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3.5 Things to Know on Claims (Part 3.5)

Marketing dollars will not help you sell a product to a person who went through your outdated process and was displeased and unimpressed.

In the first three articles we talked about the claims process being a customer experience issue. (You can find them here.) We discussed how this process could be less expensive. We also gave some thoughts about how this process could actually generate revenue for the company. We asked you to image yourself being a financial adviser/life agent. We also asked you to imagine that you were a beneficiary who is on the receiving end of a life insurance policy. Let’s face it, life insurance is a grim subject. It has been said that life insurance is never bought, it is sold. Meaning most people are not driving down the road and think to themselves, I should buy life insurance today. But the insurance space is changing! You can now buy policies online without ever meeting with (or speaking to) a representative. Simple life products such as term policies are now purchased this way every day. Term is not a complex product. Most people feel they don’t need advice on such a simple product, so they go online and purchase it. This is why it is so important to realize that, if your process is stuck in that past, hard to complete, done by snail mail, etc., what are your chances of selling any of your products in the future? When I used to give presentations to life agents, I would ask: “What is the easiest life insurance policy sale you will ever make?” I would receive many answers, like: term insurance, monthly payment types, policies from reputable companies. The list would go on and on. See also: 3.5 Things to Know About Claims Systems   Then I would suggest my answer: “The easiest life insurance policy I ever sold was to a person I had just handed a beneficiary check to!” Think about it, I didn’t have to explain the features and benefits of life insurance. The person just experienced the benefits. I didn’t have to “sell” the person on the need. All I had to do was be genuinely interested in helping. Be there to express care and empathy during a time of need and offer my professional opinion. Here’s how your company can be innovative:
  1. Instead of recreating the innovative wheel, seek out and connect with insurtechs. You might be surprised at what you find and how easy it is to work with these startups.
  2. Meet your customers when and where they want. Forcing them down a process that is better for you doesn’t help them!
  3. Increase efficiencies, decrease mistakes and make it easy to do business with you.
  4. Offer a great customer experience for the claimant. This will increase your chances of making this person a future client.
  5. Make your process easy - No more feeling like you need an attorney to complete the paperwork and your process.
  6. Have a “beneficiary first” mindset.
See also: How to Collaborate With Insurtechs   Here’s how your company can generate revenue from your claims process:
  1. Have a beneficiary-first mindset. How would you want to go through the process?
  2. Increasing efficiencies in your process reduces expenses. These reductions go to the bottom line.
  3. Use your agency/adviser force! They want to help your clients. You should want to make it easier for these agents/advisers to help your clients. When was the last time you filled out the account opening forms or your product offering forms? Try it; it would be a great exercise!
  4. Think about ALL of the users in your process. Internal employees, claimants, agents, advisers and potential new clients.
The bottom line — if your processes are stuck in the past, you will decrease your chances of gaining clients. Marketing dollars will not help you sell a product to a person who went through your outdated process and was displeased and unimpressed.

It's Time To Reinvent the Claims Process

The claims process has a long way to go. A massive amount of cost can be taken out, and everyone's experience can be improved.

sixthings

When I spoke at Enservio's Property Innovation Summit last week in St. Petersburg, FL, I followed an astronaut who flew two space shuttle missions and makes guest appearances on "The Big Bang Theory" and a former FBI agent who played the key role in catching Robert Hanssen, the most notorious spy in U.S. history. I was followed by a former Marine sniper who did tours in Iraq and Afghanistan and who co-founded Team Rubicon, which has organized some 80,000 volunteers who are former members of the military and who use their skills to help immediately following natural disasters around the world, such as the recent Hurricane Harvey. One of my daughters said, "'Dad, I'll put this as kindly as I can: Why did they want you there?'"

Fortunately, my self-worth is not fragile, and the topic I covered is an important one for the industry. I thought I'd cherry pick some details here (as long as I can't present you with the astronaut, spy catcher or ex-sniper).

Drawing on the information in our Innovator's Edge platform about tens of thousands of  insurtechs and early-stage technology companies that might have a major impact on insurance, I described for the audience of senior claims executives the companies that I think have the best chance of radically improving the claims process. They are:

  • Pypestream, which produces chatbots and provides secure communications links with customers. Everybody has a chatbot these days, but I'm a fan of Pypestream, partly because the company has done so much work in insurance that it has great domain expertise.
  • WeGoLook, whose thousands of gig workers around the country (called "Lookers") can efficiently supplement insurers' claims operations.
  • Infinilytics, whose predictive analytics can, among other things, help spot fraud.
  • RightIndem, which offers a white label claims process that speeds handling and improves the customer's experience.
  • Casentric, whose technology helps evaluate personal injury claims.
  • ViewSpection, which allows for self-service inspections using customers' phone cameras.
  • MotionsCloud, which offers a mobile app that uses AI to greatly speed the claims process.
  • Care Bridge International, which offers solutions for future medical valuations, medical reserve setting, underwriting, claim settlements and more.

