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Will Chatbots Take Over Contact Centers?

Chatbots provide obvious benefits to any company with a call center. But how do consumers feel about this rapid change in customer service?

Artificial intelligence is advancing quickly and customer service technology along with it. More and more companies are choosing to assist customers with the AI equivalent: chatbots. Chatbots are attractive to companies for obvious reasons. They are significantly cheaper than their human counterparts and are available 24/7. After all, call center employees are "only human.” But how do consumers feel about this rapid change in customer service? Could the switch from humans to chatbots test the loyalty of current customers, or repel the interest of potential customers? How much chatbot is too much for the typical consumer? Current research has found that about half the population prefers talking to a human when seeking customer service. We can rightly conclude that people are open to the chatbot transition, but how can we cater to the full population? How can companies pick up the slack where chatbots are falling short, to make them more appealing to customers as the default? Where Chatbots Are Failing Customers The transition to chatbot ubiquity is already well underway. AI applications that give us sales recommendations and perform insurance underwriting, as well as Apple's Siri and Amazon's Alexa, are already a part of daily life for many people. In fact, Gartner has predicted that chatbots will power 85% of all customer service interactions by the year 2020, contributing to billions in savings for companies. But how do companies win over the half of the population that can’t be served by chatbots? One recent survey found that half of customers thought that chatbots wouldn't be able to correctly identify what they were looking for when they called in with a question. See also: Chatbots and the Future of Interaction   One Forbes article, "Will AI Replace Humans in the Customer Service Industry?" placed customer needs on a spectrum of emotion and urgency. If a customer feels that something very important is at stake, or is unhappy with the service provided, the customer wants to be understood by someone showing empathy, something that chatbots can't provide. Bridging the Emotional Gap Chatbots may not be the definitive answer for improving the customer experience. That doesn’t mean that companies should abandon chatbots, but they should not be positioned as a “catch-all solution” and require a proper fallback to a real conversation where a company representative can help the customer. It’s important that companies bridge the gap between chatbots and humans. Companies will require “visual engagement technology” that will really help them understand their customer problems and allow them to help their customers in a collaborative way. One such technology that many companies are using to understand their customers’ needs, connect emotionally and increase trust during customer service interactions is co-browsing. Co-browsing enables agents to remotely assist customers in real time. In the case of customer support, the agent can co-browse simultaneously with customers who need assistance on any web application. Co-browsing allows the agent to see what the customer sees and guide the customer through complex forms in real time. This helps to reduce frustration and friction during high-value purchases. See also: Chatbots and Agents: The Dynamic Duo Consider this scenario: Let’s say a customer is driving on a roadway when his car strikes a large object. He realizes that his car was damaged. The customer doesn’t know if his insurance policy will cover the damage. If a chatbot cannot resolve a customer’s issue or the chatbot notices frustration, the chatbot interaction can be upgraded to a co-browsing session with a human in seconds. This will allow agent to quickly diagnose the issue and guide the customer smoothly through complex claims forms. When an agent hops on a co-browsing session with a customer, the agent gains the right insights to deliver contextual support. This reduces the time it takes the agent to diagnose the issue, resulting in lower handle time and ensuring customer satisfaction. Conclusion Lack of empathy is really at the heart of skepticism surrounding chatbots. Companies fail to embrace chatbots, because they focus too much on the technology and don’t clearly define their purpose. Research shows that customers are comfortable using chatbots if they feel that they will receive trusted support. Companies looking to personalize their customer experience must understand both the benefits and limits of chatbots. They require a lot of resources. Having a successful AI customer service program depends on having a blended approach. Humans will always play a role in the optimization of chatbots. Consider using visual engagement technology to ensure that customers with high-emotion scenarios will be met with human empathy and understanding.

Nicholas Piel

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Nicholas Piel

Nicholas Piël is the founder and CEO of Surfly, a leading visual engagement tool for sharing web sessions online. With Surfly co-browsing, support agents and advisers can remotely assist website visitors without the need to download additional software.

Key Challenges on AI, Machine Learning

Insurers must recognize these challenges and address them head on to start taking advantage of the new technologies.

