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IBM Global Business Services        Financial Services
White Paper




Using business intelligence and
optimization to secure the future
in the global Insurance market
As the gates of recovery inch open, the race to capture market share and mitigate risk
continues to intensify – only the most agile Insurers will pull ahead of the competition.
Post-crisis, belts are tighter, regulations are stiffer and customers are shrewder.

Customer expectations are newly galvanized around trust, transparency and value.
In fact, 80 percent of consumers rate trust and transparency as critical to their choice of
an Insurer, yet 60 percent of consumers state that they do not currently have that trust.1
New market entrants and new delivery channels are threatening to edge out legacy
offerings, as younger investors are considering alternative products such as annuities.
Regulatory controls have become exceedingly more rigorous and demanding – quickly
climbing to top the list of Insurers (and shareholders) greatest concerns.

To secure the future, Insurers must close these gaps. They will need to effectively leverage
information and technology to create customer trust and transparency – speeding
competitively priced new product offerings to market in a multi-channel environment,
and successfully mitigating fraud risks. Most Insurers already have much of the
information they need to accomplish this, but not yet the analytics and processes to
unlock its power.

Winners in the recovery insurance market will balance business intelligence and
optimization efforts to focus on customers and distributors, financials, risk and
regulatory requirements, and core processes to create growth and savings opportunities,
and differentiate from the competition. In our work with leading Insurers around
the globe, we have implemented winning business analytics optimization strategies
that prepare Insurers for long-term success in a changing marketplace.
IBM Global Business Services    3




The new agility – Information, analytics                                            said they frequently lack information necessary to make critical
and optimization                                                                    decisions. One half said they did not have access to the
Pressured by industry drivers, Insurers are seeking new models                      information required to do their jobs, or close information
to capture revenue growth and increased profits. While most                         gaps to reach business objectives.2
are at the beginning of their journey, the trajectory from
current state to future “best in class” position is clear – it is                   According to a recent study, many Insurers have planned
inextricably linked to how Insurers are organized and equipped                      investments in business intelligence and/or analytics over the
to leverage timely, accurate information to ensure informed                         next 12 months. Why are Insurers undertaking these
business decisions and actions.                                                     investments, even in a time of uncertain economic stability?
                                                                                    They understand the need for faster, more informed decision-
We believe insurers can make progress in terms of market                            making, and the need to ensure and track alignment to
share and profitability by moving in line with the maturity path                    corporate goals. Further, Insurers need to meet tighter
we have defined (see Figure 1). However, executives                                 regulatory compliance requirements and manage information
responding to a recent IBM survey acknowledged that when it                         better in a real-time, increasingly self-service environment.
comes to data, they have significant blind spots – one in three


Fig.1. Insurance Industry Maturity Path



    Profitability
      Margin
                                                                                                                                            Societal
                                                                                                   Agile                                   Predictive
                                                                                                  Insurer                                   Insurer

                                                                                                                P&C: 7 pts better combined ratio
                                                                                                                  Life: 1.5 times higher profit
                                                                 Optimized
                                                                  Insurer                                     Best in-class agile insurers
                                                                                                              leverage information for:
                                                                                                                - better focus on the customer
                                                                                                                - transforming processes
                                         Aligned                                                                - leveraging new business models
                                         Insurer

                                                                                                                        Market Impact/Growth

                    Aligned Insurer                       Optimized Insurer                  Agile insurer                       Societal Predictive insurer
                    Consistent market approaches by       Ability to embrace and implement   Capability to enter new markets     Creation of new business
                    multiple business lines with modest   holistic strategies leveraging     successfully, build new             models based on statistical and
                    level of integration. Business / IT   synergies that will increase       distribution channels and launch    analytical techniques that
                    alignment is a desired state to       operational efficiency while        new products quickly. Ability to    predict future events or behaviors
                    capture more corporate efficiencies    minimizing losses and              monitor and adapt quickly based     across the broader society.
                                                          maximizing profits.                 on market responses to retain and
                                                                                             grow market share.
4    Using business intelligence and optimization to secure the future in the global Insurance market




Fig.2. Drivers for Business Intelligence (BI) Investments among Insurers


To better manage a specific operational
                                                                 10.7
       process in a more timely fashion
     To better align with and track against
                                                                                                                                   50.0
      corporate strategies and objectives

           To ensure regulatory compliance                                                                 35.7

