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www.pwc.com/us/insurance
January 2017
P&C insurance core transformation:
Beyond the first wave
2 top issues
P&C insurance core transformation:
Beyond the first wave
Insurance carriers are making
an unprecedented investment
in transforming their policy,
billing and claims systems and
processes. We are in a unique
period where the convergence of
aging legacy platforms, complex
market dynamics, and a mature
vendor landscape has made
transformation a top priority
for carriers of all sizes and
profiles. We expect core system
transformations will continue
to be a top priority for insurers –
regardless of size and product mix
– in the coming year.
Trends in the following three areas have
been dominating our recent conversations
with the industry:
1.	Digital transformation and
analytics: Carriers are looking
to extend their core platforms to
develop the foundation for digital
transformation and analytics. They
have more ambitious visions for
how these programs should drive
growth strategies and are no longer
satisfied with simply implementing a
new platform and then searching for
ways to achieve benefits in the post-
implementation environment. Looking
forward, a successful transformation
should include broader strategies for
1) data analytics, 2) a positive digital
customer and agent experience, and
3) underwriting efficiency.
2.	Greenfield and Cloud: Carriers
are looking at alternate delivery
approaches that align with their
broader organizational visions. Some
of them have recently started to
explore the business and architectural
simplicity of greenfield and Cloud
delivery scenarios.
3.	Specialty and ES: An increasing
number of carriers’ core transformation
focus is on modernizing platforms that
process specialty and ES products. We
expect the next wave of transformation
will impact specialty line carriers,
which we categorize as non-admitted
(ES), Bermuda, and London market
carriers.
Insurers are looking for
more than just up-to-date
systems. They also want digital
and analytics platforms
that can help them realize
the full benefits of a core
transformation.
3 top issues
Digital and analytics platforms
Several carriers have increased
their investments in core
transformation and recognize they
need to add digital and analytic
platforms in order to realize the
following, additional benefits and
capabilities:
1.	Better data and analytics – In recent
years, carriers have recognized the
value of building or improving an
enterprise data warehouse (EDW)
in parallel with traditional core
transformation initiatives. This has
enabled them to plan for strategic
data analysis and build necessary
components into core systems.
Modernizing core systems often leads
to more reliable data, and when
this data is coupled with strategic
data analytics initiatives it facilitates
improved process metrics, work queue
volumes, and claims fraud detection.
2.	Better customer and agent
experience – Good customer and
agent experiences most often occur
with modern underlying core
platforms, most of which now offer
self-service capabilities and can
even open new customer channels.
Carriers are looking to advance core
system capabilities by customizing
an agent and policyholder portal
layer that enables users to intuitively
interact with the system; a claims
transformation can improve the claims
reporting, servicing, and resolution
process and fundamentally alter how
a customer interacts with the carrier’s
claims processing division. Billing
transformation programs also typically
include self-service capabilities that
can improve the overall customer
experience.
3.	Improved underwriting efficiency
– This can be a direct benefit of any
core transformation simply because
of the resulting modern screen flow.
However, carriers can gain much more
by coupling the screen flow with an
operational redesign that integrates
the underwriting department with
the new system capabilities (although
this may entail an assessment and
reconfiguration of the underwriting
organization.) This is of particular
importance in commerical and
speciality lines transformations that
seek to automate repetitive manual
tasks but still require experienced
underwriters to fully evaluate risks.
4 top issues
Greenfield implementation
Over the past two years, carriers
have become increasingly
interested in greenfield
transformations. Such a
transformation provides simplicity
and gives carriers a unique
opportunity to reinvent their
business, IT, and organizational
culture. This is in contrast to
traditional transformation
programs that unfortunately
can “recreate the sins of the past”
and implement relatively obscure
business scenarios for the purpose
of transferring the existing book
of business.
A greenfield implementation approach
tends to be straightforward. It eliminates
the need to integrate with antiquated
legacy platforms and thus can lead to
speedier delivery time. It also tends to
require fairly simple product design,
which makes it well suited for mid-tier
carriers that are looking to leverage off-
the-shelf vendor products.
Some key advantages of a greenfield
approach are its product and solution
simplicity, increased speed to delivery,
and the opportunity it provides the
organization to break with the past.
However, there are disadvantages if
a carrier doesn’t go into this kind of
implementation with eyes wide open.