Artificial intelligence has opened up a multitude of transformative opportunities for insurers to leverage within nearly every part of the value chain. This includes everything from risk management and fraud prevention to the development of new personalized products and enhancing customer service. Machine learning still has a long way to go before enabling the capabilities of Star Wars’ gangly droid C-3PO. Even in machine learning's current form, there are adoption challenges that prevent some insurers from moving forward with business initiatives based on AI. Insurers must recognize these challenges and address them head on to start taking advantage of the technology. Top Machine Learning and AI Challenges Currently, many insurers hesitate to move forward with AI and machine learning initiatives because of potential job losses, data management and limited time and skilled resources. Job Replacement. A significant percentage of an insurer’s investment and cost is staff. As the insurance industry continues to adopt more AI solutions, there is a valid fear among insurers that the livelihood of their agents, underwriters and other professionals is at stake. While commercial AI is not advanced enough to replace humans altogether, it can be a valuable tool today to enable and enhance humans. In fact, the AI solutions being built should have the perspective – “How to get 1+1 = 3?”, combining human capital with AI solutions. This can be observed in the use of intelligent chatbots. With NLP (natural language processing), machine learning and integration with back-end services, chatbots can be a great complement to a human agent. The chabot can provide insights to the agent for a more contextualized conversation with the customer. This allows the agent to deliver an empathetical and enhanced customer experience. See also: 4 Ways Machine Learning Can Help AI solutions should be viewed as opportunities to think outside the box to offer customer-centric solutions and not just to replace a current process with an automated AI solution. Data Management. Digitization and automation will create significantly greater amounts of data, which are necessary for a successful ML solution. The key, however, lies in the quality of data – whether one-time events or a continuous stream. The insurance industry is no stranger to using large volumes of data in developing insurance products, establishing premiums and better managing risks. To have a successful machine learning solution, insurers must combine traditional expertise with data management processes and harness the power of mature products that manage and cleanse data. Limited Time and Skilled Resources. Today’s insurers are working with full plates. As priorities often compete for time and resources, it is difficult to pick and choose from equally essential initiatives. While many are aware of the benefits that machine learning can bring to the table, insurers continue to grapple with the time, personnel and tight budgets to implement these new technologies. The other challenge is access to skilled resources who could implement AI/ML solutions. Unfortunately, these challenges create a “wait and see” attitude, pushing insurers further behind other industries and competitors that act to secure the first mover advantage. To take advantage of this new technology now versus later, insurers are partnering with innovative Business Process as a Service (BPaaS) firms that have made ML their focus to stay at the forefront of technology and innovations. Apart from leveraging the capabilities from the BPaaS and their partner ecosystem, this approach allows the insurers to free management and technical resources to focus on AI/ML Initiatives. See also: Strategist’s Guide to Artificial Intelligence   Conclusion The AI and ML technologies are mature enough and accessible for insurers. However, it is essential to view these technologies as enablers of new business capabilities and opportunities that might not exist today. For insurers to future-proof the way they do business and remain competitive, they must address these challenges and leverage existing foundational data management capabilities or BPaaS relationships to deliver customer-centric solutions.

Thiru Sivasubramanian

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Thiru Sivasubramanian

Thiru Sivasubramanian is the VP of architecture and technology strategy at SE2. Prior to SE2, he held technology leadership roles at Salesforce.com, Tata Consultancy Services and Torry Harris Business Solutions.

Innovation Imperatives in the Digital Age

Technologies such as connected health, homes and autonomous vehicles force insurers to re-invent offerings at an unprecedented pace.

Even a casual look into the history of insurance reveals its rapid evolution over the last decade - from a slow-paced and highly regulated industry to one consumed with technology transformation. Until recently, insurers have grappled with challenges of engaging millennials, managing investments, simplifying systems, improving combined ratios and driving growth. Today, however, a slew of disruptive forces are changing the playing field. The availability of new user experiences for policy holders, coinciding with the sprouting of insurtech, has created asymmetric competition for established carriers. Legacy products designed decades ago are unable to support the deluge of new data, while millennials are ride-sharing and buying fewer cars. Technologies such as connected health, homes and autonomous vehicles are forcing traditional insurers to re-invent offerings at an unprecedented pace. See also: 10 Essential Actions for Digital Success   Market reports reveal that over the past few years technology spending for insurers is higher than the market growth rates, signaling a shift to technology-led-models. The UK FinTech sector alone hopes to create 100,000 jobs and seed $8 billion in investments by 2020. In view of these developments, speed-to-launch will become a real differentiator. Carriers strive to launch products in three to four months to stay abreast of customer demand. They also need to accelerate the integration of enterprise risk management into decision-making for these emerging products. Data monetization and customer-centricity will become key imperatives while lights-on cost continues to be sucked out of legacy platforms. Using technology to re-invent insurance In the face of myriad transformation alternatives and confusing consultant-speak, choosing the right path can be tedious. To address this challenge, I suggest a three-dimensional approach that maps outcomes to technologies. I strongly believe that this framework will empower insurance organizations in making informed decisions on how technology can drive future growth. A2C: Artificial intelligence (AI), Automation and Cloud — This category comprises new and emerging technologies that help insurers improve efficiency, reduce cost and scale easily. For instance, the adoption of cloud platforms and agile infrastructure continues to be a hot trend among insurance providers given the radical performance advantages. Automation is helping organizations achieve huge cost benefits and efficiency improvements by automating repetitive processes and eliminating the risk of human error. I find that robotic process automation (RPA) or software robots are best-suited for back-office insurance processes such as claims processing, billing reconciliation and subrogation. While adoption of machine learning is still nascent in the industry, companies are beginning to deploy chatbots for front-end processes. For instance, ICICI Lombard has developed a chatbot, MyRA, that engages with customers to sell policies and execute transactions without human intervention. D3C: Design, Digitization, Data and Consulting — This category comprises mature technologies that help insurance companies accelerate revenue growth. In my opinion, as demand for intuitive policies rises, product innovation will become a key differentiator for insurers. Carriers must listen closely to what their customers are saying and develop products that meet their needs. Here, Design thinking can be a vital tool for product rethink that meets the key criteria of desirability, feasibility and viability. When design thinking is coupled with digitization, companies can access advanced ways of improving efficiency and tracking customer sentiment. Analyzing such customer feedback provides valuable insights into how insurers should revamp user interfaces to deliver delightful customer and user experiences. Digitization also supports insurers in providing self-service dashboards and omni-channel capabilities for customers to interact with their providers, thereby increasing customer stickiness. However, any initiative involving digital or design thinking must be reinforced with a strong data strategy. This is why I highlight the importance of investing in intelligent systems that collate unstructured and structured data to gain a holistic customer view. Such solutions enable extreme product and service personalization such as usage-based policies, customized pricing and claims validation across auto, life and home insurance. Consider how Ford is partnering with IVOX to develop a technology that gives insurers insights into driver performance, to lower premiums. Finally, such innovation requires robust partner ecosystems, underscoring the need for strong consulting services. Seamless collaboration across partners is critical if design, digital, data and consulting are to generate tangible value. CoLT: Core systems, Legacy systems and Total outsourcing — Over the years, while some insurers have built robust albeit monolithic enterprise applications, others have grown through mergers and acquisitions. Both now have an intricate web of IT infrastructure and legacy systems. Managing these inherited systems is a cost that insurers are forced to bear. McKinsey estimates that handling this complexity accounts for 75% of the operational and IT costs when it comes to servicing policies. Not surprisingly, many insurers choose outsourcing as a solution because it makes the bloat appear low. Third-party service providers are better equipped with the skills and infrastructure as well as the agility to adopt innovative technologies. Further, insurers will need to reinvent existing systems to meet increasing customer demand for better services and products. This can be a heavy burden on organizational budgets, particularly when dealing with legacy core systems. This is a key concern as stricter data security laws increase the liability for penalties. I strongly feel this is where leading technology service providers can demonstrate their expertise. Best-in-class technology solutions can help insurers modernize their legacy systems at lower cost to improve efficiency and performance. Additionally, intuitive solutions allow insurers to on-board new technologies and enjoy sophisticated digital capabilities while reducing total cost of ownership (TCO). See also: Seeing Through Digital Glasses   Thus, technology service providers seeking to provide real business value to insurance organizations must design solutions that deliver innovation in the above three categories. Application modernization, cloud computing, automation and other new technologies will help insurers optimize their core systems, develop customer-centric insurance products and streamline underwriting and risk management. Such capabilities will empower insurance companies to build and sustain competitive edge in the digital age.