           To speed up and improve the
                                                                                                                                                                   71.4
    organization’s decision-making ability
         To respond to user needs for data
                         on a timely basis
                                                                                                                 39.3

      To move users toward a self-service
                                                                                                                 39.3
            model of information delivery
     To share information with customers,
                    suppliers and partners                   7.1

           To decrease business costs and
                                                                                         25.0
             improve operational efficiency

    To increase the organization’s revenue                             14.3

                                                       0               10               20              30               40               50               60         70   80
                                                                                                             Percentage of Respondents

    Question “What were the three most significant reasons in your organization to invest, if planning to use BI or to consider? Source: Gartner (February 2009)




We believe winning Insurers will focus investments specifically                                             but at the expense of margins. Industry winners are focusing on
on putting the customer first, enabling agents to sell and serve,                                           consumer segmentation, building trusted brands and offering
increasing transparency and risk control and finally, building                                              convenient multi-channel customer access to win new business.
IT-enabled organizations where automation creates efficiency                                                The fact is that insurance will one day be viewed as one of
and feeds predictive analytics for the future.                                                              many choices – instead of as a must-have product.

Putting the customer first                                                                                  At the same time competition is increasing, consumer trust is
Due to direct services and new industry entrants with slick                                                 at an all time low. So is the ability to predict customer behavior
business models and lower price points, insurance customers                                                 to identify new revenue, reduce servicing costs, and reduce risk
have more choice than ever before. They want transparency                                                   – which will make ensuring customer satisfaction to build
and are becoming more demanding in how they interact with                                                   much needed relationships – near to impossible?
their Insurers, the products they want and the premiums they
are willing to pay.3 This reality rings even more true in                                                   The reality is that most customers may seek interaction and
emerging markets – where widespread need and customers’                                                     information across several channels, based on their household
sophisticated use of online and mobile technology are creating                                              demographic. Seamlessness, responsiveness, transparency and
significant competition and opportunity.                                                                    convenience – in addition to safety and fair price for value
                                                                                                            delivered – translate into customer trust. Post-crisis, trust and
Pricing strategies are still predominant, but are not sufficient                                            transparency are table stakes for Insurers. Insurers that work to
to create long-term value – they may maintain market share,                                                 close the trust gap will tap into new opportunities to create value.
IBM Global Business Services   5




Applying business analytics and optimization can help Insurers        adjusting sales tools, pricing, products, and other attributes to
acquire a deeper understanding of customer requirements, to           target the best opportunities to acquire, retain and grow
rapidly identify and adjust price as appropriate, target market       customer relationships.
their products to specific demographic segments, and
ultimately increase cross selling. Even with limited historical       We partnered with a U.S. based P&C Insurer experiencing a
data, Insurers can use business intelligence to simulate risk         dynamic shift in their business – while selling insurance products
profiles and optimize price-driven demand. All of this                through agency owners and independent exclusive agents was
contributes to potentially higher product and service                 once seen as one of its biggest strengths, changes in consumer
penetration and a higher retention rate.                              buying habits required the company to enhance its channel
                                                                      strategy. It became critical for the company to present a single
Case in point, one of our US Insurance partners was operating         face to the customer, regardless of their choice of channel.
day-to-day on gut-instinct, rather than data-driven decision
making. We helped them launch a customer focused business             Working across enterprise silos, we helped the Insurer develop
intelligence program to transform the company’s ability to            a clear multi-channel distribution strategy. By aligning the
improve overall business performance, and ensure a stronger           culture, technology, metrics, processes and incentives, the
customer service experience in order to drive revenue growth.         Insurer successfully arranged a model that supports the way
They now have a roadmap to help them focus on achieving               their customers want to be serviced. This type of multichannel
value. In addition, they have operationalized business                approach reflects the thinking that 79% of consumers will
intelligence through a center of competency and data                  commit to a deeper product or service relationship with a
governance program responsible for creating and maintaining           brand after a satisfying experience.4 With this approach the
consistent, contextual and accurate business data. By linking the     Insurer exceeded sales targets in year one and customers
program to the overall improved performance of the company,           started over 2.5M quotes 2009.
the Insurer drove a measurable cultural change focused on the
availability and improvement of both corporate information and        Increasing transparency, controlling risk
BI skills and now has formed mature BI solution development           Dealing with a growing focus on regulatory compliance is the
capabilities to the point of self-sustainability.                     second largest concern of Insurers (52% of responders in a
                                                                      recent study).5 “Insurance regulation is being re-examined in
Empowering agents to sell and serve                                   the light of the bailout of prominent US insurers, with
There is a growing need to empower agents to sell and serve           international risk management standards likely to emerge.
customers more effectively. But the inability to identify, recruit,   Eighty-three percent of Insurers expect to increase spending
equip, and provide incentives to retain the best agents, as well      on risk management activities by more than 10 percent
as integrate and optimize agent information into Insurer              annually, over the next five years. The Solvency II guidelines
operations makes the customer relationship focus all the more         are already weighing on European Insurers, and the financial
difficult to sustain.                                                 crisis has resulted in increased regulation across the globe.

