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Social Inflation: Decades of Insurance Litigation Abuse

The insurance industry can no longer rely on current strategies and responses to this threat, nor can it continue to absorb and pass along the associated costs to policyholders. 

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The scourge of legal abuse in insurance is hardly new or even recent but rather has been insidiously growing throughout the industry for decades. Referred to today as social inflation, legal abuse's stakes are higher, with no signs of slowing, and so-called tort reform. 

Some 86% of Americans agree state and federal lawmakers should address the abuses of the U.S. legal system (see APCIA/MunichRe survey results below). The insurance industry can no longer rely on current strategies and responses to this threat, nor can it continue to absorb and pass along the associated costs to policyholders. 

History/Background

The term "social inflation" was coined by Warren Buffett in 1977 in a letter to Berkshire Hathaway stockholders, where he defined it as "a broad definition by society and juries of what is covered by insurance policies." In 2010, reinsurer PartnerRe expanded on the definition in a white paper stating that social inflation is the increase in insurance losses caused by:

  • Higher jury awards
  • More liberal treatment of claims by workers' compensation boards
  • Increased use of social media
  • Increasing attorney involvement in claims
  • Social developments that influence jury members and lead to very high jury awards
  • Widespread distrust of large corporations
  • Widening of income disparities

See also: A Tipping Point for P&C Litigation

Today

Today’s operating environment has become even more challenging for carriers. Having seen record rate increases in 2022 and 2023, consumers and regulators have begun to push back. Putting further pressure on growth and profitability, a growing number of insurers have suspended auto and property policy renewals in unprofitable jurisdictions and in some cases withdrawn from the market completely until rates become more attractive.

As multi-line carriers emerge from the shadow of general cost inflation and hold their breath for the predicted more active 2024 hurricane season, the longer tail of liability claims looms like a dark cloud. Reserve accuracy comes into question with the long-tail effect in mind. For instance, fear of adverse trial decisions tends to pressure settlements upward and is just one of social inflation’s tentacles. Jury verdicts of $10 million and more, known as ‘nuclear verdicts,” as well as higher plaintiff awards in general, can cause insurers to settle cases more frequently and at higher settlement amounts than previously, distorting both reserving and loss payment patterns.

According to an AM Best special report — ‘Social Inflation Remains a Thorn in the Side of Casualty Insurers’ — the lines of business most affected by social inflation are commercial auto, professional liability, product liability and directors’ and officers’ liability insurance.

Litigation/Funding

In addition to the cumulative economic challenges presented by all the foregoing, along came “litigation funding” around 2015. Litigation funding (also known as legal financing) is the mechanism or process through which litigants can finance their litigation or other legal costs through a third-party funding company in exchange for a sizeable portion of any award or settlement. 

Litigation funding has encouraged litigation and larger awards that may otherwise have not been viable. A recent RAND research report reveals: 

  • a 10% increase in the annual number of new court filings per capita between 2012 and 2019 in 19 states.
  • that 64% of cases reached a verdict in favor of the plaintiff in 2019, up from 53% in 2010.

In recent years, litigation funding has experienced explosive growth and is now a multibillion-dollar industry worldwide, with an estimated $15.2 billion in commercial litigation investments in the U.S. alone. There are dozens of funding firms operating globally, both public and private, some backed by private equity investors. The global litigation funding market was valued at $18.2 billion in 2022 and is expected to grow at a compound annual growth rate (CAGR) of 13% through 2028.  

Only four states have litigation funding laws (Wisconsin, West Virginia, Indiana and Montana).

In March 2024, the American Property Casualty Insurance Association (APCIA) and Munich Reinsurance America, (Munich Re US) released survey results conducted by the Harris Poll among more than 2,000 U.S. adults. The results revealed that a majority of Americans are not aware of the negative impact plaintiff lawyers’ tactics, including predatory advertising and the use of third party litigation funding, have on their household costs via the “tort tax,” whether or not the household is involved in civil litigation. 

The survey also found that many Americans are not aware that the plaintiff lawyer keeps a high percentage of a settlement or jury award and that a large amount may go to third party investors who have no relationship to the claimant, other than to profit from their misfortune. 86% of Americans agree state and federal lawmakers should address the abuses of the U.S. legal system.

Attorney Involvement

Plaintiff attorney firms specializing in personal injury cases are expanding nationally and recruiting clients through aggressive advertising budgets. Morgan & Morgan is the largest such law firm in the country, with a network of over 1,000 attorneys and offices in every state. Last year, trial lawyers spent more than $2.4 billion on local TV, print, billboard and radio ads across the U.S. Claimants are bombarded with attorney marketing letters shortly after even a minor accident. After all, plaintiff attorneys have major incentives by commanding some 30% to 50% of the settlement amounts.

The degree of attorney representation rates in claims is a key metric of average claim settlement amounts. Higher rates of attorney use drive up claim costs in several ways, including lengthier claim cycle time, greater legal defense costs and ultimately higher settlement amounts. These cases also tend to focus consumer awareness on the potential rewards from litigation against insurers, fanning the flames. 

In a 2023 research survey, LexisNexis Risk Solutions found that of auto insurance claimants who hired an attorney, 57% decided to do so before submitting the claim, and 71% said the attorney encouraged them to seek additional treatment.   

A study by Sedgwick found that of litigated commercial auto claims, 55% have attorney involvement before, or the same day as, the report to carrier date. This measure was at 43% only four years ago. Meanwhile, 67% of litigated claims have attorneys involved within the first 14 days of being reported.

See also: Litigation Risks in 2024 and Beyond

Industry Response

Considering the combined effect of all of these challenges, carriers can no longer afford to stand by as their profitability is eroded and the business becomes untenable. Rising rates of litigation, jury awards and claims severity are contributing to higher liability costs. All of which are passed on to consumers and businesses through premiums.

A complex interplay of factors underscores the need for further research to isolate social inflation from other contributing elements. Although the insurance industry has spearheaded tort reform laws in several states, any organized industry pushback against litigation abuse remains disproportionate by a wide margin.

But not all industry leaders agree on the most effective strategies to combat it. Evan Greenberg, chair and chief executive officer of Chubb, explained that social attitudes pitting the little guy against big U.S. corporations are a key driver of the spiraling costs of jury verdicts. “We are not the sympathetic face to show” to change those attitudes, Greenberg said of insurers during the S&P Global Ratings 40th Annual Insurance Conference. The corporations, he said, are now motivated to lead battles that will be waged state by state and county by county, noting that a social inflation fix will not be found at the federal level.

Looking Ahead: Call to Action

The insurance industry can no longer rely solely on current strategies and responses to this threat, nor can it continue to absorb and pass along the associated costs to policyholders. Tort reform is slow and arduous and ineffective in addressing today’s trends.

We suspect that more carriers will take the lead and begin to deploy new, comprehensive short-term strategies to combat social inflation head-on. Such efforts will likely include actions designed to push back on the plaintiff bar in problematic jurisdictions; avoid litigation from the onset, bolster legal defenses altogether and perhaps take more risk via trials.

Insurance industry associations, including the APCIA, will play a key role facilitating exchanges of information among carriers wishing to adopt best practices while broadly supporting legal tort reform in an effort to ensure the long-term health and viability of the industry.

There is no better time to start than right now.


Stephen Applebaum

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Stephen Applebaum

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


Alan Demers

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Alan Demers

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

Let's Have a Word About Elon Musk

His continual overpromising about Teslas' autonomous capabilities and his wildly optimistic plans for colonizing Mars offer lessons on mental traps to avoid.

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Elon Musk is driving me nuts. 

He keeps promising that a breakthrough is just around the corner for Teslas that will not only make fully autonomous driving possible but that will let owners mint money by making their vehicles available as part of a robotaxi network that Tesla will manage. And – this is the really crazy part – many investors seem to believe him even though he’s been making such empty promises for more than eight years.

