insurance scenario 2012 — three powerful forces drive change€¢ sales kiosks at wal-mart or your...
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Notes accompany this presentation. Please select Notes Page view.These materials can be reproduced only with Gartner's official approval. Such approvals may be requested via e-mail — [email protected].
Insurance Scenario 2012 — Three Powerful Forces Drive Change
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The Combination of Three Powerful Trends Will Force Insurers to Become More Nimble by 2012
The Proactive Regulator
The Empowered Consumer
ThePressureCooker
More Demanding, More Self-Directed
More Sophisticated, More Resources
Impact of Disasters, Pandemics
Viewpoint — Knowledge in key areas like consumer preferences, risk-based capital, and catastrophe modeling and response will make the difference between winning and losing.
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Key Issues
1. What are the trends, strategies and technologies that will shape the Insurance industry through 2012?
2. How will these trends impact IT and business outcomes within the Insurance industry?
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Trend 1: Insurance Buyers: More Equipped With Information and More Demanding
Aging Populations:– Longer life span and its impact on
quality of life (healthcare and retirement)
Availability of Social Security for Baby Boomer GenerationChanges in Position of Women
– Increasingly educated and opening up of a new economy
Growing immigrant population in the U.S.Growing middle class in emerging countriesEmerging "young consumer" market that is IT-savvy and have different information/transactional demands
Education Level IncreasesInternet Access:
– Free information available for retail and financial transactions
– Shift to a true global economy; geographic barriers are eliminated
– Ability to price-shop easilyNew Devices — Wireless, GPS, Telematics, Remote Monitoring Devices in Home for Disease ManagementEasy Ability to Search and Query for Answers (for example, Google)New Communication Methods Such as Instant Messaging and ChatMedia/Press — Coverage of World Events (for example, catastrophes)E-Visits to DoctorsHealth and Wellness Information Access
Information Rich and DemandingMajor Generational Shifts
Demographic Changes Information Access
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Consumerization — Turning Information Into Profit
Consumers CustomersKnowledge
AttitudesBehavioral PatternsPreferencesAptitude
Techniques: Customer Profiling, Data Mining (for example, Segmentation and House Holding), Customer Analytics, Predictive Modeling and Next Likely to Purchase
Product Development
Marketing Sales/ Distribution
Customer Service
STP and Real-Time Interactions
BPM and Process Transparency
Security/Authentication
BI and Operational Performance Management
Themes
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Improved Business Intelligence Will Allow Insurers to Act, Not React to Customer Needs
New Products
Targeted Marketing
New Sales Approaches
Faster Service
• Personalized and targeted marketing to individuals• Health insurers target individuals in addition to employers• Market to personality types — like Tonic Health
• Powerful decision aids on portals for consumers• Linkage of web to call centers — shared screens, IM, VoIP • Sales kiosks at Wal-Mart or your local physician's office for
the uninsured
• Integration of financial services and health spending accounts
• Integrated channels — Voice over IP, web to call center• Expanded, easier to use self-service portals
• Product configurators to speed product development• Consumers assemble products that meet their needs at
the chosen price points• Pay as you drive auto insurance — like Progressive
Bus
ines
s In
telli
genc
e Ti
es T
oget
her
Red – needs attention, green – ongoing, yellow – getting started
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Highly Refined Consumer Marketing Approaches Will Become Common
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Trend 2: Regulators in North America and Europe Will Become More Proactive and Effective
Level 1
Level 2
Level 3
Insurers to better manage themselves while also being more tightly, though selectively, regulated
Governance
New Things
Governance
Regulators hire proven industry professionals
Refined approaches to
risk-based capital
A strong, primary regulator for producers
Suitability determined,
conflicts disclosed, privacy enforced
Fewer audits, more confidence in risk
management controls
Credit ratings more accurate
Solvency/ minimum
capital
Market conduct
Enhancements
Reactive regulatory response
Proactive supervision
Trans- parency
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Solvency is for survivalSales conduct impacts
growth
Early examples
Privacy impacts survival and growth
Europe is leading the way:New opt-in rules in CaliforniaEU privacy rules becoming the de facto standard across the world
Type of regulation
Privacy:Who sensitive medical and financial data is shared withHow insurers use customer data to generate profit
Objectivity at point of sale:New NASD annuity rules in U.S.Mediation rules in EU, first adopted by U.K. and Spain
Bank regulation has led to:Solvency II in EuropeOptional Federal Charter regulation in U.S.?