Business intelligence and optimization efforts can help Insurers      Winning insurers are using these events as a burning platform
strengthen distributor relationships through modeling and             in the drive to enhance enterprise control. Investments are
optimizing agent profiles for recruiting, retention, and              required in underlying data management processes,
compensation of “A Players.” In addition, Insurers can employ         infrastructures and capabilities to enable sustainable
business intelligence efforts to enable success with customers        transparency. A focus on financial and regulatory analytics can
by automatically identifying potential new segments and               help Insurers significantly improve risk aversion through
6   Using business intelligence and optimization to secure the future in the global Insurance market




understanding risk posed by new products, globalization and                                            Predicting the future
regulatory controls. In addition, Insurers can employ business                                         Today, Insurers must make sense of the unwieldy amount and
intelligence to reduce surprises in financial results and                                              different types of information available in and outside of the
proactively manage market changes.                                                                     organization. Now many companies are applying analytics and
                                                                                                       optimizing the bottom line focused on consolidated reporting,
External stakeholders demand transparent quantitative                                                  cost and expense management, performance management, and
disclosure of all risks and reporting or accounting on fair value                                      fraud management. But soon early movers will emerge from
principles (IFRS, MCEV and Solvency II). We partnered with                                             these exercises with strategies that focus on the top line - using
a leading European Insurer to improve the management and                                               advanced analytics to pro-actively manage the pipeline,
compliance to regulations through a holistic program focused                                           offers and promotions, brand perception, customer care
on standardized, accurate, auditable and transparent data                                              and effectively sense market twists and turns before their
management. As a result, enterprise data will be extracted from                                        competitors.6
100+ systems, uniformed, enriched and stored to be used in
calculations and accounting.                                                                           The end-goal for many insurers will be the ability to reduce
                                                                                                       lost costs and improve customer service with the use of
This proactive approach enabled more awareness and                                                     advanced analytics. Predictive modeling can help Insurers
responsiveness to regulatory actions, better risk aversions                                            improve organizational flexibility to react quickly to market
through integrated enterprise risk management, improved                                                conditions and scale to address customer needs (in the case of
efficiency and performance through shared systems and                                                  catastrophe or other significant market change), analyze claims
processes across financial services. Today this Insurer benefits                                       risk to decrease cost from losses or improve customer service
from better knowledge sharing through internal and external                                            based on known indicators. We are starting to see insurers use
transparency with external partners, and is able to better                                             predictive modeling to better serve their customers with
respond to market changes. No matter what the regulatory                                               “customized products” based on individual wants-and-needs
requirements end up becoming, they will now be prepared to                                             analysis and to deliver improved medical care management
meet them.                                                                                             targeted to “at-risk” groups.

Fig.3. Analytics and optimization areas of focus over the next 24 months

                                                                Project scope                                                 Tactic
                                                                •	   Pricing and offer strategies
                                                                •	   Branding and reputation management                       Increase focus
                                                                •	   Product/services market selection
           Next 24 months top 10                                •	   Lead generation and pipeline management
                                                                •	   Promotion and offer management
                                                                •	   Logistics and distribution management
                                                                •	   Customer	segmentation	and	profitability
                                                                •	   Demand forecasting and management
                                                                                                                              Maintain focus
                                                                •	   Enterprise goal setting and alignment
                                                                •	   Budgeting and resource allocation
                       Current top 10                           •	   Reporting and performance measurement
                                                                                                                              Re-assess focus
                                                                •	   Cost/expense management
                                                                •	   Career path and succession management
                                                                •	   Fraud	and	financial	risk	management
                                                                •	   Leadership development
                                                                •	   Channel performance
IBM Global Business Services   7