Kannan Amaresh

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Kannan Amaresh

Kannan Amaresh has spent nearly 18 years at Infosys, initially as the head of consulting for Infosys’ BFSI division, followed by his current role as the global industry head for insurance, where he manages global client relationships across Europe and North America.

The real MVP

The concept of a minimally viable product (MVP) has helped many companies, but some caution is in order. 

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Out here in Northern California, the hot debate over the past few days has been a luxury: whether the NBA Finals MVP should have been the spectacular Kevin Durant or the spectacular Steph Curry. (I'm Team Steph but have no problem with Team KD—or even with those who say Golden State Warriors fans are hopelessly spoiled after three titles in four years and should just stop talking.) But there's a conversation to be had about a more consequential MVP, and Dan Bricklin is just the guy to introduce it.

In this case, MVP stands for Minimum Viable Product. The concept has been the rage in innovation circles for a few years now, helping companies see the need to push a product into the market quickly, even though not fully baked, to gauge how real customers react in real situations and to adapt quickly. Historically, many companies have finetuned products so much that they have been late to market, only to find that what they're offering doesn't really match what customers want.

Now that MVPs have been in vogue for a while, Dan pointed me to some thoughts from a colleague on how to improve on them. Dan is always right on such issues. He invented the electronic spreadsheet back in the '70s as a Harvard Business School student bored of having to constantly recalculate so many cells in a paper spreadsheet every time a variable changed, and I've seen him be smart on a whole range of subject over the 30-plus years I've known him. 

The finetuning, suggested by Dan's colleague Jensen Harris, consists of four points:

  • For many products, you can't go "minimum" on the user interface. The customer experience is often key to success or failure, so make sure people get a feel for the soul of your product.
  • Do ship bad code. You'll have plenty of time to fix it if you strike a chord with customers. Don't waste time making it pretty now.
  • Be absolutely sure about what you want to learn by shipping your MVP quickly, and make sure you can measure what you're testing. Also be sure ahead of time that you can act on what you learn.
  • Realize that MVPs aren't the only way to go. Sometimes, an innovative idea is so complex that you have to tackle the whole thing at once, not in parts where continual experimentation can occur.

If you want to see the full set of Jensen's thoughts, click here: https://twitter.com/jensenharris/status/1001662472305106944

Have a great week.

Paul B. Carroll
Editor-in-Chief


Paul Carroll

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Paul Carroll

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.

Strategy to Preserve MSA Settlement Funds

The combination of professional administration with an annuity is often the best way to protect an injured party’s settlement dollars.

