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Here's How to Close the Protection Gap

Shifting distribution tactics, focusing on more personalized coverage, designing new products and partnering across industry lines can all narrow the gap. 

A bridge with one car on it across a body of water

The goal of the insurance industry has always been simple: to be there for people when they need it most. With our world today facing debilitating events like weather catastrophes, war and global financial woes, our role has never been more important.

Hurricane Ian exposed the unfortunate reality that not enough people have flood insurance. According to FEMA, floods are the most common natural disaster in the U.S. and have affected 99% of counties between 1996 and 2019, yet home insurance policies alone do not cover flood-related damages.

As risks emerge, or intensify, seemingly daily, there remains a gap between these risks and the coverage in place to mitigate them — this is the protection gap.

As an extension of our mission to help people when they need us, it’s our duty as an industry to close the protection gap and empower more people with financial stability. We may not be able to close it completely, but we can help shrink it through innovative, strategic and creative thinking. Here’s how:

Let’s get digital 

Today’s consumers are hungry for digital experiences and solutions. We order our coffee through an app that lets us skip the line. We fill our online shopping carts with holiday gifts instead of braving the crowds at our local malls. We can now even see a doctor without ever leaving the house (or changing out of our pajamas!). As we do more business and live more of our lives online, insurance providers need to get with the (digital) picture. 

62% of Millennial and Gen Z insurance buyers said they’d be willing to pay more for a policy from a company that offers a user-friendly digital experience. By pivoting to or layering in digital sales and distribution  strategies, providers can reach a broader audience of potential buyers. Accessibility is key to closing the protection gap. 

Let’s get personal 

Personalized coverage makes insurance more relevant to any given customer, and if a potential buyer feels you’re speaking directly to their specific needs, they’ll be more likely to purchase. The best way to guarantee personalized coverage is through the effective use of data. 

A recent survey from Capco Intelligence revealed that 72% of consumers would willingly share personal data to get lower insurance premiums. Providers should use this to their advantage. With the consent of customers, providers can use consumer information to design coverage that’s right for them, instead of foisting broad-range packages on them that they feel may not fit their needs or that they are overpaying for. 

See also: Closing the Protection Gap

Let’s get creative 

As issues like climate change, inflation and the pandemic persist, providing comprehensive coverage can seem impossible. However, through new product development and a little out-of-the-box thinking, insurers can solve for emergent needs. 

This is where “inclusive insurance” comes into play: Coverage in this bucket is aimed at capturing untapped or underinsured markets to bring affordable products to those who need it most. Maybe you’ll come up with a microinsurance product that covers your customers’ daily commutes, or an app that guides people through designing their own protection plans. Regardless of your approach, reaching those underserved markets can be a huge boon to your business - and your customers’ lives. 

Let’s get together

Closing the protection gap will never be the result of efforts by one entity alone. Partnering with brands in adjacent industries, from financial services to consumer products, will enable insurance providers to identify and reach new customers at a greater scale and lower costs. Leveraging partnerships with brands that already have well-established and loyal customer bases also gives insurers the ability to piggyback on existing brand equity and expand their market share.

Embedding insurance offers within relevant purchasing paths also offers a lucrative opportunity for everyone within the insurance value chain. Embedded insurance makes customer and partnership acquisition efforts (and therefore costs) organically low. Insurers get their product lines in front of the right customer, at the right time; partners get the opportunity to leverage the data they already own to generate new lines of revenue; the end consumer seamlessly gets a highly relevant offer that they may have not otherwise pursued. With embedded insurance, nobody needs much additional incentive because everyone already benefits. 

Mind the gap 

Closing the protection gap should be a priority for providers across the globe. Whether you’re shifting your distribution tactics, focusing on more personalized coverage, designing new products or partnering across industry lines, there’s certainly no shortage of methods to help contribute to closing the gap. Any and all efforts will help the insurance industry grow and innovate as a whole while enabling consumers to find proper coverage — especially in the midst of emerging risks — and for insurers to meet them wherever and whenever they need us most. 

For more tips on how you can work towards closing the protection gap, check out our recently released research report, Insurance at a Crossroads - The path toward closing the global protection gap.


Bill Suneson

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Bill Suneson

Bill Suneson is the co-founder and CEO of Bindable, a national leader in digital insurance and alternative distribution technology. He also co-founded and serves on the board of Next Generation Insurance Group, which operates GradGuard.

A Troubled Outlook for Insurers

The IIS's Global Priorities Survey found that the percentage of executives saying that geopolitical conflicts are a top priority soared from 5% in 2021 to 42% in 2022.

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Worried business woman

How much has the world been turned upside-down in the past year?

Well, a year ago, the major annual survey of insurance executives by the International Insurance Society found that a third were focused on dealing with problems caused by low interest rates. This year? A third say they're focused on dealing with problems created by high interest rates.

Concern about the pandemic receded in the past year -- but plenty of other worries replaced it. In particular, the IIS's 2022 Global Priorities Survey found that the percentage of executives saying that addressing geopolitical conflicts was a top political and legal priority soared from 5% in 2021 to 42% in 2022.

"With war raging in Ukraine and tensions rising on both sides of the Pacific," the IIS reports, "one executive described the situation as a 'breakdown of the post-WW2 global political order' while another worried that 'the world is becoming increasingly volatile and thus risky.'”

