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Presenting Sponsor: Produced By:
© Guidewire 2012. All rights reserved
CATASTROPHE MANAGEMENT
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© Guidewire 2012. All rights reserved
CATs are the moment of truth for a carrier
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The Challenge
Effective, timely response to catastrophic devastation
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The Challenge
Understanding the scope
and severity
Planning and deploying resources
Meeting claimants’ needs in time of crisis
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Decision-making powered by Data in Context
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Decision-making powered by Data in Context
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Proactive Catastrophe Management Tools Deliver on Multiple Claims Success Factors
Customer Service Excellence
Operational Efficiency
Lower Loss Costs
Enables more timely response to customers in need
Rich visualization of scope and severity enables efficient and effective deployment of resources
Timely claims management serves to mitigate “claims inflation”
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CORE CLAIMS MANAGEMENT PROCESSES
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A Hierarchy of Insurance Work
• Data entry / clerical file work • Answering queries • Standard correspondence
• Large losses • Litigation strategy • Employee mentorship
• Claims judgment • Medical evaluation • Liability judgment
• Issue resolution • Vendor performance management • Negotiation
• Enforcement of process steps • File documentation • Assignment
Basic processing tasks
Procedural compliance
Interaction tasks
Best practice evaluation
Expert evaluation
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Refocus Staff on Higher Value Tasks
• Customer satisfaction and retention • Indemnity • Combined ratio
Strategic Benefits
• Loss adjustment expense Tactical Benefits
Basic processing tasks
Procedural compliance
Interaction tasks
Best practice evaluation
Expert evaluation
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© Guidewire 2012. All rights reserved © Guidewire 2012. All rights reserved
Refocus Staff on Higher Value Tasks
• Indemnity • Combined ratio • Customer satisfaction and retention
Strategic Benefits
• Loss adjustment expense Tactical Benefits
Basic processing tasks
Procedural compliance
Interaction tasks
Best practice evaluation
Expert evaluation
Workplans can be created automatically reflecting claim-specific characteristics,
and activities assigned to appropriate people
Leading practices can be applied at all levels
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Incomplete Claim Intake
The Challenge
“We don’t have a uniform set of questions that we ask. More or less, we’ve all evolved our own type of questions that we ask in each claim.”
“The front-line stuff has been a pet peeve for a long time because they don’t get that extra question at FNOL.”
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Streamlined, Guided Notice Intake FNOL templates mean you get it right every time
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Speeding Up Adjusting
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Better Informed Evaluation
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Combating Claims Fraud Cause for suspicion can emerge anytime in the claim lifecycle
Intake Assign Investigate Financials Recovery Closure
Circumstances match known fraud pattern
Vendor/provider has history of fraud
Suspicious reporting behavior
Business Rules
Questions Sets
Info Sharing Analytics
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AN ONGOING PROCESS OF IMPROVING PROCESSES
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Measurement Key to Ongoing Improvement in Claims
Key Performance Metric
Previously Not Measuring
Claim cycle time 17% Adjuster productivity 25% Adjuster assignment efficiency—right claim to right adjuster 75% Claims quality—adherence to internal quality standards 42% Claims Leakage 75%
Metrics limited in many legacy claims systems environments
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Facilitate Management Visibility Claims system can facilitate “exception management”
Provide visibility to a range of key operational categories, e.g. Aging, Activities, etc.
Supervisor can drill down to an adjuster’s workload and then to any claim or activity.
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Comparative Analytics for Operational Performance Insights
Cohort 2 Cohort 1
Comparative Analytics
Comparative Analytics
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Continually Improve Claims Performance Peer Comparison: are my trends unique or industry-wide?
Time Comparison: how are my results changing?
Detailed Comparative Analysis: what can I do about it?
Where does my operation deviate and why?
• from the norm? • from prior results?