The combination of professional administration with a structured settlement (annuity) is often the best way to protect an injured party’s settlement dollars in the event of an unexpectedly very costly year due to higher-than-anticipated medical needs after settlement. The combination of these services in a costly scenario allows the injured party to access more coverage from Medicare and pay less out of their own pocket. What Is Professional Administration? Professional administration involves the use of a professional third party to help manage the injured party’s medical settlement funds or Medicare Set Aside (MSA) after settlement. “Professional administration achieves two important goals,” says Marques Torbert, CEO of Ametros. “It saves the injured party significant money on their medical expenses by providing them with access to discounted medical network prices, and it ensures that all their reporting to Medicare for a Medicare Set Aside account is done properly.” When an MSA account runs out of funds and reaches a zero-dollar account balance, as long as it is administered properly Medicare agrees to step in as the secondary payer covering the continuing and needed medical expenses. Medicare “highly recommends” the use of professional administration to make sure that funds are extended as long as possible through discounts, used appropriately for medical care and ultimately reported properly so that Medicare will know when to step in as the payer. See also: Big Misunderstanding on MSAs   What Is a Structured Settlement? A structured settlement is a stream of periodic payments paid to an injured party by the defendant primarily through the purchase of annuity (fixed and determinable) issued directly by highly rated life insurance companies. In the case of an MSA, the annuity will enable the issuance of annual payments that cover the entire MSA amount. As Eric Vaughn, executive director of the National Structured Settlements Trade Association, explains, “Structured settlements provide an injured party with a reliable, stable source of income which can be critical to cover their ongoing medical costs. A structured settlement removes the variability of the markets and guesswork out of funding their future expenses.” The Centers for Medicare and Medicaid Services (“CMS” or “Medicare”) is accustomed to the use of annuities with MSAs. Medicare has provided clear guidelines for how the MSA should be set up when annuities are involved, with two years of costs funded upfront and the rest of the cost broken out annually over the injured person’s lifetime. When an MSA is sent to Medicare for approval, Medicare will review and approve MSAs with structures. When assessing future medical costs in an MSA, it’s important to take a very conservative approach. Using a structured settlement and professional administration for the MSA can provide valuable protection to an injured party should they have a costly year. The combination of these services will allow the injured party to properly get coverage from Medicare in the event their MSA funds run out. That Medicare coverage can, in many cases, ensure that the injured person pays less out of their own pocket. As Vaughn points out, “Annuities are a natural fit with MSAs, given the annual medical expenses are already budgeted over the individual’s lifetime.” Torbert adds, “Attorneys and adjusters alike are recognizing the power of combining the annuity with administration not only to assist the injured party in saving money, but also to provide them with support for their medical care over the long run.” It’s important to keep in mind, not all professional administrators and annuities are the same. Choose an administrator that provides the best service and saves the injured party most on medical expenses. When choosing annuities, it’s important to work with a trusted broker and to select a reliable, highly rated life insurance company. Speak with experts in both administration and structures to make sure you and your client make the right selection to ensure you have the most financial protection. Case Study Let’s take a look at an example of how an injured party, Joe, can leverage these two important services to protect his settlement dollars in the MSA. Let’s assume that Joe accepted a settlement with an MSA and has a life expectancy of 10 years. In the first, good scenario, Joe is doing well and is using professional administration to receive discounts so he has relatively low spending of a few thousand dollars a year on MSA medical items. Both a lump sum and structured account would have the same amount spent at the end of Joe’s life expectancy. Let’s take a look at the unique protection that professional administration and a structured settlement together can offer Joe in the scenario where he undergoes a costly surgery or other adverse outcomes. Let’s assume that Joe is offered the exact same MSA settlement amount and starts out on the same pace. Unfortunately, three years after settlement, Joe needs to pay for a complex surgery. With a lump sum account, Joe ends up having to pay for the remaining cost of the surgery after using what funds he currently has in his MSA account. Unfortunately, with a lump sum settlement, he will never receive MSA funds again. If he is Medicare-eligible, Medicare will cover about 80% of the remaining balance, and Joe will have to pay 20% out of pocket for all future treatment costs for the rest of his life (such as Medicare premiums and his regular treatments). If Joe has a structured account managed by a professional administrator, his funds will take a large hit at the time of his surgery, but the administrator will have ensured the funds were spent appropriately, so Medicare will step in as the primary payor. Medicare will pay for 80%, and he will take care of 20% out of pocket for the remaining balance of the surgery only for that year. After that year, his account will continue to replenish annually, and he can use his MSA funds to pay for future treatment. In summary, the outcomes for Joe can be strikingly different. With the lump sum settlement, he is losing personal funds, and he never again has the chance to build value in his MSA account. With the structured settlement, Joe is better off over time. The way Joe settles his case has a very powerful impact on his finances, and the combination of a structured settlement and professional administration protects the injured party more effectively. To view the math behind why administration and structures are the best combination, click here. You can find the full whitepaper here.

Porter Leslie

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Porter Leslie

Porter Leslie is the president of Ametros. He directs the growth of Ametros and works with its many partners and clients.

Top OSHA Trends Facing Employers

Expectations for a more business-friendly environment have yet to materialize, but there are signs that change may be coming.

