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Sustaining the return to profitability
The London Insurance Market
Operational drivers in the London Market – a survey of insurers
Sustaining the return to profitabilityThe London Insurance Market
Operational drivers in the London Market – a survey of insurers
Contents
Introduction
Executive summary
The London Insurance Market
5-12
13-32
49-50Contacts
Underwriting performance and cycle management
Claims service and claims cost management
Financial reporting
33-40
1-4
41-46
47-48
Introduction
Improved operational capabilities and effective cycle managementstrategies will be crucial in London Market insurers’ ability to steerthrough the choppier waters ahead.
The 12 months since our last surveyof the operational drivers in theLondon Insurance Market have seena significant return to profitabilityand a replenishment of capital lostin earlier years. Our 2003 surveyreveals that optimism remains high,with all respondents believing thattheir prospects for the year areeither broadly unchanged or set to get even better.
Participants are confident about therating prospects for their casualtybusiness, with rating increasesexpected to continue into 2004 inthe primary risks market. Someclasses of casualty business such asUS D&O could continue to hardenfor even longer. However, manyreport that the property and aviationunderwriting cycles have alreadyturned, with marine rates set tofollow the downward trend soonafter. Clearly, sustaining profitabilitywill be a challenge in a marketwhere the troughs in the ratingcycle have always tended to bedeeper than the rest of the global
insurance industry. Although allrespondents stress the importance of learning from the past by notfollowing the market down, manyadmit that one of the recurringweaknesses of the subscriptionmarket is that there always seems to be someone prepared to lead the slip, however unfavourable the rates and conditions.
Indeed, the nature of thesubscription market can create adegree of artificial ‘circular comfort’,as followers on a slip often looktowards the recognised marketleaders to identify when rates andterms become unacceptable. Leadersmeanwhile will consider the levelof support in the follow market as across-check on the acceptability ofrating levels for risks within certainparameters.
Why should we think that anythingwill be different this time around?For a start, the financialcircumstances have changed sincethe last downturn, with participantsrecognising that without the cushionof investment income there will belittle margin for error. At Lloyd’s, the new Franchise Board hasalready shown that it will intervene if performance falls below anacceptable level. Above all, many overseas capital providers, be they parent companies or short-term ‘quota share’ investors,have made it clear that they willwithdraw capacity if rates andreturns begin to fall away. While it will be easier for insurers to
‘2002 was about
seizing opportunities.
2003 is about
consolidation
and preparing for
cycle change.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p2
Introduction continued
withstand any pressure from brokers if their backers have already taken the decision out of their hands, some insurers are concerned that thisapproach may damage long-termrelationships. Furthermore, while there is no reason why independentorganisations cannot act with the samedecisiveness and discipline by ‘turningoff the tap’ when rates fall below asustainable level, they will need ahighly informed and determinedmanagement team to achieve this.
On the internal operational side, oursurvey reveals that many organisationsare making greater use of underwritingfile peer reviews, the development of pricing indices and sophisticated,technology-enabled aggregationmonitoring. These methodologies helpinsurers to regulate and improve riskselection, control exposures and trackrating movements at both a portfolioand market level. Most respondentsunderpin this with the application oftechnical pricing models for more thanhalf of their primary risks business,and for more than two-thirds of theirreinsurance business. These modelsallow insurers to evaluate marginsagainst a theoretical price and providea yardstick for the profitability of thebusiness. However, some others arereluctant to impose pricing or otherprescriptive guidelines in case thisstifles the flexibility and judgement of their underwriters. While this latterapproach may suit some organisations,the risks are arguably greater than withthe more systematic, and increasinglyprevalent, alternative.
As our survey underlines, there are many differences in the waycompanies are looking to strengthentheir operational capabilities andmanage their businesses through thecycle. However, our research hasenabled us to identify what we believeare likely to be the common attributesfor sustaining profitability:
• A clear focus on creatingshareholder value across theunderwriting cycle that isembedded within and wellunderstood across the organisation;
• A rigorous controls environmentaround the management ofexposures, the adequacy ofpremium rates and the quality of business accepted;
• Timely, reliable and focusedmanagement information;
• The ability to implement toughdecisions, particularly in relation to reducing volumes if acceptablepremium rates cannot be achieved;
• Investment in high quality people,at all levels, who are capable ofadapting rapidly and actingindependently of the ‘herd’ in a softening market; and
• Effective claims management tocontrol costs, minimise claimsleakage and provide high qualityclient service as a source ofcompetitive advantage.
p3 • Sustaining the return to profitability • PricewaterhouseCoopers
The coming pressure on rates willput the operational performance ofthe London Insurance Market underthe spotlight, in particular its abilityto deliver the consistent returnsdemanded by a new breed ofcapital providers. The findings ofthis survey offer some valuableinsights into whether the LondonMarket can rise to the challenge.
The research is based on in-depthquestionnaires and face-to-faceinterviews with executives fromboth Lloyd’s and Company Marketbusinesses, representing nearly 50%of Lloyd’s capacity in 2003 and acombined estimated gross premiumincome in excess of £11bn in 2003.As before, the participants wereselected to reflect a broad spectrumof entity sizes, product classes,independent businesses andsubsidiary organisations.
Our thanks go to all theorganisations and executives who participated in the survey, and without whose time this report would not be possible.
Sustaining the return to profitability • PricewaterhouseCoopers • p4
Executive summary
The latest PricewaterhouseCoopers survey of the operational driversfor insurers within the London Insurance Market is designed toupdate and provide more detailed analysis of the key themes thatemerged from our initial 2002 study.
The market remains buoyant,with three-quarters of participantsbelieving that their prospects areunchanged since 12 months agoand a quarter feeling that theyhave improved. Underwritingperformance and cyclemanagement, and managingaggregations of risk and theirimpact on results, continue to be the two key issues on thecorporate agenda.
In broad terms, the priorities placedon operational drivers are largelyunchanged from our 2002 survey.The only significant change relatesto the reduced level of importanceattached to InformationManagement, Systems and IT. This is likely to reflect, in part, the substantial IT projects in progressat the time of our last survey nowhaving been largely completed.
Capital management, includedexplicitly as an operational driverthis year, understandably featureshighly as a strategic imperative. The withdrawal of some capacity in 2003, together with the reductionin the level of capital which cantake the form of qualifying quotashare reinsurances to 10% withinthe Lloyd’s market, have put thespotlight firmly on managing theexpectations of investors as theunderwriting cycle starts to turn.
Sustaining the return to profitability • PricewaterhouseCoopers • p6
Regulation
Own credit rating versus market credit rating
Management of reinsurance programme performance
Claims service and claims cost management
People
Capital management
Underwriting performance and cycle management
Aggregations of exposure and impact on results
Cashflow and credit control
Information Management, Systems and IT
Investment performance
Cost control
Terms of trade
Distribution and sourcing of business
Not a priority Top priority
Subscription nature of London Market
Please grade the following operational drivers according to their importance to you in 2003
Source: PricewaterhouseCoopers 2003
‘Everyone in the
market is talking
about early
warning systems.’Survey respondent
Executive summary continued
Underwriting
Despite a softening in rates in somesegments, rates have some way to fallbefore they become unprofitable.Nonetheless, 50% of respondentsbelieve that ‘the top of the cycle is the optimum time to implement cyclemanagement strategies for the nextdownturn.’ However, judging whenthe cycle has reached its peak is farfrom straightforward.
Although the survey underlines theimportance of effective early warningsystems in being able to anticipate and respond to market trends, it alsosuggests that the level of confidence in such mechanisms is not as high asmost management teams would like.More than 50% of participants identify‘difficulties in determining when thecycle will turn or determining itsfuture shape’ as ‘significant or verysignificant barriers to effectiveunderwriting cycle managementwithin their organisation’. Over half of respondents also believe that‘difficulties in ensuring thatunderwriters adhere to and deliver the underwriting strategy’ could be a‘significant or very significant barrier’.
Many also recognise that unlike thelast downturn, they will not be able to offset the squeeze in marginsthrough investment income. Insteadthey will need to concentrate on thecore operational capabilities andcontrols needed to deliver a genuineunderwriting profit. Accordingly,
our survey highlights a renewed focus on strong gross underwritingperformance, the consistency of thisperformance over time and the qualityof the staff that underpin these results as the foremost underwritingmanagement priorities.
There are opposing views as to themost effective cycle managementstrategy, with a clear divide emergingbetween those respondents intendingto take an aggressive short-term stanceand those that prefer to take a long-term outlook on an acceptable level of return across the cycle. Surprisingly,however, only a third of respondentsbelieve that ‘maintaining brokerrelationships if exiting classes ofbusiness in a soft market’ will be a ‘significant barrier’, and noneconsidered this ‘a very significantbarrier’ in delivering their cyclemanagement strategies.
The clear message from respondents is that reducing volumes andimproving risk selection will be the‘most important actions in maximisingunderwriting performance in the next downturn’.
Many subsidiary organisations havealready been required to budget for acut back in volume and a withdrawalfrom non-core business to fit with theirgroups’ strategies. Independentorganisations not constrained in thisway by their capital providers will needto exercise greater discipline. As oneinterviewee pointed out, ‘many of the
‘You need a
mechanism that
spots when the
key points of the
risks and portfolios
are going the
wrong way.’Survey respondent
p7 • Sustaining the return to profitability • PricewaterhouseCoopers
underwriters coming through nowdid not have authority to write inthe last downturn and therefore donot have the experience of tradingthrough the cycle.’