I also shared this chart, which uses data from Innovator's Edge to show where the funding in claims management tech, alongside some related areas, has been going for the past three years:

claims_funding_tech

I think we can all agree that the claims process has a long way to go. A massive amount of cost can be taken out, and everyone's experience can be improved. Nobody—not those on the carrier side, not the agents and certainly not the customers—enjoy the days and weeks of back-and-forth that are required now, often focused on small details and generating so very much paper. 

Following insurtechs such as the seven I've listed can be a great way to broaden our horizons about what's possible, and finding the one or two right partners can be a great step on the road to profitable innovation. 

Have a great week.

Paul 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.

3 Ways to Develop a Growth Mindset

Insurance organizations are rapidly shifting from prioritizing “knowledge workers” to seeking out “learning workers.”

"Your business is as smart as the sum of your team's education." Anyone who’s been with an organization for a few years or has ever led a group understands the wisdom of that statement. Thought leaders, innovators and visionaries can drive an organization to new heights, but creating a culture where learning permeates every level of the company can lead to a more measured, lasting impact. To achieve such an outcome, that sum of a team’s education cannot be static. College offers a good foundation, but doing a deep dive into a specific subject at the start of a career doesn’t cut it anymore (if it ever did)—especially in today’s fast-paced world. Today, everyone is expected to continually augment skills and stay abreast of the latest technology, news and developments. That’s why it should come as no surprise that insurance organizations are rapidly shifting from prioritizing “knowledge workers” to seeking out “learning workers.” That constant hunger for new information and education takes a different kind of skill set, one that is not focused solely on coverages, contracts or sales. Instead, employees need to learn how to learn. Two Learning Mindsets Carol Dweck dug deep into this lifelong pursuit of knowledge in her landmark research and developed what she calls the growth mindset. She posits that learning and intelligence involve two basic mindsets. Some people have a fixed mindset. They believe that intelligence is static—something you’re born with. Individuals with a fixed mindset spend more time confirming and justifying their existing intelligence and less time learning. Those with a growth mindset, however, believe that intelligence can be shaped and developed throughout their lives. They’re quicker to embrace new ideas, find inspiration in others and seek out new avenues of learning. See also: The Formula for Getting Growth Results   This divide in our approach to learning starts early. Dweck observed fixed and growth mindsets in four-year-old children, with some opting to redo a puzzle they had already completed (i.e., confirm their intelligence) and others moving on to a more challenging game. Supporting a Growth Mindset Dweck’s research took the business world by storm, and many employers quickly began hiring employees with a growth mindset. However, Dweck says that some of her findings have been misinterpreted. She’s quick to point out that there’s more to a growth mindset than just effort, and no individual can have a growth mindset about everything all the time. Organizations need more than an impassioned mission statement to develop a growth mindset. Employees should feel supported and rewarded in their pursuit of new knowledge and ideas. That’s easier said than done. Lifelong learning is often touted as an ideal we should all work toward, but it can be ambiguous. In reality, especially on the job, lifelong learning should be more specific than just “know more stuff.” Here are a few tangible ideas for employers to support a growth mindset. 1. Set the expectation early You can start emphasizing lifelong learning even before a job offer. Prioritize resumes from applicants who seek new knowledge and experiences. During interviews, questions like “What’s the last book you read?” or “What are you working on learning right now?” can identify a growth mindset and help you bring in the right people. When new employees start, build learning into their daily work by including it in your formalized onboarding process. Keep that momentum going after they settle in by integrating learning into performance reviews. During reviews, press employees for specific examples of how they stay current on their industry. 2. Establish specific goals and timelines Harvard Business Review has some great insight on turning a “vague desire to improve learning” into specific next steps. One core idea is to establish specific goals—instead of deciding to simply read more, commit to reading one book a month or subscribe to a daily insurance industry email newsletter (and actually read it!). These goals should be structured and have clear objectives. They should be reviewed and adjusted as part of official performance reviews to make it clear that they’re not just nice goals to strive for but something that the organization considers essential. See also: ‘Jobsolescence’: How Big a Threat?   3. Prioritize hybrid skills Jobs requiring new skills emerge every day, and the insurance world is no exception. Case in point: Across all industries, the demand for data analytics jobs is up a staggering 372% since 2011. Not every risk manager or underwriter needs to master data analytics, but, the broader your team’s knowledge base, the more successful your organization will be. Employees are concerned about shifting skills and expectations, too. Providing them a clear path to on-the-job learning can help alleviate these fears and keep your top people focused on growing within your organization. Prioritizing lifelong learning as an organization is the best way to show that your business values the sum of a team’s education.

