Cognitive Process Automation in Insurance

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Presentation transcript:

Cognitive Process Automation in Insurance Glenn Finch Cognitive Innovation Officer, IBM Cognitive Process Transformation Global Business Services Cognitive Process Automation in Insurance October, 2017

66% 90% 40%

For insurance, we believe 60-75% of processes can be automated to achieve overall cost savings of ~ 30-40% Business Development Product and Distribution Operations Claims Accounting Control & Risk Enterprise Services Prospecting (15%) Quoting (25%) UW Support (20%) Sales Support & Contact (25%) Risk Management Accounting & Control Cancel/Rewrite (30%) Endorsements (30%) Contact Center (25%) Query Mgmt Renewals & Retention (50%) Billing (30%) Initiation & Assignment (50%) Initial Review (35%) Evaluate Loss & Estimating (25%) Settlement Determine Fault (10%) FNOL (50%) Product Design (5%) Market Research (20%) Licensing & Appointment(50%) Filings & Approvals Product Pricing (15%) Commission Management (25%) Product Mgmt (35%) Producer Maintenance (30%) Business Strategy & Planning Fixed Assets Procurement (40%) Administration Employee Payroll & Tax Training & Knowledge Mgmt Human Resource (30%) Legal Internal Audit & Control (30%) Front Office Back Office IT Business & Risk Mgmt Information & Data Mgmt (40%) IT Solution Dev & Release (40%) IT Operations IT & Data Services Security, Identity & Access Mgmt (10%) Service Enablement Help Desk & End User Support (55%) Resilience Mid Office Enabled by Majority Cognitive Enabled by Majority Robotics Enabled by Mix of Cognitive & Robotic 15% 20% 30% % Labor distribution % Actuarial (20%) Issuance (50%) Reinstatement (20%) Reconciliation (50%) Marketing Support (25%) Inspection (25%) Payment Processing (25%) Fraud Identification (20%) Subrogation Intake (30%) Subrogation Resolution (30%) Litigation & Staff Counsel (15%) Contact Center (25%) IBM Internal Use Only

Many clients are struggling to achieve the “hype” – here is a way to talk about the reality of applying these new tools Robotic Process Automation Cognitive Process Automation “Re-imagined” Processes Existing Processes Efficiency focused Business outcome + Efficiency focused + User experience Complex transactional Deep expertise Complex transactional process, no human interaction e.g., mid office support processes Complex process with deep expertise with or without human interaction e.g., industry vertical specific processes Simple transactional Simple transactional process, no human interaction Low-to-medium complexity process with human interaction e.g., back-office related IT and infrastructure processes e.g., front-office customer facing processes Implementation Tools RPA Technology (BluePrism, Automation Anywhere, WorkFusion, UIPath) IBM BPM and Watson APIs, Watson Chatbots, and Digital Assistants, & other Watson Components Today (Majority of current automation)

What does Good CPA Look Like ? Re-Imagined Process Automation Asset Cognitive Asset to Mine Exhaust or Interact Platform or Architecture that Links it all Together