Fluxicon Process mining camp 2017
CZ Internal Audit
1
Don’t wait for the digital wave,
start data-driven auditing today!
Fluxicon Process mining camp 2017
2
Dave Jansen
IT Audit
Wilco Brouwers
IT Audit
Head Professional Practices
Agenda
3
1 Introduction and background
2 Use of process mining
3 Innovation from an audit perspective
1. CZ : Health Insurance Company
4
Insured persons 3,6 million
Market share 20%
Insurance premium € 8.920 million
Customer satisfaction 8,0
Employees 2612 ftes
Three locations: Tilburg, Goes and Sittard
Based in the south of The Netherlands
Facts and Figures
Main processes:
- Insurance and payment of health costs
- Focus on innovative care
1. Our IT environment
5
Mainframe platform
with
DB2 Database
MS Client/Server
with
MS SQL database
Core systems for main
processes on one main
platform
1. Our Internal Audit Department (IAD)
6
30 auditors
(6 IT)
Deliver
assurance
on annual
reports…
…with little
outsource
to external
accountant
About 16
with low BI
skills
High level
of detailed
fact
finding…
.. in a
highly
automated
system
So we do less interviews, samples,
observations and more
data analysis and process mining
1. How did we start using Disco?
7
2015
Test/POC
Incidentmanagement
Business
Intelligence
2017
Focus on 4 processes
- Policy administration
- Declaration
- Purchase of goods
- Debtors process
Datascience
Lab
2016
Trial 8 processes
Issues data availability
Information
Preparation
• Scope/objectives
• Understanding the process and current controls
• Planning
Fieldwork
• Audit program
• Findings and communication
• Impact of findings
Reporting
• Audit summary, presentation
• Agree on practical, realistic recommendations
Follow-up
• Follow-up review
• Adjustments / new recommendations
8
2. Audit process
Preparation
• Connecting 9 applications and determining
communal data
• 210.076.269 events
• +/- 72 hours to extract, modify and merge data
Fieldwork
Reporting
Follow-up
9
2. Data preparation for the ‘Administration of policy holders’
Python SAS Powershell
2. Data preparation for the ‘Administration of policy holders’
10
Fieldwork
• Changes ‘out of the blue’
• Measure quality of work (how work is done)
• Compliancy automated controls
Reporting
Follow-up
11
2. Fieldwork
Preparation
2. Fieldwork Changes out of the blue
12
Policyholder Mutation Entity Last customer contact System
1 03.02.2017 11:24:03 Core system ​​22.12.2016 04:03:07 External system
2 ​11.11.2016 15:26:10 Core system ​22.07.2016 23:48:06 Core system
3 ​25.01.2017 09:12:24 Core system ​27.12.2016 11:48:37 Workflow
4 ​31.03.2016 14:17:08 Core system ​08.02.2016 04:02:37 External system
5 ​04.04.2017 08:30:22 Core system ​06.03.2017 14:22:50 CRM
6 ​24.11.2016 10:59:12 Core system ​22.06.2016 04:03:05 External system
7 ​23.03.2017 10:57:13 Core system ​25.01.2017 17:16:06 Workflow
8 ​27.12.2016 15:27:52 Core system ​10.05.2016 16:44:17 Email system
2. Fieldwork Measure the quality of work
13
2. Fieldwork Compliance of automated controls
14
• Do all signals result in manual task(s)?
• Filter based on ‘signal’
• Never followed by manual task within 2 days
• Result 424 cases are not ‘compliant’
• Within 4 days every
signal is followed by
manual task
2. Fieldwork Payments with no relation to scanned nota
15
Payment
Scan batch
Exception, only 2 cases!
2. Fieldwork Segregation of duties check effectiveness
16
• Presentation for management
• Less discussion on matters, right to the point
• Visualisation helps!
