01-Asia Pacific Insurance 2012 Top 10 Predictions

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    | 22 J une 2012

    Asia/Pacific Insurance 2012 Top 10 PrediStrategic Initiatives for Insurers to Carpe DStudy)

    Primo B. Aguas (Dondi)

    ASEAN Insurance Sales [email protected]

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    Copyright IBM Corporation 201122 J une 20122

    IDC Top 10 Insurance Predictions for 2012 in Asia Pacific

    1. Data Integration and Analysis Will Continue to Shift to a Higher Gear asInsurers Place Concerted Focus on Raising Customer Experiences

    2. The Customer of the Future Will Be Multimodal, and Insurers Will Needto Expand and Innovate on Their Indirect Distribution Network

    3. Risk Management Will Remain Crucial, Despite or Perhaps Becauseof the Current Uncertain Economic Climate

    4. Optimizing Business Performance Will Only Take on Greater Urgency asCompetitive Pressures Intensify

    5. Insurers Will Focus on Raising Productivity and Retention of TheirAgency Force via Tools and Technologies

    Copyright IBM Corporation 201122 J une 20123

    IDC Top 10 Insurance Predictions for 2012 for Asia Pacific

    6. With Falsified Claims Raising Insurers' Operating Cost up to 5%+, FraudManagement Initiatives Will Continue with Rigor

    7. More Carriers Will Develop Strategic Road Maps for Vendor

    Replacements or Agility Enhancements to Their Core InsuranceApplications

    8. Insurers Will Increasingly Diversify into Alternative Revenue Segmentssuch as Health, Pension, and Microinsurance Products

    9. Technology Spend Will Rise an Average of 510% in 2012, with SomeBeing Channeled into New IT Delivery Paradigms

    10.Insurance Regulations Are Increasingly Making Their Impact Felt, ButUnfortunately, So Will the Corresponding Regulatory Cost Burden

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    Copyright IBM Corporation 201122 J une 20124

    Data Integrationand Analysis Will Continue to Shift to a Higher Gear asInsurers Place Concerted Focus on Raising Customer Experiences

    Insurers are facing increasingly savvy, demanding, and capricious customers.

    To better manage client relationships, they are thinking more strategically about

    organizing, synchronizing, and consolidating disparate customer information tocreate a "single version of truth" on these customers.

    They are also making investments in analytics to gain deeper insights into theirpolicyholders and to tailor-make more appropriate products and customerexperiences.

    Copyright IBM Corporation 201122 J une 20125

    For 90% of insurance CEOs, the answer is to get closer to thecustomer

    83%

    Others

    95%

    Standouts

    Getting closer to customer

    14%more

    Getting closer to customer

    People skills

    Insight and intelligence

    Enterprise model changes

    Risk management

    Industry model changes

    Revenue model changes

    90%

    86%

    81%

    70%

    49%

    49%

    40%

    Dimension to focus on over the next 5 years

    Convenience for customers is new to theinsurance industry, we are behind otherindustries here.

    CEO of P&C insurer, the Netherlands

    Chinese consumers are very open tomodern channels.

    CEO of Life Insurer, China

    Source: Global CEO Study 2010. Left side Insurance n=78, right side global n=1523, n=303; (unpublished interview quotes)

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    The Customer of the Future Will Be Multimodal, and InsurersWill Need to Expand and Innovate on Their IndirectDistribution Network

    Consumers prefer to have a choice of interaction points and would not hesitate to

    switch carriers if their preferred channels are not available or operating efficiently.

    Insurers are therefore increasingly offering alternative distribution channels (thepredominant ones being bancassurance, Web portals, and mobile devices) to caterto divergent buying preferences of policyholders, but yet must be able to presentthem with a cohesive channel message and branding.

    Copyright IBM Corporation 201122 J une 20127

    Risk Management Will Remain Crucial, Despite or PerhapsBecause of the Current Uncertain Economic Climate

    Insurers are bolstering their investment in risk management to be able todetermine risk tolerance, align risk appetite and strategy, and thereby make moreintelligent risk decisions.

    Focus is around instituting stronger internal controls and in selective spending inareas such as enterprise risk management (ERM) and Solvency II to alleviatecorporate risk.