He’s also now back to talking up the idea of colonizing Mars. He’s said that a million people will be living on Mars in 20 years – 30 years, tops. Even though I realize he’s in his carnival barker guise and is promoting interest in Space X, the sheer stupidity of his claims is breathtaking. We won’t have a single person living on Mars in 20 years, let alone 1 million.

While the connection between Musk’s fantasies and insurance is less direct than I generally like to be in my notes to you, I do think there are a couple of lessons here about how to test claims of coming breakthroughs, including in insurance. I’ll try not to froth at the mouth too much as I lay them out.

The first and more obvious test concerns the credibility of the visionary -- and Musk has none on the autonomous capabilities of Tesla vehicles, in my not-so-humble opinion.

It's easy to see why Musk had loads of credibility in what I think of as his Iron Man days a decade ago. He had co-founded an online city guide in the early days of the first Internet boom and sold it for more than $300 million in 1999. He then got involved early with PayPal and made a fortune. He founded Space X in 2002, with the then-audacious idea that private companies could get into space flight -- and with reusable rockets, no less. That company thrived, too. Musk put up most of a round of financing for Tesla seven months after its founding, became chairman and later won the right in a lawsuit to call himself a co-founder as the company became the leading force in electric vehicles. For good measure, Musk came up with the idea for the "no money down" model for solar installations, which was extremely popular with customers, and helped two cousins launch Solar City. 

While he has stumbled more recently with his purchase of Twitter, seemingly on a whim, his Starlink network of satellites for internet access has become a major player in communication. 

That record is extraordinary. It makes Musk one of the business titans of at least the last half-century.

But somewhere along the way he decided that selling electric vehicles as a way of saving the planet from climate change wasn't enough of a hero story. Tesla was also going to lead the way in making cars autonomous. 

With each passing year, it's become more obvious that Musk's claims have been wildly inflated or even false, but he can't seem to back away, whether because of ego or because so much of Tesla's stock value depends on the promised autonomy capabilities.

In April, I wrote that we should ignore Musk's promise of a major robotaxi announcement in early August, and, sure enough, he's now postponed the announcement to October. But two months of delay isn't anywhere near enough time to solve all the problems with Musk's autonomy strategy. (I went into detail in that piece both on Musk's long history of falsely promising that autonomy was within sight and on the bad technology choices he's made, which I believe leave him permanently behind his competition, especially Google's Waymo, so I won't repeat myself here.)

Even if Musk somehow unveils a breakthrough on his self-driving technology in October (and he won't), he's still years away from being able to deliver on his claims that owners of Teslas will be able to make them available as part of a robotaxi fleet. 

How will a car get charged once it leaves the owner's control? How will Tesla know it needs to be cleaned once some sandy kid gets in or some adults have a party in the back? Who will clean it? Who's liable when the car is involved in a drug deal? When it's in an accident? What happens when people stop a car from moving by standing around it (or simply by placing orange traffic cones on the hood, as some anti-AV residents in San Francisco learned they could do)? How do you position cars around a city while they wait to be summoned, so the summoner only waits a few minutes? How do you handle all the payment logistics with cars designed for private, individual usage?

There are more questions, too, all of them much more easily handled by a company owning the fleet, a la Waymo or General Motors' Cruise unit, than by a company managing a fleet of hundreds of thousands of privately owned vehicles.

Musk's overblown claims are catching up to him, according to a Washington Post article. It says: 

"The U.S. Justice Department is probing the company’s marketing of both Full Self-Driving and Autopilot, Tesla’s advanced driver-assistance systems. California’s Department of Motor Vehicles is also reviewing those features in light of provisions including a 2022 law prohibiting companies from using marketing and language that would “lead a reasonable person to believe that the feature allows the vehicle to function as an autonomous vehicle.” Tesla has received inquiries from the Securities and Exchange Commission related to its claims to investors, according to news reports and public filings. And a civil lawsuit in California represents drivers who say they were defrauded by the company’s claims [that their cars would earn money as robotaxis] and are seeking refunds and damages over their purchases."

Tesla's lawyers are left to argue that Full Self-Driving doesn't really mean full self-driving and that Autopilot doesn't really mean the car can operate autonomously -- in other words, that drivers have to keep their attention on the road at all times, have to be prepared to take back control at any moment and are responsible for all accidents. 

Saying, as Tesla does, that its cars are "self-driving but not autonomous" strikes me as an argument that only a lawyer could love. In the meantime, as the various investigations and lawsuits make their way through our cumbersome legal system, we as consumers and investors need to make our own assessments of whether Musk has any credibility left on his autonomy claims. 

The second test is probably more relevant to the insurance industry, given that we tend not to have the sort of splashy icons like Musk, Larry Ellison or Steve Jobs and his "reality distortion field" who can sell an idea just based on personal charisma. That test is based on plausibility and should be based on a "devil's advocate" process designed to find holes in assumptions. (My thinking is based on the process that Chunka Mui and I laid out in "Billion Dollar Lessons," a book we published in 2008 on the lessons to be learned from major business failures, but others have outlined similar processes.)

In Musk's case, it's trivial to find holes in the assumptions he's making about colonizing Mars, as reported in a lengthy recent piece in the New York Times on how he has recently begun concrete planning for his long-held dream. 

It took a massive effort to land men on the moon, 240,000 miles away, and no one has done it since, but Musk is planning on transporting 1 million people to Mars, which is 140 MILLION miles away on average. He expects to pull off the most complicated logistical feat in the history of the world without any major problems, not just transporting those people but having each wave keep building out infrastructure to welcome the new arrivals -- and that infrastructure had better be ready, because each flight to Mars would take roughly nine months, and once a group is launched there's no turning back. Musk expects, based on no particular testing to date, that people will thrive in an environment where the atmosphere is 95% carbon dioxide and gravity is only 38% of what it is here on Earth.

Even if the logistics work perfectly, think about the expense. Reports say the cost of putting a pound of something into orbit via Space X can be as low as $1,200, so what would the cost of sending a pound of something to Mars be? Given the kind of rocket that would be needed to get to Mars, the nine months of travel time in each direction and the need for the rocket to be able to land on Mars and return to Earth for the next shipment, I'll spitball an estimate of $250,000 to $500,000 a pound. And we'd need to send hundreds of millions or billions of pounds of material to Mars to construct a Musk city that would house 1 million people. 

Finally, ask yourself why we'd go to all this effort. Sure, it'd be great for Space X, but why would the rest of us want to spend all the money and other resources? If we thought Earth would be uninhabitable in the next half-century or so, then, absolutely, but no one is predicting a future that extreme. And even if the forecasts on climate change were that dire, why wouldn't we spend hundreds of trillions of dollars fixing Earth rather than trying to colonize a planet that we've never even been to and that is far less hospitable than Earth has been?

In the insurance world, we've had something of a lesson over the past decade of insurtech about the need to check for plausibility. While I hardly got every call right, I doubted the peer-to-peer model from the get-go because I didn't think there'd be enough capital there to cover anything beyond modest losses. I dabbled a bit in the possibility that a Big Tech player would disrupt insurance but was cautious because of all the regulation in insurance and all the risk capital that's required -- Big Tech avoids regulation at all costs and likes asset-light models, not asset-heavy ones like insurance. 

While I think a lot of the irrational exuberance has disappeared from the expectations for insurtech, I'd still hold up Musk's claims about autonomous Teslas and Mars as object lessons. The track record of the person making a claim needs to be inspected carefully -- even if, like Musk, the person has a spectacular record in other areas -- and someone needs to lay out all the ways a plan can go wrong, lest they get swept aside in the enthusiasm that a grand vision can create.