17
2. Reporting
Reporting
Fieldwork
Follow-up
Preparation
2. Reporting Simplifying the ‘Purchase process’
18
Follow-up
• In-depth analysis of specific cases
19
2. Follow up
Fieldwork
Preparation
Reporting
Preparation
Fieldwork
Reporting
Follow-up
20
2. Recap How we use process mining today
• Internal control review
• Gain integral insight into design
and effectiveness of a process
• Transaction testing takes only
a little more time for more in
depth analysis
• Better recommendations
• In progress: matching
effectiveness of a process with
the SOLL
3. Innovation from audit perspective
RECAP Current successes
21
• Detailed insight in processes makes IAD valued partner
• Multi flow / multi channel
• Identify process improvements
New
Insight
• Test a broad range of transactions
• Test design and operational effectiveness
• Business more open to admit shortcomings
More
assurance
• Interview becomes a detailed evaluation
• Procedure checking not needed at start
• Less time needed to discuss or convince
Cut off
traditional
work
3. Innovation from audit perspective
RECAP Current challenges
22
Constantly changing of IT
infrastructure
Data availability/applicability
in core systems
Competencies of
audit people: new
way of thinking
European privacy law
(GDPR)
23
3. Moving forward
Process mining as an auditor tool Process mining as a business value
Preparation
Fieldwork
Reporting
Follow-up
24
3. Moving forward from audit perspective THE FUTURE VISION
• Continous monitoring:
- check if systems and controls operate as designed
- identify performance gaps and unusual transactions
• Continuous auditing:
- collecting audit indicators and evidence
- analyse compliance with policies, procedures
Continuous
monitoring
Continuous
auditing
25
3. Innovation from an audit perspective
Continuous
monitoring
Continuous
auditing
Business perspective
CZ strategic drivers
• Pressure to improve governance
and internal controls
• Need to improve performance and
remove excess costs
Value: enhanced internal controls and
improved performance
IAD value
• Objective insight into the status of controls
and transactions
• Efficiently test a broader range of
transactions and controls
Value: greater audit efficiency and
effectiveness
3. How do we plan to move forward ?
26
IAD improvements fieldwork for all key processes
• needs teamwork at IAD side linking financial, process and IT knowledge
• changing the way of thinking as an auditor
• more integration of the results of process mining into reporting
• needs – at least – a solid and stable datawarehouse
Business commitment to build up to CM
• information managers and datascience lab connected
• changing way of looking at data
• changing the way of looking at internal control
27
Thanks for your attention, we enjoyed !!!
Questions and contact information
Dave Jansen dave.jansen@cz.nl
Wilco Brouwers wilco.brouwers@cz.nl
Interested? Join us @ CZ!

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Process Mining in Internal Audit - CZ use case

  • 1. Fluxicon Process mining camp 2017 CZ Internal Audit 1 Don’t wait for the digital wave, start data-driven auditing today!
  • 2. Fluxicon Process mining camp 2017 2 Dave Jansen IT Audit Wilco Brouwers IT Audit Head Professional Practices
  • 3. Agenda 3 1 Introduction and background 2 Use of process mining 3 Innovation from an audit perspective
  • 4. 1. CZ : Health Insurance Company 4 Insured persons 3,6 million Market share 20% Insurance premium € 8.920 million Customer satisfaction 8,0 Employees 2612 ftes Three locations: Tilburg, Goes and Sittard Based in the south of The Netherlands Facts and Figures Main processes: - Insurance and payment of health costs - Focus on innovative care
  • 5. 1. Our IT environment 5 Mainframe platform with DB2 Database MS Client/Server with MS SQL database Core systems for main processes on one main platform
  • 6. 1. Our Internal Audit Department (IAD) 6 30 auditors (6 IT) Deliver assurance on annual reports… …with little outsource to external accountant About 16 with low BI skills High level of detailed fact finding… .. in a highly automated system So we do less interviews, samples, observations and more data analysis and process mining
  • 7. 1. How did we start using Disco? 7 2015 Test/POC Incidentmanagement Business Intelligence 2017 Focus on 4 processes - Policy administration - Declaration - Purchase of goods - Debtors process Datascience Lab 2016 Trial 8 processes Issues data availability Information
  • 8. Preparation • Scope/objectives • Understanding the process and current controls • Planning Fieldwork • Audit program • Findings and communication • Impact of findings Reporting • Audit summary, presentation • Agree on practical, realistic recommendations Follow-up • Follow-up review • Adjustments / new recommendations 8 2. Audit process
