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From Resource, August  2005 
Copyright by LOMA


Analysts Debate Technology Challenges

At the ACORD LOMA Insurance Systems Forum, leading analysts debated the challenges, opportunities and trends currently facing the insurance industry.

ACORD, with its expertise in data standards, and LOMA, with its commitment to industry education and information sharing, joined forces again this year to provide one of the industry’s largest and most comprehensive technology and business conferences. The second annual ACORD LOMA Insurance System Forum took place May 22-24 in Orlando , FL.

Insurance companies are facing a number of challenges today. Terrorism, hackers, viruses, regulations and economic instability are just a few of the issues that insurers are tackling. Today’s business climate is fraught with uncertainty, and in every area of the organization IT is being asked to do more to effectively cope with these challenges.

One of the many highlights of the conference was an industry analyst debate, where leading analysts debated the challenges, opportunities and trends currently facing the insurance and financial services industries. The discussion focused on four key areas—strategy, process, technology, and leadership and culture.

Strategy & Vision  

In order to grow and transform, insurance companies must focus on profitability and growth, operational efficiencies and effectiveness, customer enablement and distribution enablement. The analysts discussed the key business objectives that are helping to drive shareholder value.

“We are seeing a lot of focus around profitable growth, rather than growth for its own sake,” said Matthew Josefowicz, manager, insurance practice, Celent Communications. “If you look at the last few years, the industry has been in a very high growth state. In the most recent couple of years, we have pulled back very significantly. From an IT point of view there was a lot of focus on cost containment and really anything that didn’t have a cost takeout ROI wasn’t getting approved. These days we are seeing a little bit more openness in the checkbook, as long as there are valid strategic and tactical reasons to support the investment.”

Kimberly Harris-Ferrante, vice president and research director, Gartner, Inc., said that the CIOs and CEOs often have different IT goals. “Gartner does several studies each year with CIOs, and we also do joint studies with Forbes talking to CEOs,” she said. “The interesting part is, as an industry, we are doing a lot of lip service to what is very popular—growing revenue, increasing our market share, retracting and retaining our customers’. But ironically when you talk to the CIO and ask where they are investing their money and what their issues are, we are finding that the CIO priorities aren’t in line with the CEO objectives. The CIOs tell us that their major issues are privacy, security breaches, and how to deal with business disruption. When you ask the CIOs where things like retaining customers, customer data, and information management are on their list of priorities, we find these things are much lower compared with all the operational focus points which are often their top six priorities.”  The problem today, she said, is that, “We can talk about great deeds, looking at new customers and growing market share, but the reality is we are spending more time on operations. That is where our technology money and focus are going continually.”

 IT Spending  

The analysts discussed how insurance companies are currently spending their IT dollars as well as where they should be focusing their investments. “When you look at a typical IT budget, a big chunk is dedicated to just keeping the lights on,” said Todd Eyler, vice president, financial strategies, Gartner, Inc. According to Eyler, companies are trying to find ways to realign the percentage of spending for maintenance with investments in new projects that can grow the business in the future.  

“We have found that on average about 41 percent of a company’s IT budget goes to core processing,” said Harris-Ferrante. “Then 19 percent of their IT dollars is going to channel management and everything else is below 19 percent. So as we talk about growing our business, the channel management is going to be core way we grow distribution; but it definitely is one of the areas that we are not seeing the most on. When we ask companies for projections about whether these investments will increase, the greatest growth is still in core processing.” 

Josefowicz noted that some companies need to invest more in their back office systems. “It doesn’t matter how good your distribution systems and your front end systems are if your back end systems can’t keep up; and that is the situation a lot of insurers are in,” he said.

Eyler agreed that more attention needs to be paid to the back office. “I would say the smartest companies, the companies that I think are going to be leaders in five or ten years, are really focusing on aggressively consolidating the back office. And the way they are selling these projects is unlike the way they have been sold in the past. They are not selling those projects based on lowering maintenance costs for legacy systems. They are really selling those projects as a part of overall operational efficiency oriented kinds of initiatives that get the attention of senior business people and get them to understand why it is really necessary to do the consolidations. Getting way beyond just the maintenance cost piece of it and through those efforts really freeing up IT dollars, and saving operational expenses to really invest in the front office,” he said.