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    Optimizing Business Performance Will Only Take onGreater Urgency as Competitive Pressures Intensify

    With IT portfolios becoming overly complex and cost ineffective over theyears,

    insurers do realize the merits of investing in business process reengineeringprojects to automate and streamline processes to ensure efficiencies and fasterproduct speed to market (even as economic prospects weaken and budgetstighten).

    Being able to handle changemanagement and engage employees in thetransformation process is crucial in ensuring effective business transformationresults.

    Copyright IBM Corporation 201122 J une 20129

    Resultingintodayslegacyof:

    Multiplelinesofbusinesssystemsprocessingcasesforthesamecustomer

    Lackofstandards,inconsistentprocesses

    Nosingleviewofa

    customerscase

    history

    Effortstooptimizeinsuranceprocessesandautomation(casemanagement)haveevolvedintheindustryovertime

    Theintroductionofsoftwareautomationtotheprincipalbusinessprocessesreplacingpartsoftheoldmanilafolder

    Newlinesofbusiness

    wereadded

    Challengesandexperimentationindistribution

    channels Acquisitions

    Modernizationofoldertransactionbasedlegacy

    systems

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    Copyright IBM Corporation 201122 J une 201210

    What is a case?

    Examples:

    Newpolicyapplication

    Disputedfees

    Lossprevention

    report

    Disputedclaim

    Financialcondition

    Fraudulentactivities

    Customerrecords

    disclosure

    Servicecomplaint

    AcustomerrelatedissuethatcannotberesolveddirectlybytheLOBbusinessorservicesapplications

    Anissue

    that

    involves

    significant

    risk

    or

    loss

    of

    revenue

    and

    damage

    to

    thecustomerrelationship

    Decisionmakingbasedonfactorsthatrequireknowledge,experience,investigationandanalysis

    Themanifestationoflifecycleinformationabouttheinsuredbrokercarrierrelationships

    Alsoknownas:

    AgencyfileUnderwritingfileCustomer

    complaintsClaimfile

    PremiumauditfileMarketplaceconductreview

    Litigation

    Copyright IBM Corporation 201122 J une 201211

    What is case management?

    Managingcustomerrelatedissuesthatrequireknowledgebased

    decisionsorfalloutsidethescopeofnormalbusinessactivities

    orin

    todays

    environment,

    is

    it

    more?

    Capturingrelevant

    Information

    Understanding

    Evaluating

    Analyzing

    Allgrownincomplexity,urgencyandcustomerexpectation

    Collaborating Internally Externally Communicating

    Decisionmaking Takingaction Resolving Recordingand

    reporting

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    Copyright IBM Corporation 201122 J une 201212 12

    Theveryexistenceofcasemanagementisproof

    Tacitknowledgeworkerscannotbeeliminatedfromcoreinsuranceprocesses

    Somethingupstreaminthebusinessprocesscannotresolvetheissueandneedsattention

    Itsnot

    possible

    to

    predict

    all

    outcomes

    or

    replace

    experienceininsurance

    Therewillalwaysbeexceptionstotherules

    Copyright IBM Corporation 201122 J une 201213

    Policy

    issuance

    Customerreceivesdocuments

    Policy

    approval

    Agentfinalizestermswithcarrieruntilpolicyissue

    Underwritinga complex environmentExample: new business acquisition (front-office quote process)

    Modify

    quote

    Agentreceivesquote,andcarriernegotiatescoverage

    Underwriting

    Agentaccessesmultiplesourcesovermultiplechannels

    Policy

    quote

    requestConsumercontactsagentforaquote

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    Copyright IBM Corporation 201122 J une 201214

    Simplifying the underwriting processchallenges to success

    Newprocessisdesigned

    forBlue

    Sky

    Processesareviewedaslinear,sequential

    Commonexceptionsare

    anticipatedas

    tree

    branchesnoadhoc

    Manymanualstepsstillexist

    Underwritershaveinconsistent

    skill

    and

    experience

    Policyadministrationsystemsonlyrecordtransactions

    Copyright IBM Corporation 201122 J une 201215

    Advanced case management leverages active content, analytics,process and collaboration