Ann Myhr

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Ann Myhr

Ann Myhr is senior director of Knowledge Resources for the Institutes, which she joined in 2000. Her responsibilities include providing subject matter expertise on educational content for the Institutes’ products and services.

4 Key Qualities to Leverage Insurtech

Most companies lack the vision to connect even obvious dots if they’ve never before been connected. Don’t be most companies!

Most insurance businesses realize that there are benefits offered by upgrading legacy systems and becoming more “tech-forward.” However, not all insurance businesses are prepared to make the leap. Here are four qualities your insurance business needs if you want to succeed in leveraging what insurtech has to offer. 1. Customer-Centricity Customers are at the center of every business, and insurance is no exception. Being consumed with your customers to the point that you fully understand and anticipate their expectations will make leveraging insurtech a much more seamless process. Many insurtech solutions are designed to assist with customer interactions and bilateral communications. Some are even leveraging artificial intelligence to enable more personalized, more scalable coverage solutions. Despite the allure of insurtech, it doesn’t deliver a set-it-and-forget-it solution. It can’t. If your insurance business is not in touch with your customer base to begin with, you’ll have trouble discerning where the use of automation and insight technologies makes sense and where it doesn’t. Moving to a customer-centric approach begins with realizing that there is no “average” customer. Customers have different behaviors and preferences, and, by truly understanding them, you’ll be able to overcome the false appeal of a one-size-fits-all approach and successfully, that is intelligently, implement insurtech within your business. It’s critical that you have a firm grasp of your customers' transactional preferences. In what situations do they expect and prefer to have frictionless, humanless interactions? In what situations do they expect and prefer to have someone to work with? The answers to those questions will differ considerably depending on the customer. Without the answers, even the best AI or automation tools will have a limited or even negative effect on your overall business. A profound knowledge of your customers and their preferences is fundamental to knowing where and when to intelligently apply and effectively leverage insurtech. At the end of the day, “insurtech” is a portmanteau of “insurance” and “technology.” It's about adding new technology to the world of insurance, not about replacing the insurance world with the technology world. As such, it’s important that you use technology in a way that complements your operations. When it comes to insurtech, for best results you should be using it while drawing on the wealth of insurance world knowledge and experience you’ve acquired. That’s especially true when it comes to insurtech applications that interface with or pertain to your customers. See also: How to Collaborate With Insurtechs   2. Holistic Analytical Approach to Data Being adept at critical or analytical thinking goes a long way when leveraging insurtech. Many insurtech solutions revolve around the same basic idea: Improve data capture, automate the information collection process and apply it everywhere. That means that if you’re investing in insurtech, you’re probably already drowning in data or will be soon. Data is great, make no mistake. But data without context or — worse — data that’s analyzed and interpreted without discipline or scientific understanding can be harmful. Misinterpreting your data, looking in the wrong places for insights or letting the data collect dust because of uncertainty as to how it should be tackled are common problems. Acting confidently on bad data interpretations can be particularly destructive. It’s imperative, therefore, that you’re able to intelligently interpret and action your data. It’s important that you approach the data generated from insurtech solutions holistically. A holistic approach to data is one that avoids reverse-causal conclusions, understands and satisfies the demands of statistical significance, accounts for sampling errors and examines patterns with a broad perspective. Key to this is employing properly trained professionals where necessary, assuming a longitudinal point of view and being hypervigilant about duly contextualizing all data sets. For example, consider a new insurance agent who brings in five new applications worth a total of $50,000. Is this agent suddenly a top producer? Perhaps, but it’s important to look at data over time to see how renewals and persistency pan out. If the agent cannot retain business, then new applications and new business do not necessarily mean increased long-term (and in some cases even short-term) profit. Another example might be a client who has recently purchased several insurance policies following a marketing campaign. Did the client buy because of the campaign, or was he already in the market for insurance and would have purchased anyway? In both cases, it’s easy to confuse correlation with causation. 