Cheers,

Paul 

 

Insurers Must Collaborate More

Finding the right partners allows for new business models and improvements in core competencies, accelerating growth. 

Colleagues Shaking each other's Hands

“Every insurer in the world suffers from FOMO [fear of missing out]. They all want to know what their competitors are doing and don’t mind being the second carrier doing the same.”

When veteran insurance adviser Tony Tarquini made this startling statement at Send’s latest INFUSE webinar last month, my fellow panelists and I had a Eureka moment. We realized insurers are now putting innovation ahead of competition. Even better, insurers are also open to strategic partnerships to create new revenue models and expand their customer base. Does this make collaboration a new touchpoint in an insurer’s road map to success?  

During the fourth session of our INFUSE webinar series, titled, "Partnerships: Collaboration Is the New Competition,’ the panelists -- Britt Van Dalen, senior partner, Alpha FMC, and Jakub Wroblewski, manager, Sollers Consulting, as well as Tarquini --shared insights on how to identify and find the right partners, develop new revenue streams and improve core competencies that will help accelerate growth for carriers in a competitive and evolving insurance landscape. 

See also: Overcoming the Talent Crisis in Underwriting

The insurance business has become unpredictable 

Once recognized for its mature business model and stable growth, the insurance industry isn’t as predictable any more. Rapid evolution in technology, economic volatility and unique customer expectations have disrupted business dynamics.  

There is an urgency for carriers to innovate, find new business models and improve on existing competencies. This has given rise to more strategic collaborations, with the objective to create stability, open new possibilities for distribution and revenue and expand the customer base for carriers. 

Collaboration enables a win-win-win for all.

The emergence of technology has increased customer expectations that are challenging traditional insurance models to innovate and deliver value faster and more cost-effectively. Insurers are collaborating with partners in technology, healthcare and home services and are generating a win-win-win situation for insurers, brokers and collaboration partners. One of the most successful partnerships so far is between insurance and technology.    

By adopting smart solutions based on automated workflows and tasks, underwriters are streamlining data analysis, are able to deliver faster responses to brokers and ultimately are seeing increases in customer satisfaction.

For example, at Send, we recently established a partnership that lets users of hyperexponential’s pricing decision platform, hx Renew, to seamlessly connect with Send’s underwriting workbench capabilities.

See also: Why Agents and CPAs Must Collaborate

Three golden criteria for selecting a partner

There is a sincere need for pragmatism when two brands forge a strategic alliance. This is precisely why I think the three golden criteria for selecting a partner are:

  • Cultural fit
  • Aligned vision 
  • Strong expertise

These are an absolute necessity in the selection process. You’re in for the long haul, and you need to be targeted in your approach when selecting the right partners. This holds true not just for technology partners and system integrators but for the entire ecosystem, which will be at a crossroads at some point.

The future of insurance will be grounded in collaboration

The future of insurance will rely on strategic partnerships. As the insurance industry evolves, insurers must adapt and embrace new strategies to remain competitive. Collaboration among brokers, carriers and other partners is one of the keys to unlocking new business opportunities.


Mike Graham

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Mike Graham

Mike Graham joined Send in July 2023 to head its commercial function.

He has over 30 years' experience in the insurance sector working for core systems providers and insurtechs. He was most recently a strategic lead at Guidewire.

2024 Elections May Reshape Health Insurance

The elections could affect Medicaid expansion, Obamacare's future, long-term funding of Medicare, strategies for negotiating drug prices and reproductive care.

Medical stethoscope and mask composed with red foiled chocolate hearts

As the November 2024 elections draw near, questions abound in many areas of Americans’ lives, including what the impact could be on health insurance. 

Although health insurance issues are rarely on the ballot directly, many ballot box decisions carry implications that could be felt directly in the healthcare world – be it Medicaid expansion, the future trajectory of the Affordable Care Act (ACA), the long-term funding of Medicare, strategies for negotiating prescription drug prices or even the future of abortion and reproductive care. 

See also: Our Crazy Healthcare System

Medicaid and the ACA

Medicaid expansion in the few holdout states dominates this year’s health-related election topics. 

So far, 40 states and D.C. have expanded Medicaid coverage in line with the ACA, while 10 states, including Florida, Georgia, Kansas, Mississippi, South Carolina, Wisconsin and Wyoming, have not.

Kansas’s governor has included Medicaid expansion in the 2025 state budget for legislative consideration, despite previous pushback from the state legislature. Similarly, Wisconsin’s governor previously proposed expansion, only to be blocked by the state’s legislature.

Some states are working on limited Medicaid expansions and seeking waivers from the Centers for Medicare and Medicaid Services (CMS), including work requirements, but none would fully qualify as expansions without a federal waiver.

Looking ahead, Florida is considering a 2025 ballot initiative to expand Medicaid, though no states have put an expansion initiative on the 2024 ballot yet.

For its part, the Affordable Care Act enjoys broad popularity, and reducing health costs appears to be a major concern for many voters. A recent poll by the healthcare nonprofit KFF found that 48% of voters consider lowering out-of-pocket costs a top priority for the country.

Additionally, 59% of Americans have a favorable view of the ACA. This support is evident in enrollment numbers, with a record 21 million people signing up for an ACA marketplace plan during the 2024 open enrollment period.

In recent years, the White House has increased funding for Affordable Care Act outreach programs to encourage enrollment in marketplace plans, and Congress has passed legislation to boost subsidies, reducing premium costs for many families. Those subsidies are set to expire soon, though – which is one area where the election could hold a direct impact on the healthcare industry. 

Medicare

Whoever wins in November is sure to be hit with decisions very quickly regarding the future of Medicare funding. If no action is taken, projections indicate that the Medicare Hospital Insurance Trust Fund will become insolvent by 2031.

Medicare has several funding sources. Medicare Part A, which covers hospital expenses, is primarily funded by FICA taxes. When revenues exceed expenses, the surplus is deposited into the Hospital Insurance Trust Fund for use in lean years.

Several factors affect the health of this fund, including economic growth, the retirement rate of seniors, the number of new workers entering the economy and overall healthcare costs.

The projection that the fund will be depleted in seven years doesn't mean Medicare will cease to operate, but it does mean that decisions need to be made soon.

Current proposed solutions include increasing payroll taxes on high earners, raising the retirement age or reducing benefits for certain procedures and treatments. Another possibility is that Congress might allow the fund to run out of money and then cover the shortfall with general funds.

Medicare Parts B and D are already supplemented by general federal funds, but there is currently no mechanism for using these funds to support the hospital trust fund, so doing so would require congressional action.

Congress could also choose to cut Medicare benefits to align with payroll tax revenues.

Although there is no concrete plan yet, it is almost certain that the newly elected president and Congress will need to address these Medicare issues during their next terms.

See also: How to Predict Healthcare Costs

Drug price negotiations 

A recent KFF poll found that voters trusted President Joe Biden more than former President Donald Trump on health issues. But nearly three in 10 respondents said they trusted neither (and the poll was taken before Vice President Kamala Harris became the Democratic nominee for president). 

One area where the candidates align more than they differ is their disdain for the price of prescription drugs. 

Last year, the White House announced deals with drug makers to negotiate down the price of 10 popular prescription drugs as part of the Inflation Reduction Act’s Medicare Drug Price Negotiation Program. 

Those new prices will take effect in 2026. CMS has plans to negotiate prices for 60 more drugs over four years, with plans for 20 additional drugs each year moving forward. 

For any future president to back off the Inflation Reduction Act’s negotiation mandates would require action from Congress. 

Abortion and reproductive services

After the Supreme Court's Dobbs v. Jackson Women’s Health decision, many previously settled healthcare laws are now up for debate and might be influenced by future elections.

So far, 27 states have implemented some restrictions on abortion access.