An average of around 50% ofprimary risks business by premiumvolume is now ‘rated according to documented technical pricing’,though even some advocatesrecognise that such pricing tools are more suited to some classes ofbusiness than others, such as motorand commercial property, and thatpricing will ultimately be driven bywhat the market will bear. Thissentiment is reflected in the factthat while pricing ranks as one ofthe most important underwritingprocesses/controls, the availabilityand use of pricing guidelines is only a moderate priority. A fewrespondents are clearly reluctant to impose prescriptive guidelines or statistical pricing models onunderwriters in case they underminetheir operational flexibility.
However, insurers can runsubstantial risks in not comparingmarket rates with technical prices,irrespective of the prevailing marketconditions. By using technicalpricing models, many organisationsbelieve that they are able to ‘draw aline in the sand’ to determine whento ‘turn the tap off’, estimate moreaccurately the shape of the cycleand therefore build a clear cyclemanagement strategy. They can also reduce the risk of rogue
underwriters and provide objectivetools to enable management tochallenge underwriters’ views. The latter argument is particularlypertinent for the remainder of 2003and the upcoming renewal season,as some underwriters may belooking to capitalise on ‘just onemore good year’.
To ensure that the quality of therisks accepted is in line with theunderwriting strategy, an average of 74% of primary risks and 84% ofinwards reinsurance risks are subjectto peer review/file audit each year.This represents a significantincrease on the level of rigourobserved in our previous survey.
Around two-thirds of respondentssay they will buy more reinsuranceas part of their cycle managementstrategy. More than 80% say thattheir evaluations of reinsuranceneeds are based on aggregationmonitoring, realistic disasterscenarios and a review of policyexposures, while three-quartersutilise frequency/severity modellingtechniques. Understandably, all ofthese techniques have becomeincreasingly sophisticated in theaftermath of 9/11.
Policy wordings continue to be amajor cause for concern, with somekey organisations strongly believingthat the market has not learnt itslessons from 9/11. Despite this,support for market initiatives such asthe LMP slip has been relatively poor.
‘I don’t care if we
have to cut out
three-quarters of our
current business to
sustain profitability
in the downturn.
It would prove that
we can put our
money where our
mouth is.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p8
Executive summary continued
The ‘recruitment and retention ofquality underwriting staff’ is again highon the list of important underwritingpriorities. Training is seen as the key to overcoming younger underwriters’lack of experience of writing in asoftening market, though many believethat the professional qualificationcurriculum needs to be more in linewith market needs or augmented by bespoke in-house programmes.Many participants also recognise that a key issue will be how to motivateand reward underwriters mosteffectively when volumes and returns begin to decline.
It is recognised that delegatedunderwriting authority arrangements(DUAs) can make it harder toimplement effective underwritingmanagement strategies. So why do so many London Market organisations,particularly in Lloyd’s, continue to givetheir pen away? For more than 75% of participants, DUAs represent anideal way to tap new markets and welldefined business niches, accountingfor an average of 23% of premiums in 2003. Nevertheless, most acceptthat safeguards and scrutiny could be improved.
Due diligence is now more robustwhen selecting a new DUA, thoughsome insurers’ assessments lack thesystematic structure and safeguards ofdocumented best practice procedures.Risk and pricing controls tend to bemore rigorous and comprehensive,with greater use of pricing guidelinesand less room for deviation from
these. While on-site file audits areused extensively as a key control, the effective management of DUAsdepends to a large extent on thequality and frequency of theinformation provided. The growingmove to electronic communication,now accounting for 48% of datasupplied, could eventually pave the wayfor the supply of real-time information,monitoring and interaction.
Claims management
Our last survey found claimslanguishing in what one respondentdescribed as a ‘black hole’. This year,claims service and claims costmanagement have effectivelymaintained their medium level priorityranking, despite claims being by far aninsurer’s most significant source ofoutgo. Claims handling policies andprocedures, as well as reservingtechniques, have been tightened upand formalised to some extent over thepast year, with 80% now following aclaims handling guide/proceduresmanual. However, the impetus for thisappears to have come at least in partfrom regulators and reinsurers, withinternal pressure for improvementsuffering from an overall lack of focuson costs in the current hard market.
It appears that this inertia stems in part from the practical constraints ofthe number of parties involved in the claims process, including brokers,outsourcers and service providers,especially in the Lloyd’s market,
‘Even on our most
extreme level
of delegation
we impose strict
rating guidelines.’Survey respondent
‘Organisations don’t
want to actively
manage claims,
it’s as if they let
them happen.’Survey respondent
p9 • Sustaining the return to profitability • PricewaterhouseCoopers
despite widespread frustration with the quality of service andperformance. More than half ofrespondents believe that the qualityof claims broking has ‘deterioratedor significantly deteriorated’ overthe past ten years, and more than50% are dissatisfied with aspects of the central claims servicesprovided by XCS.
However, there are some notableexceptions among organisationsthat believe that claims service andclaims cost management representan important and largely untappedsource of competitive advantage,with one interviewee describingimproving the claims function ‘as an extension of the underwritingstrategy’. While business models for the claims function range fromfull outsourcing to the deploymentof largely in-house teams, the ‘best’ display the common virtues of tight control and proactive claims management. Part of thisimpetus appears to stem from therecruitment of a new breed ofclaims director.
One cornerstone of the emergingbest practice is the increasing levelof review/audit of open and closedfiles to identify weaknesses andoptimise claims processes andperformance. At the same time, the robust implementation of casestrategies that seek to achieve earlyresolution can improve clientsatisfaction, while delivering more
economic settlement levels andreducing the incidence of costlylitigation. Forward-thinkingorganisations are also looking at how to improve the status,incentivisation and careerdevelopment opportunities of their claims personnel.
Financial reporting
Our latest survey underlines againconcerns about the burden,usefulness and complexity offinancial reporting. Fewer than 50% of respondents express anymore than partial satisfaction withthe ‘process’ or ‘timeliness’ of theproduction of managementinformation. For external reporting,however, 90% are actively looking at how to reduce theirreporting times.
One of the keys to improvementappears to be greater use of ‘fast close’ techniques that enablecompanies to streamline reportingprocesses through the capture,warehousing and interrogation of core underwriting, claims andgeneral ledger data. Such anapproach has enabled onerespondent to cut the production of insurance results to 15 days(compared with a survey average of 48 days), giving their financeteam more time to focus onproviding information that canimprove decision-making and add value to the business.
‘The key to success
is being able to turn
data into information,
information into
knowledge and
knowledge into insight.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p10
Executive summary continued
However, reporting remainsexceptionally onerous in the Lloyd’smarket, with respondents preparing an average of 28 audited returns, inaddition to other regulatory reportingrequirements. The London Market will be strongly affected by the scaleand complexity of the move toInternational Financial ReportingStandards, which will exacerbate thedemands on already overstretchedfinance teams.
p11 • Sustaining the return to profitability • PricewaterhouseCoopers
Underwriting performance and cycle management
Back to basics
The business environment
Cycle management
Pricing and controls
Aggregations of risk and reinsurance
Distribution
People
All respondents recognise thatthey may need to cut volumes tosafeguard the bottom line oncerates begin to decline. The keyquestion is when and how to ‘turn off the tap’.
The businessenvironment
Certain segments have peaked.Premium rates in others are still rising.
The London Insurance Market is stillenjoying the best of times. Capacityhas grown on the back of a surge ofinvestment and demand. Althoughthe shadow of 9/11 remains, with a number of sizeable claims issuesstill to be resolved, the subsequentloss environment has beenremarkably benign. Above all, rates have increased strongly and in some classes, including US D&Oand other casualty business, haveyet to reach their peak. Thiscontinuing buoyancy is reflected in the fact that three-quarters ofrespondents believe that theprospects for their business in 2003are ‘broadly unchanged’ from 12 months ago and a significant25% are actually more optimistic.
Yet, this optimism is tempered by the realisation that premiumrates in some classes have alreadyreached their peak. Respondents’average projections for the propertypremium rating index suggestdeclines over 2004 and 2005.
Sustaining the return to profitability • PricewaterhouseCoopers • p14
‘The losses and
uncertainty in the
investment world
have focused people’s
attention back onto
making money
through underwriting
and understanding
underwriting as
a competency.’Survey respondent
‘Anyone can make
money in the current
market. However, the
next few years will be
far more challenging
and it will be
interesting to see how
the industry changes.’Survey respondent
80
90
100
110
120
2003 2004 2005
PropertyCasualtyMarine & Aviation
Prem
ium
Rat
ing
Inde
x
If the primary market premium rating index is normalised to 100 for the2002 underwriting year, what level do you expect the primary marketpremium rating index to be for the 2003, 2004 and 2005 underwriting years?
Source: PricewaterhouseCoopers 2003
Underwriting performance and cycle management continued
Indeed, some interviewees are already reporting rating falls of up to 40% on some property business.Most also feel that aviation rates arebeginning to crumble, while formarine business the premium ratingindex is expected to decline over thecourse of 2004 and 2005 within theprimary market.