Ominously, of those who listed geopolitical uncertainty as a top-three priority, 48% said they weren't prepared to deal with the problem. Among all respondents, only about 8% said they were very prepared to do so.

Similarly, a quarter of respondents said they were unprepared to deal with social/political instability -- which also appears to be increasing and could flare up following the mid-term elections in the United States in less than a month.

Not surprisingly, long-term inflation ticked way up as a concern. It was already a major worry a year ago, with 49% listing it as a top-three economic priority, but that figure soared to 72% this year. Likewise, concern about long-term growth shot up -- a bit more than a quarter listed it as a top-three issue last year, while some 45% did so this year.

Amid the worries about inflation and growth:

  • 52% listed expense management as a top-three business and financial priority, nearly double the 27% who did so in 2021;
  • 54% said competition for talent was a top priority, up from 46% a year ago;
  • And 28% said a hybrid workforce was a top concern, up from 21% last year. 

The good news is that a third said they were very prepared to handle the issue of long-term growth, and almost half said they were somewhat prepared. But a fifth said they were unprepared for the competition for talent, and only about half that many said they were very prepared. (The worry about talent certainly rings true for me: Easily the most read piece I've written in recent months was on "The Staffing Crisis in Insurance.")

Cybersecurity remains the top political and legal concern, with some 70% putting it in their top three, but there are signs that executives feel more like they have their arms around the issue. Half of respondents listed security of data as a top-three priority, but that was down from 62% in 2021. Only a quarter of executives in 2021 felt prepared to address data security, but that figure rose to 35% this year, and the rate of executives who felt unprepared fell from 14% in 2021 to 5% in 2022.

Climate climate change remained the biggest social and environmental priority -- and only about 15% said they were very prepared, while a quarter said they were unprepared. The IIS report said, "Most climate-focused responses pointed to the high cost of natural disasters and the urgent need for the industry to respond. As one executive wrote: 'It is time to take ownership and responsibility to adapt and mitigate climate change. The insurance industry… has to be an advocate for a sensible and effective reaction to the threats… created/increased by climate change.'”

Healthcare moved way up, from seventh place to second, among social and environmental concerns. 31% of respondents listed it as a top-three priority, nearly double the 16% in 2021. The shift reflects lingering concerns about the deficiencies in our healthcare systems that the pandemic exposed, as well as the growing impact of an aging population. 

I was happy to see that a third of executives said that the shift to a consumer-driven customer experience is a top-three priority in innovation and technology for 36% of executives in 2022, up from 20% in 2021 -- though I'll always be baffled that the figure isn't 100%.

There's a lot more, too, so I encourage you to go to the International Insurance Society site and learn more. (The report is being formally released today, and I don't have a direct link to it yet.)

While I'm at it, I also strongly recommend checking out the IIS's Global Insurance Forum, a free, three-day, virtual event that begins this morning. The theme is the Great Reset, and the conference has an impressive set of speakers covering a broad range of issues that relate to how the industry can best position itself as we come out of the pandemic -- and confront all the other geopolitical, economic and social issues that the world keeps throwing at us. 

You can check out the full agenda here and register here. Did I mention that the conference is free?

One last teaser: Stay tuned for a series of interviews that I'm recording with many of the biggest names from the forum. I've already started -- and we're all in for a treat if the rest are anything like the first ones we've done. I'll provide details when we're ready to release them. 

Cheers,

Paul

Sellers Need More Than CRM

Complementing a customer relationship management system with AI/ML-based solutions can harness the power of data within an organization.

Computer with code

Stable, predictable…. These keywords were used to describe insurance organizations until a few years ago. But customer profiles started changing, and digitization enveloped the industry landscape slowly, until the pandemic hastened the pace at full throttle. The industry is now at a crossover point: Innovate and digitize, or perish.

Insurance carriers must improve customer engagement and experience, as it quantitatively affects top-line revenue. Brokers need to cater to a new customer profile that includes digital natives who have product information at their fingertips already. In addition, they demand their time to be valued and want personal interactions blended with self-service models. Millennials and Gen Z customers are looking for easier processes, swift turnarounds and a blend of digitized self-service models and value-added conversations. 

How can carriers innovate to deliver to this New Age customer? And how can brokers become truly customer-centric?

What Carriers Need to Do

A customer-relationship management (CRM) system is the foundation to deliver an optimized seller and buyer experience. But most insurance companies are struggling with deriving value out of their CRMs. Typically, CRMs fall short while:

  • Creating a single view of customer data and information. According to Forrester’s Global State of CRM Survey 2020, the largest pain point for 68% of organizations come in trying to create a single-pane-of-glass view for customer data and information. 
  • Optimizing customer impact leading to decision-making. 48% felt they weren’t able to do this.
  • Managing data quality. Is the right kind of information reaching the seller at the right time to help buyers? 39% didn’t think so.

