choosing the right path to improving your claims systems
TRANSCRIPT
Choosing the Right Path to Improving Your Claims Systems - Patti Griffin America’s Claims Event – June 19 to 21, 2013, San Antonio, TX
Accenture Software
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World Class Software
• 725+ Accenture Software P&C employees.
• Accenture P&C Software is built on decades of Insurance software experience.
• Supports the full range of Property and Casualty lines of business across the insurance organization.
• Our software has been “battle tested” for performance and scale by some of the largest P&C Insurance Companies.
• Accenture Software Client Services provides global and cost effective coverage for all of our Insurance products around Policy, Billing, Claims, and Data Migration.
• We build software with legacy environments and the practical application of technology in mind.
• Technology innovation is at the heart of what we do
– Multiple delivery models
– Multi geography
– Cloud-ready
Powered by Accenture
• Accenture Software applies the best of Accenture’s
knowledge and experience.
• Our software is designed leveraging Accenture’s
deep industry knowledge and understanding of high
performance business processes.
Insurance Customer Facts
• Our solutions have been embraced by 100+ Global
P&C Software Customers.
• And has Processed:
– Peak catastrophe activity of over 42,000 claims
per day
– 750,000 policies quoted in single day by single
system
Accenture Software for P&C
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A Complete Property & Casualty Suite
Streamlines
processes and
get products to
market faster
and enables
agents and
underwriters to
communicate
Unsurpassed
rating and rules
engine
utilized as a
black-box rating
engine or as a
component
within policy
administration
Off-the-shelf
complete
product
definitions for all
ISO commercial
lines of business
plus workers’
compensation
Delivering
ultimate
flexibility,
performance
and efficiencies
for billing and
receivables
management
processes
An innovative
new product
definition and
configuration
suite that allows
business
people to make
market changes
Quality – Innovation – Speed – Performance – Flexibility
End-to-end
claims
management
solution covering
claims functions
from first notice
of loss to
settlement and
recovery, for all
lines of business
Choosing the Right Path to Improving Your Claims System
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Insurance Technology Innovation
Most insurance
innovation has been
driven externally; not
internally
That’s especially true
with claims
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History of Claims Technology Innovation
Late 1800’s 1960’s Early 1900’s 1970’s
1980’s Mid 1990’s Early 2000’s 2005
The rate of development and advancement has been accelerating
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2007 Established the New Normal
Mobile platforms for adjusters and consumers
Power Tools
Amazing Capabilities in the Palm of Your Hand
2007 2013
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What’s Possible Today
Consumer
Loss
Reporting
Adjuster
Appointment Routing
Near Real-time Accident
Location Photos
Onsite CAT Entry and
Settlement
Mobile Field Adjusting
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Achieving a Modern Enterprise
Customer Satisfaction
Adjuster Efficiency
Expenses
Loss Costs
Most Claims Systems are too old to embrace
the new normal for claims processing
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Survey of the Industry
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Three Areas of Concern
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Modernity and Flexibility Sought
Most claims systems lack the ability to support
easily changing systems’ behaviors / processes
or address evolving consumers demands
40% answered “not at all”
17% answered “to a great extent”
43% answered “to some extent”
Ability to change system behavior without IT intervention:
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Modernity and Flexibility Sought
Most claims systems lack the ability to support
easily changing systems’ behaviors / processes
or address evolving consumers demands
15% answered “to a great extent”
21% answered “not at all”
64% answered “to some extent”
Ability to address shifting consumer demands:
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Legacy Platforms
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Multiple Claims Systems
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SaaS as an IT Option
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Core System Replacement
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Core System Replacement
High IT maintenance
expenses for system
changes and support
Does not adapt well to
new technology
Data scattered across
multiple systems
Inability for customer to
“self-service”
Claims is fighting for
priority across all IT
projects
Challenge
Configuration tools to
manage system
behavior and claim
department needs
Common integration
tools with prebuilt
adapters – supporting
utilization of emerging
tools and technology
SaaS shifts the IT
maintenance to the
solution provider
Solution
Drive efficiencies and
customer service with
analytics, mobility,
telematics, workflow
Increased adjuster
efficiency and
effectiveness for
managing information
Speed to market for
business changes
Lower implementation
and ownership costs
Business Value
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Offline Data
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Analytics
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Data
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Data and Analytics
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Data and Analytics
Valuable information Is
stored in separate
locations, including
offline files like Excel
Information cannot be
easily accessed and
utilized by claim staff
Lack of consolidated
information for reporting
or analysis
Missed opportunities to
proactively manage the
business
Capture of data, files,
notes and documents
electronically in one
place
Information
transparency for all
adjusters in all locations,
including the field
One central location for
real-time viewing and
managing of claim
information
Better access to data,
improving investigations
and outcomes
Collaboration fostered
among adjusting staff
Analytics and proactive
claim management
enabled by data
centralized in an
electronic claim file
Challenge
Business Value
Solution
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We Are Hiring!