Although the average projected falls in the property reinsurance premiumrating index are slightly more markedthan in the primary market, most feelthat casualty reinsurance rates willincrease significantly in 2004 andstabilise in 2005. The buoyancy ofrating levels in the casualtyreinsurance market seems to bear out a number of respondents’ belief that‘reinsurers are going to be big driversin keeping some stability in the marketplace.’ Indeed, the possiblewithdrawal of some of London’s newUS-backed and Bermudan-backedcapacity, particularly in the guise ofqualifying quota share reinsurance,could help to bolster rates by bringing
supply back into line with demand.While our survey identified nooverriding driver of the underwritingcycle in the London Market,suggesting that movements areinfluenced by a number of relatedfactors, the incidence of catastrophes,competition and new entrants/exits are certainly seen as among the mostsignificant forces.
Nevertheless, London Market insurersare taking steps to achieve a softerlanding than in previous downturns, asall participants accept that poor equityreturns and the depletion of reservesfollowing 9/11 mean that there will bevery little cushion when rates do comedown. As one interviewee pointed out,‘the days when you could make areasonable return on equity at 115-120% combined ratios are longgone. Even the longest tail lines need to be combining at or below 100% to make a decent return. So thecommercial reality is that we need to get underwriting performance back at the top of the agenda.’
p15 • Sustaining the return to profitability • PricewaterhouseCoopers
International competition
New entrants to the market/exits
Incidence of catastrophe losses
Competition within the London Market
Level of reinsurance premium rates
Market share objectives
Pricing commoditisation
Prior year deterioration in claims reserves
Pressure from brokers
Difficulties in determining underlying profitability
Not important Most important
Interest rates
Please grade by level of importance the factors that you consider to be key drivers of the underwriting cycle within theLondon Market
Source: PricewaterhouseCoopers 2003
This renewed focus on strong grossunderwriting performance, theconsistency of this performanceover time and the quality of staffthat underpin these objectives arereflected in their rankings as theforemost underwriting priorities.Such factors as market share andlow expense ratios are secondary at best. As one interviewee said, ‘I can’t think of an insurer that’sbeen killed by an expense ratio,
though I can think of plenty thathave been killed by loss ratios.’
As would be expected, cyclemanagement is the number oneprocess/control in terms ofimportance to the organisation,closely followed by the corecompetencies of risk selection,pricing and management of riskaggregation. In contrast, businessnegotiation skills and the use of
pricing guidelines are seen as beingless crucial at present, though someinterviewees recognise that theymay become more valuable toinsurers as the pressure on ratesbegins to heighten.
Sustaining the return to profitability • PricewaterhouseCoopers • p16
Consistency of underwriting performance over time
Recruitment and retention of quality underwriting staff
Strong gross of reinsurance underwriting performance
Strong net of reinsurance underwriting performance
Production of reliable/timely management information
Top quartile/relative underwriting performance
Cost-effective reinsurance
Risk diversification
Low expense ratios
Not a priority Top priority
Market share
Please grade the following underwriting priorities according to their importance to your organisation
Source: PricewaterhouseCoopers 2003
Performance measurement and monitoring
Underwriting authorities/licenses
Pricing
Risk aggregation management
Underwriting cycle management
Risk selection
Underwriting guidelines
Policy risk management
Portfolio management
Underwriting file audits
Pricing guidelines
Policy processing
Not a priority Top priority
Business negotiation
Please grade the following underwriting processes/controls according to their importance to your organisation
Source: PricewaterhouseCoopers 2003
Underwriting performance and cycle management continued
Cycle management
Many organisations face difficulties injudging when the market is about toturn and responding accordingly.
Nearly all respondents recognise thatbeing able to monitor and anticipatemovements in premium rates in atimely manner is crucial at this stageof the cycle, with most stepping uppeer reviews and the tracking ofpricing indices, terms and deductibles,and supporting this with regularprojections of emerging loss ratios.Others are looking to augment suchmonitoring with the use of the latestpricing and portfolio managementtools, to gauge their rating adequacythrough a comparison between theactual premiums charged and thetheoretical technical rates at both anindividual risk and portfolio level.
While such tools offer what somedescribe as a ‘line in the sand’ belowwhich they are reluctant to be drawn,pricing is, as we will see in the nextsection, still largely regarded as moreof an art than a science. As such,some question marks remain over the transparency and robustness of the pricing decisions that will be takenover the coming months. Indeed, even some of the strongest advocatesof technical pricing and portfoliomanagement techniques recognise thatthe successful tracking and projection of market trends, and the ability toidentify at what point to decline a risk, still ultimately depend on theexperience and judgement of seniorunderwriters. ‘It is the underwriter’s
job to monitor whether business isprofitable. You can have all the modelsand projections you like, but at theend of the day we have to trust theunderwriter to tell us where things are going’, noted one interviewee.
However, as a number of respondentshave noted, a subscription market can create a degree of artificial‘circular comfort’, as followers on aslip often look towards the recognisedmarket leaders to identify when ratesand terms become unacceptable.Meanwhile, leaders can view the level of support in the follow marketas a cross-check on the acceptabilityof rating levels for risks within certainparameters. Furthermore, it is moredifficult to control the potential for rogue underwriting when objective measures of premium rateadequacy are not readily available to management.
What is clear is that management and capital providers’ confidence in the efficacy of many of the earlywarning systems being used byLondon Market insurers is limited atbest, with around 50% of participantsidentifying ‘difficulties in determiningthe timing and shape of the downturn’as the main barrier to effective cycle management.
When asked about the best time to implement a strategy for a cycledownturn, 50% think it is ‘when therates are hardest’ and 25% ‘when ratesare between the top and the middle of the cycle’. Perhaps predictably, thefour main features of the action plan
p17 • Sustaining the return to profitability • PricewaterhouseCoopers
‘The first to go is the
speculative business.
Write as much as
you can when the
market is hard and
pull out as quickly as
you can when the
rates fall off.’Survey respondent
underpinning the delivery of aneffective cycle management strategyare improving risk selection,reducing volumes, seeking tomaintain policy terms andconditions, and safeguardingpremium rating adequacy. Aroundtwo-thirds of respondents will alsobe looking to improve policy riskmanagement or to buy morereinsurance. However, barely athird of participants see cuttingcosts as a priority.
Many subsidiary organisations have already been required to build a cut back in volume and awithdrawal from non-core businessto fit in with their groups’ strategies. Will independent organisationshave the same discipline, or even in some cases the ability, to decline
business? ‘Difficulties in changingthe attitudes and behaviour of staff’are seen by 42% of respondents asa ‘significant’ or ‘very significant’barrier to cycle management.Indeed, one interviewee fears thatthe lessons of the past could beforgotten ‘in a loss of institutionalmemory’. He also pointed out that‘many of the underwriters comingthrough now did not have authorityto write in the last downturn and therefore do not have theexperience of trading through the cycle.’
As we will see later, many insurersnow recognise that the days when‘anyone could make money’ arenow coming to a close, and thatorganisations need to renew theirfocus on the quality, training and
Sustaining the return to profitability • PricewaterhouseCoopers • p18
‘Everyone in the
market is talking
about early warning,
looking at the risks
and spotting when
the market’s turning,
and yet I suspect five
years ago we were
saying exactly the
same things.’Survey respondent
64% 27%
92%
64% 36%
36% 64%
25% 67%
17% 50%
9% 55%
30% 60%
8% 75% 17%
36%
33%
8%
10%
9%
8%
100%
Risk management standards
Risk selection
Level of outwards reinsurance purchased
Flexibility of cost structure
Number of key producing brokers
Premium rating adequacy
Expense levels
Commission levels
Business volumes
Policy terms and conditions
0 100%
Increase/improveMaintainReduce/relax
Which of the following underwriting and related actions will your organisation use to maximise underwritingperformance in the next underwriting cycle downturn?
Source: PricewaterhouseCoopers 2003
Underwriting performance and cycle management continued
supervision of frontline underwriters.‘Underwriters are going to have to beat the top of their game to know whatbusiness to take and what to reject.Supplying them with up-to-dateinformation will be crucial,’ said oneinterviewee. Above all, ‘turning off the tap’ seems to be a question ofnerve. ‘We need to be bold enough to say we will not write it,’ saidanother interviewee.
In deciding what business to discardand what to retain, almost all
respondents stress the need to cutback on the opportunistic andspeculative ‘punts’ – which tend to be relatively less risky in a very hardmarket – and concentrate on core lines and customers, ‘where we havethe necessary expertise, relationshipsand client data’. Many intervieweesalso believe that ‘spending on the support infrastructure is even more important in a soft market’, in particular the effectivebroker/customer relationshipmanagement needed to attract and
p19 • Sustaining the return to profitability • PricewaterhouseCoopers
Increase in expense ratio due to lower premium volumes
Difficulties in monitoring the key drivers of the underwriting cycle
Difficulties in sustaining broker relationships if exiting classes of business in a soft market
Difficulties in achieving effective performance measurement
Difficulties in quantifying the relationship between premium rate adequacy versus business volumes
Difficulties in determining/monitoring premium rate adequacy
Difficulties in determining future outwards reinsurance costs
Difficulties in ensuring that underwriters adhere to and deliver the underwriting cycle management strategy
Difficulties in determining when the underwriting cycle will turn
Difficulties in determining the shape of the future underwriting cycle
Difficulties in determining robust exposure measures
Heterogeneous nature of business portfolio
Difficulties in changing the attitudes and behaviours of staff
Difficulties in measuring own performance versus market performance
Difficulties in identifying the key drivers of the underwriting cycle
High frictional costs (e.g. acquisition costs) in moving into new segments/markets
Not a barrier Very significant barrier
Limited access to market intelligence
Please grade by level of importance the main barriers you perceive to an effective underwriting cycle managementstrategy within your organisation
Source: PricewaterhouseCoopers 2003
retain business. However, only athird of respondents believe that‘difficulties in sustaining brokerrelationships if exiting classes of business in a soft market’ arelikely to be a significant barrier to effective cycle management.