In Alabama, a State Supreme Court case following the Dobbs decision has raised questions about the future of in vitro fertilization. Consequently, many states have been quick to enact specific protections for parents and doctors to allow IVF to continue.

Some advocates are concerned that restrictions on abortion could eventually lead to limitations on certain methods of birth control, although no current proposals have advanced significantly. Although some lawmakers have introduced federal protections for birth control, these measures have not progressed in the divided Congress.

The Affordable Care Act requires that birth control be covered at no cost for women. However, if states outlaw certain types of birth control, this coverage could also be affected.

While abortion and birth control are not set to appear as direct ballot questions in the November elections, the outcomes will undoubtedly influence state and, in some cases, federal policies for years to come.

Revisiting the 'Buy vs. Build' Debate

In P&C insurance, the conversation is shifting from a pure buy-or-build dilemma to a more nuanced question: how much to build and what to buy?

Photo of People on Building Under Construction

The question of whether insurers should “buy or build” needs to evolve. It’s not a simple, binary choice like flipping a coin. Risk management is complex, further complicated by current economic pressures, rising reinsurance rates and the increasing frequency of severe weather. Many insurers simply don’t have the time or resources to build new tools. Thus, the conversation shifts from a pure buy-or-build dilemma to a more nuanced question: Is investing in external technology worthwhile? And to what extent should one buy or build? 

Who Buys, and Who Builds? 

In exploring who tends to buy or build, it’s clear that size and resource availability are decisive. For instance, historically, many insurers are more inclined to buy and adopt new technologies. Building a robust solution in-house requires significant time and resources. Even if an insurer could build their own solution, the software would need continuous updates to stay effective and efficient. Building any comprehensive software solution is difficult, and insurers already have enough on their plates. 

Some carriers opt to build partial solutions, with an eventual goal of an end-to-end solution. If they have the infrastructure to build internally, they often will. They may even possess data science and engineering teams dedicated to creating a customized solution, and building in-house allows them to maintain control over their data and processes. However, this approach still presents significant challenges. Despite available resources, it’s nearly impossible to avoid long development timelines and continuing maintenance needs while keeping up with the latest tech advancements. Building a full end-to-end solution is an arduous journey. 

Although the build option varies for each insurance carrier, it is a huge challenge. 

So, should insurers simply buy an external solution? Not necessarily, as not all solutions are created equal. The key is finding the right partner and unlocking the most value. 

See also: 5 Must-Haves in Agency Management Systems

Strategic Collaboration 

When selecting an external technology provider, insurers should understand the provider’s experience, capabilities and the comprehensiveness of their solutions. 

Here are a few key aspects to look for:  

  • Transparency is paramount, particularly with AI technologies. Insurers must ensure these technologies are explainable, to minimize errors and biases, aiding rather than complicating decision-making processes. 
  • Adaptability is crucial. The technology must be flexible enough to meet specific insurance needs and accommodate regional differences. For instance, insurers in Washington and Louisiana may both want insights into property conditions across their portfolio but require different predictive risk scoring for wildfires or hurricanes. 
  • Testing is essential. Insurers should demand demonstrations of the technology's effectiveness in real-world scenarios, such as the ability to remotely monitor roof condition for staining, ponding or rust. 

A truly innovative solution should also provide comprehensive support and continuous improvement to ensure the technology evolves alongside the insurer’s needs. If these criteria are met, insurers are much better equipped to reduce risk, predict and prevent losses and improve their expense and loss ratios. 

See also: A New Approach to Resource Management

The Importance of Customizability 

Suppose a Northeastern insurance carrier relies on a small underwriting team to assess 50,000 properties across their portfolio. There’s simply not enough time or resources to manually inspect each property. 

But if they leverage a solution with high-res and recent imagery paired with accurate computer vision models, the system could accurately identify which properties are at risk and which are not. If the system can automate and straight-through-process low-risk properties while flagging high-risk properties, the underwriting team can move much faster and focus their attention where it’s needed most. 

Consider the same issue for a better-resourced insurance carrier. Perhaps they’ve already developed some front-end functionality in-house to monitor property risk. Now, suppose they want specific AI models from a vendor trained with high accuracy for dozens of other property attributes. What should they do? In that case, the right vendor could seamlessly integrate their models with the insurer’s existing systems to provide a tailored solution.  

Perhaps that same carrier has solved many of its underwriting challenges. Instead, they may need to buy the back-end—like a catastrophic weather or disaster response system—to help manage claims and the impact of severe weather. Again, the right partner could provide access to the latest cutting-edge technology, set up proper workflows and eliminate the burden of development and maintenance. 

This customizable approach allows larger insurers to balance proprietary innovation with leveraging market-proven technologies. Think of it this way: If you’re making a cake, you might have all the baking tools, but if you’re missing eggs, you wouldn’t buy a whole farm just to get eggs. You'd simply purchase the eggs you need. Similarly, if you lack all the necessary ingredients, you’d buy a ready-made cake. This principle applies to insurance technology, as well: Rather than investing heavily to build everything in-house, you buy the full or partial solutions based on your individual needs.  

Final Thoughts 

The “buy or build” debate in P&C insurance is nuanced, heavily depending on each insurer’s unique circumstances, and will likely continue to evolve. So, it’s important to be a resource to help insurers evaluate their options. Strategically choosing when to buy and when to build enables them to leverage the best of both worlds, ensuring competitiveness and efficiency in an evolving industry.  


Dave Tobias

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Dave Tobias

David Tobias serves as the general manager of insurance at Nearmap.

Previously, he co-founded Betterview, a property intelligence platform for P&C insurers that Nearmap acquired in 2023. Before founding Betterview, Tobias was instrumental in scaling Research Specialist, an insurance loss control company.

ABCs of Digital Transformation

Firms have to Assess the marketplace, Balance technology with business and Commit to a growth mindset. 

Photo of Triangle Shape Digital Wallpaper

In this day and age, talking about going digital seems almost outdated, as people have entire worlds in the palm of their hands and access to information like never before. Yet, taking organizations and larger processes to the digital realm can prove challenging for companies when the foundational pieces are not squarely in place. 

When Legal & General America launched the Horizon experience in 2019, it was one of the first digital platforms in the life insurance industry, so the work didn’t come without its hurdles, challenges and lessons. They say to start at the very beginning, as it’s a very good place to start, and Julie Andrews is rarely wrong. So, to make a company-wide digital transformation as easy at 1-2-3, it’s time to go back to school for the ABCs.

See also: Digitization and Enablement of Agents

A: Assess the marketplace

Before any journey, it’s best to get the lay of the land. Companies don’t need to pull out an old Rand McNally, but they do need to see where things stand in their own industries. 

The U.K. has been implementing automation into underwriting and applications since 2012, well before the U.S., which seems backward given that Silicon Valley is in the States and acts as the beacon for technological advancements. But when it came to life insurance, innovation started across the pond. 

In 2017, LGA bought a product that was part of a digital suite but wasn’t actually automating underwriting. The technology was starting to exist, but being able to build that same technology in-house would afford more flexibility and customization based on what advisers and applicants wanted. The technology also could turn a life insurance company into a technology company.

Yet the U.S. is vastly different from the U.K. Bringing the technology over couldn’t be a simple copy/paste solution, given the differences in regulations, technologies available and consumer behaviors.

When it came to consumer behaviors, the landscape was shifting even more to “I’ll do it myself,” or at least wanting the illusion of autonomy. The pandemic escalated this in 2020, forcing people to do things themselves or digitally, as agents couldn’t make the same house calls. But the relationships that agents and advisers cultivated were not wasted, they just took a different form. Whether an applicant is filling in a form next to an agent or simply has the agent on standby for questions, those relationships can be strengthened with the right digital tools in place.

So the assessment was that the landscape was ripe with opportunity.