Drivers
Market conduct:Suitable productsConflicts disclosed at point of sale to consumer
Solvency:Make sure industry players have enough capital to cover risks
Catastrophes, pandemicsIndustry credit ratings falling past 10 years
High profile abuses in U.S. and EuropeAttorneys general in U.S. have raised the bar for regulators
Recent onslaught of identity theftConsumers anxious about electronic access to their data
Insurers Continually Challenged and Disrupted by Regulations
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Active regulationFewer
resources to grow
Less focus on innovation, efficiency
Lose customers
Profits fall
Weak insurers will
often be crippled by
active regulation
Savvy Insurers Will Use Active Regulation as a Catalyst for Operational Excellence
Active regulationImprove
operations
Become more effective in
marketplace
Gain customers
Strong insurers use regulation as a minimum
bar for operational excellence
Profits rise
Weak Insurers Strong Insurers
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Trend 3: Catastrophic Events Go Beyond Disaster Recovery
Disaster vs. Catastrophe: The level of impact and effect is multifaceted
Disaster — Insured losses beyond planning or forecast
Catastrophe — Disaster plus unexpected and unanticipated business disruption for all parties, including the insurer
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Catastrophic Events — Level of Impact and Effect Is Multifaceted
Catastrophe is a value chain disruption with unexplained, excess loss rippling into unexpected business interruptions — your clients' and yours'
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Catastrophic Events — An Explicit Value Chain Disruption
By 2010, catastrophic recovery plans will be required for all large insurers. CAT modeling tools will require standardized and sharable formats for collaboration across multiple geographic boundaries and among all stakeholders.
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Catastrophic Events — Level of Impact and Effect Is Multifaceted
Hidden impact — CAT losses directly affect insurers' ability to conduct business. CAT events are shared events.
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ClientImpact
Enterprise IT Impact
High
High
Low
Low
Business as Usual
• Rolling blackouts• Web linkage errors• Short-term power loss
IT Overtime
• Fire in IT area• Rare weather events
• Hurricane• Blizzard/ice storm• Tornado
Business as Unusual
• Branch office flood• Gas rationing• Docs destroyed, such as birth/death certificates
All Hands on Deck
• SEC investigation• Full-scale terrorist attack• Pandemic• Breakdown of domestic order
Disaster to Catastrophic Severity Index
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ClientImpact
Enterprise IT Impact
High
High
Low
Low
Business as Usual• Implement various sections
of disaster recovery plan• Web, IVR, branch access
offline for limited periods• Resource management• Temp/peak resources
IT Overtime
• Self-service on Web• CAT modeling (before and
after)• Claim admin. workflow
changes• Excess resource availability
Business as Unusual
• Client impact assessment — CRM
• Document management/archive/ imaging
• Collaboration tools
All Hands on Deck
• Dynamic financial modeling tools
• Backup site operations• Collaboration tools• Wireless connectivity• Onsite adjuster teams
Technology Response to Catastrophe
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Catastrophes — Constituencies' Responses Vary
BI toolsPredictive modelingCRM enhancementsWorkflowCAT models
Dynamic financial and geographic enhancement
Wireless a "must"Collaboration tool
Multilingual
Technology Response
Integrate components developed by a third party with legacy
and proprietary
components
Market Response
Government Response
Solvency vs. insolvencyInsurers have more feet on the groundConsumers —individualized attentionCapital markets shrinksNew value chain entrants (third-party partnerships & niche providers)
Bigger government footprint
CDC
FDIC
Optional charter
Government-backed catastrophe support
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Catastrophes Breed New Business and IT Outcomes
Business Outcomes IT Outcomes
New innovations
Speedy results
Government intervention
New regulations
Collaborative interchanges develop
Policy simplification
Consumer alerts for flood insurance, building hazards, fault lines, etc.
