The Great Millennial Shift
While millennials may appear to be a poor target for insurers today, their fortunes will change over the next 10 years.
While millennials may appear to be a poor target for insurers today, their fortunes will change over the next 10 years.
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Michael Sauber is vice president of marketing at Instec, a provider of underwriting, policy and billing systems for commercial property and casualty insurers and program administrators. He has launched over 40 products and two software ventures.
55% of surveyed participants admit to checking social media while behind the wheel, and 25% said they’ve even recorded a video.
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Andrea Leptinsky is a 15-year news veteran with experience in community journalism, automotive reporting and traffic safety marketing. She started as managing editor at DriversEd.com in 2017.
Think you've seen a soft market before? Just wait. Changes in auto insurance, alone, could eliminate 5% of P&C premiums in the U.S.
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Chris Burand is president and owner of Burand & Associates, a management consulting firm specializing in the property-casualty insurance industry.
If an employer suspects an employee has attempted to create a fraudulent claim, there are several steps to follow up on right away.
Security cameras in a company cafeteria recently captured a brazen attempt to fake a workers’ compensation injury. The video shows that the man dumped a cup of ice onto the floor, disposed of the cup and then lay down on the floor as though he slipped on the ice. Prosecutors have charged the man with insurance fraud and theft by deception.
In this case, the fraud was well-documented. But most employers do not have cameras in their lunch rooms or other areas of their work places. It can be very difficult to prove someone has faked an injury in the workplace without cameras catching the person in the act.
But the consequences of undetected workers’ compensation fraud are enormous. Fraud is a costly financial burden to employers and taxpayers, and it interferes with providing benefits to the vast majority of injured workers with legitimate claims.
See also: Workers’ Comp Issues to Watch in 2019
If an employer suspects an employee has attempted to create a fake injury or fraudulent claim, there are several steps to follow up on right away:
Faked injuries may also be an indication of fraud perpetrated by dishonest medical providers or attorneys who operate “claims mills.” These fraud schemes recruit workers to submit fraudulent claims, can generate millions of dollars of undeserved benefits and affect employer loss experience, resulting in higher workers’ compensation premiums. It’s important that claimants understand that their participation in reporting fraudulent claims exposes them to prosecution and severe penalties.
Below are several "red flags" that could be indications of a faked workers’ compensation injury:
See also: The State of Workers’ Compensation
Employers who suspect a faked occupational injury or other workers’ compensation fraud or abuse should seek assistance from their insurer or claims administrator. Potentially fraudulent claims are referred to the Special Investigation Unit (SIU), and cases with enough evidence are sent to the district attorney for prosecution.
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Stacey Gunn, assistant vice president, is responsible for leading Keenan’s SIU/Fraud Unit, training and development and vendor management. She has more than 20 years of experience and is certified by the Insurance Educational Association.
Robotics and telemedicine can improve care by mediating the interaction between patients and medical professionals in real time.
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Dorothy Andrews is the chief behavioral data scientist for Insurance Strategies Consulting LLC. She has more than 25 years of actuarial and statistical modeling experience with life insurance companies, property and casualty insurance companies and more.
The workers’ comp industry must attract and retain top talent while responding to evolving work cultures.
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Kimberly George is a senior vice president, senior healthcare adviser at Sedgwick. She will explore and work to improve Sedgwick’s understanding of how healthcare reform affects its business models and product and service offerings.
Mark Walls is the vice president, client engagement, at Safety National.
He is also the founder of the Work Comp Analysis Group on LinkedIn, which is the largest discussion community dedicated to workers' compensation issues.
To drive innovation, the industry needs to draw on the power of diversity and inclusiveness.
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Gail McGiffin is a principal in EY’s insurance practice and leads the underwriting, product, policy and billing offerings. Prior to joining EY, McGiffin was the chief information officer at ProSight Specialty Insurance.
After attending the OnRamp conference in Minneapolis last week, I come away more optimistic about innovation in insurance than I've been in some time.
That feeling began with the keynote panel I moderated with Allianz Life CEO Walter White and Securian Financial CEO Chris Hilger, who laid out a compelling vision. Rather than thinking about using technology to automate jobs or cut expenses, they see ways to make their financial advisers better, more-informed coaches. They also envision extending the benefits of the advice to those many who otherwise couldn't afford financial counsel, because the high cost structure makes fees prohibitive. (At ITL, we use the word "centaur" to describe employees who, like the mythical creatures, have combined with machines to be more powerful than people alone would be.)
A later panel laid out a new vision of segmentation. While the traditional focus has been on defining segments for marketing purposes, panelists recommended using the techniques to categorize people for different customer experiences. At the moment, companies strain to win customers by demonstrating great understanding of their situations and needs, then do one of two things: 1) dump them into a generic onboarding process that immediately undercuts any claims of trust; or 2) strive (and fail) to deliver a unique experience for each person. Sophisticated segmentation of customers could deliver considerable personalization of the customer journey at a reasonable cost.
(ITL CEO Wayne Allen contributes a related thought from the Sitkins Network conference where he spoke last week. He said the suggestion was to move away from thinking about customer-centricity and toward empathy. In other words, don't just make the customer the center of your efforts; do everything you can to put yourself in that customer's shoes and understand what he or she feels, then do what the customer—not the company—needs.)
Still another OnRamp panelist described an opportunity with micro businesses—ones that range from a sole proprietor up to four employees. While many have seen potential in small and medium-sized businesses, I hadn't yet heard such a clear argument for products and services that can be provided digitally, at low cost, with little friction, while fitting in with personal financial services that the buyer wants and may already receive.