Diagnose Issues
Detect Trends
Identify and Act
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By Type
By Severity
By State
By Cause
Salvage Subrogation
Benchmarking Sample: Net Recovery
Collision
Comprehensive
Property Damage
By Coverage
Recovery
21.7%
6.0%
2.5%
7.8%
4.8%
1.8%
13.2%
0.5%
0.1%
Comp (Theft Only) 16.4% 14.8% 0.9%
Note: Sample data. Provided for illustrative purposes only.
California 22.2%
Massachusetts 27.8%
Michigan 1.4%
Texas 15.5%
New York 26.6%
Florida 22.8%
Connecticut 24.3%
Pennsylvania 19.6%
Virginia 14.8%
Collision Subro by State
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BETTER DATA OVER BIGGER DATA
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Today’s Data Challenge 010110010110111101110101001000000110101001110101011100110111010000100000011011000110111101110011011101000010000001010100011010000110010100100000010001110110000101101101011001010010111001011001011011110111010100100000011010100111010101110011011101000010000001101100011011110111001101110100001000000101010001101000011001010010000001000111011000010110110101100101001011100101100101101111011101010010000001101010011101010111001101110100001000000110110001101111011100110111010000100000010101000110100001100101001000000100011101100001011011010110010100101110010110010110111101110101001000000110101001110101011100110111010000100000011011000110111101110011011101000010000001010100011010000110010100100000010001110110000101101101011001010010111001011001011011110111010100100000011010100111010101110011011101000010000001101100011011110111001101110100001000000101010001101000011001010010000001000111011000010110110101100101001011100101100101101111011101010010000001101010011101010111001101110100001000000110110001101111011100110111010000100000010101000110100001100101001000000100011101100001011011010110010100101110010110010110111101110101001000000110101001110101011100110111010000100000011011000110111101110011011101000010000001010100011010000110010100100000010001110110000101101101011001010010111001011001011011110111010100100000011010100111010101110011011101000010000001101100011011110111001101110100001000000101010001101000011001010010000001000111011000010110110101100101001011100101100101101111011101010010000001101010011101010111001101110100001000000110110001101111011100110111010000100000010101000110100001100101001000000100011101100001011011010110010100101110010110010110111101110101001000000110101001110101011100110111010000100000011011000110111101110011011101000010000001010100011010000110010100100000010001110110000101101101011001010010111001011001011011110111010100100000011010100111010101110011011101000010000001101100011011110111001101110100001000000101010001101000011001010010000001000111011000010110110101100101001011100101100101101111011101010010000001101010011101010111001101110100001000000110110001101111011100110111010000100000010101000110100001100101001000000100011101100001011011010110010100101110010110010110111101110101001000000110101001110101011100110111010000100000011011000110111101110011011101000010000001010100011010000110010100100000010001110110000101101101011001010010111001011001011011110111010100100000011010100111010101110011011101000010000001101100011011110111001101110100001000000101010001101000011001010010000001000111011000010110110101100101001011100101100101101111011101010010000001101010011101010111001101110100001000000110110001101111011100110111010000100000010101000110100001100101001000000100011101100001011011010110010100101110010110010110
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Network Connecting Peer Insurers, Sources of Information & Expert Tools
Enabling Context-Driven Decisions
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Claims Performance Data Visualization
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WRAP-UP
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Self Service, Mobile & Social
Geo-location, Visualization
Performance Guidance Leading Practices
Context-driven Decisions
Leverage New Technologies in Claims
Access & Collaboration
Catastrophe Management
Process Management
Better Data
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Customer Service Excellence
Operational Efficiency
Lower Loss Costs
Business Agility
Address Key Claims Business Imperatives
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Claims New Technology Landscape
Client expectations rising, but still ways to provide differentiating claims service
You can improve service and also reduce costs
Opportunities to adopt impactful new technologies and adapt claims processes
Robust modern core claims systems and processes form essential foundation
Smooth Fast Transparent Collaborative Fair
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New Technology & Processes: The Claims Landscape
Neil Betteridge, VP Strategy, Guidewire [email protected]