Many believe that foresight andproactive management in dealingwith brokers can help to avoidrancour, for instance ‘cutting ourline on a slip from 40% to 20% in one year, and then declining thepolicy altogether when the rateshave come right down, is likely to be far less damaging to therelationship than a one-off refusal,’said one interviewee. Somerespondents also believe thatgradually ceasing to be a leader onslips, in addition to reducing linesizes, during the start of the cycledownturn can provide greateroperational flexibility when activelyseeking to reduce business volumes.
There is a divergence of philosophyregarding short-term results andreturns across the cycle, whichexternal analysts often do not give enough weight to. Somerespondents say that they will beprepared to write core classes ofbusiness at an acceptable level ofloss in a softening market as part ofan overall strategy that sets returnon equity targets across the cycle.Where desire for a high level ofrenewals or the need for followingmarket support on a slip is less ofan issue, it is easier to price andexit classes of business on a risk
by risk and year by year basis. This particular approach fits in wellwith the mobile capital strategies of some of the larger overseasinvestors, particularly thoseproviding support in the form ofqualifying quota share reinsurance.
Pricing and controls
Views differ on the best way to set prices and exercise effectivecontrol of underwriting quality.
An average of 51% of respondents’primary risks and 69% of inwardsreinsurance business are ‘ratedaccording to documented technicalpricing’. The application ofdocumented legacy rates is the most common pricing approach forprimary risks, whereas statisticalexperience-based rating models aremost extensively used in the pricingof reinsurance business. A variety of components such as trendedburning costs and frequency andseverity distributions are included in these rating models, although a profit/return on capital andreinsurance cost elements are farless commonplace. What is clear isthat there are a variety of definitionsof the term ‘technical pricing’ beingused across the market.
Those respondents setting pricingguidelines generally allow a degree of latitude both above andbelow the technical rate to giveunderwriters the scope for flexibility,with the underlying rating models
‘We want to
understand what
customers value from
insurance and we
want to use superior
insights in risk to
provide solutions to
customers that will
help us to mitigate
the costs of managing
the cycle.’Survey respondent
‘Technical pricing is
not where it needs to
be. Large parts of the
direct market base
their prices on opaque
rating models that are
literally straight off the
back of a fag packet.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p20
Underwriting performance and cycle management continued
most commonly being validated usingpricing peer reviews and monitoring of actual profitability.
Establishing such models can bedifficult for new entrants who tend to lack the necessary historical data.Participants also stress that some risksare more suited than others to suchpricing techniques. For instance, itwould be virtually impossible to rateterrorism risks in this way, and onerespondent ultimately believes that‘85% of the price is market driven’.Equally, the quality of informationprovided by brokers and corporate risk managers is only as good as theinterpretational skills and insight of the people who use it.
However, what did emerge from oursurvey is that while participants thatuse technical pricing accept itslimitations, they believe that it permitsthem to operate in a more secureenvironment than competitors that do not. In particular, it enables themto track the market cycle and ratingadequacy more accurately and moretransparently, while enhancing thefocus on profitability at the point ofsale. While some interviewees believe
that the use of such models is likely toincrease as market rating levels movecloser to a break-even position, thereis also the very real risk that technicalpricing will be discarded by thoseunderwriters who maintain that priceswill ultimately be driven by what themarket will bear.
Insurers can run substantial risks in notcomparing market rates with technicalprices, irrespective of the prevailingmarket conditions. For example, anumber of respondents have come tothe conclusion that marine rates incertain segments are still significantlybelow a break-even level, despite theoverall hardening of the market. Byusing technical pricing models, manyorganisations believe that they areable to estimate more accurately theshape of the cycle and therefore build a clear cycle management strategy,and provide objective tools formanagement to be able to challengeunderwriters’ views. The latterargument is particularly pertinent for the remainder of 2003 and theupcoming renewal season, as someunderwriters may be looking tocapitalise on ‘just one more good year’.
To ensure that the quality of the risks accepted is in line with theunderwriting strategy, an average of74% of primary risks and 84% ofinwards reinsurance risks are subjectto peer review/file audit each year.Although several insurers go so far as to peer review 100% of their risks,over 90% of respondents consider thecurrent level of underwriting file auditsto be sufficient. This represents asignificant increase in the level of
p21 • Sustaining the return to profitability • PricewaterhouseCoopers
0 100%Less than 30%30% – 70%More than 70%
Primary risks
Inwards reinsurance
20%20% 60%
13% 13% 74%
What percentage of risks/underwriting files (by gross premium volume) arepeer reviewed/audited per annum?
Source: PricewaterhouseCoopers 2003
‘The more granular we
can get our pricing
and the better we
listen to and
understand our
customers’ risk
management strategy,
the happier they are.’Survey respondent
rigour observed in our previoussurvey. In addition, over two-thirds of respondents measureunderwriting performance at theindividual underwriter level.
The rigour and sophistication ofunderwriting controls have certainlycome a long way since the wake up call of 9/11.
Some also doubt how effectivelypricing models and guidelines are passed on to and used byunderwriters. For example,
relatively high percentage deviations from the technical price(up to 20% below this in somecases) are permitted by somerespondents. Ultimately, manyinterviewees recognise that it is notalways possible or even practical toensure that underwriters adhere toprescriptive guidelines. As we foundin our last survey, this is essentiallya corporate cultural issue, thoughmany respondents believe thatregulatory and market pressurescould mean that underwriters willnow have to accept a tighter rein.
Sustaining the return to profitability • PricewaterhouseCoopers • p22
50%
100%
33%
50%
42% 58%
33%
33%
67%
67%
8% 92%
17% 83%
83%
67%
17%
Class level
Sub-class level
Underwriter level
Business segment/trade
Broker level
Underwriting branch/office level
Cedant level
Territory level
Other
0 100%
YesNo
At which of the following levels do you monitor your underwriting performance?
Source: PricewaterhouseCoopers 2003
Monitoring of profitability
Pricing peer reviews
Monitoring of volumes and mix of business
Monitoring of actual prices vs technical prices
Pricing file audits
Underwriting/pricing committees
Monitoring of quotation acceptances
Not a priority Top priority
Comparisons against competitors
Please grade the following mechanisms which you use regularly to ensure that your pricing process is working effectively
Source: PricewaterhouseCoopers 2003
Underwriting performance and cycle management continued
Nonetheless, all respondents doappear to use underwriting manuals/guidelines in some guise. These tendto focus mainly on permissible limitsof cover, aggregations of risk and anyassociated outwards reinsurancerequirements. With regard to riskselection, however, over 70% ofparticipants have no documentedguidelines, with underwriters preferring to rely on their experience.
Accordingly, a key challenge for theLondon Market in the cycle downturnwill be how to strike the right balancebetween providing underwriters withsufficient flexibility to apply theirjudgement, while maintainingsufficiently tight control to deliver the underwriting strategy. As a result,
all respondents issue their underwriterswith individual authority limits/licences,and use regular underwriters’ meetingsas a forum for highlighting emergingissues and specific risk areas.
However, there are some warningsigns that these controls may not go farenough in the downturn. For example,the documented risk selection andunderwriting guidelines tend to be lessuniform across participants in relationto the inclusion of businesssegment/trade, location and the leveland quality of quotation information.To strengthen underwriting controls inpreparation for the downturn, variousbehavioural and cultural issues willalso need to be managed as part of an overall change programme.
p23 • Sustaining the return to profitability • PricewaterhouseCoopers
50% 50%
90% 10%
80% 20%
56% 44%
50% 40%
40% 50%
30% 70%
30% 60%
40% 50%
20% 70% 10%
10%
10%
10%
10%
10%
90%
Policy wording
Territory
Location
Size of risk
Aggregation of risk
Outwards reinsurance requirements
Level/quality of quotation information
Historical claims experience
Business segment/trade
Quality of insured’s management
Moral hazard
0 100%
Considered and guidelines are documentedConsidered but not documentedNot considered
Please grade the extent to which your primary risk selection and underwriting manuals/guidelines cover each of theaspects set out below
Source: PricewaterhouseCoopers 2003
Policy wordings continue to be amajor cause for concern, with someorganisations strongly believing thatthe market has not learnt its lessonsfrom 9/11. The cycle downturncould exacerbate the problem asterms and conditions are put underincreasing pressure. While manyaccept the need for some form ofstandardised interim wordings toreduce the potential for disputesbefore final contracts are agreed,support for market initiatives suchas the LMP slip has been relativelypoor. Significantly, only half ofrespondents set any guidelines onpolicy wordings. Some respondedthat they believe this area to be thepreserve of the broker.
Aggregations of riskand reinsurance
Managing aggregations of risk and their impact on resultscontinues to be the second most important issue on thecorporate agenda.