3. Swift Action The insurance business is notoriously slow to change existing processes and procedures. For example, the prevalent agency model for insurance policy sales and management in the U.S. hasn’t changed much since the 1970s. In fact, it has been criticized since that time in academic literature for being outmoded and a costly way to sell insurance to the general public. Today’s insurance businesses need to act quicker. Acting swiftly and intelligently will drive down costs, improve profitability and better set you up to leverage insurtech. Many insurtech applications rapidly collect and deliver data; however, your insurance business needs to be able to act swiftly on that data to capitalize on it before it goes stale. For example, a client who just opened a business needs liability insurance now, not a month from now. Having that data at your fingertips is wonderful… so long as you act on it. Having a quick-twitch motor and a matching mentality is crucial to fully leveraging insurtech. You need to be always on and always ready to act if you expect to succeed in this age of disruption. Aside from hiring the right people — fit for sudden and decisive action — and properly training them how to act and with what triggers, one way to ensure swift action is by automating clerical activities. Time-consuming tasks such as manually filling out forms, document drafting, scanning, faxing and playing signature tag with customers are all examples of activities that needlessly take up too much precious time in insurance businesses. Turning to intelligent management systems that automate these tedious processes will cut out a lot of the red tape and remove some of the most common barriers to acting more swiftly. This should free your time and that of your employees to focus on bigger picture activities, such as leveraging insurtech to its fullest potential and making your business thrive. 4. Open-Mindedness One of the hardest things for insurance businesses to do is break out of the mold they’re cast in. They suffer from a frame of reference fallacy, wherein they cannot see beyond the strictures of their immediate environment and their own experiences. Not looking (or thinking) “outside the box” makes the industry vulnerable to disruptive business models. Lemonade, for example, disrupted the insurance industry by offering homeowners and renters insurance coverage powered by artificial intelligence and behavioral economics. By doing away with brokers and unnecessarily long and bureaucratic procedures, they’re able to offer an instant digital alternative to traditional insurance purchasing. They were only able to do this, of course, because so many in their industry failed to see how new technology, new consumer expectations, and a new business normal pertained to insurance. Most companies lack the vision to connect even obvious dots if they’ve never before been connected. Don’t be most companies! See also: Is the Insurtech Movement Maturing?   Being open-minded and willing to try alternative methods is a must for leveraging insurtech. When you don’t acknowledge your limited frame of reference as a vision block and make a concerted effort to overcome it, you can be unnecessarily boxing yourself in and handcuffing your growth potential. If you're afraid of jeopardizing what's already working, you won’t be able to successfully leverage new insurtech tools and techniques. The question of course is whether “working” is a relative or absolute term. If your current approach is producing 2% growth, that’s great, but how do you know that an augmented approach wouldn’t produce 20% growth? What’s more, the insurance industry is increasingly moving toward a digital model. So much so that soon just keeping up with the times will require you to remain open-minded to radical change. According to a report from Accenture, for example, 47% of surveyed respondents would rather have more online interactions with their insurance companies and 49% have already purchased a policy online with 41% of respondents purchased on a mobile device. The business is changing, and if you don’t change right along with it you’ll likely go the way of the dodo bird. The digital trend is so strong that one major American insurance company estimated that roughly 40% of future business will come from the web, with much of that business coming from mobile. Conclusion Now, more than ever, the insurance industry needs to leverage insurtech. Disruptive startups will continue to set the pace in the insurance industry until older companies manage to learn new tricks as they look to more intelligently leverage digital technologies. Being open-minded, acting swiftly, taking a holistic approach to data and gaining an in-depth understanding of your customers is critical to being able to leverage insurtech successfully. Make it a point to adopt these four qualities and give your insurance business the best chance to grow.

Workers’ Comp in the Year 2030

Costs for workers’ comp could triple by 2030 with no change in indemnity benefit levels, raising questions about the viability of the system.

At the WCRI Annual Issues & Research Conference, Dr. Richard Victor, former CEO of WCRI and currently a senior fellow with Sedgwick Institute, discussed his views of workers’ compensation in the future.

The workers’ compensation system was a compromise between labor and business designed to provide no-fault benefits in an environment that gave exclusive remedy protections to employers. Over the years, there have been ebbs and flows to the system in an effort to maintain balance. There is a constant struggle to balance benefits to workers with the costs of the system paid by employers. In the past, when the workers’ compensation system got out of balance, it was due to actions from those within the system. That is something the system could correct with regulatory change. However, right now, there are things happening outside of the workers’ compensation system that could significantly affect it and cause a rethinking of the grand bargain.