“The bottom line is the company has to know how they want the business to operate and where they want that business to be done,” said Cynthia Saccocia, research director, insurance, TowerGroup. “Decoupling the operations and centralizing functions makes sense. I think we are extremely optimistic about the insurance industry at this point. We really feel that there is some substantial change. Companies are starting to move into these large mega-global firms and regional niche specialty players. There is not going to be a lot of room in the middle between now and the next five years. Now, mutual insurers have to respond much more like a publicly traded company than in the past. Regulations are demanding it. If you can’t get a view into your financials across your organization easily at any given time during a day, or a week, you know you’ve got some problems.”  

Process Inefficiencies  

A member of the audience asked why the insurance industry seems to have a high tolerance for inefficiencies and double data entry.

Harris-Ferrante said that traditionally the insurance industry has had some trouble with inefficiencies and double data entry. “There have been a lot of companies who have thought that if it wasn’t broken then don’t worry about fixing it,” she said. “Also, I think we have had bigger issues to deal with, particularly talking about discretionary technology spending. We have heard a lot of companies complaining in the last year or so when the new regulations came out around compliant reporting etc., that they had to decrease their discretionary technology spending. They spent the money that they were going to spend on more core activities on regulatory reporting compliance initiatives. So we have ignored it to a certain degree because we had bigger, more important issues. But I do see the tide starting to change. I hear people thinking more strategically. With our customers their questions are changing. They are coming at a higher level of strategy development. We used to talk about the big companies who were thinking more innovatively than everybody else. What I am seeing now is really three different types of companies. You’ve got your super-large companies who are definitely thinking very strategically. The problem is some of these companies are very large; so it takes them a long time to get their act together to move because they’re dealing with political internal battles. Then you’ve got your second group who are smaller, maybe large regional companies for example, who are more nimble. Once the management says lets do something, they can move a lot faster. They have less people to get on board; so we are seeing that group actually catching up with some of the strategies that we normally wouldn’t have seen out of them. Then of course the group behind that tends to still not have the budget; so some those strategies are out of their reach today. But it is leading to a very interesting market potential, particularly for that group who in the past has tried to compete with the large companies.”

Saccocia said, “Some CIOs are starting to incorporate words in their dialogue similar to those heard in the manufacturing industry. They are talking about moving data and information on the conveyor belt and moving away from double-data entry. They feel pretty strongly that the way in which to get away from double data entry and separate silos is going to be through process.”

Harris-Fer­rante added that part of the reason companies are still dealing with duplicate data entry is because, “application systems and developments of standards like those from ACORD have all been works in progress in the last few years. “We are just at a point where all this is really coming together very nicely, which gives us an opportunity to put the systems together, to have the data flow seamlessly through the organization in a common standardized format. We are just now at a turning point where we can actually start tackling this head on, verses trying to tackle bits and pieces that really may not have even provided great return on investment for us.”  

Shared Services  

There is a lot of talk in the industry about shared service centers but some companies are finding that it takes years to implement and is ultimately not the success they had hoped for. Analysts were asked for their opinion on this problem.

Harris-Ferrante said that shared service centers can work. “I think within your own companies when you are doing shared services, you have a lot more power and a lot more control if the management pushes it down. You’ve got to have everyone in agreement. Everyone needs to be on the same page when it comes to what the accomplishments are going to be, who is going to run it, what the priorities are and how everything is going to be allocated—even down to how you are going to pay for this. There is one company that we work with who was actually using this as an external service provider relationship per say, where they are paying these shared services to run particular operations for them. So I think you’ve got to have service level agreements, almost the same type of mentality you would if this was an external services provider but just coming within an internal services group.”