More than 80% of respondents saythat the main reasons behind theirreinsurance purchasing strategy in2003 are to seek cover againstcatastrophe events and aggregationsof risk. Aggregations of risk aremonitored in increasinglysophisticated ways that combineoff-the-shelf software tools andbespoke technology. These toolsallow aggregations to be monitoredaccording to states/counties,country/region and ZIPcode/postcode by more than 80%of respondents, and two-thirds ofrespondents monitor exposures byclass of business. These tools havealso led to more widespreadassessment of aggregate exposuresprior to the acceptance both ofrenewals and new business (asdisplayed on the chart on page 26),though only a third of respondentsrecord the aggregations forindividual insureds. Aggregationlimits are most commonly set aspart of the business planning cycleand in the determination ofreinsurance requirements.
‘Wordings scare
the hell out of me.
The industry needs
to be a lot more
professional on
this issue.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p24
Protect against aggregations of risk
Improve ability to write larger risks
Protect against catastrophe events
Improve capacity
Improve net profitability
Smooth underwriting performance
Protect solvency margin
Improve balance sheet strength
Access to reinsurers’ expertise
Not a priority Top priority
Improve solvency margin
Please grade the following reasons behind the purchasing/structuring of your 2003 reinsurance programme
Source: PricewaterhouseCoopers 2003
Underwriting performance and cycle management continued
Although around two-thirds ofrespondents say they will buy morereinsurance as part of their cyclemanagement strategy, only around40% of participants cite the use ofreinsurance as a top or high priority in protecting their solvency margin.More than 90% of participants say that their evaluations of reinsuranceneeds are based on aggregationmonitoring, realistic disaster scenariosand a review of the largest policyexposures, while over three-quarters
utilise frequency/severity modellingtechniques. Understandably, thesetechniques have become increasinglysophisticated in the aftermath of 9/11.Perhaps surprisingly, only 45% basetheir reinsurance purchasing decisionson capital/solvency modelling. Insurerswill need to consider whether theirmodelling capabilities can carry outthe stress and scenario testing requiredunder the Integrated PrudentialSourcebook (PSB).
p25 • Sustaining the return to profitability • PricewaterhouseCoopers
67% 33%
92% 8%
83% 17%
83% 17%
33% 67%
33% 67%
33% 67%
33% 67%
Class of business
Business segment/Trade
Underlying insured
Country/Region of world
States/Counties
ZIP Code/Postcode
Individual cedant
Individual broker
0 100%
YesNo
Which of the following aggregations of risk are monitored?
Source: PricewaterhouseCoopers 2003
73%
18%
27%
64% 36%
27%
18%
73%
82%
8% 92%
9% 91%
82%Explicit limits are set out in the business planIn conjunction with determining
outwards reinsurance requirements
Via explicit agreement with capital providers/parent
Via capital/solvency modelling
Legacy aggregate exposure limits are adopted
Other
No aggregate limits set
0 100%
YesNo
Which of the following do you use to set your aggregate exposure limits?
Source: PricewaterhouseCoopers 2003
As we outlined in our 2002 survey,there has been a flight to qualityreinsurers in recent years, despitethe widespread number of creditdowngradings leaving only oneAAA-rated reinsurer, which hastended to raise costs. As manyparticipants believe that reinsurancerates will prove to be moresustainable than premium levels inthe primary market over the nextfew years, these already high pricescould become an additional burdenover the cycle downturn. There arealready indications from our surveythat this is likely to lead to anotherstrategic re-think about howorganisations buy and applyreinsurance, especially as around40% of participants complain that‘the frequency and use of spurioustechnical defences by reinsurers isincreasing’ (see the Claims section).There are also some concerns thatthe concentration of the reinsurancemarket into a few highly ratedplayers could present its own risks.
Distribution
Some argue that binders are the‘lifeblood’ of the market. Othersbelieve that the risks still outweighthe returns.
London remains the world’s premiercentre for insuring speciality risks.As one interviewee remarked, ‘our parent company is amazed at the business that comes here that they wouldn’t otherwise see.’ Yet, a number of respondents arelooking beyond their traditionalLondon-based business to branchout into Bermuda, ContinentalEurope and other overseasterritories. ‘There is a market for our specialist expertise beyondLondon... we’re not looking to cutout the London Market broker, onlysome of our new clients in Europeare not prepared to pay theadditional commission,’ said one interviewee.
‘A delegated authority
is an effective way
of leveraging our
resources. We can
get business in markets
we would never have
access to otherwise.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p26
75% 25%
75% 25%
75% 25%
58% 42%
42% 58%
Pre-acquisition of new business
Pre-renewal of existing business
Periodic reviews
At renewal of outwards reinsurance protections
Post catastrophe/event losses
0 100%
YesNo
When are aggregations of risk typically assessed/monitored?
Source: PricewaterhouseCoopers 2003
Underwriting performance and cycle management continued
However, most participants recognisethat their core business is in Londonand that brokers are their keydistribution channel. It is significantthat distribution and the subscriptionnature of the London Market areamong the lowest operationalpriorities, reflecting in part whatinsurers privately accept is a lack ofinfluence over the supply of business.
Delegated underwriting authorityarrangements (DUAs) are used by 75% of respondents, with sucharrangements set to make up anaverage of 23% of their premiumincome in 2003, which is largelyunchanged from last year. DUAbusiness represents between 3% and30% of such respondents’ total grosspremium income, though in somecases organisations do not actuallygive away their ‘pen’ as the rates and wordings are set in London.
This issue generated a lively debate inthe interviews. ‘Binders no longer offeran easy income. Controlling them isan administrative nightmare, especiallynow regulation is tightening up,’ saidone participant. Yet, for three-quartersof those surveyed, DUAs represent anideal way to tap new markets and welldefined business niches. ‘Delegatedauthority is the lifeblood of Lloyd’s,’said one interviewee. ‘Our name andpresence in the US and other overseasmarkets have largely been establishedon the back of such relationships,’ saidanother respondent.
Nevertheless, most accept thatsafeguards and the level of scrutiny forsuch arrangements could be improved.Over 44% of participants do now‘consider and document’ the keystrategic factors for selecting a newDUA, which focus on businesssegment/niche, access to new markets,market expertise and the claims history.
p27 • Sustaining the return to profitability • PricewaterhouseCoopers
56% 44%
44% 56%
44% 56%
33% 67%
33% 56%
44% 56%
22% 67% 11%
11%
86%14%
Well defined business segment/niche
Growth potential/access to new markets
Claims history
Market expertise
Strategic alignment
Level/quality of quotation information
Portfolio diversification
Exclusivity arrangements with business provider
0 100%
Considered and guidelines are documentedConsidered but not documentedNot considered
Please grade the following strategic factors included in the consideration of a new DUA
Source: PricewaterhouseCoopers 2003
The majority of respondents‘consider and document’ thequality/experience of the keypersonnel, while just over 50%‘consider and document’ thefinancial security, the underwritingcompetence, past performance, the quality of the policy and claimsinformation, and the quality of theDUA controls environment offeredby these third parties. While the restdo tend to consider such factors,their assessments lack the systematic structure and safeguardsof documented best practiceprocedures. Just over a third ofrespondents review internal auditfiles when assessing a new DUA,and less than a third seek referencesfrom previous capital providers.Surprisingly, of those participantsthat use standard agreements, two-thirds fail to include non-performance remedies.
Risk and pricing controls havetended to become more rigorousand comprehensive in the light ofsome well-documented problems.This includes greater use of pricingguidelines with limited scope fordeviation. Nearly 90% ofrespondents’ DUAs have beensubject to on-site file audits in thepast three years, though less than a half have been subject to this inthe past 12 months, reflecting thedifficulty in achieving annual audits of a large and geographicallydiverse portfolio of DUAs.
The effective management of DUAsdepends to a large extent on the
quality and frequency of informationprovided. Premium, risk and claimsinformation is supplied on amonthly basis by around two-thirdsof DUAs and quarterly by about athird, resulting in a potentially largelag in the ability to ‘turn off the tap’should the emerging profitabilityprove to be unacceptable. Therewere relatively few instances ofrespondents receiving data moreregularly than this, and theprovision of data on an annual basis has yet to die out completely.
The findings on the extent of auditsand the timeliness of the provisionof information do underline thestretched lines of governance inoperation. However, electroniccommunication, described by one interviewee as a potentialrevolution in the control of DUAbusiness, now accounts for 48% ofdata supplied, and could eventuallypave the way for the supply of real-time information, monitoringand interaction. Lloyd’s has alreadyintroduced an internet-basedcoverholder registration system,with more developments to follow.
While such innovations cancontribute to an improvement inbest practice, many respondentsrecognise that these and otherinitiatives are adding to theadministrative burden of DUAs. As a result, many now believe that a 25% line on the slip is the realisticminimum for the cost-effectivemanagement of binders, lineslipsand other third party arrangements.
Sustaining the return to profitability • PricewaterhouseCoopers • p28
47%48%
1% 1%3%
Electronic spreadsheet submitted by emailPaper bordereauxData download from mainframe systemReal-time, direct interfaceOther
What is the proportion of data (bynumber of DUAs in force) providedin each of the following formats?
Source: PricewaterhouseCoopers 2003
65%
32%
1% 2%
Half yearly/AnnuallyQuarterlyMonthlyDaily/Weekly
What is the proportion of data (by number of DUAs in force) provided according to each of the following frequencies?