Customer engagement begins with seller engagement. Sellers now live in the mobile app ecosystem -- from ordering a new laptop, to dinner takeaways or groceries -- and are accustomed to smooth journeys. So why should it be any different at work? A Forrester report finds that sellers are increasingly disconnected from their sales technology. Carriers must address this and create a technology environment that can provide sellers with:

  1. An easy-to-use, mobile-first, single-window interface
  2. Automated functions to swiftly assist with repeatable mundane tasks such as note taking and summarizing 
  3. Standardized processes and building playbooks based on actions of best sellers
  4. Nudges that guide them toward the right course of actions and behaviors
  5. Contextual customer information that allows them to sell
  6. Recommended next best steps, products or actions

See also: 6 Keys to Successful CRM Implementation

What Brokers Need to Do

Personalize. It is key. Although 39% of buyers used digital channels for complex purchases in 2022, 58% still made their initial purchase with a seller. Especially with insurance, customers seek expert advice, guidance and insights into what may be the right product fit at a particular phase in their lives. To build this kind of expertise, brokers must have in-depth information on products as well as the customer persona to build a bespoke personalized insurance plan. 

And this must be done in a timely manner. Studies show conversion rates of qualified opportunities were eight times higher when buyers are contacted within the first five minutes vs. six-plus minutes.

If the broker is interacting with one customer or maybe five, it is likely fine. But what if the numbers are much higher? Brokers need intelligent systems that help them deliver solutions at scale while helping them evolve into an advisory role. They need systems of insight that provide contextual information on a customer in real time, as well as suggest the right products and possible add-on options that address a customer’s need to the T. 

They also need tools that keep them agile and reduce their time spent inputting data into clunky CRMs, searching customer information, customizing content and doing tasks that are not revenue-generating. 

The New CRM Stack 

The CRM alone is not the right technology to help carriers and brokers meet customers' expectations of engagement, as they do not make it easy to capture interactions, automate repeatable work, get insights out of data and allow operations to evolve. 

Complementing a CRM with AI/ML-based solutions can help harness the power of data within an organization. Tools such as sales engagement platforms can extend the power of sales technologies and enable sellers to understand preferred engagement channels, identify missing contacts and surface important account, contact and opportunity insights so that they can focus on customers and work that moves the needle.

Right Way to Approach MSK Injuries

Based on technological advances, a hybrid approach lets the injured worker get in-person care while doing carefully monitored, supplementary activities at home.

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No one wants a musculoskeletal-related workplace injury to occur. Despite this, injuries do happen, and they happen often. And when an employee does get injured, there is an obligation to do right by that person and provide quality care. Unfortunately, this isn’t always the reality. Often, the employee enters a system that delivers a one-size-fits-all care approach that doesn’t benefit the individual. 

Employers’ top medical expense is often MSK-related. With the high cost and high prevalence, one would assume that employers are dialed into the best end-to-end care solutions for their workers. However, this isn’t often the case. 

Employers who want to invest in better MSK care must look at the bigger picture. An individual’s care plan needs to consider all the factors that are proven to improve their recovery time. Simply put, a workers’ compensation injury requires more than a predetermined number of physical therapy (PT) sessions. It requires a “physical therapy first” solution that steers patients to the right providers who can deliver high-value care, ensuring proper diagnosis and optimal treatment. 

However, to supplement that care, employers must look for partners that take a holistic and integrated approach to MSK care delivery for their employees. Better yet—to look for solutions that offer individualized, hybrid healthcare—care that is omnichannel and addresses the episodic and longitudinal employee needs.

Injured workers deserve a frictionless experience that keeps them engaged throughout recovery. They should be cared for in a way that ensures they’re ready to return to full duty without the fear of reinjury. They need to be treated by therapy providers who know what optimal care and recovery look like for them. Unfortunately, this approach to injury management is often missing or inaccessible for the everyday worker.

Here’s what an ideal MSK care delivery system should look like: 

  • An omnichannel mix of in-person PT and digital tools that fully support the injured worker from home. 
  • The ability to leverage whole-person recovery data and compliance tracking to optimize individual treatment throughout the case.
  • Clinical oversight based on known workers’ compensation rehabilitation best practices. 
  • Dashboard information that is shared with all stakeholders so quality care is tracked, measured, monitored and achieved. 

The critical link to recovery: holistic physical therapy

The right PT network is one of the most important decisions an employer can make to affect their workers’ outcomes. Working with a PT network that understands the importance of whole-person, hybrid care is key to offering the recovery workers deserve.

Physical therapy is a hands-on form of healthcare. Still, thanks to technological advances, we can now take a hybrid approach where the injured worker gets in-person care but also does supplementary exercises and other recovery activities at home.

Holistic PT leverages technology and other tools to track treatment progress. This empowers injury management that can be individualized and optimized based on each injured worker’s comorbidities, overall health and job demands. This approach keeps injured workers engaged throughout treatment and adapts to their specific needs and recovery pace. 

See also: Workers' Comp: Back to the Future

What’s at stake?

In an ideal world, employers would see their worker through the lens of that individual and their family. Their health and well-being are vital. We must offer them the most tailored, customer-centric care—like we’d want our loved ones to have. 

When employers fail to see the injured worker as an individual, they fail that person’s recovery and hinder their organization's goals. Choosing the right high-value PT network with the right knowledge and tools to navigate MSK injuries in the workplace makes all the difference. After all, managing a workers’ comp case is more complex than traditional commercial health PT. There are more stakeholders and more regulations. These differences are rarely taught in school, so it is up to the therapy provider to educate themselves or join a network that guides and educates them through the workers’ comp process. 

When we align all stakeholders involved in an injured worker’s recovery with greater collaboration, there is less friction. Less friction brings better outcomes. 