For instance, it will limit book of business
conversion capabilities in the near
term, and can create some intermediate
operational challenges by adding to the
overall portfolio of applications in the
near term.
Greenfield offers design
simplicity that can enable
carriers to break from the
architectural complexity of the
past.
5 top issues
Cloud technologies
Though cloud deployments are not
new for insurance carriers, their
scope has primarily been limited
to productivity applications
with minimal connectivity to the
broader enterprise ecosystem.
However, there are different
expectations of the cloud today.
The five key factors behind them are:
1.	Aging infrastructure – Many carriers
looking to modernize their core
systems are discovering that their
on-premise hosting environment is
insufficient to support new core system
technology, as well as customers’
and agents’ real-time “always on”
expectations. Cloud solutions can
meet many business and IT needs, and
carriers now have a viable option to
deploy new core systems in the cloud
instead of investing in upgrading and
maintaining new IT infrastructure.
2.	Expanding technology ecosystem
– Many small to mid-sized carriers
do not have the capital or resources
to support the complexity of a
large transformation, but without
transformations are constrained in
their ability to respond to the market.
Technology companies are beginning to
offer complete, integrated ecosystems
that include all the technology that
runs core operations. This includes
standard integrations of key ancillary
systems (e.g. document generation,
document management) and digital
front-end portals and mobile, data
analytics, underwriting desktops,
and predictive modelling. Better yet,
automated refresh capabilities keep
product versions up-to-date.
6 top issues
3.	Need for new products and markets
– Insurers need to quickly respond to
changing market conditions in order
to compete in a very competitive
landscape. Cloud core systems provide
carriers the opportunity to quickly test
and learn new business ideas – such as
new products or expansion into a new
market – with minimal investment.
4.	Need to facilitate product
development and innovation – IT
is beginning to shift from being a
provider of all technology services to
a broker or orchestrator of business
services and technology innovation.
Creativity requires experimentation
and, by nature, many experiments
fail. Core systems in the cloud can
help carriers reduce the cost of the
experimentation and failure cycle,
enabling them to greatly increase the
potential for innovative ideas and
solutions.
5.	Talent shortages – It is difficult for
many carriers to attract enough skilled
employees, not least in infrastructure
hosting and core development and
testing. Cloud core systems alleviate
the need for a full complement of IT
staff because cloud solution providers
already feature many of these
resources.
There now are complete,
integrated ecosystems that
include all the technology that
runs core operations, and
automated refresh capabilities
keep product versions up-to-
date.
Cloud technologies
7 top issues
Specialty and ES
Over the past decade, standard
lines carriers have been challenged
to improve profitability through
reduced IT expenditures and policy
acquisition costs. In response, these
carriers have made significant
investments in modernizing their
aging policy administration
platforms to improve automation
and speed to market.
We believe a significant share of the standard
lines market now operates on a modern
policy administration platform, with a
final group of very large carriers starting
to migrate to commercially off the shelf
platforms over the next three to five years.
We believe the next wave of
transformation will impact specialty
line carriers, which we categorize as
non-admitted (ES), Bermuda, and
London market carriers. Although they
historically have been insulated from the
deflationary pressures of technological
automation, we believe three factors
have aligned that will accelerate their
transformations over the next five years.
1.	Organic growth – Over the past
decade, the specialty market has
outpaced industry growth averages
and, thanks to a variety of market
dynamics, we believe that this will
continue. However, maintaining
these increased growth patterns
while managing their historically
low policy acquisition costs will be
a challenge for many specialty and
ES companies. They are likely to
respond by increasing and improving
internal underwriting staff, as well as
through increased use of technology
to automate lower value aspects of the
policy placement process. For example,
specialty carriers will automate back
office and clerical work through
new policy administration systems,
while empowering their specialist
underwriters to continue risk selection
and pricing.
8 top issues
2.	Technological maturity –
Commercially available policy
administration systems have
traditionally focused on standard
market products, thus requiring
extensive customization to meet
specialty carriers’ unique needs. For
ES and Bermuda carriers, we have
seen products that now support multi-
segment program policies, feature
robust manuscript forms functionality,
and can set IRPM factors at exposure
and policy levels. For London market
carriers, vendors are now supporting
accelerators that enable core systems to
interact with the Lloyd’s and companies
markets using ACORD XML standards,
and integrate their back office systems
with the relevant Xchanging market
systems.