Source: PricewaterhouseCoopers 2003
Underwriting performance and cycle management continued
People
The value of people will grow in a softening market. Is the market investing enough in thiscritical resource?
Overall, ‘people’ are the third mostimportant operational driver in oursurvey, with 83% of respondentsranking their staff as either a ‘top’ or ‘high’ priority. The vital role ofunderwriters in the organisation can be seen in the fact that the‘recruitment and retention of qualityunderwriting staff’ is seen as the thirdmost important underwriting priority,with 90% of respondents giving it a‘top’ or ‘high’ priority ranking.
The reputation, and by implication the success, of the organisation is themost crucial factor in securing the rightpeople, with 83% of participants givingit a ‘top’ priority ranking. This is closelyfollowed by the opportunity to share inthe profits. Average underwriting staffturnover was 8% in 2002, in line withthe ratio deemed to be acceptable. This masks the fact that the individuallevels of staff turnover ranged from 0%
to 25% in 2002, with around 60% of respondents citing the ‘closure ofnon-core lines of business’ and around35% the ‘high marketability of goodquality underwriters’ as the mainreasons. Nevertheless, the rate of staffturnover has slowed down.
In seeking to maximise underwritingstaff retention, an average of 60% ofremuneration is fixed and 40% variableif 2003 proves to be a ‘good year’, with‘combined ratio (excluding IBNR)’ used,in part, to set performance-related payby some 60% of respondents, closelyfollowed by the underwriting resultand the insurance result as keymetrics. Gross written premium is only used by one participant as adriver of performance-related pay,which provides a degree of comfortthat many London Market insurershave started to put in place moreappropriate remuneration strategies in advance of the cycle downturn.
How to adjust these bonuses to reflectthe more controlled and targetedunderwriting required in a softeningmarket is a key issue. ‘It is easy to becomplacent about people in a hard
‘A business is only as
good as its frontline
underwriters.’Survey respondent
p29 • Sustaining the return to profitability • PricewaterhouseCoopers
Reputation of the organisation
Sharing in the profits of the organisation
Level of basic remuneration
Career progression opportunities
Long-term benefits (e.g. pensions etc.)
Other forms of recognition of contribution to the organisation
Quality of training programme
Status/title
Not important Most important
Short-term benefits
Please grade the importance of the following factors in attracting and retaining the right underwriters for your organisation
Source: PricewaterhouseCoopers 2003
market,’ said one respondent. ‘In asoft market the quality of your peopleis crucial.’ Indeed, underwritingstaff may be reluctant to scale back business volumes for fear thattheir jobs or status both in theorganisation or in the external marketcould be in jeopardy. ‘We need tomake sure our staff realise that weare prepared to pay them to writevery little business if that is what isneeded,’ said one interviewee.
Training is recognised as playing animportant part in equipping theyounger underwriters with the skillsthey need to operate in what couldbe a far more taxing environmentthan they have experienced up untilnow. While more than 90% of
respondents conduct a performanceappraisal at least once a year,around a third of participants donot have a formalised trainingprogramme, a lack of investment in people that could prove costly in the long run, particularly in acycle downturn.
An average of 30% of participants’underwriters are professionallyqualified, with an additional 25% of underwriting staff currentlystudying for exams. Further impetusis likely to come from the FSA’s new‘competency’ rules. However, somerespondents question whether themain professional qualificationsavailable today offer the requiredrange of skills.
Sustaining the return to profitability • PricewaterhouseCoopers • p30
0 100%Less than 10%10% – 20%More than 30%
2001Year
2000
2002 27%64% 9%
45% 55%
40% 40% 20%
What level of underwriting staff (excluding policy administration/processingroles) turnover have you experienced over the last three years?
Source: PricewaterhouseCoopers 2003
0 100%
YesNo
92%
67%
8%
33%
8% 92%
67% 33%
Performance appraisal
Career development planning
Formalised training programme
None
Which of the following are undertaken at least annually for every member of the underwriting department?
Source: PricewaterhouseCoopers 2003
Underwriting performance and cycle management continued
Some three-quarters of participantsaugment professional training withstructured in-house programmes, with around 78% including a focus on pricing in the tuition. However,only 56% cover risk selection and44% cover measuring the aggregationof risk. Hardly any touch on claimsmanagement and financial reporting.These results indicate that thereappears to be significant gaps ininsurers’ technical trainingprogrammes, when these shortfalls are considered against respondents’key operational drivers andunderwriting management priorities.‘The market
benchmark for
technical training in
our industry is weak.’Survey respondent
p31 • Sustaining the return to profitability • PricewaterhouseCoopers
78% 22%
67%
67%
44%
33%
33%
56%
56%
44%
44%
44%
56%
56%
67%
22% 78%
22%
11%
78%
89%
25% 75%
33% 67%
44%
44%
56%
56%
33%
Pricing
Underwriting guidelines
Risk management
Risk selection
Business negotiation
Aggregation of risk
Portfolio management
Market trends/issues
Outwards reinsurance
Marketing
Claims management
Financial reporting
IT/Systems
Other
No structured training programme is in place
0 100%
YesNo
Which of the following aspects are included in a structured training programme for underwriting staff within your organisation?
Source: PricewaterhouseCoopers 2003
Claims service and claims cost management
Staking a claim
Processes and controls
Reinsurance recoveries & salvage & subrogation
Service providers
Outsourcing
Performance management
People
Claims management has long beenthe poor relation of underwriting.Could high quality claims serviceand effective claims costmanagement now be gaining the recognition they deserve?
Processes and controls
Claims processes and controls areimproving, though from a low level.
As we outlined last year, the lowpriority afforded to claims partlyreflects the perceived lack of control over claims arising from thesubscription nature of the LondonMarket. As one interviewee in thelatest survey ruefully admitted,‘sometimes we pay claims thatmaybe we shouldn’t just to keep thebroker happy.’ Others are reluctant to be followers on a slip largely forthese reasons. Few respondentsreckon that the quality of claimsbroking has improved following the consolidation of the brokermarket over the past decade, with more than half believing that it has ‘deteriorated’ or‘significantly deteriorated’.
The key areas where respondentsbelieve that brokers could ‘addmost value’ to the claims processand where their performance couldbe most improved include brokingnew claims, the collection of
‘I think the whole
industry needs to
wake up and focus
on claims.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p34
Broking new claims/updates in a timely fashion to the relevant insurers/reinsurers
Chasing service providers/policyholders for updated information
Timeliness of updating case reserves and identifying redundant case reserves on CLASS
Collection of reinsurance recoveries from the market
Collection of claims monies/fees from the market
The handling of claims, if a delegated authority is granted
The instruction of service providers
Involvement if there are coverage issues
Involvement if there are quantum of claim issues
Not a priority Top priority
Checking coverage on the submission of a new claim by the policyholder
If brokers could improve their performance in any of the above areas, which would you choose? Please grade thefollowing areas
Source: PricewaterhouseCoopers 2003
Claims service and claims cost management continued
reinsurance recoveries, chasing serviceproviders/policyholders for information,improving the speed of updating casereserves and identifying redundantcase reserves on CLASS.
However, some of the organisationswe surveyed are now laying thefoundations for more controlled andeffective claims management. Some80% of respondents now follow aclaims handling guide or proceduresmanual, and most of these organisationsupdate this between once and fourtimes a year. Nearly all respondentsapply individual authority limits forsettlement, and close to three-quartersimpose these for case reserving andclaims payment authorisation.
Partly in response to FSA concernsabout the lack of documentationidentified in its Arrow visits, three-quarters of respondents now follow setprocesses/guidelines for the ‘reservingof new claims’ and the ‘review andthe closing of inactive/redundantclaims’. However, only around aquarter apply such systematicprocedures to the ‘use of nominalreserves’ and only a half have adocumented case reserving philosophy.
Around three-quarters of participantsnow insist that their own claimspeople step in if they are dissatisfiedwith the ‘lead’s claims handlingcompetence’, reflecting the moreproactive stance being taken by some of the more forward-thinkingorganisations in this field. The impetusto ‘take best practice to the next level’can also be seen in the greater use ofpeer reviews, with an average of 35%
of all open claims now subject to suchscrutiny each year. Some organisationswill even review up to 100% of theiropen claims files in striving to achieveclaims excellence. The main criteriaassessed are reserving accuracy, theapplication of technical skills and theproactivity of the claims handler inseeking to reach early settlement.Some insurers also review up to 20%of their closed claims files each year,with the level of claims leakageincluded as one of the key areas offocus. Minimising claims leakage islikely to prove increasingly critical in the next cycle downturn.
Some participants have extended thisprogramme of review still further, with around half the respondentstaking part in some form of cedantreview or opening up their own filesto external audit or inspection byclaims or internal audit staff fromanother part of the group. For some,the ultimate aim is the integration ofclaims management into the overallframework of underwriting and pricingcontrol cycles and value creation.‘Claims and underwriting feed off eachother. It is crazy not to have input fromclaims into wording and pricing,’noted one interviewee.