B: Balance Technology With Business

As the saying goes, don't judge a fish by its ability to ride a bicycle. The same can be said for any digital transformation. The technology developed and deployed must serve a business purpose, or it’s as useless as a bike at sea.

When technology is built in silos without understanding the business, companies can tout amazing advancements but see little use and in turn, negligible progress on key performance indicators (KPIs) and return on investment (ROI). There needs to be in mindset, toward becoming a technology company that knows insurance. The issue isn't just about having the best coders and developers in the room. The key is seating them side by side with the best people in the business, from underwriting to distribution. Horizon was developed without intense technology jargon; instead, it was discussed as a solution to problems actual LGA employees and clients were facing. Instead of bringing IT to business departments, bring the business to IT and meld them. 

The main pain points the LGA team was to solve for were cycle times, reducing Not in Good Order (NIGO) rates and getting policies in more hands. When IT and operations, underwriting and distribution worked together, these KPIs were exceeded. In the first five years of Horizon, cycle times have decreased substantially to about 15 days (from more than 60). 90% of applicants finish the application within 24 hours of starting it, which allows advisers more free time and gets them compensated quicker. LGA also saw NIGO rates go from 38% to 2%, reducing the amount of follow ups for both internal and external parties. And, highlighting the main goal of any life insurance company, once Horizon was implemented there were 50,000 instant decisions from 2019 through 2023, and the 100,000th instant decision occurred in June 2024, so the pace of production and acceleration doubled in less than a year. 

A balance was struck.

See also: The ABCs of Agency Planning for 2024

C: Commit to a growth mindset

Another C here could simply be challenges. Transformation isn’t as easy as butterflies make it look; everyone remembers being a teenager and how awkward change can be. But leaning into the challenges and committing to a growth mindset will set an organization apart.

When it comes to agile methodology, the shift creates more ownership, which can empower team members -- but only those team members who aren’t afraid to make mistakes. It’s okay to make a mistake if you learn from it. And just because something doesn’t get rave reviews doesn’t mean it’s a mistake. It may just not fit the purpose. The bike shouldn’t be upset the fish doesn’t like it. 

LGA was lucky in that its leadership committed early on to a growth mindset, which afforded those creating the technologies the opportunity to A/B test what worked and what didn’t and move on to the next issue. 

Once these building blocks are established, companies can create customer and partner experiences that haven’t been imagined yet and do so successfully. Whether it’s a full digital transformation or implementing new technologies here and there, follow the ABCs, and it’ll be easy as 1-2-3.

Lessons From COVID-19 for Life Insurers

Four years on from COVID-19, life insurers have a key opportunity to assess the accuracy of their risk models and better prepare for the next global pandemic. 

A Student Wearing a Face Mask

Life insurers base their business on anticipating and accounting for catastrophic mortality events, including natural disasters, war, accidents and disease. The COVID-19 pandemic presented a unique opportunity: It allowed life insurers to evaluate how well they anticipated the effects of a global pandemic and study COVID’s actual impact to adjust their modeling for future pandemics. 

Insurers can look back much further than COVID-19 for valuable insights into the mortality and morbidity outcomes of pandemics, including the devastating effects of the 1918 Spanish flu, the deadliest pandemic in the last 400 years. While researchers anticipate an increasing frequency of extreme epidemic events, numerous factors affect the spread and penetration of diseases across global populations. By isolating these factors and studying them in combination, life insurers can better prepare for future disease outbreaks. 

While the terms are sometimes used interchangeably, pandemics and epidemics are distinct. An epidemic is a disease outbreak that occurs within a specific geographical area. A pandemic occurs if the disease spreads to multiple areas or the entire globe. 

The chance of a pandemic occurring depends on the combined effects of two factors: spark risk (how and where a pandemic is likely to start) and spread risk (how easily the resulting disease can transmit between people). Spark and spread risk factors often overlap. 

See also: Is 2024 the Year of Digital Health?

Some geographic areas are associated with a higher spark risk. For example, West and Central Africa and South and Southeast Asia, areas of increasing human expansion into animal habitats, carry higher risk for zoonotic spark, where a viral pathogen jumps from animals to humans. 

Risk drivers for a zoonotic spark include:

  • Behavioral factors, such as bushmeat hunting and use of animal-based traditional medicines
  • Natural resource extraction, such as logging, mining and the retrieval of fossil fuels
  • Extension of roads into wildlife habitats, increasing interactions between humans and animals 
  • Environmental factors, including the degree and distribution of animal diversity (For example, the high number of zoonotic viruses found in bats and birds has been attributed to their large populations, mobility, ability to colonize human environments and significant species diversity.)

Zoonoses (diseases that move from animals to humans) can also originate from domesticated animals, particularly those concentrated in areas with dense livestock production systems, including areas of China, India, Japan, the U.S. and Western Europe.

Zoonoses are not well adapted to infect humans. They typically spill over to people in random incidents, sometimes resulting in small, contained outbreaks referred to as stuttering chains. These instances of intermittent virus transmission, or "viral chatter," raise the threat of a pandemic because they give viruses opportunities to evolve and more effectively spread among humans.

Spread risk encapsulates the transmissibility of a virus and its variants. After a spark, the risk that a pathogen will spread within a population is influenced by:

  • Pathogen-specific factors (such as its R0, discussed later in this article)
  • Human population-level factors (such as the density of the population, and the speed and effectiveness of public health surveillance and response measures)

A country’s ability to minimize pandemic spread can be expressed using a preparedness index. The index illustrates global variation in institutional readiness to detect and respond to a large-scale outbreak of infectious disease.

See also: The Crisis in Long-Term Care

Well-prepared countries have effective public institutions, strong economies and adequate investment in their health sectors. They have built specific competencies critical to detecting and managing disease outbreaks, including surveillance, mass vaccination and risk communications. Poorly prepared countries may suffer from political instability, weak public administration, inadequate resources for public health and gaps in fundamental outbreak detection and response systems.

The COVID-19 pandemic illuminated the fact that our global community is facing the greatest confluence of spark and spread risk factors compared with any point in history. Today’s global population is over four times larger than it was at the time of the 1918 influenza pandemic. We live more densely and travel frequently. Experts suggest that these trends and those outlined above have dramatically increased, and will continue to increase, the emergence of zoonotic diseases.

Historic pandemics and the shadow of the Spanish flu

Despite the seemingly unprecedented panic and worldwide disruptions caused by COVID-19, pandemics are nothing new. The emergence and spread of infectious diseases with pandemic potential – such as plague, cholera, tuberculosis and influenza – have occurred regularly since the dawn of mankind.

Before SARS-CoV-2 emerged in late 2019, most of the infectious disease research community anticipated that the most likely pathogen to cause the next pandemic would be a novel influenza strain. The human-adapted influenza virus transmits easily from person to person; people can carry it without showing symptoms, allowing sufficient time for infected individuals to travel and potentially infect others; and its symptoms can be confusing and difficult to immediately identify as the flu, particularly in the early periods of infection.

These deadly attributes fed the astonishing progression and spread of the 1918 Spanish flu, which killed between 20 million and 100 million people at a time when the global population was just 1.8 billion. 

In August 2021, a group of environmental engineering researchers led by Marco Marani published a paper on the “Intensity and spread of extreme novel epidemics.” They combed 400 years of records to identify 185 pandemics globally that caused significant loss of human life. While COVID-19 upended our global society for a time, that pandemic's impact (and that of nearly every other pandemic on record) is dwarfed by the devastation wrought by the 1918 Spanish flu. 

Intensitiy of Global Pandemics 1600-2018

This chart illustrates pandemic intensity, defined as the number of deaths divided by the global population at that time and the pandemic's duration – essentially, deaths per 1,000 people per year. The researchers examined the probability of humans experiencing a pandemic as severe as the Spanish flu. Assuming risk is stationary, they estimated that the probability of such a pandemic occurring yearly is 0.42%. Put another way, a pandemic of such an extreme scale would occur once every 235 years. 