Healthcare Insurers are leading the way in analytics and risk
management by creating medical management predictive
                                                                        “The pressure to gain share in a
models. IBM is helping US health insurers use advanced                  sharpening market will not ebb.
analytical tools to risk stratify their member population and
ensure appropriate and preventative care is coordinated and             New regulations loom on the horizon.
designed to assure good outcomes. Predictive modeling is
used to identify “at risk” groups and to risk stratify them. The
                                                                        There will be no going back to
insurer can then match interventional programs with the level           business as usual.”
of risk and deliver them consistently and cost-effectively. As an
example, members at risk for coronary artery disease, can
receive education and preventative care in an attempt to avoid a
catastrophic event like a heart attack. These new approaches to         However, competitive business analytics and optimization
promoting health and delivering care allow members to make              capabilities require deep skills in business intelligence and
better health and wellness choices and allow the Insurer to             information management – which most Insurers lack today.
deliver significant value and avoid subsequent costly health care.      Strong business intelligence capabilities must also be backed by
                                                                        streamlined data governance processes that pervade the
Conclusion                                                              organization. In addition, Insurers must continue their focus
For many Insurers, the focus of the last few years has been to          on smart streamlining, integration and consolidation across the
keep pace in a declining market. It now looks like things could         organization – and well considered cost take out measures – to
be turning upward. But whether the benefits of the recovery             fund differentiating analytics and optimization efforts.
are felt earlier or later than analysts predict, the financial crisis
has set in motion a “lean years” perspective that global leaders        Though the customer must be the ultimate focus of business
and consumers won’t yield for some time. Trust has been                 analytics efforts, many insurers are finding that it is increasing
threatened. The pressure to gain share in a sharpening market           regulatory issues which provide the perfect entry for driving
will not ebb. New regulations loom on the horizon. There will           buy-in for a focused business intelligence effort. These efforts
be no going back to business as usual.                                  must top the chief executives’ (CEO, CFO and CIO) agendas
                                                                        to achieve full benefits. By starting small, generating short-
Insurers must solve two key problems in order to secure their           term proof of concept successes and scaling fast, leaders can be
future: getting meaningful products to market fast and                  successful in linking these efforts to their organization’s
improving customer service. Their ability to leverage                   strategic business agenda, and catapulting their Insurers to
technology and information to drive business intelligence will          front-runner status. For more information on pursuing a more
be a defining factor in their success. Some insurers will pull          proactive approach to securing your company’s future, please
away from the pack by focusing on the customer, through                 contact Lee-Han Tjioe, tjioelee@cn.ibm.com.
employing a business analytics and optimization lens to drive
value and aligning business with IT to turn out meaningful
products, achieve more transparency, and improve service
efficiently.
About the Author
Lee-Han Tjioe is the worldwide Leader of IBM Global
Business Services’ insurance group, currently responsible for
the strategy, solutions and service development for Insurance
industry, as well as client relationships and delivery -- from a
headquarters in Shanghai, China. He and his team have
developed a number of successful insurance specific solutions
and services.

He has worked for more than 18 years in consulting for
financial institutions, including as an Asia Pacific practice
leader for PricewaterhouseCoopers in Hong Kong. His                                     © Copyright IBM Corporation 2010
consulting work includes strategic and business process                                 IBM Global Services
transformation projects for clients like ING, Aetna, AXA,                               Route 100
                                                                                        Somers, NY 10589
Fortis, Aegon, and Achmea. He is a specialist on insurance
                                                                                        U.S.A.
companies challenged with the design and successful launch of
online and multi-channel distribution of Insurance products.                            Produced in the United States of America
                                                                                        June 2010
Mr. Tjioe graduated with an MBA at the Fuqua School of                                  All Rights Reserved
Business, Duke University in the United States.
                                                                                        IBM, the IBM logo and ibm.com are trademarks or registered trademarks
                                                                                        of International Business Machines Corporation in the United States, other
For more information                                                                    countries, or both. If these and other IBM trademarked terms are marked on
                                                                                        their first occurrence in this information with a trademark symbol (® or ™),
                                                                                        these symbols indicate U.S. registered or common law trademarks owned by
ibm.com
                                                                                        IBM at the time this information was published. Such trademarks may also
                                                                                        be registered or common law trademarks in other countries. A current list of
                                                                                        IBM trademarks is available on the Web at “Copyright and trademark
                                                                                        information” at ibm.com/legal/copytrade.shtml Other company, product
                                                                                        and service names may be trademarks or service marks of others.