However, the overall controlsenvironment remains patchy, with oneor two respondents believing that mostclaims departments are simply toosmall and overstretched to maintainproper safeguards. A good example of this is the low priority afforded toinsurance fraud, which those thatreplied estimate as relating solely topolicyholders or third parties and
p35 • Sustaining the return to profitability • PricewaterhouseCoopers
accounting for only an average of4% of total claims costs. While thiscompares favourably with the levelsof fraud estimated by the Associationof British Insurers for the UKinsurance industry as a whole, thesurvey highlights that there are fewprocedures in place to identify ordeal with potential fraud, or indeedto evaluate the effectiveness ofthese limited controls.
Reinsurance recoveries& salvage & subrogation
Could a lack of automation meanthat organisations are missingopportunities for recoveries?
The key focus continues to be largelosses, with nearly all participantshaving procedures in place for theinvestigation and reserving of theclaim, and for the subsequentidentification and notification ofoutward reinsurance recoveries.Indeed, the hardening of reinsurers’attitudes to primary insurers’ claimsprocedures appears to have beenone of the main spurs forimprovement. When asked ‘whatstatements reflect your view of thecurrent state of claims activity in the reinsurance market’, around50% of respondents said that they‘agree’ or ‘strongly agree’ that ‘thequantum and the coverage aresubject to increased levels ofscrutiny by reinsurers.’
Many participants also recognise the potential for improvingreinsurance recoveries and
salvage/subrogation levels. ‘We are coming to the point whenour reinsurance recovery is about to hit a peak and our claims focusis on that,’ said one interviewee.However, our survey once againfound a wide variation inprocedures. Only half therespondents deploy automatedsystems to identify potentialreinsurance recoveries and to track their progress. Even fewerparticipants have automated theidentification and tracking ofrecoveries from salvage andsubrogation. With salvage andsubrogation representing an average of 6% of gross claims costs where respondents were able to quantify these, this could meanthat they are missing out onvaluable opportunities.
Service providers
How do organisations knowwhether they are getting value for money or not?
There are concerns that the London Market spends too much on external service providers,especially lawyers, and gets toolittle in return. Indeed, one or two respondents complain thatoverstretched slip leaders arepassing on the handling of claims to their legal advisors, which is‘profligate in the extreme’.However, few participants measurethe performance or costeffectiveness of their legal advisorsin a structured way, though most
‘The big reinsurers
aren’t rolling over any
more; even if it’s a
valid claim, they’ll
go through the
motions. It’s not being
obstructive, just a little
more tortuous –
they would call it
more disciplined.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p36
Claims service and claims cost management continued
have queried an average of around 7% of their invoices by value over the past year. ‘If they don’t check, how will they know that they are notpaying fancy senior lawyer rates forsome junior to actually do the work?’said one interviewee.
There are clear opportunities forrationalisation and cost saving. Indeed, some insurers are now hiringtheir own in-house legal teams or evenputting senior legal counsel in chargeof the claims departments. Closed filereviews enable participants to judgewhether the fees were justified orwhether hiring/using an in-houselawyer might have been more costeffective. Another solution might bethe increased use of alternative dispute resolutions at an earlier stage, potentially saving all partiesconcerned significant time and costs.
Most participants also believe that the quality of loss adjustors could beimproved, especially overseas. Manychoose to hire UK-based personnel tohandle losses irrespective of territoryand jurisdiction, as they are perceivedto have superior technical knowledgeand a better understanding of therequirements of the London Marketthan their local counterparts.
Outsourcing
Satisfaction with outsourcers is weak,yet organisations do little to spurimproved performance.
Our 2003 survey highlights growingdissatisfaction with the quality andservice provided by claimsoutsourcers, including more than halfof those who use Xchanging ClaimsServices (up from 25% last year). Most
p37 • Sustaining the return to profitability • PricewaterhouseCoopers
29%
43%
71%
43%
71%
14%
57%
29%
57%
57%
14% 86%
14%
14%
86%
86%
22% 78%
14% 86%
57%
43%
43%
86%Quality and timeliness of information provided
Proactivity of approach to claims handling
Reduction in processing error rates
Quality of technical decisions
Processing efficiencies
Technology-enabled data exchange
Level of responsiveness to queries/challenges raised
Costs/Cost control
Level of commercial awareness in decision-making
Other
None
Not applicable
0 100%
YesNo
In which particular area(s), if any, are you looking for XCS to improve the level of claims service currently provided?
Source: PricewaterhouseCoopers 2003
would like XCS to reduce the levelof errors, provide a more proactiveapproach to claims handling andimprove the quality and timelinessof information. Nonetheless, one respondent told us ‘XCS is aprocessing function that is wakingup to the fact that it could be areally useful service provider andearn more money as a result.’ It should also be noted that theperformance of other outsourcedservice providers did little toencourage insurers to extend the use of third party claimsarrangements in the future. Indeed, some organisations will notdelegate lead claims responsibilitiesas part of their belief that it is wrong to ‘outsource what is a corecompetency and a core priority’.
Yet, a majority of respondentscontinue to contract out at leastsome of their claims handling to aservice provider, with the averageclaims volume being outsourced ataround a quarter of total claims bynumber. Most base their decision tooutsource claims handling on the
class of business in question, thespecific technical competence ofthe service provider and on thevolume of claims/lack of economiesof scale in-house. Those thatoutsource the bulk of their claimsmanagement believe that this givesthem greater flexibility in increasingor decreasing volumes of business,which could provide a considerablecompetitive advantage at thispivotal stage in the underwritingcycle. Given the substantialfinancial sums at stake, the choice of outsourcing partner tendsunsurprisingly to depend onreputation, technical competenceand financial security, with anaverage of some 120 separatedelegated claims authorities beingused in any one organisation.
Most contracts with outsourcersinclude service level agreementscovering such areas as servicestandards, referral limits,remuneration and terminationclauses. However, few include non-performance remedies or tax clauses even though some
‘Outsourcing has
allowed us to grow at
a phenomenal rate
without the aggravation
of premises and
recruitment. If we need
to start reducing the
size of our business it
will make it easier to
scale back.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p38
57%
29%
14%
IncreaseStay the sameDecreaseNo view
How, over the next 12 months, doyou envisage the level of delegatedclaims handling will change?
Source: PricewaterhouseCoopers 2003
Perceived technical competence
Financial security
Reputation
Costs/Cost control
Geographical location/coverage
Pre-existing relationship
Transparency of performance measurement criteria with contract terms
IT/Reporting capabilities
Not a priority Top priority
Range of services provided
Please grade the key factors in selecting the third party to which you will delegate claims handling authority
Source: PricewaterhouseCoopers 2003
Claims service and claims cost management continued
outsourced services could be liable for VAT. The level of auditing varieswidely, with some inspecting allcontractors while others concentrateon a selected few. The primary areasfor scrutiny are adherence to referralcriteria and the correct establishmentof coverage.
Performancemanagement
Performance management is sketchyat best.
Our 2002 survey identified a lack ofperformance measurement in claimsmanagement. Although nearly allparticipants now use some kind ofmanagement information to help runtheir claims function, it is not alwaysupdated every month. The quality ofdata capture is also relatively patchy.The indicators used vary, though mostconsider reserving accuracy, the levelof settlement against initial advice, the level of backlogs and the level of claims leakage as the key tangiblemeasures. The main intangibleperformance indicators focus more on the deployment of effectivenegotiation skills and the application of technical knowledge.
People
Attitudes to claims personnel arechanging, though many remain thepoor relations to underwriters.
Although more than three-quarters of respondents believe that the qualityof their claims personnel is ‘above’ or
‘well above’ their competitors and has improved over the last five years,this appears to be at odds with thehigh level of staff turnover. This stands at 15% on average, compared with a 10% target, while vacancies arerunning at an average of 11%.
‘There is a potential
conflict of interest
between outsourcers
and clients. They are
paid on the number
of hours worked.
We need them to
settle as quickly
as possible.’Survey respondent
p39 • Sustaining the return to profitability • PricewaterhouseCoopers
33%
45%
22%
Well aboveAboveComparableBelowWell belowNo view
What is your perception of the quality of your claims staff versus that of your competitors?
Source: PricewaterhouseCoopers 2003
56%22%
11%
11%
Significant improvementMarginal improvementNo changeMarginal declineSignificant declineNo view
Do you feel that the quality of yourexisting claims staff and of the newclaims staff you have been able to recruithas changed over the last five years?
Source: PricewaterhouseCoopers 2003
The gulf between those at theforefront of claims ‘valuemanagement’ and those that lagbehind is perhaps most marked intheir focus on people. Leadingorganisations link the pay of theirclaims operations with performancein specific areas such as level ofleakage and reserving accuracy,along with the personal qualities ofproactivity, technical knowledgeand communication/negotiation
skills. These qualities are nurturedthrough investment in structuredtraining programmes and careerdevelopment planning, which have been adopted by around 50% of respondents.
The aim of this level of investmentin people is to ensure that claimsstaff are ‘first among equals’, with equivalent status and careeropportunities as their underwriting
colleagues. ‘Claims people feel likesecond class citizens. Yet they arepart of the front office. We need to make them feel that they arevalued,’ said one interviewee. In many cases, the shake-up inclaims is coming from a new breedof claims director, some of themhaving been brought in from otherfields such as the legal professionor specialist run-off operations.
‘I think there is
a perception that to
get to the top of the
insurance industry
is tough for
claims people.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p40
44%
22%
56%
78%
44% 56%
11%
22%
89%
78%
Company/syndicate profitability
Reserving accuracy
Feedback from brokers
Level of claims leakage
None
0 100%
YesNo
Which of the following tangible performance indicators are linked to individual claims handler remuneration?