What made the Spanish flu deadly? Primarily its lethality and transmissibility. 

Infection fatality rate (IFR): Spanish flu uniquely affected working-age people in their 20s and 30s. When plotting the IFR by age, researchers expect to see a “U” or “J” among the data points for most viruses: The youngest and oldest lives are those with the greatest risk. The 1918 Spanish flu instead presents a remarkable “W” shape, demonstrating how deadly the virus was to a normally robust working-age population. 

Infection Fatality Rate by Age: 1918 Spanish Flu v. COVID-19

The overall IFR for Spanish Flu was 2.2% using a present-day age pyramid of the U.S. population. To put that in context, some estimates suggest the original strain of COVID-19 carried 0.8% IFR. Later variants of COVID-19 carried higher and lower IFRs; the Delta strain of COVID perhaps had an IFR very close to 2.2% and, like Spanish flu, seemed to be more lethal to working-age people. 

Spread/R0Pronounced “R naught,” R0 is a mathematical term that indicates the average number of people who will contract a contagious disease from one person with that disease. R0 is a function of numerous biological, socio-behavioral and environmental factors: for example, population density and patterns of social interactions, work and travel. R0 is a fundamental calculation that helps researchers estimate the spread of a pandemic and the effectiveness of interventions like quarantine, masking and vaccines.

Scant epidemiological data make it difficult to estimate the R0 of the Spanish flu, which circled the globe with spectacular effectiveness given limited means of travel at the turn of the century. One study estimated its R0 to be 1.7-2. Interestingly, Spanish flu was generally less transmissible than COVID-19. The original strain of COVID-19 carried an R0 of approximately 2.5; later strains like Delta (R0 estimated 6) and Omicron (R0 estimated 8) were much more transmissible.

Could a Spanish flu-level pandemic occur today? In 1918, many U.S. cities attempted non-pharmaceutical interventions (NPIs) such as isolation, quarantine, use of disinfectants and limits on public gatherings to curb the pandemic. But without modern medicine, including antibiotics, flu vaccines and antiviral drugs – and compounded by poor sanitation and food scarcity caused by World War I – Spanish flu ravaged the global population. Today’s world is much better equipped to respond to an influenza pandemic. One model from 2018 estimated that nearly 70% fewer deaths would result from a Spanish flu event had it occurred 100 years later.

Assessing the risk of future pandemics 

To estimate the frequency and severity of future pandemics, researchers employ probabilistic modeling techniques that can augment the historical record with a large catalog of hypothetical, scientifically plausible simulated pandemics that represent a wide range of possible scenarios.

Modeling can also incorporate significant changes that have occurred since historical times, such as medical advances, changing demographics and shifting travel patterns.

Researchers can “play” with their models by applying different rates of IFR and R0 to gauge the impact of a simulated pandemic. Other key modeling assumptions might include the choice and effectiveness of NPIs, the timing of a vaccine rollout, vaccine efficacy and uptake. 

These exercises are essential for assessing risk. A 2020 report from the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES) warns that future pandemics will emerge more often, spread more rapidly, do more damage to the world economy and kill more people than COVID-19 unless there is a transformation in the global approach to dealing with infectious diseases, from reaction to prevention. 

See also: Growing Number of Uninsurable Risks

Lessons learned from COVID-19

Given the high probability of future pandemics, the most recent global pandemic offers key lessons for insurers and policymakers. 

Vaccines: Vaccines do not solve everything, and herd immunity – when a large portion of a community (the herd) becomes immune to a disease – may be difficult or impossible to achieve. Developing, manufacturing and distributing vaccines – a process that itself took months to complete – helped immensely in protecting public health, but COVID-19 and its deadly variants continued to spread even after wide introduction of vaccines. Additionally, no vaccine is 100% effective. Public health officials also realized not every person is willing to take a vaccine. Vaccine hesitancy varies considerably by age, country and other factors – although vaccine uptake is markedly higher in insured lives. As early as 2019, the World Health Organization (WHO) named vaccine hesitancy as one of the top 10 threats to global health. 

Ripple effects: COVID-19 deaths were not the only driver of excess deaths during the pandemic. In addition to causing economic shocks, the pandemic overwhelmed health systems, causing significant delays in treatments for other medical conditions. The pandemic also influenced other public-health problems, exacerbating addiction-related deaths, mental illness and anxiety disorders and financial stress and housing insecurity.

Country differences: During the pandemic, researchers observed that infection and mortality rates differed between countries based on several risk factors. RGA researchers conducted a correlation analysis and found the following drivers had the highest correlation to COVID-19 deaths globally: 

  • Prevalence of cardiovascular diseases

  • Gross domestic product (GDP)

  • Gini index (income inequality)

  • Vaccine uptake of the first two shots

  • Proportion of population living in urban areas 

RGA researchers studied other risk factors like obesity and smoking but did not find a strong enough correlation for those factors. 

Differences between the insured and general population: In general, the mortality on fully underwritten products is significantly lower than that of the general population, because full medical underwriting usually removes at‐risk groups, such as people with underlying chronic diseases. Insured individuals tend to have a higher socioeconomic status, which may afford them better healthcare access and greater awareness of pandemic risks. However, this same demographic is more prone to travel internationally and reside in densely populated urban centers, factors that can introduce different risks.

RGA research, including a series of COVID mortality reports and updates written with the Society of Actuaries (SOA) and LIMRA, determined the direct and indirect impact COVID-19 has had on mortality in insured lives as well as the general population. It was clear from these studies that COVID-19 levied unequal effects on mortality rates in insured lives versus the general population, with significant differences by age, also.

Conclusion

The experiences of the COVID-19 pandemic, set against the backdrop of historical contagions like the Spanish flu, offer an invaluable learning opportunity for life insurers and life reinsurers to reassess their exposure to catastrophic mortality events. While the probability of a pandemic in any given year is low, the likelihood of significant losses for insurers is high without adequate risk management. Life insurers can take this opportunity to refine their internal risk models as well as their risk management strategies. 

Some strategies to consider include reinsurance, and pursuing a diversified product range and geographical footprint. Other risk mitigation strategies include asset choice and management, and insurance‐linked securities (such as catastrophic mortality bonds).

The constant exposure of life insurers to pandemic risk remains a challenging issue; however, the COVID-19 pandemic has certainly deepened our understanding of this risk. Furthermore, pandemic preparedness and health security are now even more critical matters for governments, public health organizations and other institutions around the globe.


Marie-Christine Boucher

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Marie-Christine Boucher

Marie-Christine Boucher is assistant vice president and actuary, capital and analytics, for RGA

RGA experts provide clients with biometric risk and behavioral science insights that help them assess global health risks and develop and deploy models to better understand their financial risks.

She previously worked in investment and health and benefit consulting with Mercer. She earned a baccalauréat in actuarial studies from Université Laval. She is a fellow of the Society of Actuaries (FSA) and of the Canadian Institute of Actuaries (FCIA).

How to Improve Results Without Inspiring Quiet Quitting

Be clear what success for employees looks like, encourage them to raise the bar and consistently link effort, results and impact on the big picture.

Group of People Gathered Around Wooden Table

Sitting on the other side of a Zoom call was my top performer. I was sure she’d quit in the next few months. Maybe she wouldn’t leave the company, but she would quit all the same. In her one-on-one, she shared how frustrated she was with our department culture. It seemed to her that everyone was slacking. She complained about lack of communication and projects that were inconsistent with values. People felt pulled in different directions. Some "other people" had become disengaged. She even joked that she’d be better off if she just stopped caring, too. She ended by trailing off with, "I mean, where am I even going? I’m capped out in my role, and no one else is invested like I am."

