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8/22/2019 01-Asia Pacific Insurance 2012 Top 10 Predictions
1/16
| 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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Copyright IBM Corporation 201122 J une 20126
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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Copyright IBM Corporation 201122 J une 20128
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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Copyright IBM Corporation 201122 J une 201220
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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Copyright IBM Corporation 201122 J une 201222
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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Copyright IBM Corporation 201122 J une 201224
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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Copyright IBM Corporation 201122 J une 201230
#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.