    Automaticallyfiled,analyzed TriggeredANDUWinitiatedprocessesContentdetected

    Insurance application

    Credit report

    Loss historyApplicationsigned

    Casemanagement

    Transforms execution model to help

    eliminate time waiting or checking fordocuments and information

    Enables dynamic tacit knowledgeworker processes

    Enables regulatory compliance

    Losshistory

    Credit,MVR,

    MIBreports

    Applicationinitiatesprocess Underwriter

    evidenceordered

    Riskaccepted,issuepolicy

    Timeroverdueevidence

    Negotiate,decline,additionalinforequired

    Conference/referralwithexperts

    Evidencereceivedinitiatesunderwriternotificationwhencomplete

    Correspondenceand

    formsautomated

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    Copyright IBM Corporation 201122 J une 201216

    Processes and Business Services

    WORK MANAGEMENT

    1st levelService Representative

    2nd level Specialist

    AUTOMATION

    MONITORING AND VISIBILITY SERVICES

    DYNAMIC WORK FOLDER

    INPUT

    MANAGEMENT

    OUTPUT

    MANAGEMENT

    Output Media ChannelsChannels Input Media

    Process Choreography and Management

    Business logi c, business specific funct ions, data, employees

    IBM Insurance Process Acceleration Framework

    Business Rules Content Management

    Agents

    Other SalesPartners

    Customers

    Employees

    Agents

    Other SalesPartners

    Customers

    Employees

    @

    @

    IBM has worked with Clients globally implementing STP to improve service levels andincreased operational efficiency, reducing costs with up to 70% of processes automated

    Straight Through Processing (STP)

    Copyright IBM Corporation 201122 J une 201217

    Insurers Will Focus on Raising Productivity and Retentionof Their Agency Force via Tools and Technologies

    Carriers are focusing on augmenting products and services offered to captive andtied agents and brokers to enhance their productivity and allegiance.

    This includes equipping distributors with easy-to-use tools and technologies, self-service marketing applications, and wireless solutions such as mobile devices andiPads; providing access to product specialists and product information; andincentivizing with clear performance metrics.

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    Copyright IBM Corporation 2011

    In the face of rapidly changing expectations from sellers, customers and staff, Insurers arebeginning to implement innovative capabilities across all channels

    CustomerAgent

    HeadquartersManagement

    & StaffOtherInformation

    Sources

    eServiceSelf-service

    Portal

    IM IM

    CustomerService

    Underwriting Claims

    Single Sign OnSecure role-based

    access

    Real-time

    New Business& Underwriting

    access

    Secureclaims

    updates

    Expand Customer Collaborationsto Agents and Customer ServiceVideo, Phone, Voice Chat, IM,email

    Other partners enabled toparticipate (Credit, payment,health providers, etc.)

    Expand Agent Access toinformation and servicesfrom HQ, New Business &Underwriting, etc.

    Collaborative Operations:

    Real-time instant access to information, wiki, blogs, forums,reporting, unifi ed communications, expertise search, integration &automation with processes via business process management

    The solution: Consolidated e-Services

    Enable more self-service

    Collaboration models for communications, co-working, e.g. click to chat, click to callthrough all types of devices (IOS, Android, etc.)

    Integration between front-end and back-end people, processes, technology

    Virtual Office Portal

    Copyright IBM Corporation 201122 J une 201219

    The Virtual Office for Sales and Service

    Virtual Office objectives:

    - Support sellers in non-urban areas agents, bank staff, others

    - Provide real-time sales information and support

    - Allow Sellers to submit new business, using their most preferred and convenient method

    Virtual Office can provide support across a full range of sales and service processes:

    - New Applications &Policy Administration

    Data Entry

    Quality Check

    Client Search & Validation

    - Agent & Customer Service

    Inbound & outbound

    - Status tracking

    - Payment processing

    - Outbound Collections

    - Renewals / Persistency

    - Help Desk- others

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    With Falsified Claims Raising Insurers' Operating Cost up to5%+, Fraud Management Initiatives Will Continue with Rigor

    Reasons for a rising trend in fraud cases stem from difficult economic conditions to

    the absence of effective fraud detection, control and prevention measures to anenvironment where fraudsters can easily avoid detection and arrest.

    We see regulations and technology innovation elevating fraud prevention anddetection to a new level in 2012, with insurers engaging in remedies such rules-based analysis and predictive modeling and tackling agent fraud through perimeterdefense technology (e.g., firewalls, email scanning, and ID access).