OSHA is in something of a holding pattern while it awaits a new administrator. Nevertheless, now is not the time for employers to let their guards down. The agency has operated under the acting leadership of Loren Sweatt since July 2017. The president’s October nomination of Scott Mugno, vice president of safety at FedEx Ground, to be the next OSHA administrator continues to be delayed amid political wrangling. With many career agency personnel in place, enforcement looks similar to the Obama administration in many ways. Overall Trends "Confusion, compliance and anticipation" is the phrase that best sums up OSHA during the first year-and-a-half of the new administration. There have been delays in enforcement and effective dates for some regulations; however, OSHA has not retreated from inspections or enforcement activities. Expectations for a more business-friendly environment under the Trump administration have yet to materialize, although there have been signs that there will, ultimately, be moves toward deregulation and less aggressive enforcement. No long-standing regulations have yet been repealed, which is not surprising, given the lack of a permanent leader and the fact that OSHA regulations cannot be revoked solely for economic reasons. However, we have seen activity on regulations that were already in process. They are among the clear indications that the Trump administration plans to take a different tone than the Obama administration: 2-for-1 Requirement. The president’s signature on Executive Order 13771 requires agencies to eliminate two regulations for every one promulgated. Rule changes. The president employed the rarely used Congressional Review Act to repeal 14 regulations, including:
  1. The Volks Act. The president effectively overturned the rule that made recordkeeping requirements a continuing obligation for employers. Essentially, OSHA had the ability to enforce recordkeeping requirements for five-and-a-half years, rather than six months.
  2. Fair Pay and Safe Workplaces Rule. The president signed a resolution that blocked the Obama-era rule requiring federal contractors to disclose and correct serious safety and other labor law violations.
Rule movement. Several OSHA rules have been moved to "long-term actions" or completely eliminated from the administration’s first two regulatory agendas.
  • 1. Removed from regulatory agendas:
    • Vehicle backing hazards
    • Updates to chemical permissible exposure limits (PELs)
    • Comprehensive combustible dust rule
    • Hearing protection in construction
  • 2. Moved to long-term actions, essentially putting them on an indefinite delay:
    • Workplace violence
    • Emergency preparedness and response
    • Process safety management (PSM) rule reform
    • Infectious diseases in healthcare
Another signal of the Trump administration’s intentions toward deregulation is the changing of the name "Regulatory Agenda" to "Unified Agenda of Federal Regulatory and Deregulatory Actions." See also: Health Consumerism, Stress Management   Controversial Initiatives Employers need to be aware of several regulations in the pipeline to ensure they understand and comply with the requirements. Electronic Recordkeeping OSHA’s effort to improve tracking of workplace injuries and illnesses requires certain employers to electronically submit data they are already required to keep. But there has been significant confusion and consternation over the standard. One issue is the implementation schedule. There are clear indications that OSHA intends to amend this rule to ease some of the requirements on employers. As it appears now, the deadlines are: July 1, 2018: Employers with 250 or more workers, and those with 20 - 249 employees in "high-hazard industries," must electronically submit information from their 300A annual summaries of work-related injuries and illnesses. March 2, 2019: Every establishment must submit information from their 300A summaries. The rule has been fraught with controversy and questions, such as:
  • Where will OSHA put the information? There are concerns that employers’ information may become publicly available. However, if the agency opts not to collect the 300 logs and 301 forms as expected, that concern would be eliminated.
  • How will OSHA use the information? With data on fatalities, amputations, hospitalizations and other factors available on computers, OSHA compliance officers could determine inspection priorities based on that information. But there are indications that the Trump administration may back off from the forceful enforcement mentality.
OSHA’s about-face: The agency recently announced that employers in all states must electronically submit their data for calendar year 2017 by July 1. This caught many by surprise, as several states with OSHA-approved state plans had not yet updated their recordkeeping requirements and employers in those states were under no such requirements. Additionally, the announcement means that the states involved are now under a greater regulatory compliance burden. Silica OSHA established a new eight-hour weighted average PEL on silica for affected industries. The construction sector was first up in September, although the agency delayed enforcement for one month. The agency will begin enforcing the rule for general industry on June 23, including training requirements. While there is a chance the deadline will be delayed, employers should nevertheless be prepared to comply. Fall Protection The Walking/Working Surfaces Rule has caught many employers by surprise. The rule went into effect in January 2017, and OSHA is strongly enforcing it. To date, OSHA has cited and imposed hefty fines on at least 12 employers for violating the rule, despite having no associated injuries. For example:
  • One employer was penalized $114,000 for failing to ensure each surface could support a maximum load.
  • Another was fined $36,000 for failure to guard unprotected sides and edges at a height of at least four feet.
Despite some confusion surrounding this rule, we can expect OSHA to inspect and cite companies for violations. Employers should research how they are affected and what they need to do. Beryllium As of May 11, affected employers were required to abide by new PELs and short-term exposure limits. On a positive note, the agency recently clarified that the rule only applies to areas where there are significant amounts of beryllium, rather than just trace amounts. That will save on business compliance costs, and it eliminates some of the vagueness of the rule. Enforcement The public shaming via press releases under former OSHA Administrator David Michaels subsided in 2017, but there seems to be a renewed effort in 2018. One recent example was the announcement of a $40,000 fine imposed for trenching operation violations that OSHA officials discovered while doing a drive-by of a construction site. Additionally, there has been an unexpected slight uptick in inspections in 2017. Combined with the congressionally mandated increase in penalties in 2016, it means employers need to pay attention. Again, the increased number of inspections may be due to the fact that career OSHA personnel are operating with no official leader. Look-back period: This is an issue to watch closely, to see if the administration may decrease the look-back period for violations that OSHA can use for repeat violations. The previous three-year period was expanded to five years during the Obama administration. Also during the Obama administration, repeat violations were cited more frequently and with higher fines. A recent court ruling in New York said the look-back period is non-binding. That does not bode well for employers that have enhanced their programs and are doing the right thing, only to have the agency cite them for violations that occurred years ago. Another change under the previous administration was the consideration of workplaces as being under the same corporate umbrella. Previously, workplaces were deemed individual, stand-alone establishments, regardless of the parent company. We believe the administration will eventually roll the look-back period to three years and consider workplaces to be individual establishments again. However, this may not happen until late this year or beyond, as these changes likely will not be an immediate priority for the new OSHA administrator. Compliance Assistance We have seen a clear focus lately on helping employers comply with OSHA regulations, rather than the "enforcement, enforcement, enforcement" effort of previous administrations. There have already been announcements of new alliances between OSHA and various industries or organizations, including one with the Board of Certified Safety Professionals. We expect efforts to provide more assistance and guidance to continue, possibly through the use of "letters of interpretation" to change the tone to one of more compliance assistance. The Voluntary Protection Program (VPP) was not a favorite of the previous administration. It was viewed as too easy to get in, and difficult to expel companies. But the Trump administration already held a stakeholders meeting to discuss revitalizing the program. Topics included ways to:
  • Encourage participation
  • Ease entry
  • Enhance the benefits
  • Engage network members
One concern, however, is whether there will be enough funding to support these compliance assistance programs. Positions that were eliminated two years ago would need to be resurrected. State Plans Twenty-two states have their own OSHA-type programs, and there has definitely been an increase in activity — especially in some of the blue states. California, for example, has hired a number of enforcement officers. That state is also implementing a workplace violence standard for healthcare and an injury prevention rule for hotel and housekeeping. Additional proposals in California may be approved. Washington and Oregon are also taking steps that are stronger than the federal OSHA requirements. One concern for employers is the patchwork of compliance among states that are failing to meet OSHA-required deadlines. Maryland, Arizona, Hawaii, Utah and Wyoming, for example, have not adopted a silica rule, despite the requirement to do so by late 2016. Even if these states lack appropriate funding, they could easily adopt the federal rule — but have chosen not to. We may see the agency step in as it did with the electronic recordkeeping rule recently. See also: Healthcare: Need for Transparency   Dates to Remember Employers need to ensure compliance for the following: Beryllium — March 12: Employers had to comply with the majority of requirements. Silica — June 23: 
  • General industry and maritime employers must be in compliance with all requirements except action-level triggers for medical surveillance; they must also offer medical exams to employees with exposure above PEL for 30 days or more in a year.
  • Construction employers must comply with methods of sample analysis.
Electronic Recordkeeping — July 1: 
  • Companies with 250-plus employees must electronically submit 300A data.
  • Certain high-risk establishments with 20 - 249 employees must submit 300A forms.
Cranes and Derricks — Nov. 10: Crane operators must be certified Walking/Working Surfaces – Nov. 19:
  • New fixed ladders greater than 24 feet must be installed with fall arrest or ladder safety systems.
  • Existing ladders greater than 24 feet must be equipped with cage, well, personal fall arrest systems or ladder safety systems.
  • Replacement ladders and ladder sections must be installed with fall arrest or ladder safety systems.