As information is transparently and seamlessly shared throughout a case, workers’ comp stakeholders become empowered to make the best decisions throughout the treatment process instead of waiting until the end of the claim. 

This is our vision for the future of MSK.


Marcus Osborne

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Marcus Osborne

Marcus Osborne spent 15 years in leadership in healthcare at Walmart.

His roles included being senior vice president of health transformation, where he focused on furthering Walmart's goal of improving the healthcare industry in the U.S. by increasing access and affordability for consumers. He helped launch Walmart Health and other key health initiatives. 

Prior to joining Walmart in 2007, Osborne served as the chief financial officer of the Clinton Foundation Health Access Initiative, helping increase access to HIV/AIDS treatment in the developing world, and as a senior management consultant for Alliance Consulting Group in Boston.

He attended Harvard Business School and received his MBA, graduating with honors.


Matthew Condon

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Matthew Condon

Matt Condon has focused most of his start-up efforts in the field of healthcare services and “big data” technology.

His portfolio of startups includes ARC Physical Therapy+, Bardavon Health Innovations, RedefinePE.com and KTM2.

2022 Hurricane Season Update

As the North Atlantic hurricane season typically has a secondary peak around mid-October, businesses need to remain vigilant about protecting their premises and people.

Boat and dock being hit by a strong wave

Until Hurricanes Fiona and Ian, the 2022 hurricane season had seen the lowest activity in the Atlantic in 25 years.  There was a complete absence of named storms in August, in contrast to the 10 that occurred that month in 2021. September saw Hurricane Danielle on Sept. 2 and Hurricane Earl on Sept. 6, ending one of the longest streaks without a hurricane in the North Atlantic in recent history. The deadly destruction caused by Hurricane Fiona in Puerto Rico and the Dominican Republic, and the devastation to Southwest Florida by Hurricane Ian in late September quickly changed an otherwise quiet season. Initial estimates indicate that Hurricane Ian may be the costliest Florida storm since 1992’s Hurricane Andrew and could cost insurers up to $47 billion.

Earlier forecasts had called for an above-average hurricane season in the Atlantic. The drivers for the high-activity forecasts were the three-year La Niña weather pattern, which minimizes wind shear, as well as above-average sea surface temperatures (SSTs). Wind shear actually decreases hurricane activity. These forecasts were correct, but more nuanced and volatile (and therefore more difficult to predict) factors have dominated activity in the North Atlantic so far. High SSTs usually lead to evaporation, and the resulting moisture fuels tropical cyclone development. However, with hot and dry Sahara dust billowing into the main development region (MDR) over much of the summer; the air has simply been too dry.

The North Atlantic has also seen a high level of wind shear, especially over the Caribbean, which is unusual for a La Niña year. Despite SSTs in the MDR and Caribbean currently being above average, SSTs across the North Atlantic are showing some complex patterns. In particular, extremely warm waters along the coastline from New York to Newfoundland have affected the jet stream, indirectly sustaining the flow of dry air into the MDR.

We should not be surprised that activity is finally picking up. Historically, there have been more major hurricanes in September than any other month. We have seen examples in the past of intense hurricanes occurring after sluggish starts to the season, as well as some particularly intense hurricanes striking after the official peak of Sept. 10. Superstorm Sandy hit the Northeast at the end of October 2012. and Hurricane Michael made landfall in the Florida Panhandle in mid-October 2018 as a category 5 major hurricane.

See also: Is Hurricane Ian a Turning Point?

Although Superstorm Sandy in 2012 was downgraded to a post-tropical storm just before landfall in New Jersey, its record size contributed to the considerable damage it caused. Sandy managed to sustain its size and strength due to the high SSTs along the U.S. East Coast at the time, not unlike the current situation. More recently, in 2020, major hurricanes Eta and Iota made landfall in Central America during November, not long before the official end of the season (Nov. 30).

As the North Atlantic hurricane season typically experiences a secondary peak around mid-October, businesses need to remain vigilant about protecting their premises and people, even in a relatively mild hurricane season.

A single storm can cause catastrophic damage locally, and the National Hurricane Center in the U.S. advises that emergency preparedness plans should not be based on seasonal forecasts. When a hurricane watch is issued for your area, you need to "Know Your Zone" (vulnerable areas will be given an evacuation warning or order) and be aware that authority-ordered evacuation is based on the possibility of storm surge and flooding, rather than pending landfall of a storm.

To minimize losses in the event of an extreme weather event, businesses should implement a written emergency plan, including actions to take before, during and after a storm. The plan should cover areas such as training, emergency supplies, business continuity, building inspections, anchoring or relocating equipment and stock, protecting windows, flood protection, salvage and recovery and damage assessment.

Allianz has created specific checklists to assist businesses before, during and after extreme weather events that can be found here: Allianz Windstorm Checklist and Allianz Flood Checklist.

How Data Slips Through the Cracks

By removing data silos and creating a unified, contextual understanding, each department will gain a more complete picture of how best to improve overall performance.

Hexagons in the background and squares of various sizes in the foreground

According to Forrester, “Data-driven companies are 58% more likely to beat revenue goals than those who are not focused on data.” One would assume insurance companies would fit naturally into this data-driven category due to the troves of customer data and information made accessible to them over the years. But herein lies the rub – many are still unsure of which data is most relevant and how best to leverage it.  