Did she know she was quiet quitting?

I’m not sure she saw herself sliding down that slippery slope in that venting session, but I did. If she was comfortable joking to her boss that she should stop caring, she probably already had. I needed to act fast. But what could I do? I couldn’t have her step back her efforts in her daily work. There was no way to change culture or senior leadership’s communication or prove her efforts would lead to future opportunities in enough time to make an impact. To be honest, I didn’t know if I could make those changes. Would any attempts end up being lip service that proved her point? 

We met again the next week. I shared a project idea she could work on if her daily tasks were caught up. The project would showcase her talents and bring the values and initiatives into alignment for the ‘others’ who were struggling. I also shared the ways a project like this translated into skills she’d need for a promotion.

See also: Leveraging AI to Upskill Employees

Three things I did to drive results while increasing engagement

  • Clarified what success looks like - Every employee needs a clear picture of what makes them successful in their role and what can help them improve. They are empowered to grow and excel in their role when they fully understand it. A matrix that outlines critical skills by position can significantly help leaders identify, prioritize and communicate wins and provide specific feedback on areas of opportunity.
  • Encouraged raising the bar - No one likes the idea of being average. Understanding success in daily tasks naturally highlights what going above and beyond looks like. I linked how quality work on my employee's part would enhance her skills for future leadership roles, and her eyes lit up. Pro tip: I used career development as an incentive because she expressed frustration with her career plan. The key is to focus on the employee's goals and link them to results. If she was frustrated with work/life balance, I likely would have tied the results quickly to her shutting her laptop earlier in the day.
  • Consistently linked effort, results and impact on the big picture - Throughout her project, and consistently in huddles thereafter, I drew straight line examples from the effort to the desired business results, to impacts on personal goals, to the company vision. I used a proven communication framework that empowered each member of the team to connect their success to the company success.

Recreate these results with your team

  • Focus on their motivators, goals and the link to company mission - The most foundational aspect of success in driving results without quiet quitting is understanding what drives your team and what drives company results. If you don't understand those two aspects, the best communication framework in the world won't support your drive for achievement on the team. How do you do this? Get curious in your next one-on-one. What do they want to get out of work? Is this a steppingstone? If so, to what dream job? If you had a magic wand, what specifically would they want you to fix and why?
  • Follow through on commitments and communicate with authenticity - This one is simple: Don't make promises you can't keep. Meet or exceed the commitments you do make. Overcommunicate on what you're working on, why and how it will affect them. Explaining that you can't promise something they want, like a promotion, raise or flexible schedule, builds your credibility. Telling them you'll update them on where you are in the process, and then doing it, builds trust. When your team trusts you to work with them and for them to achieve both their goals and those of the company, they want to do the same.

See also: Top Employee Incentive Trends for 2024

Quiet quitting isn’t inevitable when you drive results

When you tie your team members’ motivators to company initiatives, communicate your commitments and follow through with what you say, you lead teams who want to achieve more. Your best results as a leader will come from your ability to engage every employees on your team with their results. When this type of engagement is your number one priority as a leader, your team produces at a higher level and they only want to make an even bigger impact in the organization.

What's standing in your way? I asked one client, only to learn she couldn’t make the connection of employee motivators to company vision. Once we corrected that, she had a team that exceeded metrics and were looking for new tasks and projects to develop more skills. Focusing on their goals and how they could tie to the company goals helped her remove roadblocks that were frustrating employees and impeding results.

AI and Skills-Based Hiring

Skills-based hiring and skills-based salary levels can mean better results and access to a wider pool of talent at a time when AI is increasing the pace of change.

Man and Woman Near Table

Innovations in technology have increased the number of employees needed with job-specific skills. AI will continue to help employers have the workforce they need. In some cases, innovations in AI will take over jobs that employees are currently being paid for. However, AI cannot replace connecting skills like resilience, creativity and communication that every organization needs to stay competitive.

There is a growing awareness of the benefits of skills-based hiring to enhance the benefits that AI is bringing to the workforce. A skilled-based approach can open opportunities for potential hires that may not have traditional degrees but have the necessary skills and experience your organization needs. The approach means more of a focus on skills and then pays employees according to those skills rather than based on a job description, degrees or certifications. A degree does not guarantee expertise or experience.   

When posting for a new position, it’s important to review whether a four-year degree is really required. By that standard, Steve Jobs and Bill Gates would never have been considered for a position. If a potential hire has the experience and skills, why would an organization pick someone who has the degree but not the right experience, over someone who has deep knowledge and experience but not a four-year degree? Leaders also need to consider why they would pay a higher salary to someone with a degree versus someone with the skills the company needs. Skills-based hiring and skills-based salary levels can mean better results and access to a wider pool of talent.

Skills-based hiring also includes more of a focus on what have been labeled soft skills. It includes thinking about the attributes needed in a particular role or within a particular team.  

When hiring, we all have our own biases. It is human nature to hire someone who may have a similar background and be someone we would choose to spend time with. Often, this happens unconsciously. But it can get in the way of skills-based hiring. One approach to addressing this bias is by having very focused questions during the hiring process. An example would be, “Tell me about a time when you demonstrated resilience through a difficult work challenge.” This allows the potential hire to share specifics about both experience and soft skills.

Skills-based hiring can create a more inclusive workforce and economy because more people from diverse backgrounds have more opportunity to be valued. The hard reality is that higher education continues to be more and more expensive, which disproportionally affects people of color. That doesn’t mean they don’t have the same or more experience than their counterpart with the degree. If job posting make that four-year degree a requirement, your company may be losing out.

There is also an internal approach that organizations can take to fill positions. There may be current employees who don’t necessarily have a linear view of career development and may be open to trying out different roles at different times in their careers. This not only benefits your company, it also is a clear signal to your workforce that there are opportunities for a more flexible approach to their career development.

Where organizations can get stuck is in reviewing hundreds or thousands of roles, with lots of underlying jobs to be done, that are at different levels with lots of underlying skills. Trying to address all of these at once can be overwhelming. It can mean losing sight of the real solutions.

Organizations that are having more success are those looking at specific skills-based pathways they already have where they are seeing the best results and the most employees moving from one area to another. It could be from a nondigital area into a digital area; maybe it’s moving from sales into marketing. Focusing on where there is already success in your organization and building on that can help HR get better results instead of trying to be everything to every part of the company. Taking the time to evaluate whether the job postings and hiring process is truly skills-based can also help attract and retain the skilled workforce you need.

AI will be changing how work gets done and affect what jobs are being taken over by AI versus those that are human-centered. Having more of a focus on skills-based hiring can help your company be better prepared for the changes ahead.

See also: AI and the Future of Independent Agents

HR and Career-Long Learning 

There is no doubt that the rapid change in every aspect of our lives is affecting how we work. The rate of change is increasing, and businesses must make sure their workforce has the skills they need. The stress of constant change can hurt productivity, as well as physical and mental health.  

The traditional way of learning, more classroom-style, can still be very beneficial, but it is not the only way to make sure your employees can gain the skills your company may need. Classroom instruction is easy to measure, because you know if someone has completed a course and potentially taken an exam. However, there is great value in understanding how learning for the skills needed can be done through social activity, peer interactions, focused mentoring and collaborative projects.  

Social activities can lead to conversations and learning in a way that connects people through something they already have in common, or all want to learn. Some examples are organizing “give back” days, where people from different parts of an organization get together to support a cause they all care about.  It could be a volunteer day at a local food bank, animal shelter or an organization like Habitat for Humanity. It may be through participating in a class on a topic not specifically job-related but designed to build relationships between diverse team members, like a cooking class or public speaking training.

