of the underwriting process. Deeper app integrations lead to more data for business partners to see a complete financial picture, including premiums, plans and claims.

These are only a few of the possible ideas.  Many more become possible as we democratize data analytics and provide everyone with intuitive access to factual information upon which they can make smart decisions on their own and in their own time.

Elon Musk Is Wrong About AI

In painting a rosy and likely unrealistic picture of what AI can and can't do, Musk has, in our view, misled the public about how far we still have to go.

Binary and technology on a blue background showing AI

Elon Musk has a habit of using Twitter and interviews to make big statements. For instance, Musk told Jack Dorsey via tweet that AGI-artificial general intelligence, or AI with the power and flexibility of human intelligence--would most likely be here by 2029.

And when Elon talks, people listen. But should they?

He has a history of making bold predictions, not always correct; those self-driving taxis he promised still aren't here, for example. In this particular instance, the idea that some quantum jump in AI is imminent might actually cause some people to panic, especially given that Musk himself once famously told a crowd at MIT that, "with artificial intelligence, we are summoning the demon." At the same time, suggesting that humanlike intelligence is not far away might distract from all the current flaws in AI that so desperately need fixing.

The truth is, there is a giant gap between today's AI, which is largely pattern recognition, and the kind of Star Trek-computer-level AI that Musk is dreaming about. Yes, AI can already do some amazing things, such as speech recognition, with the ability to hold surrealistic but entertaining conversations about virtually any topic. But when it comes to reliability, dependability and coherence, current AI is nowhere near what it needs to be. Despite years of promises, AI continues to regularly make bizarre and unexpected errors of "discomprehension." It also perpetuates stereotypes; spreads misinformation; and still fails even at everyday tasks like human-level driving, especially in unexpected circumstances. Recently, a "summoned" Tesla crashed into a $3 million jet that was parked at a mostly empty airport. Inside the field, these kinds of challenges are well-known, but there are no firm fixes at hand.

Remedying AI's current flaws (and using the AI we actually have now wisely) must start with realism. Building an AI that is genuinely trustworthy is one of the most important but also challenging engineering missions of our time. But being glib about it isn't helping. In painting a rosy and likely unrealistic picture, Musk has, in our view, misled the public about how far we still have to go.

With so much at stake, we decided to call BS.

It began when one of us, Gary Marcus, drafted a $100,000 bet. In essence, the bet highlights the disconnection between Musk's latest claims about the future of AI and current reality. In the spirit of serious betting, Marcus laid out five very specific conditions.

To really say that AGI had been achieved, it would have to clear at least three of the following five benchmarks of intelligence, compiled in collaboration with NYU computer scientist Ernest Davis. To be considered artificial general intelligence, AI would need to be able to accomplish some of the following:

  1. Watch movies and tell us accurately what is going on. Who are the characters? What are their conflicts and motivations? Et cetera.
  2. Read novels and reliably answer questions about plot, character, conflicts, motivations, etc. The key is to go beyond the literal text and show a real understanding of the material.
  3. Work as a competent cook in any old random kitchen (a tip of the hat to Steve Wozniak's cup-of-coffee benchmark).
  4. Reliably construct bug-free code of more than 10,000 lines from natural language specification, or by interactions with a nonexpert user. (Gluing together code from existing libraries doesn't count.)
  5. Take arbitrary proofs from the mathematical literature, written in natural language, and convert them into a symbolic form suitable for symbolic verification.

The other of us, Vivek Wadhwa, thought the bet was terrific, fair and provocative, and something that could move the field of AI forward. So Wadhwa decided to match Marcus's wager. Within a couple hours, there was a flurry on Twitter, and Marcus's Substack had close to 10,000 views; soon, other experts in the field also offered their support to $500,000. But not a word from Musk.

See also: The Real Disruption From Robotics, AI

Then writer and futurist Kevin Kelly, who co-founded the Long Now Foundation, offered to host the bet on his website side by side with an earlier and related bet that Ray Kurzweil made with Mitch Kapor. Ben Goertzel, for decades one of the leaders in trying to make AGI into something real, rather than just a fantasy, tweeted that he thought the tests would signify real progress. World Summit AI, the world's leading AI conference, offered to host a debate. Others wondered aloud which benchmarks might fall first, and in what order.

Despite all that excitement in the AI community, there has still been no word from Musk.

Half a million bucks is chump change, of course, for someone who is perhaps the richest person in the world. But it is real money to us, and it symbolizes something important: the value of getting public voices who hype AI's near-term prospects to stand by their claims.