_____________________________________                                                   References in this publication to IBM products and services do not
                                                                                        imply that IBM intends to make them available in all countries in which
1
  Bieck, Christian. “Growing trust, transparency and technology: Insurance              IBM operates.
customers’ perspectives in a global context.” IBM Global Business Services, in
association with the University of St. Gallen Institute of Insurance. http://www-935.
ibm.com/services/us/index.wss/ibvstudy/gbs/a1030834?cntxt=a1000058
                                                                                                 Please Recycle
2
 LaValle, Steve. “Breaking away with business analytics and optimization.”
IBM Institute for Business Value.
3
    Ibid
4
 LaValle, Steve and Brian Scheld. “CRM Done Right: Executive handbook for
realizing the value of CRM.” IBM Global Business Services.
5
    IBM Global CIP Study 2009; Full sample n = 2598, Insurance n = 212
6
    Gartner (February 2009)




                                                                                                                                             GBW03116-USEN-00

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Using business intelligence and optimization to secure the future in the global Insurance market

  • 1. IBM Global Business Services Financial Services White Paper Using business intelligence and optimization to secure the future in the global Insurance market
  • 2. As the gates of recovery inch open, the race to capture market share and mitigate risk continues to intensify – only the most agile Insurers will pull ahead of the competition. Post-crisis, belts are tighter, regulations are stiffer and customers are shrewder. Customer expectations are newly galvanized around trust, transparency and value. In fact, 80 percent of consumers rate trust and transparency as critical to their choice of an Insurer, yet 60 percent of consumers state that they do not currently have that trust.1 New market entrants and new delivery channels are threatening to edge out legacy offerings, as younger investors are considering alternative products such as annuities. Regulatory controls have become exceedingly more rigorous and demanding – quickly climbing to top the list of Insurers (and shareholders) greatest concerns. To secure the future, Insurers must close these gaps. They will need to effectively leverage information and technology to create customer trust and transparency – speeding competitively priced new product offerings to market in a multi-channel environment, and successfully mitigating fraud risks. Most Insurers already have much of the information they need to accomplish this, but not yet the analytics and processes to unlock its power. Winners in the recovery insurance market will balance business intelligence and optimization efforts to focus on customers and distributors, financials, risk and regulatory requirements, and core processes to create growth and savings opportunities, and differentiate from the competition. In our work with leading Insurers around the globe, we have implemented winning business analytics optimization strategies that prepare Insurers for long-term success in a changing marketplace.
  • 3. IBM Global Business Services 3 The new agility – Information, analytics said they frequently lack information necessary to make critical and optimization decisions. One half said they did not have access to the Pressured by industry drivers, Insurers are seeking new models information required to do their jobs, or close information to capture revenue growth and increased profits. While most gaps to reach business objectives.2 are at the beginning of their journey, the trajectory from current state to future “best in class” position is clear – it is According to a recent study, many Insurers have planned inextricably linked to how Insurers are organized and equipped investments in business intelligence and/or analytics over the to leverage timely, accurate information to ensure informed next 12 months. Why are Insurers undertaking these business decisions and actions. investments, even in a time of uncertain economic stability? They understand the need for faster, more informed decision- We believe insurers can make progress in terms of market making, and the need to ensure and track alignment to share and profitability by moving in line with the maturity path corporate goals. Further, Insurers need to meet tighter we have defined (see Figure 1). However, executives regulatory compliance requirements and manage information responding to a recent IBM survey acknowledged that when it better in a real-time, increasingly self-service environment. comes to data, they have significant blind spots – one in three Fig.1. Insurance Industry Maturity Path Profitability Margin Societal Agile Predictive Insurer Insurer P&C: 7 pts better combined ratio Life: 1.5 times higher profit Optimized Insurer Best in-class agile insurers leverage information for: - better focus on the customer - transforming processes Aligned - leveraging new business models Insurer Market Impact/Growth Aligned Insurer Optimized Insurer Agile insurer Societal Predictive insurer Consistent market approaches by Ability to embrace and implement Capability to enter new markets Creation of new business multiple business lines with modest holistic strategies leveraging successfully, build new models based on statistical and level of integration. Business / IT synergies that will increase distribution channels and launch analytical techniques that alignment is a desired state to operational efficiency while new products quickly. Ability to predict future events or behaviors capture more corporate efficiencies minimizing losses and monitor and adapt quickly based across the broader society. maximizing profits. on market responses to retain and grow market share.
