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Published byMarshall Alexander Modified over 9 years ago
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Benchmarking: Gaining a 360o view of your claims operation
28 April 2010 Paul Tomlinson
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Agenda How do UK Insurers currently evaluate performance
relative to industry peers? 1 What are the Major Challenges to gaining a clear Understanding of performance? 2 3 How does benchmarking act as a solution?
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How do UK insurers currently evaluate performance relative to industry peers? Top Down Financial Performance Key Points Top down Financial Metrics that are available in the public domain provide an Insurer a macro view of peer competitor performance measure such as; Market Share (GWP) Operating and Loss Ratios Expense Ratios Reserve Releases Source: AM Best, Deloitte Interpretation
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How do UK insurers currently evaluate performance relative to industry peers? Comparison of Specific Capabilities Insurers have differing priorities to create shareholder value Leakage – Industry Perspective through Closed File Review Claims Efficiency Comparisons Leakage - Identification at Specific Points
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How do UK insurers currently evaluate performance relative to industry peers? Personal Networks and Rumour
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What are the major challenges to gaining a clear understanding of performance? Comparing Apples with Apples Differing Business Models Influences effecting benchmarking interpretation Claims Philosophy Service Offerings Brand Distribution Product Underwriting\ coverage Underwriting Own Partner Standard Bespoke Whole market/scale Niche In-house Single 3rd party Service/Cost base Basic – lowest cost Service focus Direct Phone Direct Internet Face to face Multi-channel Panel Settlement Guidelines Integrated Supply Chain Brand Distribution Product Underwriting coverage Underwriting Own Partner Standard Bespoke Whole market/scale Niche In-house Service/Cost base Basic – lowest cost Service focus Direct Phone Direct Internet Face to face Multi-channel Single 3rd party Panel Offshore / Onshore Claim Ownership Handler Capabilities Claims Segmentation Rules Brand Distribution Product Underwriting coverage Underwriting Own Partner Standard Bespoke Whole market/scale Niche In-house Service/Cost base Basic – lowest cost Service focus Direct Phone Direct Internet Face to face Multi-channel Single 3rd party Panel Clients often look to benchmark against their competitors however comparing like for like is difficult due different TOMS Such as differing service offerings such as Claim ownership, integrated supply chain, devolved claims management, offshore & onshore blends, differing settlement guidelines and claims capabilities all impact on Customer Service, Opex and indemnity performance. Thus confidence in the interpretation of benchmark results is lowered and the value lessoned. Benchmarking is also challenging as it is usually at a macro level (Expense Ratio, Loss Ratios etc) thus not at the required level of detail to support the identification of opportunities Bi-Lateral Agreements Quality of Underwriting All these factors influence operational costs, average claim costs and customer service
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Financial Perspective
How does benchmarking act as a solution? Knowing what good looks like for You! Financial Perspective Efficiency Average cost per claim Line of business Peril Leakage Process stage Failure demand Calls per claim End to end settlement time Touches per claim Opex Cost per claim Customer Perspective Employee Perspective Total customer numbers Average customer tenure Customer advocacy / Net Promoter Score Customer satisfaction / Complaint levels Employee Engagement Profit per employee Time to competence for new joining customer facing employees Employee attrition (unintended attrition) Employee absence
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This document is confidential and prepared solely for your information
This document is confidential and prepared solely for your information. Therefore you should not, without our prior written consent, refer to or use our name or this document for any other purpose, disclose them or refer to them in any prospectus or other document, or make them available or communicate them to any other party. No other party is entitled to rely on our document for any purpose whatsoever and thus we accept no liability to any other party who is shown or gains access to this document. Deloitte MCS Limited. Registered in England & Wales with registered number Registered office: Hill House, 1 Little New Street, London EC4A 3TR, United Kingdom. Deloitte MCS Limited is a subsidiary of Deloitte LLP, which is the United Kingdom member firm of Deloitte Touche Tohmatsu (‘DTT’), a Swiss Verein, whose member firms are legally separate and independent entities. Please see for a detailed description of the legal structure of DTT and its member firms.
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Member of Deloitte Touche Tohmatsu
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