Amanda Czepiel

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Amanda Czepiel

Amanda Czepiel, J.D., is the senior managing editor of BLR’s EHS division. She oversees the workplace safety and environmental compliance content for BLR’s products, news, training and live events and works with clients to develop custom compliance solutions.

How Insurance Fits in Financial Management

Few financial advisers address clients’ P&C needs—leaving clients exposed to significant gaps in coverage and out-of-pocket costs.

There’s no better time than the present to shed light on an integral, yet commonly overlooked, aspect of financial planning: property and casualty (P&C) insurance needs. New data from Chubb and Oliver Wyman finds that just 28% of financial advisers address their clients’ P&C insurance needs—leaving clients exposed to significant gaps in coverage and potential out-of-pocket costs. Yet, 77% of successful individuals want their advisers to provide this type of support. This mismatch in expectations versus advisory services offered presents an opportunity for agents and brokers to build connections with financial advisers in pursuit of holistic wealth management strategies. Here’s how they can begin making in-roads. Step 1: Articulate Why Holistic Wealth Management Matters Advisers innately understand the importance of updating client financial planning strategies to respond to significant life changes—be it a new baby or new home purchase. But they often don’t know that failing to advise their clients to take the same approach with their insurance coverage can cost them millions. Take Rick and Sue Smith. They recently moved into a new home and bought a backyard trampoline for their children but did not update their umbrella policy to reflect this purchase. One day, unexpected tragedy strikes—a friend of the Smiths' children is injured while playing on their trampoline. Following a lawsuit, the Smiths must pay $2 million in damages. Unfortunately, the Smiths' standard umbrella policy only covers $1.1 million in liability—not including legal fees—and they’re required to pay the rest out of pocket. That means tapping into college savings and their nest egg. If the Smiths had an adviser who counseled them on insurance needs, they could have saved a substantial amount of money. See also: The First Quarter in Insurtech Financials   The unexpected will continue to happen, and it’s crucial that financial advisers ensure their clients are adequately protected. Helping them understand the P&C risk exposures their clients may face—many of which are often complex and difficult to grasp—is the best foundation on which to build a relationship. Step 2: Explore the Roadblocks Once advisers understand the role that P&C insurance plays in wealth management, the next step in the relationship is to help them grasp the three largest roadblocks that stand in the way of achieving holistic wealth management strategies. First, many clients lack insurance products entirely or lack key coverages within the products they have. For instance, the Chubb and Oliver Wyman study found that, while most individuals have liability insurance, many don’t have high enough limits—similar to the Smiths. It was also shown that most Americans lack core insurance coverages, including for valuables like fine art (87%) or even flood insurance (76%). Second, individuals who do purchase insurance often buy policies with the wrong features, largely due to using a standard carrier to cover their unique risk profile. As a result, these individuals could have an inadequate amount of coverage, overpay for features they don’t need or leave money on the table by not taking advantage of available discounts. Third, and most importantly, clients are not receiving the right insurance advice from financial advisers. In fact, the same Chubb and Oliver Wyman research found that the driving forces behind sub-optimal client insurance protection is a lack of understanding of their risks and exposures, unpleasant prior experiences with insurers and little familiarity with insurance products. No one expects financial advisers to become insurance experts. But, by understanding the core insurance challenges that clients face, financial advisers and agents and brokers can work together to build a holistic wealth management strategy tailored to each shared client. Step 3: Explain the Business Benefits Creating harmony between financial advisers and insurance agents and brokers doesn’t just benefit clients—there is also a business development case to be made. As mentioned, more than three-quarters of Americans want their financial adviser to offer P&C support. If that isn’t convincing enough, 40% of successful Americans surveyed noted they’d consider switching to an adviser who does provide P&C support; 16% who would switch even if they had to pay extra fees. See also: Why Financial Wellness Is Elusive   There is clearly an opportunity for advisers to grow their business by working with agents and brokers (and for agents and brokers to increase their client base through referrals), while benefiting clients. The time for financial advisers and agents and brokers to act is now. Don’t wait.

Ori Ben-Yishai

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Ori Ben-Yishai

Ori Ben-Yishai is executive vice president and chief marketing officer, North America personal risk services, at Chubb. He oversees marketing and client experience for the personal lines property and casualty business that serves affluent and successful clients in the U.S. and Canada.