  • 4. 4 Using business intelligence and optimization to secure the future in the global Insurance market Fig.2. Drivers for Business Intelligence (BI) Investments among Insurers To better manage a specific operational 10.7 process in a more timely fashion To better align with and track against 50.0 corporate strategies and objectives To ensure regulatory compliance 35.7 To speed up and improve the 71.4 organization’s decision-making ability To respond to user needs for data on a timely basis 39.3 To move users toward a self-service 39.3 model of information delivery To share information with customers, suppliers and partners 7.1 To decrease business costs and 25.0 improve operational efficiency To increase the organization’s revenue 14.3 0 10 20 30 40 50 60 70 80 Percentage of Respondents Question “What were the three most significant reasons in your organization to invest, if planning to use BI or to consider? Source: Gartner (February 2009) We believe winning Insurers will focus investments specifically but at the expense of margins. Industry winners are focusing on on putting the customer first, enabling agents to sell and serve, consumer segmentation, building trusted brands and offering increasing transparency and risk control and finally, building convenient multi-channel customer access to win new business. IT-enabled organizations where automation creates efficiency The fact is that insurance will one day be viewed as one of and feeds predictive analytics for the future. many choices – instead of as a must-have product. Putting the customer first At the same time competition is increasing, consumer trust is Due to direct services and new industry entrants with slick at an all time low. So is the ability to predict customer behavior business models and lower price points, insurance customers to identify new revenue, reduce servicing costs, and reduce risk have more choice than ever before. They want transparency – which will make ensuring customer satisfaction to build and are becoming more demanding in how they interact with much needed relationships – near to impossible? their Insurers, the products they want and the premiums they are willing to pay.3 This reality rings even more true in The reality is that most customers may seek interaction and emerging markets – where widespread need and customers’ information across several channels, based on their household sophisticated use of online and mobile technology are creating demographic. Seamlessness, responsiveness, transparency and significant competition and opportunity. convenience – in addition to safety and fair price for value delivered – translate into customer trust. Post-crisis, trust and Pricing strategies are still predominant, but are not sufficient transparency are table stakes for Insurers. Insurers that work to to create long-term value – they may maintain market share, close the trust gap will tap into new opportunities to create value.
  • 5. IBM Global Business Services 5 Applying business analytics and optimization can help Insurers adjusting sales tools, pricing, products, and other attributes to acquire a deeper understanding of customer requirements, to target the best opportunities to acquire, retain and grow rapidly identify and adjust price as appropriate, target market customer relationships. their products to specific demographic segments, and ultimately increase cross selling. Even with limited historical We partnered with a U.S. based P&C Insurer experiencing a data, Insurers can use business intelligence to simulate risk dynamic shift in their business – while selling insurance products profiles and optimize price-driven demand. All of this through agency owners and independent exclusive agents was contributes to potentially higher product and service once seen as one of its biggest strengths, changes in consumer penetration and a higher retention rate. buying habits required the company to enhance its channel strategy. It became critical for the company to present a single Case in point, one of our US Insurance partners was operating face to the customer, regardless of their choice of channel. day-to-day on gut-instinct, rather than data-driven decision making. We helped them launch a customer focused business Working across enterprise silos, we helped the Insurer develop intelligence program to transform the company’s ability to a clear multi-channel distribution strategy. By aligning the improve overall business performance, and ensure a stronger culture, technology, metrics, processes and incentives, the customer service experience in order to drive revenue growth. Insurer successfully arranged a model that supports the way They now have a roadmap to help them focus on achieving their customers want to be serviced. This type of multichannel value. In addition, they have operationalized business approach reflects the thinking that 79% of consumers will intelligence through a center of competency and data commit to a deeper product or service relationship with a governance program responsible for creating and maintaining brand after a satisfying experience.4 With this approach the consistent, contextual and accurate business data. By linking the Insurer exceeded sales targets in year one and customers program to the overall improved performance of the company, started over 2.5M quotes 2009. the Insurer drove a measurable cultural change focused on the availability and