Emerging labor shortages

Retiring baby boomers will cause labor shortages in healthcare and the insurance industry, which will delay claims and medical care. This will ultimately increase claims costs.

See also: The State of Workers’ Compensation  

In addition, a stronger economy is ultimately going to lead to a severe labor shortage. When you pair the aging workforce and people retiring with a growing job market, you end up with not enough qualified applicants to fill the positions. Employers have to relax their hiring standards. This leads to unqualified applicants being hired. These people will likely have higher accident rates.

Changes in the non-occupational health system

As workers see their out-of-pocket health insurance costs rise, it becomes more attractive to try to shift illness and injury episodes into the workers’ compensation system. Richard feels that this shifting will result in a 25% increase in workers’ compensation claims by 2030. With soft tissue injuries, it would be very easy for the worker to indicate the injury happened at work instead of at home. Disproving that would be very challenging for employers. Higher deductibles will greatly encourage workers to look for these cost-shifting possibilities.

Millions of workers losing health insurance

The number of uninsured workers is expected to decrease significantly as elements of the Affordable Care Act are repealed or weakened. These uninsured workers are also highly encouraged to shift their treatment into the workers’ compensation system. Richard estimates a 15% increase in workers’ compensation claims due to this.

Aging workforce

The injury rates for the older workers is higher than for younger workers. As the U.S. workforce ages, we will see higher injury rates across the employee population.

Federal immigration policies and practices

Limiting the flow of immigrants into the U.S. at a time there is a labor shortage will only compound the problem. The only way to grow our workforce to keep up with the demand is with immigrants. All of the growth in the labor force going forward is projected to come from immigrants. Roughly 15% of all healthcare workers in the U.S. are foreign-born. If we discourage immigration into this country, Richard feels it could cause a labor shortage in the healthcare industry. It does not even take a change in policy to see a change in immigration flow. After the Brexit vote there was a significant reduction in European nurses registering to work in the U.K. This is even though there had yet to be a policy change in the country.

See also: Healthcare Reform’s Effects on Workers’ Compensation

Conclusions

Taking all of the outside factors into consideration, Richard estimates a 55% increase in the number of workers’ compensation claims by the year 2030. When you add in medical inflation the costs of the workers’ compensation system could triple by 2030 with no change in indemnity benefit levels. With this significant increase in costs, there will be questions about the continued viability of workers’ compensation.

What is the solution? Are there viable options to traditional workers’ compensation? ERISA-style plans like the opt out in Texas have been widely criticized for providing inadequate protections for injured workers. Union carveout plans only apply to a very small sector of the workforce. Could we see workers’ compensation claims organizations become accountable to both employers and workers, with employees having the ability to choose which claims organization they want to use?

Why to Digitize Disability Claims

For health insurers, digital technology offers new ways to manage risk that rely less on face-to-face and traditional clinical assessment.