Digital Innovation: Down to Business

Are we ready to talk real traction in volume and customer value from innovation that goes beyond just a great concept?

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When presenting at DIA last year, I commented on just how far the industry has come in recognizing the opportunities for insurtech and adopting smart digital techniques in such a short time. According to Celent’s most recent innovation outlook for insurance, 69% of the insurance innovation leaders surveyed have been pursuing an innovation agenda for somewhere between two and three years, with 11% having only just started. To me, this stat implies that we are no longer at the start of something. Instead, we’re slap bang in the middle of a movement. See also: Global Trend Map No. 6: Digital Innovation  And with that added maturity, I guess it should come as no surprise that the questions obsessed about by the industry are no longer focused on "how to engage with insurtech?" "what internal capabilities do I require?" or "will they eat my lunch?" and instead more directed toward understanding the source of value and execution. Simply speaking, conversations today are far more focused on “show me the money” than they were back in 2015. For example, the global head of innovation at a client recently shared with me that they’ve “fixed procurement,” “fixed internal development,” “reskilled the team” and “embedded their innovation capabilities back into the business (to sit more closely alongside strategy execution).” Consequently, this client has become far fussier about potential partners. If an insurtech does not have any jaw-dropping, protected IP, then they’re unlikely to even get enough air-time to press play on their Prezi or pencil drawing app (of which there are quite a few to choose from now) before the door is slammed in their face. Although this client’s story may not yet be representative of the industry as a whole, given that many are still struggling with aligning their organization behind new innovation capabilities, it highlights a shift in the general direction. Aligned with this shift, there also seems to be a more concerted effort to move innovation capabilities back within the business (as can be seen in this chart). Graph: Please indicate if you are utilizing any of the following innovation tools/techniques at your company (choose all that apply). Source: Celent – Insurance Innovation Outlook 2018: Practitioners Predictions, n=29 chief innovation officers, innovation leads, digital leads). Of course, central teams still play an important role. Often, they are the only places where more radical forms of innovation can be experimented with (helping to insulate them from the day-to-day pressures of running an existing business). However, when considered altogether, the gradual shifts away from what can sometimes feel like an opportunistic mode of engagement (characterized by serial “proof of concept” projects, often sponsored by central teams), toward something more locally aligned, deliberate and focused on real customer value feels like a step forward. See also: 3 Ways to Leverage Digital Innovation   Are we now at the point where innovation is truly back with the business and we’re ready to talk real traction in volume and customer value that goes beyond just a great concept? I can’t wait to see! This article was originally published here.

Cloud Takes a Starring Role

Cloud is set to be used in a whole new way by streamlining processes, connecting to advanced technology and consuming more data.

Eight years ago, I was giving a talk on cloud at a conference. The first thing I had to do was explain what the cloud is. It’s a new world, isn’t it? Cloud is no longer for the digital giants, the insurtechs and the early adopters. Today, it would be difficult to go through a whole day without using cloud computing. Insurers’ core systems (policy, billing, and claims) are no exception. Cloud-hosted core systems are no longer a niche item: 59% of the new P&C core systems that insurers purchased in 2017 will be deployed in the cloud. On-premise deployment is by no means obsolete, but more and more it will be only a fraction of insurers’ technical environments. Increased speed to market, fast implementations, seamless scalability, easy access to new technologies, robust safety standards and, in some cases, streamlined software upgrades have all attracted insurers to core in the cloud. What comes next, however, is where the real opportunity lies. The digital world is all about making connections – between people, technologies, services, data and data sources, etc. – and doing so at top speed. Whether your core systems are in the cloud, hosted by a solution provider or run from your own server room, you have to be able to call out to external services for data and transactions. New computing trends are pushing the abilities of core systems even further. Cutting-edge artificial intelligence services (think “rent-an-AI”) are only available through the cloud. For example, if you wanted to incorporate advanced natural language processing into your core systems, you would not simply install IBM Watson on your existing servers. Microservices, which are isolated processes that can be plugged into an existing technical architecture, fulfill their true potential by calling out to advanced, external services like blockchain and IoT data platforms. Then there are the possibilities offered by computing in the cloud. Serverless computing allows insurers to leave all server management and resource provisioning to the cloud provider for increased processing power, decreased latency and real-sized costs. It represents an evolution in the way that we consume and use cloud. For insurers looking at huge new sources of data, like wearable devices, serverless computing is a must. These are the real benefits of cloud computing. Core systems in the cloud can take advantage of some of these new computing trends more easily, but all have an opportunity to leverage the cloud to advance their technological capabilities. The insurance industry is poised to use cloud in a whole new way by streamlining processes and upgrades, connecting to advanced technology and consuming more data. The more benefits that insurers reap from cloud computing, the more cloud computing will become table stakes.

To learn more about the latest computing trends and how they will affect insurers’ core systems, please see our recent report, The New World of Core Systems: How New Computing Trends Will Transform the Core Systems Paradigm.


Karen Furtado

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Karen Furtado

Karen Furtado, a partner at SMA, is a recognized industry expert in the core systems space. Given her exceptional knowledge of policy administration, rating, billing and claims, insurers seek her unparalleled knowledge in mapping solutions to business requirements and IT needs.

How to Be Agile in Today’s D2C Era

Insurers are limited by legacy systems that track only certain types of customer data — and can’t crunch available data efficiently.