    Copyright IBM Corporation 201122 J une 201221

    Fraud

    Prevention

    Fraud

    Alerts

    Fraud

    Identification

    Fraud

    Discovery

    Fraud

    Investigation

    Fraud

    Monitoring

    How can we help ASEAN insurers find Claim Fraud?

    Underwriting Intake / Triage Adjudication Optimization Monitor

    Identity

    Behavior

    Exposures

    Timing

    Locations

    Number ofClaims within 30days of Eff Datefrom this Agent

    Agents AverageFraud Score

    Proximity ofAgent to Risk

    Identity

    Anomalies

    Patterns

    Prediction

    Party on knownfraud list

    Match to knownfraud pattern

    Anomaliesexceed normalboundaries

    Previous history

    Identity

    Anomalies

    Patterns

    Text / Content

    Social Data

    Prediction

    Facebook postinconsistent withloss

    Photo / Docs,forged/edited

    Handwritingmatch to knownfraudster

    Relationships

    Anomalies

    Patterns/Clusters

    Streams, Text,Social Data

    Cash flow

    Twitter snifferanomaly

    Claim anomalyscore exceedsthreshold

    Cash depositedto AML account

    Discover newfraud pattern

    Identity

    CaseManagement

    DocManagement

    BPM

    SIU buildingcase on potentialfraud ring

    Fraudulentvendorblacklisted

    Claim denied

    Dashboard

    StandardReports

    Ad Hoc Reports

    Trend Analysis

    Prediction

    Report fraudratio, value, andfrequency

    Drill down byagent, etc.

    Predict trends Reduce reserves

    Fraud no longer has to be discovered when the fraudster makes a mistake; we can examinemassive amounts of data in real time to predict, prevent, and ultimately prove fraudulent claims

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    CRM Policy Claims Commissions Billing &Payments

    Products Underwriting &Reinsurance

    Operational Data Sources

    End-UserCollaboration Customer Service

    Representative3rd Party Service

    ProviderCustomerClaims

    Specialist

    Fraud Decisioning

    RelationshipAwareness

    Fraud Detection

    Desk & FieldInvestigation

    Triggers, Routing &Task Orchestration

    Fraud Investigation

    Reporting,Scorecards &Dashboards

    Performance Insight

    Business & RiskPerformance

    Investigator

    i2, Identity Insight

    SPSS, ILOGACM, i2 Cognos BI, i2

    Data Integration Delivery

    Appl ication & Business Process Integrat ion

    IBMs Fraud Analysis & Prevention Solution

    Copyright IBM Corporation 201122 J une 201223

    More Carriers Will Develop Strategic Road Maps for VendorReplacements or Agility Enhancements to Their CoreInsurance Applications

    The inability of legacy IT systems to keep pace and respond quickly to dynamicbusiness requirements has engendered greater interest in enhancing core systemsapplications.

    We expect a slight increase in the number of core system deals for the new year and especially among the life insurers with investments around closing gapsand inefficiencies, or selective component replacements.

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    Insurers Will Increasingly Diversify into Alternative RevenueSegments such as Health, Pension, and MicroinsuranceProducts

    Spurred by governmental emphasis and stellar consumer demand, carriers are

    expanding into ancillary lines of businesses such as health and medical, pension,and microinsurance in attempts to tap into alternative customer segments, diversifyrevenue streams, and build long-term strategic advantage.

    To practically sustain some of these new offerings (like microinsurance forinstance), investment in technology and infrastructure would be crucial to cope withmassive volumes, manage fraud, and increase customer outreach.

    Copyright IBM Corporation 201122 J une 201225

    Technology Spend Will Rise an Average of 510% in 2012,with Some Being Channeled into New IT DeliveryParadigms

    We project that insurers' IT budgets would on average increase by 510% in 2012(versus 1020% in 2011), with investments centering around areas like networkservices, IT security, and for core applications development and management

    pertaining to distribution channels.

    In countries where regulations do not restrict their use, there would also be ademand for more flexible and cost-effective technology architectures such as cloudcomputing.

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    Copyright IBM Corporation 201122 J une 201226

    IT infrastructure is reaching a breaking point.