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Skilled Hires
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Workforce Growth
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Workforce Growth
Accenture research paper: Insurance User Experiences by
Design: Satisfying the Needs of Four Major User Segments
The Free Spirit The Go-Getter
The Enthusiast The Data Junkie
Claims Systems Must Meet the Expectations of a
Technical Workforce with Different Needs and
Expectations
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Workforce Growth
The Free Spirit The Go-Getter
The Data Junkie
Claims Systems Must Meet the Expectations of a
Technical Workforce with Different Needs and
Expectations
Want freedom of being on-the-go
Uses multiple devices
Example: Adjuster working
multiple devices for a claim
investigation
System needs:
• Responsive – supports
multiple devices
• Contextual – incorporating
cameras, voice recorders,
GPS
• Expert-driven – advanced
features / workflow
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Workforce Growth
The Free Spirit The Go-Getter
The Data Junkie
Claims Systems Must Meet the Expectations of a
Technical Workforce with Different Needs and
Expectations
Want a collaborative atmosphere
Highly skilled but easily distracted
A modern user
Example: Visually adding
information to a claim
System needs:
• Socialization – incorporate
social trends
• Gamification – progress /
quality feedback
• Visualization – images /
avatars over text
The Enthusiast
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Workforce Growth
The Free Spirit The Go-Getter
The Enthusiast The Data Junkie
Claims Systems Must Meet the Expectations of a
Technical Workforce with Different Needs and
Expectations
Want a variety of interaction
experiences
Drive their own experience based
on tools and need
Example: Touch screens to record
damage to an auto with GPS to
locate it
System needs:
• Flexibility
• Seamless user experience
• Transparency among devices
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Workforce Growth
The Free Spirit
The Enthusiast
Claims Systems Must Meet the Expectations of a
Technical Workforce with Different Needs and
Expectations
Information is paramount
Collect, track, and analyze
volumes of data
Example: Access to decompose
data contained in a report
System needs:
• Real-time reporting and
Dashboard metrics
• Integration to multiple
information sources
• Claim information in one place
and easily accessed
• Push notifications of changes
The Go-Getter The Data Junkie
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Workforce Growth
Everyone is hiring from
the same limited pool
New employees have a
high expectation for
technology
Hiring from competitors
with better technology
can lead to frustration
on the part of the user
Training is long and is
often on-the-job-training
for new hires
Claims processing with
workflow and automated
capabilities
Intuitive solutions with
advanced processing
Mobility and advanced
tools
Support tools to aid the
adjuster and make
everyone an expert
handler
Efficiency driven with
tools for a contemporary
claims workforce
Increased accuracy and
effectiveness by
embedding carrier’s
guidelines into the
claims solution
System experience
which meets the needs
of the users
Challenge
Solution
Business Value
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Choosing the Right Path to Improving Your Claims Systems
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How does your company’s situation align with the results of our research ?
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More Information
www.accenture.com/pcsoftware
Patti Griffin