Direct-to-consumer (D2C) sales have shaken up multiple sectors, from retail consumables to insurance sales. While D2C sales of property and casualty insurance have the potential to improve customer satisfaction, increase upselling and boost retention, moving into the D2C space also poses challenges for insurers that have invested heavily in more traditional models. Here, we look at some of the biggest challenges D2C poses, the opportunities available and how P&C insurers can improve their direct appeal to consumers without losing their traditional strengths. The Challenge of D2C D2C models are threatening traditional participants in a number of industries with their ability to adapt, innovate and streamline — skills that are tough for established players to exercise quickly,Groceryshop cofounder Zia Daniell Wigder notes. “Ultimately, monopolistic players are stuck in a paradigm that is very profitable, but that leaves them with reduced ability to innovate and form direct, meaningful relationships with their customers,” Widger writes. While Wigder’s analysis focuses largely on retailers, many of the same challenges of D2C competition apply to P&C insurers. In particular, P&C insurers need strong connections with customers. These relationships boost customer retention and provide key insights into behavior and risk that play an essential role in the development, pricing and deployment of insurance products. And the D2C model makes customers want to build relationships with companies. As Ben Sun, general partner at Primary Venture Partners, tells Wigder, “New D2C brands emerging today understand these challenges and have built platforms that directly attack those vulnerabilities and provide consumers something of real value -- either a far superior shopping experience, higher-quality goods, cheaper products or greater convenience.” An outstanding shopping experience, better coverage, lower prices and increased convenience are high on the wish lists of those seeking P&C insurance — and, when D2C models can provide them, they become more attractive than their predecessors. See also: Why More Don’t Go Direct-to-Consumer   Even newcomers to the insurance market, however, face hurdles that sectors such as retail do not. Jay D’Aprile, executive vice president at Slayton Search Partners, says the complex web of legal regulations surrounding insurance creates additional hurdles for companies planning to either start on a D2C model or include a D2C option among their approaches. Fortunately, these challenges also present opportunities. D2C Opportunities for Insurers A 2016 Timetric report on D2C innovation in insurance found that the prevalence of internet technology in consumers’ lives — and the transparency that brings to every industry — has shifted the balance of power from insurers to consumers in our industry. Most insurance companies’ customers now demand fast, efficient, digital-centric access to insurance information and products. Often, a shift in the balance of power can feel like a cloud with no silver lining. Yet the power shift actually creates a number of opportunities. Expanded (and Tailored) Product Offerings Concerns over “choice paralysis” have long led P&C insurers to maintain a relatively small catalog of offerings. Insurance is complex, and a longstanding belief that too many options would cause customers to walk away has resulted in a reduced number of product offerings. While too many choices can be overwhelming, the existence of many choices, alone, isn’t typically the problem. “There is no upper limit to the number of options you can provide customers. With our private exchange, companies are offering 30 or even 300 choices to customers with a great experience,” Liazon cofounder Alan Cohen says. The trick, he adds, is to present options in a way that customers find intuitive to navigate. Personalization, packaging that clearly indicates differences in value and information access to support customer decisions allow D2C companies to lead customers easily through any number of choices. What does this mean for insurers? As technology helps insurance companies develop new products more quickly, P&C insurers are no longer limited from the customer side when it comes to tailored offerings. It becomes easier for insurers to provide precise, personalized coverage — and doing so simultaneously feeds customers’ desires for personalization and specificity, boosting their likelihood of returning to the insurer. Increase Employee and Customer Satisfaction at the Same Time In a 2016 report, Liazon found that companies using a D2C approach to both customer-facing products and employee-facing information tripled their employee satisfaction and doubled their customer satisfaction. How? In both cases, the D2C approach made the product in question — whether it was auto insurance for customers or health insurance for employees — easier to access. Questions could be answered more quickly, often with a quick browse on a website or mobile app. Selecting benefits or coverage was easier and more transparent and felt more personal. Companies that use these tools to collect customer or employee data have seen big boosts from their D2C approach, as well. “By leveraging analytics, we can deliver promotions and offers more efficiently to our consumers,” former High Ridge Brands CEO James Daniels explains, “and build our brands using owned media assets including our millions of Facebook Fans, email subscribers and website visitors vs. solely relying on paid media channels and at-shelf promotions.” How to Innovate D2C provides opportunities to increase agility, not only in the sale of P&C insurance products but in the way an insurance company understands customers, analyzes risk and does business. Technology provides the key. An agile insurance business in a D2C world “typically requires a multi-channel approach, including web, mobile, social, email and phone,” D’Aprile said. “Interaction on each of these plains must be tracked coherently to cater to the increasingly non-linear customer journey.” And, as Daniels noted, tracking customer interactions matters. Currently, insurers are limited by the systems they’ve build to track only certain types of customer data — and by legacy computer systems that can’t crunch available data efficiently. To get ahead of this problem, insursers will need to explore more expansive ways to capture and understand customer data. A strong D2C platform is only part of the equation. “If DTC is not a strategy that is deeply ingrained across the entire enterprise, customers will quickly see it for what it is: a smoke screen,” D’Aprile said. “Fancy technology cannot overcome operational siloes and uncoordinated business functions.” See also: Why Are Direct-Sales Carriers Winning? While D’Aprile mentions a multichannel approach as one solution to this problem, increasingly savvy customers who interact with insurers through multiple channels may come to read “multichannel” as a smokescreen, as well, because the experience in each channel is still different, BOLT’s CEO Eric Gewirtzman says. An omni-channel approach puts the customer experience, insurers’ access, agents’ information and data analytics under a single umbrella, maximizing the agility of the entire system while offering customers the personalization and speed of a D2C approach, according to CRM software provider Ameyo. Omni-channel allows for more agility in a D2C world — whether or not an insurer wishes to prioritize D2C insurance sales.

Tom Hammond

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Tom Hammond

Tom Hammond is the chief strategy officer at Confie. He was previously the president of U.S. operations at Bolt Solutions.