If insurance organizations did take advantage of decades of customer data, it could equip the entire insurance marketing life cycle with insightful management routes, connecting customer acquisition costs to expected yield from the same customer. The solution, therefore, lies in finding out how to best store, share and use that data throughout the organization.

The Source of Silos 

The confusion surrounding data is born out of and reinforced by the fact that insurance organizations were not originally structured with data-sharing in mind. In fact, departments typically compartmentalize their datasets to measure their own success; e.g., marketing and claims departments use different sets of key performance indicators (KPIs). Indeed, 40% of all executives cite the lack of alignment within their organizations as a barrier to using big data – and insurance is no exception. 

Because organizations lack efficient and centralized data management, it’s often unclear where data gets stored and what unique insight it holds. Even if separate departments are using the same data, they may be contextualizing it differently, yielding differing analyses of the same data points. 

Let My Information Flow

Many companies need to understand that data is not flowing through their organization in an efficient manner. 

The goal should be creating a collective awareness of the discrepancies that exist within communication channels so all departments can integrate their future-facing data strategies.

That said, having one unified measure for an entire organization also requires standardizing the data in question – meaning all departments must have a similar context for the data they generate. For instance, if the product team and the marketing team each receive the same KPI, but only the product team views it as a positive indicator while the marketing team sees it negatively, there is a wider organizational issue of how data points are perceived and defined.

By applying standardized datasets and KPIs across departments, insurers can have their cake and eat it, too, as they can more accurately measure performance and avoid any inconsistencies, while significantly growing the data pool from which the organization can fish valuable insights into customer behavior and preferences and much, much more. 

See also: Data-Driven Transformation

Data-Based Decision Making 

Previously departments may have been working in different directions, but, by removing data silos and creating a unified, contextual understanding of insurance data, each will gain a more complete picture of how best to improve their overall performance while achieving compatible goals.

This fuller picture also means that marketing and claims departments could work together more closely, sharing more customer information to obtain the right customer at the right cost and, of course, ensure profitability. All the first-party data that marketing has been collecting could now inform policy and claims decision-making, increasing product accuracy – in other words, the data sum will be much greater than its parts.

One Clear Direction

We at Kissterra believe that insurers that begin to share data throughout their departments can potentially achieve better economics and higher profitability results even within a year’s time.  

It will take a huge cultural shift, not just a technical one, for organizations to improve their data operations. Getting all parties on the same page about which data to use and how to use it will afford insurers the ability to set more aligned goals company-wide, moving the organization in a far clearer direction.


Ifty Kerzner

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Ifty Kerzner

Ifty Kerzner is president and co-founder of Kissterra, the world's first insurance marketing operating system.

A skilled tech entrepreneur in the financial service and data management sectors, Kerzner's passion for business, innovation and people led him to found several companies. Prior to his career in tech and business, Kerzner was part of the Israeli entertainment industry, as both a popular singer/songwriter and host of a TV show.

He holds an LLB with distinction and an M.A. in political science and is a graduate of the Lyndon B. Johnson School of Public Affairs' leadership program.

An AI-First Approach to Customer Service

Making conversational artificial intelligence a first line in customer interaction saves time and frees human agents to focus on more involved tasks.

Person holding phone in front of wall

When the pandemic began, insurance providers were caught by surprise, like many of us. Operationalizing digital transformation efforts within contact centers was necessary to support remote staff as well as to respond to a rise in digital-first customer behavior.

Across each iteration of the contact center, customer service agents have worked diligently to provide stakeholders with efficient and accurate information, depending on legacy systems in support of their efforts. While many have begun or are well on their way to enhanced service capabilities, an elevated level of activity has forced customer service departments to make a series of critical decisions.

Moreover, in times of financial uncertainty, departments must prioritize technologies and the challenges they resolve in order of urgency. Sourcing solutions that are not only immediately beneficial but also support the long-term growth of an organization is key. A service approach that prioritizes leveraging technology, and placing conversational artificial intelligence as a first line in customer interaction, saves time, frees human agents to focus on more involved tasks and creates a path for scalable growth.

The Methodology

Many insurance institutions may be skeptical of the capabilities of a virtual agent. Insurance is a naturally complex space to operate in, with not only high amounts of regulation but also customer needs varying on an individual level. Yet some of the leading insurers offer the most customization, and, with advancements in natural language understanding and AI, today’s virtual agents are much more capable than their predecessors.

A virtual agent serving as the first line is able to supplement, not take over, the efforts of human employees. If a query needs to be handled by a human, virtual agents are able to route customers to the appropriate place, maintaining the continuity of the initial chat to bring contact center staff up to speed quickly. Striking this balance between virtual and human agents allows conversational AI (CAI) to handle more frequent queries. In the insurance contact center, as responsibilities are offloaded onto the virtual agent, employees are free to address other aspects of their roles and can play a valuable part in expansion of a VA’s capabilities. Built-in intents enable a chatbot to get up to speed when implemented in insurance use cases, and AI trainers can ensure virtual agents are delivering consistent, high-quality experiences that maintain the personal touch for each customer.