  • 9. Preparation • Connecting 9 applications and determining communal data • 210.076.269 events • +/- 72 hours to extract, modify and merge data Fieldwork Reporting Follow-up 9 2. Data preparation for the ‘Administration of policy holders’ Python SAS Powershell
  • 10. 2. Data preparation for the ‘Administration of policy holders’ 10
  • 11. Fieldwork • Changes ‘out of the blue’ • Measure quality of work (how work is done) • Compliancy automated controls Reporting Follow-up 11 2. Fieldwork Preparation
  • 12. 2. Fieldwork Changes out of the blue 12 Policyholder Mutation Entity Last customer contact System 1 03.02.2017 11:24:03 Core system ​​22.12.2016 04:03:07 External system 2 ​11.11.2016 15:26:10 Core system ​22.07.2016 23:48:06 Core system 3 ​25.01.2017 09:12:24 Core system ​27.12.2016 11:48:37 Workflow 4 ​31.03.2016 14:17:08 Core system ​08.02.2016 04:02:37 External system 5 ​04.04.2017 08:30:22 Core system ​06.03.2017 14:22:50 CRM 6 ​24.11.2016 10:59:12 Core system ​22.06.2016 04:03:05 External system 7 ​23.03.2017 10:57:13 Core system ​25.01.2017 17:16:06 Workflow 8 ​27.12.2016 15:27:52 Core system ​10.05.2016 16:44:17 Email system
  • 13. 2. Fieldwork Measure the quality of work 13
  • 14. 2. Fieldwork Compliance of automated controls 14 • Do all signals result in manual task(s)? • Filter based on ‘signal’ • Never followed by manual task within 2 days • Result 424 cases are not ‘compliant’ • Within 4 days every signal is followed by manual task
  • 15. 2. Fieldwork Payments with no relation to scanned nota 15 Payment Scan batch Exception, only 2 cases!
  • 16. 2. Fieldwork Segregation of duties check effectiveness 16
  • 17. • Presentation for management • Less discussion on matters, right to the point • Visualisation helps! 17 2. Reporting Reporting Fieldwork Follow-up Preparation
  • 18. 2. Reporting Simplifying the ‘Purchase process’ 18
  • 19. Follow-up • In-depth analysis of specific cases 19 2. Follow up Fieldwork Preparation Reporting
  • 20. Preparation Fieldwork Reporting Follow-up 20 2. Recap How we use process mining today • Internal control review • Gain integral insight into design and effectiveness of a process • Transaction testing takes only a little more time for more in depth analysis • Better recommendations • In progress: matching effectiveness of a process with the SOLL
  • 21. 3. Innovation from audit perspective RECAP Current successes 21 • Detailed insight in processes makes IAD valued partner • Multi flow / multi channel • Identify process improvements New Insight • Test a broad range of transactions • Test design and operational effectiveness • Business more open to admit shortcomings More assurance • Interview becomes a detailed evaluation • Procedure checking not needed at start • Less time needed to discuss or convince Cut off traditional work
  • 22. 3. Innovation from audit perspective RECAP Current challenges 22 Constantly changing of IT infrastructure Data availability/applicability in core systems Competencies of audit people: new way of thinking European privacy law (GDPR)
  • 23. 23 3. Moving forward Process mining as an auditor tool Process mining as a business value
  • 24. Preparation Fieldwork Reporting Follow-up 24 3. Moving forward from audit perspective THE FUTURE VISION • Continous monitoring: - check if systems and controls operate as designed - identify performance gaps and unusual transactions • Continuous auditing: - collecting audit indicators and evidence - analyse compliance with policies, procedures Continuous monitoring Continuous auditing
  • 25. 25 3. Innovation from an audit perspective Continuous monitoring Continuous auditing Business perspective CZ strategic drivers • Pressure to improve governance and internal controls • Need to improve performance and remove excess costs Value: enhanced internal controls and improved performance IAD value • Objective insight into the status of controls and transactions • Efficiently test a broader range of transactions and controls Value: greater audit efficiency and effectiveness
  • 26. 3. How do we plan to move forward ? 26 IAD improvements fieldwork for all key processes • needs teamwork at IAD side linking financial, process and IT knowledge • changing the way of thinking as an auditor • more integration of the results of process mining into reporting • needs – at least – a solid and stable datawarehouse Business commitment to build up to CM • information managers and datascience lab connected • changing way of looking at data • changing the way of looking at internal control
  • 27. 27 Thanks for your attention, we enjoyed !!! Questions and contact information Dave Jansen dave.jansen@cz.nl Wilco Brouwers wilco.brouwers@cz.nl Interested? Join us @ CZ!