Spreading misinformation about the potential of AI and its likely progress may serve Tesla by diverting attention from the many problems it has with its self-driving software, but it doesn't serve the public. If Musk believes what he says, he should stand up and take the bet; if not, he should own up to the reality that his pronouncements are little more than off-the-cuff hunches that even Musk himself realizes aren't worth the virtual paper he's printed them on.

This article was written by Vivek Wadhwa and Gary Marcus.


Vivek Wadhwa

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Vivek Wadhwa

Vivek Wadhwa is a fellow at Arthur and Toni Rembe Rock Center for Corporate Governance, Stanford University; director of research at the Center for Entrepreneurship and Research Commercialization at the Pratt School of Engineering, Duke University; and distinguished fellow at Singularity University.

What to Do About Rising Inflation?

Property-casualty insurers should stress test their operations and consider ways to counter potential inflation impacts on both sides of their balance sheets.

Man at a table with money, a calculator, a computer, and papers

​​Heading into 2021, projections for U.S. inflation were mixed. At least two economists were on record saying “2021 will be a year plagued by numerous unwarranted inflation scares.” For the first three months of 2021, this outlook seemed reasonable, with consumer price index inflation averaging approximately 1.9%. Then, in April 2021, CPI inflation jumped to 4.2% and climbed steadily for the rest of the year. In December, inflation eventually reached a high for the year of 7%.

The last time CPI inflation exceeded 6% was back in the late 1970s/early 1980s. Inflation during that period was partly due to surges in the price of oil, while measures taken to curtail inflation included wage and price freezes, surcharges on imports and a break with the gold standard. At the time, the Federal Reserve implemented tight monetary policies that raised the federal funds rate from 10% to 20%. While these actions resulted in a recession, the policy proved effective, and in 1982 the trend of high inflation subsided. 

Various reasons are given for the current spike in inflation, including supply bottlenecks, government policy, pent-up consumer demand for goods, imbalances in supply and demand and a lack of competition among corporations. Government stimulus spending since the pandemic has exceeded $5 trillion. Congress and the White House are still discussing additional stimulus spending. Continued availability of disposable income and hampered supply chains are expected to contribute to inflationary pressures well into 2022.

Not All Inflation Is Created Equal

If the price changes for a particular CPI component occur less often, on average, than every 4.3 months, that component is called a “sticky-price” good. Goods that change prices more frequently are labeled “flexible-price” goods. Examples of sticky-price goods are medical care services, education, public transportation and motor vehicle maintenance. Examples of flexible-price goods are lumber, fuel oil, used cars/trucks and food at home. 

As shown in Figures 1 and 2, most of the headline inflation during 2021 has come from price increases for flexible goods. Sticky-price goods—many of which underlie liability claim costs—have seen lower than headline inflation.

Two charts showing inflation

What Does This Mean for the MPL Industry?

As with most financial institutions, higher-than-expected inflation has adverse effects on the operations and results of property-casualty insurers. 

Reserves — Insurers carry liabilities in the form of loss reserves that are intended to pay claims in the future. If inflation is higher than the rate built into the loss reserves, then future payments will be greater than expected. The impact of inflation varies by line of business, but an increase of one percentage point in inflation can raise the P/C industry combined ratio by two to three points. For personal lines of business, where liabilities are short in duration, a one-point increase in inflation may boost the combined ratio by less than one point. For a long-tailed line of business such as medical professional liability, the same one-point rise in inflation may increase the combined ratio by more than five points. 

Rates — Insurers charge prices today that will pay for future claims. For some lines of business such as MPL, claims might not be paid for 10 years or more. If inflation proves to be greater than the inflation rate anticipated in the prices charged, then insurers may not have sufficient funds to pay claims. The dynamics of underestimating the inflation rate built into prices is like that of liabilities—i.e., a one-point increase in inflation will result in overall price inadequacies of 2% to 3%. These increases tend to vary by line of business. 

Small differences between assumptions and actual inflation can have meaningful effects on the adequacy of prices. In a recent filing, a company assumed annual trend in pure premium--the combination of frequency and severity--of 0% and used a discount rate that assumed an annual return of 4% on its funds. If the assumptions were changed so the pure premium trend and the annual return on funds were both set at 2%, the company’s indicated rate change goes from an initial estimate of +34% to a revised +43%.

See also: https://www.insurancethoughtleadership.com/six-things-commentary/how-bad-will-inflation-get

Reinsurance — Inflation affects losses in excess layers differently than losses in primary layers. Figure 3 shows a scenario where 3% inflation has 0% impact on a ceding company’s net losses but has an 18% impact on its reinsurer’s losses. Under the same conditions, an inflation rate of 5% would raise the reinsurer’s losses by 30%. The example helps demonstrate that, even in an environment where inflation is rising by low- to mid-single digits, the effect on losses ceded to reinsurers increases by multiples of the ground-up inflation rate.