New innovations
Unsupported processes the norm
Message standardization mandatory
Alliances form using SOA and Web standards
Indirect and discretionary spending and cost increase
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Front OfficeBack Office
• Web-based new business systems to monitor activities of producers
• Capabilities for monitoring opt-in selections of consumers
• Multifactor authentication for online interactions
• Use of BI and predictive modeling for better targeting marketing
• More advanced use of CRM to make the sales offers at right time
• More-granular pricing• Decision aids at point of sale• Product configuration
Personalized Sales Approach
• Common administration, claims, and accounting platforms
• Re-usable components• Active use of data standards like
ACORD to manage customer data more effectively
• Powerful risk analytics/models
Manage Risk, Be Efficient, Be Flexible
• Web-based claims and policy administration systems
• BPM for faster, more-reliable service through all channels
• More self-service and better integration of Web with call centers
Faster Service
Technology Implications of the Three Disruptive Trends
Manage Risk, Be Efficient, Be Flexible
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New Capabilities Will Be Possible With Upcoming Technology Improvements
BPM/SOABPM/SOA
g
Support creation of detailed time and unit cost metrics
g
Tighter linkage of business and IT
g
More focus on process outcomes
CommonCommonCore SystemsCore Systems
g
Geographic expansion much easier
g
Real time, gold copy view of customers
g
Financial transparency
g
Expanded use of BPO — outsource and stay in control.
g
Virtual supply chain for P&C claims — better vendor management
g
Patients/doctors/payers — better disease management
Dynamic Collaboration Dynamic Collaboration ToolsTools
g
Personalized marketing offers/scripts
g
Segmented claimsg
Online sales with less adverse selection
g
Price risks faster and more accurate
BI/Predictive ModelingBI/Predictive Modeling
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BI Competency Centers: A "Turning Information Into Profit" Must-Have by 2012
Business Skills
Business needs
Organization andprocesses
BI Skills
Tools andapplications
Business needs
Data integration andmanagement
Tools andapplications
Develop user skills
Control funding
Define BI vision
Manage programs
Organize methodology leadership
Build technology blueprint
Establish standardsBICC
IT Skills
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Technology Is Not the Only Challenge — Management Practices Need to Radically Improve
BusinessProduct and
Process Domains
Information and Business Intelligence
Operations
Increasing Emphasis
on BPM
Moving FromReactive toProactive
Data How should we clean up, describe, and convert our data to standard formats?
Organization How should we organize to be more nimble and efficient?
BusinessFundamentals
Applications How should we upgrade our core marketing, distribution, underwriting, rating, commission, administration and claims applications?
Good Early Progress
StrategicFocus
Strategic Planning
Perform
ance
Disconnected
Highly Disconnected
How can we connect our plans to our operations?
How do we motivate employees to do the right things?
BusinessMethodologies Building
Some Progress
Incent, Inspect and Measure
Where should we focus our resources long term?
How can we use methodologies to embed discipline?
How can we become more effective, not just efficient, in key process areas like underwriting and claims?
How can we use BI tools to convert data into knowledge?
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Recommendations
Forget your process — for now …Immediately investigate and categorize the best practices of consumer products companies.
Make the consumer experiences comparable to his/her best retail experience.
Begin building your processes for data collection, management, and analysis around the customer expectations of "must have" information for decision aides and self-servicing.
Use creative scenario planningCreate scenarios for the unforeseen — go beyond the past and the expected.
Use dynamic modeling tools to help quantify the impact of the extreme.
Make prospective regulatory requirements a catalyst for change
Manage your balance sheet using dynamic, risk-based capital and hedging approaches — like you're an investment bank.
Help justify previously unjustifiable data and application upgrades.