    85% idleIn distributed computingenvironments, up to

    85% of computing

    capacity sits idle.

    Consumer product and retail

    industries lose about $40billion annually, or 3.5 percent

    of their sales, due to supply

    chain inefficiencies.

    33% of consumers notified

    of a security breach willterminate their relationship

    with the company they

    perceive as responsible.

    33%$40 bill ion

    Explosion of information

    driving 54% growth in

    storage shipments

    every year.

    1.5x 70 per $170% on average is spenton maintaining current IT

    infrastructures versus

    adding new capabilities.

    Copyright IBM Corporation 201122 J une 201227

    Steady CAPEX spend

    Global Annual Server Spending (IDC)

    Uncontrolled management and energy costs

    $0B

    50

    100

    150

    200

    250

    300

    New systemspend

    Managementand admincosts

    Power andcoolingcosts

    Organisationsurgently need

    simpler, moreflexible IT

    Source: IBM Corporate Strategy analysis of IDC data

    CAPEX Savings are no longer enough. Operating costs need to beaddressed (server, storage and networks)

    27

    Escalating Admin and Power/Cooling costs

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    Copyright IBM Corporation 2011

    Singapore is expected to be the largest Cloud Services marketfrom 2010-2014 in ASEAN5.

    8

    11

    16

    25

    7

    1

    2

    3

    5

    1

    4

    4

    7

    12

    3

    0 10 20 30 40 50

    Indonesia

    Malaysia

    Philippines

    Singapore

    Thailand

    US$M

    AaaS

    PaaS

    IaaS

    ASEAN Cloud Services Market, 2010

    By Country (US$M)

    Source: IDC, APeJ Cloud Services 2010-2014 Forecast & Analysis, Apr 2010

    36

    39

    74

    88

    23

    12

    13

    24

    34

    8

    25

    22

    53

    66

    17

    0 50 100 150 200

    Indonesia

    Malaysia

    Philippines

    Singapore

    Thailand

    US$M

    AaaS

    PaaS

    IaaS

    ASEAN Cloud Services Market, 2014

    By Country (US$M)

    13

    17

    42

    11

    26

    73

    75

    151

    188

    48

    CAGR2010-2014

    53.9%

    44.9%

    55.2%

    45.5%

    44.5%

    Copyright IBM Corporation 201122 J une 201229

    Cloud is anew consumption and deliverymodel inspired by consumer Internet

    services.

    Enabled byVirtualization, (Service)

    Automat ion, Standardizat ion

    Cloud enables:

    Self-service

    Economies-of-scale

    Flexible pricing models (eg. pay-per-use)

    Workload based IT resource provisioning

    Cloud is:

    The Industrialization ofDeliveryfor IT

    Services

    Similar to banking ATMs and retail Point ofSale, cloud is dri ven by:

    Economies of scale

    Technology advancement

    What is Cloud Computing ?

    Banking

    Retail

    IT

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    #1 reason to move to a public cloud is lowertotal cost of ownership

    Top reasons for moving to a private cloud

    include cost/resource efficiencies, as well asenhancing speed and flexibility

    Security concerns are the top barrier toadoption of both public and private clouds

    Experience managing large outsourcingengagements gives IBM the tools to managecustomers top cloud concerns

    Three distinctive end-user cloud buyingpatterns are emerging: exploratory, solution-focused and transformational

    There are reports that public clouds are

    being adopted faster than originally forecast

    In terms of market opportunity, FinancialServices, Manufacturing, High Tech,Government and Retail are the top fiveindustries for cloud

    Cost Take-outisKey Driver

    Security isTop Concern

    Adoption Patterns areEmerging

    Industries under theGreatest Pressure

    Lead Interest in Cloud

    Source: IBM Market Intelligence, WW Cloud Market Fact book

    What the Market is Telling Us There is universal interest in cloud computing across all industries and geographies

    Insurance Regulations Are Increasingly Making Their ImpactFelt, But Unfortunately, So Will the CorrespondingRegulatory Cost Burden

    Regulatory and compliance requirement are escalating to correct existing structuralgaps in the industry. However, while well intended, these new mandates couldinadvertently raise insurers' operating costs and inevitably cause disruptions in the

    regional insurance growth.