Healthcare is being transformed by advances in artificial intelligence, virtual reality, machine learning, sensors and other innovative technologies. Practically everybody has a smartphone, making it easier than ever to gather data and consent to third-party access. Data insights mean providers can offer people products and services tailored to them individually. For insurers, digital technology offers new ways to manage risk that rely less on face-to-face and traditional clinical assessment; this is why there is so much interest in understanding how innovation might work. Selected comments from four key players in the digital health ecosystem make clear the appeal of putting two and two together. Thomas Lethenborg at Monsenso, a mobile platform for mental health, said, “Digital technology helps an individual move from reactive behavior to being more proactive - and this changes the paradigm, in particular with engagement.” It’s a view shared by David Forster of Thrive, a digital interventions app for mental health: “Data drives our understanding of what works best for the individual.” According to Forster, the success of digital technology in clinical settings points to real opportunities in insurance: “It makes it possible to provide policyholders help with illness prevention, early detection and assistance on a personal level.” Ian Prangley, of exercise rehabilitation service TrackActive, continued the theme when he said, “For insurers, digital solutions can drive connectedness, engagement and customer satisfaction while enabling people to self-manage their health. Harnessing data insights and implementing artificial intelligence (AI) is key to achieving this.” See also: New Regulations for Disability Claims   A comment by Danny Dressler of AIMO, an ecosystem integrating intelligent motion analysis into musculoskeletal care, added further confirmation: “As more and better data is gathered and processed safely, AI offers the most promise to take care of people's health and fix issues in both healthcare and the life and health insurance sectors.” By using digital means, insurers can create scalable, automated, speedy ways of supporting people when they need help the most. Proponents argue that digital offers better health outcomes for policyholders that will reduce the costs associated with long disability claims - a win-win for both insurers and consumers. Dressler noted that “technology like ours lets insurers offer customers new solutions such as dynamic pricing, automated claims and even help to prevent claims from happening.” Lethenborg says there is “an opportunity to ensure the data collected gives holistic insights and analytics that we can use to intervene more rapidly, when help is needed.” But it’s crucial the highest levels of privacy and data protection are guaranteed and operators are in full compliance with regulations. An imperfect balance of privacy with innovation is a deal-breaker for consumers. Forster is clear how delicate this balance is: “We recognize our responsibility to safeguard users’ data, but at the same time information technology empowers people to make choices and participate actively in managing their own health - it puts them in the driving seat for the first time.” For digital solutions to be convincing, research and scientific evidence are needed, but, with new services, long-term experience is scarce, and a leap of faith is required. Dressler spoke for all in saying, “We maintain strong links to scientific institutions because the general technologies underpinning our solutions emerge from scientific thesis...[This means] we only implement new features or functions after a rigorous validation process, especially because we are asking people to trust us with their health and well-being.” Dealing with high volumes of data is not without risk, particularly when it’s shared with third parties. See also: A Road Map for Health Insurance   Ian Prangley has pointed to recent concerns over how sensitive data is being used to highlight the challenges faced: “The key is to anonymize and protect data and have customers consent to sharing it on the understanding it will be used solely to improve their health.” This insight is driven home by Lethenborg, who said, “Transparency about how the data will be used is essential to building trust.” Digitization has already brought new products and services that have had positive medical and scientific impact. As Prangley said, “Technology has connected people and changed how we relate to each other. There [are] arguments for and against this of course but in the context of health and wellbeing we believe it’s a great thing.” With mental health and musculoskeletal problems as the leading causes of disability claims in every market, companies can bring digital solutions and opportunities - and health insurers can also feel great about them.

How Insurtech Boosts Cyber Risk

As the world becomes more connected, cyber risk appears as a bigger threat on the digital transformation journey of insurance companies.

As the world becomes more connected -- with billions of sensors, connected machines, totally digital processes, trillion terabyte of new data and strict regulations on data privacy -- cyber risk appears as a bigger threat on the digital transformation journey of insurance companies. Cyber risk was always there, and companies managed it without detailed policies or billion dollar covers. But, the situation is changing dramatically. In our century, managing cyber risk is a full-time job and requires big budgets. Gross written premium in 2017 for cyber risk policies was nearly $3.1 billion, and it is expected to reach $14 billion just in five years. Insurance professionals expect rapid growth because cyber risk is now threatening not just financial statements but also the existence of companies from every business. Managing cyber risk seems still like maiden soil. There are covers for business interruption, reputation loss and possible physical damages, but it is obvious that there is a lack of clear understanding about how much cyber risk policy owners have. Cyber risk management is still in the very early stage: I don’t know what I don’t know! See also: Urgent Need on ‘Silent’ Cyber Risks   As a result of new capital regimes and strict regulations, like GDPR, Solvency II and MiFID II, there is a remarkable increase in sales and acquisition activities among companies from every sector, and cyber risk appears as a new key indicator during M&A due diligence processes, as well. Four or five years ago, cybersecurity due diligence consisted of asking few questions in a short phone call. Now, cyber risk management can lead to the termination of an M&A deal in a few days or a sharp reduction in price. So, insurers appear as due diligence partners. As all we know, the acquisition of Yahoo was radically changed right after Verizon Communications learned about how 3 billion Yahoo accounts were stolen. When Home Depot was preparing an offer for the Company Store, Home Depot discovered that e-mail and payment card information for as many as 56 million customers was stolen. Cyber risk is climbing to the top of CEOs' nightmares, and insurtech is a trigger -- it is also the best tool for managing cyber risk.

Zeynep Stefan

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Zeynep Stefan

Zeynep Stefan is a post-graduate student in Munich studying financial deepening and mentoring startup companies in insurtech, while writing for insurance publications in Turkey.

Distracted Driving -- an Infographic

Despite awareness campaigns, 52% of accidents had significant phone distraction beforehand, according to Cambridge Mobile Telematics. 