3.	Organizational reporting/controls
– Many specialty carriers have
difficulty providing sufficient data to
their internal auditors and enterprise
risk managers for the purposes of
regulatory and group reporting.
Modern policy administration systems
enable underwriters, actuaries, and
internal controllers to more effectively
track and analyze the carrier’s book
of business. These systems support
granular exposure, risk concentration,
and premium reporting, thereby
easing the reporting burden. Moreover,
powerful predictive analytics platforms
enable underwriters to marry internal
and external risk models to their
expert judgement, resulting in a clearer
decision making and more effective
management across the enterprise.
New policy administration
systems can help specialty
carriers automate back office
and clerical work, ease their
reporting burden, and improve
their risk-based decision
making.
9 top issues
Implications
•	Carriers have increased their
expectations of core transformations
and increasingly look to transformation
to include robust digital and analytics
capabilities.
•	They also will continue to look at
alternative delivery options in an
effort to simplify their technology
environment and their implementation
roadmaps.
•	Many transformation programs will
are starting to include portal and
data warehousing components, and
off-the-shelf package solutions are
well equipped to integrate those
components with the core back office
systems.
www.pwc.com/us/insurance
At PwC, our purpose is to build trust in society and solve important problems. We’re a network of firms in 157 countries with more than 208,000 people who are committed
to delivering quality in assurance, advisory and tax services. Find out more and tell us what matters to you by visiting us at www.pwc.com.
This publication has been prepared for general guidance on matters of interest only, and does not constitute professional advice. You should not act upon the information
contained in this publication without obtaining specific professional advice. No representation or warranty (express or implied) is given as to the accuracy
or completeness of the information contained in this publication, and, to the extent permitted by law, PwC does not accept or assume any liability, responsibility or duty of
care for any consequences of you or anyone else acting, or refraining to act, in reliance on the information contained in this publication or for any decision based on it.
© 2016 PwC. All rights reserved. PwC refers to the US member firm or one of its subsidiaries or affiliates, and may sometimes refer to the PwC network. Each member firm is
a separate legal entity. Please see www.pwc.com/structure for further details.
Contacts
Imran Ilyas
Insurance Advisory Principal
+1 630 699 0657
imran.ilyas@pwc.com
Josh Knipp
Insurance Advisory Director
+1 312 298 3044
josh.knipp@pwc.com
Matt Hurlbut
Insurance Advisory Director
+1 312 961 6158
matthew.hurlbut@pwc.com
Matt Wolff
Insurance Advisory Director
+1 312 298 3595
matthew.wolff@pwc.com

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2017 Top Issues Core Transformation - January 2017

  • 1. www.pwc.com/us/insurance January 2017 P&C insurance core transformation: Beyond the first wave
  • 2. 2 top issues P&C insurance core transformation: Beyond the first wave Insurance carriers are making an unprecedented investment in transforming their policy, billing and claims systems and processes. We are in a unique period where the convergence of aging legacy platforms, complex market dynamics, and a mature vendor landscape has made transformation a top priority for carriers of all sizes and profiles. We expect core system transformations will continue to be a top priority for insurers – regardless of size and product mix – in the coming year. Trends in the following three areas have been dominating our recent conversations with the industry: 1. Digital transformation and analytics: Carriers are looking to extend their core platforms to develop the foundation for digital transformation and analytics. They have more ambitious visions for how these programs should drive growth strategies and are no longer satisfied with simply implementing a new platform and then searching for ways to achieve benefits in the post- implementation environment. Looking forward, a successful transformation should include broader strategies for 1) data analytics, 2) a positive digital customer and agent experience, and 3) underwriting efficiency. 2. Greenfield and Cloud: Carriers are looking at alternate delivery approaches that align with their broader organizational visions. Some of them have recently started to explore the business and architectural simplicity of greenfield and Cloud delivery scenarios. 3. Specialty and ES: An increasing number of carriers’ core transformation focus is on modernizing platforms that process specialty and ES products. We expect the next wave of transformation will impact specialty line carriers, which we categorize as non-admitted (ES), Bermuda, and London market carriers. Insurers are looking for more than just up-to-date systems. They also want digital and analytics platforms that can help them realize the full benefits of a core transformation.