See also: How to Simplify Customer Experience

Accelerating Claims Cycles

Claims are the backbone of any insurance agency. Accelerating claims cycles through conversational AI simplifies the process, improving resolution speed by allowing enhanced self-service. Modern virtual agents can be integrated into existing systems to aid customers in updating their account information, purchasing new plans and even filing a claim. While these may seem like mundane tasks for a technologically  advanced system powered by AI to be handling, they can often be some of the most administratively heavy for a live service rep to handle. With less of a burden from repetitive processes, live agents can dedicate their time to improving resolution speed of the claims that have already been processed as well as other top issues in terms of complexity.

This powerful integration with existing legacy platforms ensures that all customer information is accurately maintained across the organization, addressing data silos that add unnecessary complexity to the claims process. Equally important, 24/7 virtual agent availability makes it possible for firms to be available in a time of need and extend critical service capabilities to meet the needs of  the round-the-clock customer.

The Automation Opportunity

The benefits of automation go beyond enabling efficiency, accuracy and reducing workloads within customer service centers. Conversational AI opens the doors for nurturing employee skills and expands the opportunities for training. Virtual agents require a level of oversight, with AI trainers optimizing conversation flows, and leveraging the data compiled by CAI to improve internal processes. Adopting virtual agents can create new paths for call center staff.

Insurance customer service centers have also been able to implement internal virtual agents with resolution rates as high as 97%, as seen in boost.ai’s engagement with leading Nordic insurance provider Tryg. An internal virtual agent serves as a live resource for call-center employees to quickly glean accurate organizational information without disrupting customer calls. Conversational AI platforms provide some of the most scalable functionality of any solution, incorporating paths for expansion for service, support and sales at any size. 

Incorporating conversational AI as a frontline response to customer service extends the service capabilities of an institution and lays the groundwork for continued expansion. Typically, the assumption is that virtual agents are in some way reducing the need for human employees, but the most effective use of conversational AI is one that strikes a balance between the two. Accelerating claims cycles presents yet another opportunity to improve operations.

Today’s virtual agents are capable of being trained in many verticals, with some solutions coming with out-of-the-box intents and libraries focused on insurance. Ultimately the path ahead for insurance customer service is one that expands on the investments in technology already made. Working in disparate systems, or addressing one problem at a time is not an approach that will establish sustainable growth.


Bill Schwaab

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Bill Schwaab

Bill Schwaab is the VP of North America at boost.ai.

He is focused on growing the North American presence, with an emphasis on the financial services, banking, insurance and e-commerce sectors. He brings with him more than 15 years of experience in conversational AI, machine learning and data analytics and a track record of helping mid-sized to large enterprises scale through the use of AI.

The Rising Value of Flexibility

When we step outside the confines of either/or thinking and embrace a "both/and" mindset, we can achieve great things in our work and home lives and in our businesses.

Two women chatting by a large window

Innovation calls upon us to challenge existing paradigms.

Women in technology understand this all too well. Many of us have stepped into roles that were traditionally dominated by men. We've had to swim upstream to establish our bona fides.

Personally, I'm proud to have achieved a host of "firsts" in my career, and today I'm surrounded by creative thinkers who are applying new technology to approach old problems differently. In my world, challenging existing paradigms is par for the course.

So many of our paradigms are built around all-or-nothing propositions that simply don't work well in the real world. Consider the old 9-to-5 work day. That operating model was already in decline well before COVID-19 ever appeared on the scene, but the pandemic shifted that transition into high gear. It completely broke the existing way of thinking. Almost overnight, remote work became the norm.

Along with that shift in location came a shift in timing. Today's work day looks very different from the old 9-to-5 gig. Now it's 8-to-2, pick up the kids, more work between 4 and 6, then a late evening call with a customer in Australia, and a few emails before bedtime.

I call that "work-flex." In the old world, there was a kind of all-or-nothing approach to the business day. You were either in the office or you weren't. Most organizations demanded a 9-to-5, Monday-to-Friday commitment. That made it a lot harder to respond to those inevitable little emergencies in life. But the world has changed, and technology has opened a lot of new doors. Mobile devices, remote connectivity and collaboration tools have created a host of possibilities. It's up to creative thinkers to exploit these new tools in ways that can break apart existing paradigms and expand flexibility throughout our lives - and in our business practices.

As a CEO who's also a mom, I know that work-flex is critical. My twin boys love to play sports, for example. Injuries happen sometimes. On several occasions, I've been sitting in an important sales meeting when that dreaded call comes in from the school. When those kinds of emergencies come up, my team is able to pick up the ball and run with it. We've prepared for that. In fact, our customers and prospects appreciate knowing that we're resilient - that we have a human side, that we have each other's backs. On one occasion, I even got a text from the prospect, checking to make sure my son was OK.

Work-flex manifests itself in work-life balance, in the roles we play in life, and in our approach to customers, employees and relationships. For me, that extends to my role as a mom and a CEO. I call that my "mom-CEO-flex." This is all driven by relationships and trust. It's give and take; it's about having compassion for each other as a team. We plan for agility.

See also: How Workplace Has Changed for Women

In virtually any domain, an all-or-nothing thought process inevitably creates artificial constraints. The strict 9-to-5 paradigm shuts a lot of people out of the workforce. Flexibility offers a way out of that box. It opens the door to agility and resiliency. As a CEO, I see this trend expanding into so many different areas. When you build in the flex component, you can reap tremendous benefits.