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Distracted driving is having a tremendous impact on insurance rates. Distracted driving is the leading cause of accidents Increasing technology has seen the development of user-friendly mobile devices that have been the leading agents of distractions when it comes to driving. Distracted drivers have always existed. However, their number drastically increased with the invention of new applications for smartphones. Distracted driving has been found to be an increasing problem especially among the youth. More accidents equate to higher policy premiums Studies show that a distracted driver is 23 times more likely to cause an accident while using a cell phone. The Boston Globe reports that policy providers in Massachusetts received approval to raise rates by as much as 5% in 2017. See also: Distracted Driving: a Job for Insurtech?   Insurance costs rise drastically Many campaigns have been launched countrywide in a bid to sensitize drivers on how to keep their mind on the road and hands on the wheel. However, overconfidence and lack of focus has seen more drivers lose their lives due to distracted driving -- 52% of road accidents had significant phone distraction before the accident, according to Cambridge Mobile Telematics. Everyone should take part in curbing distractions while driving to help moderate insurance rates. Strict actions should be taken on those violating traffic rules. It is also important to report any road or accident-related cases to a car accident attorney.

Christian Denmon

Christian Denmon

Christian Denmon is a Tampa, Florida trial lawyer specializing in personal injury and divorce. He is the founding partner of Denmon & Denmon. A truly progressive firm, the firm offers fixed fee engagements, service guarantees and a focus on picking the right process to lead to a principled settlement for the client. He lives in St. Petersburg with his wife and two children.

Fighting Fraud With Multifactor ID

Bank customers must use both a physical debit card and a PIN. For increased security, insurers need similar multifactor identification.

Insurance companies, like many other businesses, are extremely concerned – and rightly so – about cyberattacks that could result in the theft of the personal information of customers and employees. To protect themselves against data breaches and other threats, they companies are implementing physical and network security controls that include both the latest technology-based solutions and security awareness training for employees, who are all too often the weak link. But while these security measures are certainly necessary, they are not enough, because insurance companies also face a second type of risk: the risk that criminals who have gained access to customer information from other sources will use it to hijack accounts. Most account takeovers occur via social engineering, where fraudsters use hacked customer data they have purchased on the dark web or information they have gleaned from social media to impersonate legitimate customers and trick call agents into making account changes. To prevent this type of fraud, insurers need more robust customer authentication processes. Many insurance companies continue to rely on so-called knowledge-based authentication (KBA) to grant access to accounts, meaning that customers verify their identity by demonstrating knowledge of personal information such as their account number, date of birth, mother’s maiden name and so on. But any business that protects financial assets by authenticating customers in this way is vulnerable to fraud because, thanks to data breaches, criminals have easy access to that information. And the rise of social media means that even the answers to common challenge questions (for example, “What was the name of your first pet?” or “Where did you attend elementary school?”), are often readily available to skilled and patient fraudsters. See also: Draining the Swamp of Insurance Fraud   The proliferation of customer information on the dark web and on social media means that insurance companies need to rethink how much, if at all, they will rely on customers’ knowledge of personal information to verify their identities. Because criminals have such easy access to customer data, insurers need to implement more reliable ways to identify their customers, whether the contact is via the web, a mobile app or phone. So how can insurance companies make sure that a person logging in to change account details or calling customer service to initiate a claim is a legitimate customer? Multifactor authentication is a best practice that adds an extra layer of security to the identity verification process. This approach requires that knowledge (something the user knows, such as a Social Security number or account number) be combined with inherence (something the user is, such as a voice print or retina scan) or ownership (something the user has, such as a trusted phone or a driver’s license). ATM access is a good example of a type of transaction requiring multifactor authentication: Bank customers must use both a physical debit card and a PIN. For increased security, insurers should apply this same principle to their customer authentication processes. Apps and websites, for instance, should not grant account access based simply on user IDs and passwords – both pieces of information that can be hacked. A wide variety of more secure authentication methods are available, and many of them, such as dynamic PIN code generators and one-time password lists, are not particularly costly or complicated to implement. Compared with online access, the phone channel continues to lag when it comes to security. Identity interrogation is still the dominant means of authentication used by customer call centers, and this obviously poses a significant risk in the age of increasingly sophisticated fraudsters who are adept at social engineering. Fortunately, new tools are emerging that make reliable multifactor authentication possible. One approach is to use the caller’s phone as a physical ownership-based authentication token. With this method, a network forensics system analyzes the phone call within the global telephone network and verifies that the customer is calling the call center from his or her personal phone. The process is virtually invisible to callers (it requires no action or enrollment) and allows callers to be automatically authenticated before their calls are even answered. With this technology, the only way a fraudster could spoof a call would be to physically steal and unlock the customer’s mobile phone or break into the home to use a landline. These are not easy tasks to accomplish. Multifactor authentication can also use biometrics – voice prints, specifically, in the case of phone calls. Voice-biometric systems compare a caller’s voice with a previously enrolled recording of the account holder’s to make an authentication decision. Biometric voice authentication will be one of the ways callers are authenticated in the future, but today there remain several sizable roadblocks to widespread adoption. Most notably, it is a lengthy task for contact centers to gain the permission and initial recording from their entire base of members. Remaining stagnant and continuing use of single-factor authentication based on KBA may seem simpler in the moment, but the risks – not only losses to fraud, but also potential penalties from regulators and lawsuits from affected customers – greatly outweigh the short-term discomforts associated with technology change, which will ultimately bring with it reduced costs and complexity. See also: Global Trend Map No. 11: Fraud   Consumers are living more and more of their lives online, and they clearly value the convenience and connectedness of the digital world. However, the steady stream of headlines about data breaches in every industry, as well as social media companies’ improper handling of personal information, is rapidly eroding trust. Many consumers have little confidence that their information will not be hacked and fall into the hands of criminals. If insurance companies wish to retain customer trust, they must take information security seriously and implement multifactor authentication. The good news is that many of the new authentication technologies are not only more accurate than identity interrogation but also result in a better immediate customer experience. Customers who call their insurance company are often already stressed, and they just want to resolve their problem without having to jump through hoops. Reducing reliance on identity interrogation also reduces operating costs as agents can spend more time helping customers instead of grilling them about their identity. Selecting the right authentication technology can thus be a win-win that results in more satisfied customers and decreased costs.