Chart showing inflation effect on reinsurers

Investments — Approximately 80% of the assets held by the P/C industry are in fixed income instruments such as Treasury, municipal and other bonds. These assets are structured to match the payments--cash flows--of the loss reserve liabilities they support. If companies sell current bonds so they can invest in newer, higher-yielding bonds, they will have to book losses upon the sale because higher interest rates drive down bond prices. However, if they hold onto current assets while the ultimate values of the underlying loss liabilities are increasing, there will be a mismatch between their assets and liabilities. This mismatch would have to be accounted for by a reduction in the company’s surplus. There is no efficient way for companies to hedge inflation risk, but they can try to dampen the risk through holding assets such as stocks and real estate, which bring their own inherent risks to a balance sheet.

And We Haven’t Even Mentioned Social Inflation

Another item affecting the insurance industry that is not included in any of the indices is potentially the largest inflation factor of all: social inflation. Broadly defined, social inflation refers to all ways in which insurers’ claims costs increase over and above economic inflation. While there is a clear trend in rising claim costs for liability lines of business, the overall increase in costs has been higher than the inflation in underlying costs such as medical care and wages.

Because the factors that drive social inflation are not quantitative, measurement of social inflation is difficult, if not impossible. These factors include anti-corporate sentiment, behaviors of the plaintiff bar, changing societal views and desensitization to large verdicts. However, to the extent social inflation is contributing to claim costs, insurers and reinsurers must attempt to quantify its impact so liabilities and prices are adequate. In an attempt to quantify the impact of social inflation on commercial auto losses, the Insurance Information Institute recently performed a joint study with the Casualty Actuarial Society. The study concluded that, from 2010 to 2019, approximately $21 billion, or 14%, of commercial auto losses could not be explained by regular increases in the CPI. The authors of the study stated that they found evidence of social inflation in other liability (occurrence) and medical professional liability (claims-made), but they did not provide measurements for these lines of business.

See also: Insurers' Social Inflation Problem

Inflation’s Bottom Line 

The CPI and other economic indices such as the Producer Price Index are valuable resources, but arguments have been made that these indices have inherent flaws that can distort their measures of inflation. For example, the CPI is heavily weighted toward urban consumption and may not be an accurate measure of the price of goods for suburban and rural areas, where prices may be higher due to distance from production centers. The CPI is also criticized for not representing the innovation of products that could be years away from inclusion in the calculation of the CPI. 

The 7% increase in inflation in 2021 has captured many headlines, and market expectations suggest inflation rates are likely to remain higher over the near term. January 2022 CPI increase was 7.5% and February 2022 increase was 7.9%. According to the February edition of the Federal Reserve Bank of Philadelphia Survey of Professional Forecasters, headline CPI in 2022 and 2023 will be 3.8% and 2.4%, respectively. While insurers have been raising prices in response to rising costs, it remains to be seen if increases in loss reserves will follow. For the past 15 years, the industry’s carried liabilities for MPL have been above average in terms of redundancies. However, if inflation is greater than anticipated in the reserves, these redundancies can turn into deficiencies. As such, property-casualty insurers should be stress testing their operations and considering strategies to counter concern about inflation and potential impacts on both sides of their balance sheets.

This article previously appeared in Inside Medical Liability magazine.


Bill Burns

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Bill Burns

Bill Burns, ACAS, MAAA, is a director in Conning’s research and consulting group, where he is responsible for producing research and strategic studies related to the property/casualty industry.

Prior to joining Conning in 2017, he was most recently the vice president of reinsurance reserving for Everest Reinsurance. Burns has over 25 years of property/casualty insurance and reinsurance experience, including as a consultant for a Big 4 firm and a reinsurance broker and as the chief actuary for two medical professional liability companies.

Burns is a graduate of Seton Hall University with a B.S. in mathematics. He is an associate of the Casualty Actuarial Society and a member of the American Academy of Actuaries.


Lauryn Kothavale

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Lauryn Kothavale

Lauryn Kothavale is an assistant vice president at Conning, where she is responsible for providing production support, statistical data, research and analysis for the property casualty and life and health research and consulting teams.

Prior to joining Conning in 2020, she worked in finance and operations at Travelers.

Kothavale graduated from the University of Central Florida with a B.S. in business management. She received an advanced business certificate in digital marketing and earned an MBA with concentrations in marketing and management of technology from the University of Connecticut.