This plays out in the context of business initiatives, as well. At my company, CLARA Analytics, we encounter a lot of business leaders who start out believing that they need to choose between building their own AI system from scratch and implementing a turnkey product that can't be tailored to fit their needs. That's a false dichotomy. The either/or, all-or-nothing approach simply doesn't work well when it comes to AI.

In fact, businesses can have the best of both worlds. They can leverage algorithms and datasets from an external vendor but blend that with their own data and mold it to fit their unique strategies. That's AI-flex. It opens up new possibilities by dispensing with the false dichotomy of the traditional build-versus-buy debate.

When we step outside the confines of either/or thinking and embrace a "both/and" mindset, we can achieve greater things. We can bring a human touch to the workplace. We can create value in ways that previously weren't thought possible. Whether it's work-flex, mom-CEO-flex or AI-flex, it all starts with a willingness to look beyond existing paradigms, dispense with the either/or mentality and embrace an approach that looks toward solutions instead.

Flex-oriented thinking is fundamentally angled toward an abundance mindset. It opens the door to innovative win-win scenarios that add value and choice. In a world that increasingly demands agility and resiliency, flex-thinking is a strategic asset.


Heather Wilson

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Heather Wilson

Heather H. Wilson is chief executive officer of CLARA Analytics. 

She has more than a decade of executive experience in data, analytics and artificial intelligence, including as global head of innovation and advanced technology at Kaiser Permanente and chief data officer of AIG.

Is Your Agency Ready for Automation?

With the 21st-century shopping experience becoming a "buy now with one click" affair, consumers expect this across the board, no matter the industry.

Robot drawing a graph using automation

The insurance industry has often been criticized for its archaic format and delays in adopting new technology. This needs to change due to consumers' newfound love for and reliance on smart technology, which the pandemic accelerated.

With typical policies only lasting 12 months, there is an annual struggle to retain clients and prevent them from being tempted by cheaper policies and the lure of free goodies. And the generation that is coming along is even harder to please. Institutions rooted in old traditions will need to adapt quickly to remain competitive.

Implementing automation technology into your business is more vital than ever, yet accepting change can be daunting.

Let's look at three ways you know it's time to welcome automation into your agency.

1. Is Manual Data Entry a Nightmare?

The insurance industry is full of paperwork, with most forms filled in through PDFs, via an arduous back-and-forth process. 40% of workers spend a quarter of their week doing manual data entry and collection. 

Human error is inevitable when filling out forms by hand. And, with every error, the amount of time for an underwriter to approve a policy gets extended.

Repetitive form filling is a perfect example of a tedious administrative task that can be replaced entirely with the help of automation, while speeding up the process of generating quotes.

2. Want to Improve Customer Satisfaction?

Many people see insurance as an unavoidable necessity and want to get the process over and done with as soon as possible. Buying insurance is also time-sensitive, as people need to arrange their cover quickly to ensure they're protected or renew their policy before their previous one expires. Long, drawn-out renewals can damage customer relationships and encourage clients to start shopping around.

A McKinsey report found that improving customer experience can increase company revenue by 10% to 15%. People commonly resent paying for insurance, as they perceive it as an intangible purchase they will never have to use, so companies need to make purchasing and renewing insurance as pain-free as possible.

A recent study found that 70% of customers' ideal user journey would be 100% digital. Two of the top reasons why customers give repeat business are ease-of-use and service satisfaction. You can secure a loyal client base by providing both of these factors through automation.

See also: Insurers Turn to Automation

3. Is Smart Software Already Available?

Yes, yes, it is.

In fact, insurance agencies are spoiled for choice as a variety of software is available, depending on the areas you want to automate.

One area where automation could make a considerable difference is in administration. Smart form software, such as we produce at Broker Buddha, converts static PDFs into interactive online forms. We use conditional logic to show questions that need to be answered and can auto-fill repeat information -- no more typing in the client's address five times. The software can automate reminder emails and even provide a dashboard where agents can see all their applicants and where the applications are in process.

The software is fully customizable for your business, and agents can even include Net Promoter Score surveys. A huge bonus is the signature capture technology, meaning no more printing, signing and scanning. By leveraging smart form technology, you can create a simple and easy client experience, improving client satisfaction and increasing the chance of repeat business.

One of the lessons learned from the past couple of years is that people are becoming more technologically savvy. With the 21st-century shopping experience becoming a "buy now with one click" affair, consumers are beginning to expect this across the board, no matter the industry.

Research has found that 65% of carriers will have adopted automation by 2024. Don't get left behind; stay ahead of the game and let your clients and employees enjoy the benefits of automation.


Jason Keck

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Jason Keck

Jason Keck is the founder and CEO of Broker Buddha, which transforms the application and renewal process to make agencies far more efficient and profitable.

He is a seasoned technology entrepreneur and brings 20 years of experience across digital and mobile platforms to the insurance industry. Before founding Broker Buddha, Keck led business development teams at industry unicorns, including Shazam and Tumblr.

A Harvard graduate with a degree in computer science, Keck also worked at Accenture and Nextel.

What Drives Claims Outsourcing

Insurers need partnerships with fully integrated national providers with deep expertise in medical, record and investigation management, bolstered by new technologies. 