Another approach to social learning is through affinity groups in your organization that can bring together diverse employees. These could be a group that focuses on new parents or caregivers to adults. It could be through a hiking or walking group. It could be a group focused on supporting local restaurants where employees organize and go to the restaurant once a month. Ideally getting leadership involved in any of these groups can help them be more successful. They can also be responsible for making sure that these groups are more diverse and give leaders an opportunity to understand employees on a deeper level. That can help leaders be more aware of potentially unrecognized skills in employees that they don’t interact with daily.

Peer interactions during work are also a great opportunity for learning. Peer-to-peer learning is when there is a mutual learning and training focus that includes participants at the same level who are learning collaboratively. It is a great way to assess communication styles and skills. For example, not everyone is a good teacher. That doesn’t mean they don’t have value to your organization but means not making them a ”teacher” when this is not in their skill set. Group study sessions are another example of peer-to-peer learning.

Some of the benefits of peer-to-peer training are more trust in the learning process and creating better connections and interactions among peers. There is no one leader or teacher, but everyone is seen as having something to contribute. It helps create more critical thinking, better creative problem-solving, integrated teamwork and the recognition of who has what skills and experience that can be complementary to their own. 

See also: How and Why to Tap Into Global Talent

Mentoring is something that gets talked about a lot, but to make any mentoring program more successful, there need to be clear guidelines and a focus on what the mentoring is supposed to accomplish. This is a more solutions-focused approach. The goals are often about recognizing and building on specific strengths versus just a general focus on a career path. It can have a mentoring focus that is about targeting skill sets needed at the company, in a particular team or location.

Another approach is collaborative projects within your organization and looking at who is getting chosen for these projects. It’s easy to pick people to be involved who you know and have worked with before or have specific expertise you know about. All of that is needed so projects meet their goals, but it can leave out employees who are not as visible or not like the person leading the project. It may leave out employees with the potential to gain knowledge that can help with the next key project. Looking for ways to include employees who have been overlooked can be of great benefit to your company for both current projects and building needed skills for the future.

No matter your company’s approach, we all know that change will only continue to challenge our working environments. Having several ways to make learning easier, create inclusion and have more impact means looking at more than one approach to lifelong career learning for employees at every level.

Carriers Need Autonomy on Policy Admin Systems

Life insurance carriers need to be able to quickly and easily make product changes or develop new products, independent of their policy admin system vendor.

Black and White Chess Pieces on Chess Board

An important but often forgotten factor in modernization strategy and execution for policy administration systems (PAS) is carrier autonomy from the vendor. While it makes a lot of sense to enter into SaaS agreements with PAS vendors to reduce the load on internal IT and ensure all aspects of the PAS stay completely up to date and are fully managed, carriers need the capability to configure products themselves—increasing agility and accelerating product development in an increasingly changeable market.

Many carriers have outdated legacy systems in dire need of replacement. Others have upgraded to modern systems but remain dependent on their technology vendors to implement even small product changes. In both cases, the old PAS functions as a black box that records and houses millions of vital data points but is only accessible and configurable by the vendor. As a result, every modification, no matter how minuscule, requires code changes that end up costing a fortune in both monetary costs and drawn-out implementation and modification timelines. 

If life insurance carriers want to extract the full value from their PAS, they need to be able to quickly and easily make product changes or develop new products, independent of their vendor. This reliance on the vendor for all changes is known as "vendor lock-in" and is increasingly a concern for carriers—the trend is toward carriers seeking autonomy.

What are the benefits of autonomy?

With autonomy, life insurers can lower overall costs by eliminating dependency on costly resources. For carriers of all sizes, including those operating with larger budgets, pursuing autonomy also helps drive more innovation and value from transformation projects. 

Autonomy also supports a faster go-to-market strategy. In the age of AI, the competitive landscape has shifted the pace of business. In the coming years, the speed of product launches will spell the difference between a strong competitor and a digital laggard. While being able to independently operate and modify PAS might not seem like an essential business strategy today, it is a capacity that will greatly move the needle in the future. 

See also: Why Hasn't Insurance Automated More?

What’s holding carriers back from achieving autonomy?

Technology vendors are the primary deterrent preventing life insurance carriers from reaching the self-sufficiency that the changing competitive landscape requires. 

Many PAS vendors promise a fast launch timeline using the greenfield PAS modernization strategy, in which carriers can implement new core systems and deploy fresh products without the need to retire the original legacy systems concurrent with or immediately following project completion. Greenfield may help get carriers into production faster and appeals to the need for a quick return on investment, but in the midst of contract signing and the desire to finish modernization projects quickly, autonomy is a quickly forgotten priority. 

The PAS vendor’s technology may also prevent autonomy. They may provide access to their technology, but it’s specialized and undocumented to the point where it’s unusable by anyone other than the vendor. 

There was a period where low code was seen as the solution to addressing the autonomy issue, and on some level it did. It provided a local platform for carriers to modify and revise their policy admin systems without the involvement of their vendor. But low code also introduced other challenges, namely that the carrier still needs to rely on the vendor to build the capability for them to leverage. And when a new capability is released on the market, the carrier must go back to the vendor to build it into the platform. So, while the carrier gains some autonomy back with low code, they’re still dependent on the vendor in some capacity. 

Some vendors offer their own proprietary language that carriers can use to do their own coding. But if the vendor is smaller and doesn’t have that many clients, the language may not evolve as much as it needs to, and the available documentation may be limited. This brings carriers back to square one; they still need to work with the vendor to make the proprietary language work for them. 

How can a life insurance carrier achieve autonomy?

To achieve autonomy, carriers should be looking to leverage solutions that are common across the financial services and insurance industry. Many organizations are leveraging common coding languages like Python to implement machine learning. Carriers can use these languages as they’re building up their PAS to lock their autonomy in place. 

Carriers can also look to cloud technology. Public clouds — like Amazon Web Services (AWS), Google, Oracle Cloud Infrastructure (OCI) and Azure — are heavily documented, which reduces reliance on the supplier to understand how to use them to best effect. By using these technologies, carriers can achieve autonomy over their PAS and other systems in place that vendors might provide. 

Perhaps the most important piece of carrier self-sufficiency is making sure that good integrated development environment (IDE) software is available that will give the organization’s IT and business staff control over product configuration. The IDE should be fast and easy to use. It should enable the carrier to configure, test and manage the release of new development. Carriers that are able to use a modern IDE, built to work with their state-of-the-art PAS, will have increased flexibility and much greater speed to market when developing products.

When selecting a PAS vendor, it’s vital to ask questions about their strategy and model. Will the carrier be able to make changes to their system as needed, or will they need to continually have to ask their vendor to do so? A short sentence that says the carrier can “do it themselves” isn’t enough. Carriers need to make sure that not only is self-sufficiency ingrained in their strategy and business model but that self-sufficiency is on the road map. This includes carrier training on the use of the IDE starting at an early stage of the PAS implementation project. They need to confirm the steps to full autonomy and ensure that it’s a priority that is taken seriously by the vendor. 

See also: 2-Speed Strategy: Optimize and Innovate

A path to self-sufficiency must be ingrained in business strategy

Achieving autonomy in policy admin systems is essential for life insurance carriers aiming to fully leverage modern technologies to be a strong competitor. It reduces dependency on costly vendor resources and enables an organization to quickly modify their systems to match their needs and those of their customers. 

To overcome common roadblocks to achieving autonomy, life insurance carriers should look to the cloud and common coding languages, which ensure that a PAS can be independently managed and modified. They need to have an advanced IDE and sufficient training in its use so staff are comfortable making configuration changes. Most importantly, carriers should rigorously evaluate any PAS vendor they may choose to work with and ensure that a path to self-sufficiency is ingrained in their business model and strategy.

As the life insurance industry progresses and adapts to changes in the customer and competitive landscape brought on by innovative technologies like AI and LLMs, autonomy will increasingly become a critical factor in determining which carriers thrive and which fall behind.