Source: PricewaterhouseCoopers 2003
44%
22%
56%
56% 44%
56% 44%
67% 33%
67% 33%
78%
22% 78%
11%
22%
89%
78%
Innovation
Level of market awareness
Market networking
Support/training for more junior staff
Level of technical knowledge
Proactivity
Communication/negotiation skills
Personal flexibility
None
0 100%
YesNo
Which of the following intangible performance indicators are linked to individual claims handler remuneration?
Source: PricewaterhouseCoopers 2003
Financial reporting
Up to speed
Fast close
Reporting standards
Management information
People
CFOs are striving for faster andsmarter reporting. The latestdevelopments such as ‘fast close’offer a glimmer of hope.
Fast close
‘Fast close’ can dramaticallyshorten reporting times.
The overall picture of financialreporting within the LondonInsurance Market, particularly in Lloyd’s, continues to be marked by a high degree of volume andcomplexity, with insurerscontinuing to struggle with
numerous reporting bases to suit a variety of masters.
Not surprisingly, 90% of CFOs inour survey are actively seeking to‘reduce reporting times’. Some havealready achieved their objectiveswith the fastest reporter in our surveyproducing year-end insuranceresults in just 15 days. The averageis 48 days. The maximum is a moreleisurely 75 days.
Press releases are seen as the bestway to publicise the annual andquarterly/half yearly results. The most important stakeholders for this information are consideredto be the shareholders, followed by analysts, regulators, employees,tax authorities and reinsurers.
A significant development since our survey last year has been theattention insurers have directed to ‘fast close’ procedures aimed atrationalising a complex and lengthyreporting process, which for someorganisations incorporates a veryhigh number of sets of auditedaccounts, some of which are not
‘Let’s streamline
the reporting process
and let’s understand
what we want to get
out of it.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p42
90% 10%
70%
50%
30%
50%
10% 90%
10% 90%
Reducing reporting times (i.e. fast close)
Reducing the number of reporting entities
Hiring additional finance staff
Reducing the number of finance staff
Outsourcing more activities
0 100%
YesNo
Which, if any, of the following activities are you actively considering in respect of your financial reporting function?
Source: PricewaterhouseCoopers 2003
Financial reporting continued
completed until up to ten months after the year-end. ‘Fast close’ allowsfinance teams to streamline theirreporting processes through thecapture, warehousing andinterrogation of core underwriting,claims and general ledger data tomaximise automation of accountpreparation under a range of differentreporting bases.
Insurers need to deploy systemscapable of maximising the automationof reporting routines. However,maximising its potential is far morethan a systems issue. In particular,organisations need to be able tocapture sufficient and appropriatedata, which requires understandingand buy-in from all sectors of the business, including claims and underwriting.
Reporting standards
The volume and complexity ofreporting could get worse before it gets better.
Although Lloyd’s has taken steps torationalise its reporting, many ofLondon’s insurers are still struggling to cope. Our survey found that theaverage number of audited sets ofaccounts/financial returns is 28 peryear. The average proportion of financeteam time spent producing externalinformation is 34%, though it can take up to 75%.
The burden of multiple reportingbases, be they UK GAAP, US GAAP,Lloyd’s and UK regulatory, is often
exacerbated by complex groupstructures that require organisations to provide vast amounts of informationto both their own and their parentcompany management. It is thereforefar from surprising that 58% of CFOsin our survey are looking to reduce the number of reporting entities.
Although the coming move toInternational Financial ReportingStandards is designed to harmoniseaccounting across the EU, the scaleand complexity of the phased changesare likely to make reporting get worsebefore it gets better. Around 80% ofour respondents anticipate that theywill need to adopt IFRS in theirprimary statements in 2005, yet lessthan half have drawn up a formal IFRS implementation plan.
Management information
Management information is often too slow to meet the demands of a fast moving market.
Overall, respondents appear to beonly marginally satisfied with theirmanagement information, with theproduction process, timeliness andoverall form and content scoringlowest overall. The main sources of delay in MI production are seen as poor systems and the lack ofavailability of premium andreinsurance recovery estimates.Underlying these difficulties are the lack of compatibility andcomparability between internalunderwriting year data and theaccident year reporting typically
‘I think the key
stakeholders in our
business don’t
understand Lloyd’s
reporting and why
should they? That’s
why Lloyd’s are
looking to change
their accounting
process to bring it
into line with what
people understand.’Survey respondent
p43 • Sustaining the return to profitability • PricewaterhouseCoopers
employed by insurers in the sector, as well as the need to provide highlevel information on a UK/USGAAP basis.
Our survey shows that MI is stillheavily focused on profit and lossmeasures, cash flow analysis, largeclaims losses and premium andreinsurance receivable collections.There is less focus on balance sheetanalysis and regulatory solvencyissues. Information packs alsogenerally lack data on emerging
claims trends, operational risk andthe kind of stress and scenariotesting that is likely to be requiredunder the PSB. The FSA has alreadybrought its weight to bear in theArrow visits that have led to atightening of processes anddocumentation in claims. Regulatorypressure is set to mount with theadvent of the new solvency and riskmanagement framework set out inthe PSB. However, while more than80% of respondents believe theywill be affected by the new rules,
‘We benchmark our
KPIs against plan.
If they’re on track
we leave it at that
and focus on the
exception items.’Survey respondent
Sustaining the return to profitability • PricewaterhouseCoopers • p44
Selection and analysis of key performance indicators
Quality and clarity of financial information
Frequency of production
Quality of the underlying data
Ability to use the MI to make key decisions
Quality of the discussion/feedback from Board members
Overall form and content
Timeliness of production
Not satisfied Fully satisfied
Process of producing the information
In terms of management information (presented at Board level) please grade how satisfied you are with the following
Source: PricewaterhouseCoopers 2003
Availability of premium estimates
Availability of actuarial estimates
Quality of systems
Availability of reinsurance recovery estimates
Quality of data/reconciliation
Quality of IT staff
Quality of finance staff
Information from Lloyd’s/bureaux
Information from outsourcing companies
Information from parent company
Not a barrier Very significant barrier
Information from other subsidiaries
Please grade the following factors that prevent you from producing your management information more quickly
Source: PricewaterhouseCoopers 2003
Financial reporting continued
only 42% have drawn up a projectplan for the systems and controlsrequirements and only 17% forenhanced capital requirements.
People
Finding the right people remains a problem.
Attracting finance staff with therelevant market experience continues to be a problem. Some 40% ofrespondents are looking to hireadditional people in the financefunction – mostly in the area ofexternal financial reporting, but also in regulatory, compliance and management reporting. IFRS andnew regulations are likely to heightenthe pressure on finance staff.
p45 • Sustaining the return to profitability • PricewaterhouseCoopers
The London Insurance Market
Background
What is the London Insurance Market?
A subscription market in which various entities participate:
• 71 Lloyd’s syndicates (backed either by individual Names or corporate capital) in 2003;
• UK-domiciled insurers and reinsurers; and
• UK subsidiaries and branches of US, European and international insurers and reinsurers.
Total capacity of around £25 billion in 2003:
• £14 billion capacity within Lloyd’s alone.
Reputation as long-established market:
• Large proportion of major global organisations have policiesplaced within the London Market; and
• Over 96% of FTSE 100 organisations and over 93% of the Dow Jones Index constituents have policies placed within the London Market.
Quality of underwriting expertise, particularly in speciality risks:
• The London Market share of the world’s aviation market is over 29%; and
• The London Market also has substantial global market share in marine and energy risks.
Sustaining the return to profitability • PricewaterhouseCoopers • p48
Contacts
If you would like to discuss any of the issues raised in this survey in moredetail please speak to your usual PricewaterhouseCoopers contact, or oneof the partners listed below:
Philip CalnanPartnerPhone: 44 20 7212 4419Email: [email protected]
Paul DelbridgePartnerPhone: 44 20 7212 3085Email: [email protected]
Andrew KailPartnerPhone: 44 20 7212 5193Email: [email protected]
Survey Participants
We would like to take this opportunity to thank all those organisations andexecutives who agreed to participate in the development of this survey.We are extremely grateful for the time that they gave us and especially forthe openness with which they discussed the key issues facing their industry.
Production
The development and production of this survey involved a significantnumber of people and we would like to thank those listed for theirvaluable contribution.
John Ashworth
Vincent Branch
Sarah Redgers
Paul Mahon
Buu Truong
Mark Knowlson
Melinda Strudwick
Donald Brignell
Gauri Haria
Carrie O’Neill
Áine O’Connor
Alpa Patel
Sustaining the return to profitability • PricewaterhouseCoopers • p50
PricewaterhouseCoopers (www.pwc.com) is the world’s largest professional services organisation. Drawing on the knowledge and skills of more than 150,000 people in150 countries, we help our clients solve complex business problems and measurably enhance their ability to build value, manage risk and improve performance in an
Internet-enabled world.
PricewaterhouseCoopers refers to the member firms of the worldwide PricewaterhouseCoopers organisation.If you would like additional copies of this survey please contact Áine O’Connor, Head of Financial Services Marketing, on email [email protected]
Copyright © 2003 PricewaterhouseCoopers. All rights reserved. Designed and produced by studio ec4 (15418 08/03).
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