The array of clever ideas behind some startups also struck me. For instance, while I've been hearing about telematics in cars for decades, I'd never thought about motorcycles until Marina Mann introduced herself and her company, EatSleepRide. She has tracked 20 million kilometers of motorcycle rides and is rolling out services that not only rate the risk of the rider but offer real-time advice to the rider about signs of fatigue, dangers that may lie ahead, etc.
There was even a startup, Owl Cam, that may let me resolve a pet peeve that has been bugging me for the, oh, 45 years I've been driving.
The background: I often offer a running commentary about other drivers, a habit I picked up from my father and, sorry to say, seem to have passed on to my daughters. I get especially annoyed when someone tailgates me in the left lane even though traffic in front of me means I have nowhere to go—these geniuses seem to think they can push safe drivers out of the way by creating dangerous situations—but I'll also complain if someone cuts me off, if someone seems to think he's playing Fast and Furious, etc. I've always wanted some way to document the crazy driving to help get idiots off the road (and, yeah, vent my spleen a bit) but never had the means. Until now.
Owl Cam sets up a two-way camera on the dashboard that captures both the interior and the road. The main purposes are to record a thief, a vandal or a car that hits yours while you're not in it, and to help resolve claims quickly if you're in an accident. But the feature that I covet is the one that lets you keep the past 10 seconds from the forward-facing camera by just saying, "Hey, presto." Now, if the police set up some way for concerned citizens to share video, and if Owl Cam figures out some way to capture the license plates of those tailgaters, we'll be in business.
This insurance innovation thing may have a future!
Cheers,
Paul Carroll
Editor in Chief
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Paul Carroll is the editor-in-chief of Insurance Thought Leadership.
He is also co-author of A Brief History of a Perfect Future: Inventing the Future We Can Proudly Leave Our Kids by 2050 and Billion Dollar Lessons: What You Can Learn From the Most Inexcusable Business Failures of the Last 25 Years and the author of a best-seller on IBM, published in 1993.
Carroll spent 17 years at the Wall Street Journal as an editor and reporter; he was nominated twice for the Pulitzer Prize. He later was a finalist for a National Magazine Award.
Knowing which technologies to use and how to use them will improve customer satisfaction, retention and growth.
For our industry this personalization, convenience and level of service have become expected by consumers, regardless of who they are insured with, what vehicle they drive and what the characteristics of their accident were. Through new capabilities such as self-service claims, the consumer no longer waits days for an estimator to take photos; the extent of damage is knowable at first notice of loss (FNOL), and vehicle damage photos facilitate speedier decisions to be made about the claim (see Figure 2).
Customer retention is a huge benefit gained from improving digital channel experiences, yet there are additional benefits that help insurance carriers with their loss adjustment expenses (see Figure 3).
For example, the J.D. Power 2017 Auto Insurance Study found that customers who set up an account online with their insurer are two times as likely to submit incident photos through an app and receive digital updates and three times more likely to report first notice of loss online. However, the overall percent of customers willing to report their first notice of loss is low, with 9% in J.D. Power’s 2017 survey growing only to 11% in their 2018 survey. But the same survey data also showed 65% of customers received digital status updates for an auto claim, and 42% submitted their own photos.
See also: Transforming Claims for the Digital Era
Virtual auto claims handling via integrated smartphone technology has emerged as a key competency that consumers not only want and expect, but the technology also removes significant cost from the claims process by “…essentially eliminating the first half of the work. [The insurer doesn’t] have to get the car to the human or the human to the car.” Analysis of vehicle appraisals generated annually shows a shift among insurance carriers and their customers to new and different methods of vehicle inspection such as virtual or photo inspections and away from insurance staff appraisers inspecting the vehicle in the field or in a drive-in facility (see Figure 4).
A comparison of claim cycle times reveals the number of days from the last estimate assignment to the date the initial estimate of record is completed is lowest for those appraisals with a photo estimate method of inspection, and photo inspections have the highest percent of appraisals where the last estimate assignment to date of estimate complete is less than or equal to 12 hours (see Figure 5).
The streamlined appraisal process also sets the stage for a streamlined repair process – where within the same app the customer can view the estimate of record produced from the vehicle photos, then choose a repair facility to fix the vehicle and even schedule the appointment with that shop. Photo estimating coupled with online claims communication and scheduling saves consumers time they may traditionally have spent driving around to multiple shops to get estimates or waiting for an insurance adjuster to show up at their home or work, ultimately ending up with a paper copy of the estimate and maybe a check, only to then have to decide where to get the car repaired and schedule the repair.
With online shop scheduling available as a "next step," the customer can select the repairer based on proximity, DRP program participation, on-line reviews, customer referrals or availability of OE certification, essentially enabling the overall experience to occur on a single platform in a personalized manner – not too different from what consumers experience on Amazon today. Insurance companies and repairers that adopt a single platform can enable consumers to efficiently process their claim, schedule the repair and ultimately deliver an experience more in-line with modern expectations.
Self-service claims and repair scheduling capabilities via digital devices are just two examples of how our industry is using technology to "shift-left" – providing customers with enhanced self-service capabilities via technology that ensures the same or better customer service and engagement.
See also: Survival of the Fittest in the Digital Age
Technology such as mobile, AI and IOT will increasingly play a key role in a company’s ability to quickly assess and respond to consumer feedback and other information on market conditions. Knowing which technologies to use and knowing how to use them to cater the claims and vehicle repair experience to each distinct customer will lead to higher customer satisfaction, retention and growth.
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Susanna Gotsch is director, industry analyst at CCC Intelligent Solutions. She has been with CCC since July 1992. Gotsch brings 20-plus years of experience within the automotive claims industry.
Unstructured data will not only improve accuracy but achieve fundamentally new ways of thinking, communicating and using information.
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