  • 3. 3 top issues Digital and analytics platforms Several carriers have increased their investments in core transformation and recognize they need to add digital and analytic platforms in order to realize the following, additional benefits and capabilities: 1. Better data and analytics – In recent years, carriers have recognized the value of building or improving an enterprise data warehouse (EDW) in parallel with traditional core transformation initiatives. This has enabled them to plan for strategic data analysis and build necessary components into core systems. Modernizing core systems often leads to more reliable data, and when this data is coupled with strategic data analytics initiatives it facilitates improved process metrics, work queue volumes, and claims fraud detection. 2. Better customer and agent experience – Good customer and agent experiences most often occur with modern underlying core platforms, most of which now offer self-service capabilities and can even open new customer channels. Carriers are looking to advance core system capabilities by customizing an agent and policyholder portal layer that enables users to intuitively interact with the system; a claims transformation can improve the claims reporting, servicing, and resolution process and fundamentally alter how a customer interacts with the carrier’s claims processing division. Billing transformation programs also typically include self-service capabilities that can improve the overall customer experience. 3. Improved underwriting efficiency – This can be a direct benefit of any core transformation simply because of the resulting modern screen flow. However, carriers can gain much more by coupling the screen flow with an operational redesign that integrates the underwriting department with the new system capabilities (although this may entail an assessment and reconfiguration of the underwriting organization.) This is of particular importance in commerical and speciality lines transformations that seek to automate repetitive manual tasks but still require experienced underwriters to fully evaluate risks.
  • 4. 4 top issues Greenfield implementation Over the past two years, carriers have become increasingly interested in greenfield transformations. Such a transformation provides simplicity and gives carriers a unique opportunity to reinvent their business, IT, and organizational culture. This is in contrast to traditional transformation programs that unfortunately can “recreate the sins of the past” and implement relatively obscure business scenarios for the purpose of transferring the existing book of business. A greenfield implementation approach tends to be straightforward. It eliminates the need to integrate with antiquated legacy platforms and thus can lead to speedier delivery time. It also tends to require fairly simple product design, which makes it well suited for mid-tier carriers that are looking to leverage off- the-shelf vendor products. Some key advantages of a greenfield approach are its product and solution simplicity, increased speed to delivery, and the opportunity it provides the organization to break with the past. However, there are disadvantages if a carrier doesn’t go into this kind of implementation with eyes wide open. For instance, it will limit book of business conversion capabilities in the near term, and can create some intermediate operational challenges by adding to the overall portfolio of applications in the near term. Greenfield offers design simplicity that can enable carriers to break from the architectural complexity of the past.
  • 5. 5 top issues Cloud technologies Though cloud deployments are not new for insurance carriers, their scope has primarily been limited to productivity applications with minimal connectivity to the broader enterprise ecosystem. However, there are different expectations of the cloud today. The five key factors behind them are: 1. Aging infrastructure – Many carriers looking to modernize their core systems are discovering that their on-premise hosting environment is insufficient to support new core system technology, as well as customers’ and agents’ real-time “always on” expectations. Cloud solutions can meet many business and IT needs, and carriers now have a viable option to deploy new core systems in the cloud instead of investing in upgrading and maintaining new IT infrastructure. 2. Expanding technology ecosystem – Many small to mid-sized carriers do not have the capital or resources to support the complexity of a large transformation, but without transformations are constrained in their ability to respond to the market. Technology companies are beginning to offer complete, integrated ecosystems that include all the technology that runs core operations. This includes standard integrations of key ancillary systems (e.g. document generation, document management) and digital front-end portals and mobile, data analytics, underwriting desktops, and predictive modelling. Better yet, automated refresh capabilities keep product versions up-to-date.