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Industry Overview: New Challenges

The P&C insurance industry is facing several major challenges, including a $6.3 billion net operating loss during the first half of 2022. According to A.M. Best, U.S. P&C net income was $31.4 billion, down 18% compared with the first six months of 2021. Climate-related risks, loss trends, staffing shortages, inflationary medical costs, fraud containment and social inflation trends are top claims challenges in 2022, making for a complex and turbulent time. Medical cost inflation is over 5% on average in 2022, on top of decades-long cost increases, especially for emergency services, medications, diagnostics and surgical procedures. 

Insurers are experiencing pressures from all sides, including labor shortages, in which claims are one of the most highly affected areas. Meanwhile, efforts to automate claims for efficiency and cost reduction are growing across the industry as insurtech innovations fueled by venture and private capital shift attention toward claims. Claims organizations are facing high turnover rates while losing seasoned and experienced talent as the workforce ages. This talent drain has a disproportionate impact on more complex claims, such as injury cases involving attorneys. Insurers are focusing on meaningful loss-cost containment to offset these major headwinds.

Claims and Meaningful Loss-Cost Containment 

With much of the insurtech attention on virtual inspection of physical damage and automation of process, injury-related claims are often overshadowed.

Claims investigation and evaluation phases for injury losses are critical steps when it comes to final resolution. The stakes are high in terms of attorney involvement, lawsuits and unpredictable trials, which contribute to higher payouts. Mitigation is crucial for insurance carriers, and this is where having the right information is pivotal for sizing up applicable coverage. Medical records and expert examinations help unravel diagnosis and prognosis. Add in claimant behavior observed on social media, and the combination begins to paint a picture around recovery progress and outlook, instrumental in developing both special and general damages. Out-of-pocket costs such as medical and wage loss, as well as a projection for pain and suffering or aligning to workers compensation models, hinges on information that adjusters develop during investigation and evaluation phases. Claim adjusters rely on their own experience, venue knowledge and a network of vendors to help gather such information and insights in a way that may be explained as gathering puzzle pieces to ultimately visualize the whole picture.  

See also: Outsourcing to the Sixth Century

Vendor Partner Selection

Selecting and managing vendors has always been an important decision for any carrier. Today, vendors are often viewed as partners, especially when it comes to security and privacy management or developing road maps. It’s no longer a buy-and-supply relationship for many providers and carriers alike. Forging partnerships has become a critically important strategy in business in general and specifically in effective cost containment, making partner selection more critical than ever. Injury claims services, including medical, record and clinical management and investigations, are leading areas of opportunities for outsourcing.  

During our research for this article, we spoke to a number of top-tier carriers that outsource one or more of these services, and the one vendor partner name that was most frequently mentioned with high satisfaction rates was Insight Services Group (ISG). Most importantly, ISG thinks and operates as an integrated business partner, not a vendor, as it removes inefficiencies in processes. Another key differentiator: mitigation of risk and program costs by leveraging integration with multiple claims platform and solutions integrators, including Guidewire, Duck Creek, CCC and Shift, which provides time savings and efficiency gains. Mobile texting with injured parties also helps compress cycle time of claims. ISG lets clients choose from multiple services while remaining in their own claim environment.

New Approaches to Claims Management

Today’s claim management is changing quickly. Technology, integrations, partnerships and vendor marketplaces are popping up everywhere. Incumbent vendors are becoming more sophisticated and capable while new entrants are applying analytics, artificial intelligence, new data and other technologies to help modernize the claim process. Many of the larger carriers have gone through or are going through core policy and claims administration platform transformations to replace long outdated legacy systems while positioning themselves to automate, integrate and accelerate claims modernization agendas. Meanwhile, carriers are outsourcing and leaning on vendor partners to an even higher degree today.

See also: Despite COVID, Tech Investment Continues

Changing Vendor Partner Marketplace

The vendor space is changing, as well. Venture capital-backed consolidation, advances in technology investments and growth due to carrier outsourcing are most pronounced. Within the injury claim investigation and evaluation space, there is consolidation among records management, investigation firms and medical management companies while many remain regional and state specific. Meanwhile, carriers are increasing their appetite to outsource, automate and provide more tools to adjusters. This coincides with the aforementioned claim adjuster talent war and acceleration of retirements during the Great Resignation. However, insurers demand efficiency without sacrifice to claims management quality, namely the ability to manage loss costs effectively. Offering national or multi-regional coverage is a must when competing for carrier’s attendant geographic claim footprint. Procurement experts are focused on partnering with firms that match these priorities.

With advances in technology comes the need for tighter controls, security and privacy. Vendors manage an array of private, personally identifiable information and sensitive data when it comes to legal, medical and claim investigation materials. The vendor of today, must meet stringent statement of coverage (SOC) compliance, cyber risk protection and business recovery requirements to compete. When working with new vendors, this stage of compliance can take months to review and satisfy.

Claims investigation and evaluation are no longer overlooked areas for technology and outsourcing as the industry modernizes. Partnerships with fully integrated national providers with deep expertise in medical, record and investigation management bolstered by powerful new technologies will be the hallmark of the insurance market leaders of the future.

A longer version of this article is available here. 


Alan Demers

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Alan Demers

Alan Demers is founder of InsurTech Consulting, with 30 years of P&C insurance claims experience, providing consultative services focused on innovating claims.


Stephen Applebaum

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Stephen Applebaum

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