Patrick Cox

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Patrick Cox

Patrick Cox is chairman and CEO of TRUSTID, which enables companies to increase the efficiency of their fraud-fighting efforts through pre-answer caller authentication and the creation of trusted caller flows that avoid identity interrogation, allowing resources to be focused on real threats.

5 Key Effects From AI and Data Science

Customers are acquiring insurance policies much faster and easier with the help of automated processes.

In the digital era of innovative products and services, insurtech technologies are bringing great opportunities to the insurance sector and accelerating the industry’s transformation. Advances in AI and data science are leading insurers toward the effective use of machine learning, data modeling and predictive analytics to improve back-end processes and streamlining and automation of the front-end experience for both consumers and insurance companies. Here are five ways that insurance companies are applying AI and data to the industry: 1. Front-end sales, underwriting and policy service Customers are acquiring insurance policies much faster and easier with the help of automated processes. These technologies differ depending on the systems that employ them and the people they serve. Integration gateways relying on data and AI are creating new customer experiences. See also: Seriously? Artificial Intelligence?   2. Back-end claim services AI, IoT, predictive analytics and data modeling let insurers refocus claims so that it is easier to file, submit, adjust and reimburse claims. This means customers have their claims settled in an expedited manner. Patterns of fraud are detected, learned from and shared via modeling and the AI that combs them for key information. 3. Business intelligence and big data Smartphones, telematics and sensors from wearables and connected homes provide a wealth of new data. In a connected world, insurers can generate insights from both external and sensor-based data sources. How this data is collected, stored and used will determine whether insurers will build or lose trust with customers. Take necessary measures to harden networks so that the threat of cybercrime is reduced. 4. Customer experience Insurance companies need to offer their services in a way that encourages loyalty, customer retention and loss mitigation. This can be made possible by making policy acquisition easier and keeping policyholders engaged. It’s now common for insurers to monitor driving, health and home behavior through mobile apps and wearables. In exchange for the data, carriers offer lower or customized premiums to customers whose score reflects reduced risk. 5. Customized insurance Carriers offer insurance packages and plans based on a matrix of factors. This requires their agents to possess extensive knowledge about products as well as their new and prospective clients. Through machine learning, millions of data patterns can be analyzed to identify the most appropriate customized plan or product for a particular customer. It can even be offered to them via AI. Data modeling and artificial intelligence are advancing rapidly. They are laying the foundation of an industry equipped to quickly take clients from prospect to policyholder with minimal touch points and reduced risk. See also: Motto for Success: ‘Me, Free, Easy’   Where exactly these technologies will lead us next is anyone’s guess, but carriers have begun to realize the benefits. A historically slow-to-move, conservative industry is now more nimble, innovative and tech-savvy than ever before. Transformation is here!