  • 6. 6 top issues 3. Need for new products and markets – Insurers need to quickly respond to changing market conditions in order to compete in a very competitive landscape. Cloud core systems provide carriers the opportunity to quickly test and learn new business ideas – such as new products or expansion into a new market – with minimal investment. 4. Need to facilitate product development and innovation – IT is beginning to shift from being a provider of all technology services to a broker or orchestrator of business services and technology innovation. Creativity requires experimentation and, by nature, many experiments fail. Core systems in the cloud can help carriers reduce the cost of the experimentation and failure cycle, enabling them to greatly increase the potential for innovative ideas and solutions. 5. Talent shortages – It is difficult for many carriers to attract enough skilled employees, not least in infrastructure hosting and core development and testing. Cloud core systems alleviate the need for a full complement of IT staff because cloud solution providers already feature many of these resources. There now are complete, integrated ecosystems that include all the technology that runs core operations, and automated refresh capabilities keep product versions up-to- date. Cloud technologies
  • 7. 7 top issues Specialty and ES Over the past decade, standard lines carriers have been challenged to improve profitability through reduced IT expenditures and policy acquisition costs. In response, these carriers have made significant investments in modernizing their aging policy administration platforms to improve automation and speed to market. We believe a significant share of the standard lines market now operates on a modern policy administration platform, with a final group of very large carriers starting to migrate to commercially off the shelf platforms over the next three to five years. We believe the next wave of transformation will impact specialty line carriers, which we categorize as non-admitted (ES), Bermuda, and London market carriers. Although they historically have been insulated from the deflationary pressures of technological automation, we believe three factors have aligned that will accelerate their transformations over the next five years. 1. Organic growth – Over the past decade, the specialty market has outpaced industry growth averages and, thanks to a variety of market dynamics, we believe that this will continue. However, maintaining these increased growth patterns while managing their historically low policy acquisition costs will be a challenge for many specialty and ES companies. They are likely to respond by increasing and improving internal underwriting staff, as well as through increased use of technology to automate lower value aspects of the policy placement process. For example, specialty carriers will automate back office and clerical work through new policy administration systems, while empowering their specialist underwriters to continue risk selection and pricing.
  • 8. 8 top issues 2. Technological maturity – Commercially available policy administration systems have traditionally focused on standard market products, thus requiring extensive customization to meet specialty carriers’ unique needs. For ES and Bermuda carriers, we have seen products that now support multi- segment program policies, feature robust manuscript forms functionality, and can set IRPM factors at exposure and policy levels. For London market carriers, vendors are now supporting accelerators that enable core systems to interact with the Lloyd’s and companies markets using ACORD XML standards, and integrate their back office systems with the relevant Xchanging market systems. 3. Organizational reporting/controls – Many specialty carriers have difficulty providing sufficient data to their internal auditors and enterprise risk managers for the purposes of regulatory and group reporting. Modern policy administration systems enable underwriters, actuaries, and internal controllers to more effectively track and analyze the carrier’s book of business. These systems support granular exposure, risk concentration, and premium reporting, thereby easing the reporting burden. Moreover, powerful predictive analytics platforms enable underwriters to marry internal and external risk models to their expert judgement, resulting in a clearer decision making and more effective management across the enterprise. New policy administration systems can help specialty carriers automate back office and clerical work, ease their reporting burden, and improve their risk-based decision making.
  • 9. 9 top issues Implications • Carriers have increased their expectations of core transformations and increasingly look to transformation to include robust digital and analytics capabilities. • They also will continue to look at alternative delivery options in an effort to simplify their technology environment and their implementation roadmaps. • Many transformation programs will are starting to include portal and data warehousing components, and off-the-shelf package solutions are well equipped to integrate those components with the core back office systems.
  • 10. www.pwc.com/us/insurance At PwC, our purpose is to build trust in society and solve important problems. We’re a network of firms in 157 countries with more than 208,000 people who are committed to delivering quality in assurance, advisory and tax services. Find out more and tell us what matters to you by visiting us at www.pwc.com. This publication has been prepared for general guidance on matters of interest only, and does not constitute professional advice. You should not act upon the information contained in this publication without obtaining specific professional advice. No representation or warranty (express or implied) is given as to the accuracy or completeness of the information contained in this publication, and, to the extent permitted by law, PwC does not accept or assume any liability, responsibility or duty of care for any consequences of you or anyone else acting, or refraining to act, in reliance on the information contained in this publication or for any decision based on it. © 2016 PwC. All rights reserved. PwC refers to the US member firm or one of its subsidiaries or affiliates, and may sometimes refer to the PwC network. Each member firm is a separate legal entity. Please see www.pwc.com/structure for further details. Contacts Imran Ilyas Insurance Advisory Principal +1 630 699 0657 imran.ilyas@pwc.com Josh Knipp Insurance Advisory Director +1 312 298 3044 josh.knipp@pwc.com Matt Hurlbut Insurance Advisory Director +1 312 961 6158 matthew.hurlbut@pwc.com Matt Wolff Insurance Advisory Director +1 312 298 3595 matthew.wolff@pwc.com