improvement of both corporate information and Increasing transparency, controlling risk BI skills and now has formed mature BI solution development Dealing with a growing focus on regulatory compliance is the capabilities to the point of self-sustainability. second largest concern of Insurers (52% of responders in a recent study).5 “Insurance regulation is being re-examined in Empowering agents to sell and serve the light of the bailout of prominent US insurers, with There is a growing need to empower agents to sell and serve international risk management standards likely to emerge. customers more effectively. But the inability to identify, recruit, Eighty-three percent of Insurers expect to increase spending equip, and provide incentives to retain the best agents, as well on risk management activities by more than 10 percent as integrate and optimize agent information into Insurer annually, over the next five years. The Solvency II guidelines operations makes the customer relationship focus all the more are already weighing on European Insurers, and the financial difficult to sustain. crisis has resulted in increased regulation across the globe. Business intelligence and optimization efforts can help Insurers Winning insurers are using these events as a burning platform strengthen distributor relationships through modeling and in the drive to enhance enterprise control. Investments are optimizing agent profiles for recruiting, retention, and required in underlying data management processes, compensation of “A Players.” In addition, Insurers can employ infrastructures and capabilities to enable sustainable business intelligence efforts to enable success with customers transparency. A focus on financial and regulatory analytics can by automatically identifying potential new segments and help Insurers significantly improve risk aversion through
  • 6. 6 Using business intelligence and optimization to secure the future in the global Insurance market understanding risk posed by new products, globalization and Predicting the future regulatory controls. In addition, Insurers can employ business Today, Insurers must make sense of the unwieldy amount and intelligence to reduce surprises in financial results and different types of information available in and outside of the proactively manage market changes. organization. Now many companies are applying analytics and optimizing the bottom line focused on consolidated reporting, External stakeholders demand transparent quantitative cost and expense management, performance management, and disclosure of all risks and reporting or accounting on fair value fraud management. But soon early movers will emerge from principles (IFRS, MCEV and Solvency II). We partnered with these exercises with strategies that focus on the top line - using a leading European Insurer to improve the management and advanced analytics to pro-actively manage the pipeline, compliance to regulations through a holistic program focused offers and promotions, brand perception, customer care on standardized, accurate, auditable and transparent data and effectively sense market twists and turns before their management. As a result, enterprise data will be extracted from competitors.6 100+ systems, uniformed, enriched and stored to be used in calculations and accounting. The end-goal for many insurers will be the ability to reduce lost costs and improve customer service with the use of This proactive approach enabled more awareness and advanced analytics. Predictive modeling can help Insurers responsiveness to regulatory actions, better risk aversions improve organizational flexibility to react quickly to market through integrated enterprise risk management, improved conditions and scale to address customer needs (in the case of efficiency and performance through shared systems and catastrophe or other significant market change), analyze claims processes across financial services. Today this Insurer benefits risk to decrease cost from losses or improve customer service from better knowledge sharing through internal and external based on known indicators. We are starting to see insurers use transparency with external partners, and is able to better predictive modeling to better serve their customers with respond to market changes. No matter what the regulatory “customized products” based on individual wants-and-needs requirements end up becoming, they will now be prepared to analysis and to deliver improved medical care management meet them. targeted to “at-risk” groups. Fig.3. Analytics and optimization areas of focus over the next 24 months Project scope Tactic • Pricing and offer strategies • Branding and reputation management Increase focus • Product/services market selection Next 24 months top 10 • Lead generation and pipeline management • Promotion and offer management • Logistics and distribution management • Customer segmentation and profitability • Demand forecasting and management Maintain focus • Enterprise goal setting and alignment • Budgeting and resource allocation Current top 10 • Reporting and performance measurement Re-assess focus • Cost/expense management • Career path and succession management • Fraud and financial risk management • Leadership development • Channel performance
  • 7. IBM Global Business Services 7 Healthcare Insurers are leading the way in analytics and risk management by creating medical management predictive “The pressure to gain share in a models. IBM is helping US health insurers use advanced sharpening market will not ebb. analytical tools to risk stratify their member population and ensure appropriate and preventative care is coordinated and New regulations loom on the horizon. designed to assure good outcomes. Predictive modeling is used to identify “at risk” groups and to risk stratify them. The There will be no going back to insurer can then match interventional programs with the level business as usual.” of risk and deliver them consistently and cost-effectively. As an example, members at risk for coronary artery disease, can receive education and preventative care in an attempt to avoid a catastrophic event like a heart attack. These new approaches to However, competitive business analytics and optimization promoting health and delivering care allow members to make capabilities require deep skills in business intelligence and better health and wellness choices and allow the Insurer to information management – which most Insurers lack today. deliver significant value and avoid subsequent costly health care. Strong business intelligence capabilities must also be backed by streamlined data governance processes that pervade the Conclusion organization. In addition, Insurers must continue their focus For many Insurers, the focus of the last few years has been to on smart streamlining, integration and consolidation across the keep pace in a declining market. It now looks like things could organization – and well considered cost take out measures – to be turning upward. But whether the benefits of the recovery fund differentiating analytics and optimization efforts. are felt earlier or later than analysts predict, the financial crisis has set in motion a “lean years” perspective that global leaders Though the customer must be the ultimate focus of business and consumers won’t yield for some time. Trust has been analytics efforts, many insurers are finding that it is increasing threatened. The pressure to gain share in a sharpening market regulatory issues which provide the perfect entry for driving will not ebb. New regulations loom on the horizon. There will buy-in for a focused business intelligence effort. These efforts be no going back to business as usual. must top the chief executives’ (CEO, CFO and CIO) agendas to achieve full benefits. By starting small, generating short- Insurers must solve two key problems in order to secure their term proof of concept successes and scaling fast, leaders can be future: getting meaningful products to market fast and successful in linking these efforts to their organization’s improving customer service. Their ability to leverage strategic business agenda, and catapulting their Insurers to technology and information to drive business intelligence will front-runner status. For more information on pursuing a more be a defining factor in their success. Some insurers will pull proactive approach to securing your company’s future, please away from the pack by focusing on the customer, through contact Lee-Han Tjioe, tjioelee@cn.ibm.com. employing a business analytics and optimization lens to drive value and aligning business with IT to turn out meaningful products, achieve more transparency, and improve service efficiently.
  • 8. About the Author Lee-Han Tjioe is the worldwide Leader of IBM Global Business Services’ insurance group, currently responsible for the strategy, solutions and service development for Insurance industry, as well as client relationships and delivery -- from a headquarters in Shanghai, China. He and his team have developed a number of successful insurance specific solutions and services. He has worked for more than 18 years in consulting for financial institutions, including as an Asia Pacific practice leader for PricewaterhouseCoopers in Hong Kong. His © Copyright IBM Corporation 2010 consulting work includes strategic and business process IBM Global Services transformation projects for clients like ING, Aetna, AXA, Route 100 Somers, NY 10589 Fortis, Aegon, and Achmea. He is a specialist on insurance U.S.A. companies challenged with the design and successful launch of online and multi-channel distribution of Insurance products. Produced in the United States of America June 2010 Mr. Tjioe graduated with an MBA at the Fuqua School of All Rights Reserved Business, Duke University in the United States. IBM, the IBM logo and ibm.com are trademarks or registered trademarks of International Business Machines Corporation in the United States, other For more information countries, or both. If these and other IBM trademarked terms are marked on their first occurrence in this information with a trademark symbol (® or ™), these symbols indicate U.S. registered or common law trademarks owned by ibm.com IBM at the time this information was published. Such trademarks may also be registered or common law trademarks in other countries. A current list of IBM trademarks is available on the Web at “Copyright and trademark information” at ibm.com/legal/copytrade.shtml Other company, product and service names may be trademarks or service marks of others. _____________________________________ References in this publication to IBM products and services do not imply that IBM intends to make them available in all countries in which 1 Bieck, Christian. “Growing trust, transparency and technology: Insurance IBM operates. customers’ perspectives in a global context.” IBM Global Business Services, in association with the University of St. Gallen Institute of Insurance. http://www-935. ibm.com/services/us/index.wss/ibvstudy/gbs/a1030834?cntxt=a1000058 Please Recycle 2 LaValle, Steve. “Breaking away with business analytics and optimization.” IBM Institute for Business Value. 3 Ibid 4 LaValle, Steve and Brian Scheld. “CRM Done Right: Executive handbook for realizing the value of CRM.” IBM Global Business Services. 5 IBM Global CIP Study 2009; Full sample n = 2598, Insurance n = 212 6 Gartner (February 2009) GBW03116-USEN-00