Josefowicz said it is difficult to make an internal IT group really competitive with external providers. “It is in very few cases has that actually been successful in terms of making the IT group really competitive with external providers,” he said. “You can take an internal IT group, give it a different reporting structure and maybe a different corporate name, but it still has familiarity with the systems that are in house. It still has the history. It still has the personal relationships with people in house. It may be administratively different and separate, but it is still really an internal group. So I think there are various financial reasons why that is a good strategy or not. But in terms of thinking about whether that is really going to effect how we source IT projects, I don’t think I’ve seen that be successful yet. I think one of the issues around shared services is who is going to pay for what and how is that going to work. At the end of the day, it really comes down to budgets and compensation and how are you rewarding people for doing what they are doing. If you are just taxing them, then there is going to be resentment. And if you are just taxing them without having it show up in their evaluations at the end of the year and having it flow down into their bonuses, then it is going to be arbitrary. It is going to be disconnected and it is not going to get any buy in.”

Harris-Ferrante stressed the importance of load balancing. “One of the most unsuccessful projects we saw was someone who tried to do shared services. They were moving their processes to one division; but instead of taking tasks off the plate of that division, from what they were doing day to day, they left their day to day operations and moved the processing for all other locations there. So not surprisingly, the whole area buckled because they had too much processing to do and not enough processing power or people to do this process. So you also have to think about load balancing. If you add more stuff to someone’s job role you have to take something off. You just can’t keep adding on top of it.”

Saccocia agreed. “You can’t be dumping junk on somebody else,” she said. “And that is basically what is going on. Companies have a problem or process that is not working so they decide to do shared services and then they end up dumping a whole new or different process on a very taxed situation. The strategy starts way back before you decided to go to shared services. You have to ask if what you have is shareable and in good order in a way in which somebody can pick it up and drive some additional efficiencies out of it. You have to have the data, the process, and the content fairly well aligned for whatever process or service or whatever the design model is. Projects fail all the time and the primary reasons that they fail always come back to poor strategy, poor compensation, poor organization, wasn’t well resourced, or didn’t have the appropriate time line.”   

IT Strategies  

Josefowicz discussed Celent’s four A rating for technology. These are four key principals in designing IT strategies that filter all the way down to a tactical level. According to Josefowicz, the four A’s are alignment, agility, accessibility and affordability. “Alignment is business/IT alignment,” he said. “Companies need to look at how a project is going to serve the business goals of the company both at a strategic and a tactical level and that is much more complex then it sounds. It really requires a very high level of communication on both sides up and down the chain of command—from the executive suite with the CEO and the CIO and all the way down to the VP of claims and a VP of claims technology and down to business analyst and project managers on both sides. There has to be that kind of communication so that the business understands what value IT can deliver and IT understands what the impact is of the various decisions that they are going to make. The second key principle is agility; it is ability of systems to change. The ability of business structures that are put in place to be adaptable, to adopt new business processes, to add new products and new channels, to be able to change workflows. This is a key concept in designing any new systems. It is not just about designing a system that is going to solve today’s problem, but also be able to adapt and to solve tomor­row’s problems.”

According to Josefowicz, accessibility is really accessibility between different areas, one is other internal systems. “Your policy system has to talk to your billing system, CRM system and claims system and has to be able to exchange data,” he said.  “Your internal systems need to be able to communicate with external systems—with your reinsurers, requirements providers and distributors. Then fourth A is affordability, which speaks for itself. But think about affordability not just in terms of what is the specific price point of the system but what kind of maintenance is going to apply; what kind of training is going to apply; what kind of flexibility is there in the contract if it is with an external provider; and how much is it going to cost for your internal group to improve it.”  

Business Process Management  

Agility is not a term that a lot of people would normally associate with insurance companies. The analysts discussed the kind of changes or transformation that will have to occur in order for companies to embrace these four key principles. Today there is a lot of talk in the industry about business process management, which some believe is just the revival of business process reengineering.

“We are seeing a lot of companies saying we shouldn’t just buy technology for technologies sake; we need to look at the process that goes behind the technology,” said Harris-Ferrante. “Most of us realize that our processes aren’t quite the most direct or effective. Yet a lot of these projects are related to speeding up the process to make it go faster. Well if you are not going in the right direction or to the right outcome do you really what to go there faster than you are today?  Companies need to be leveraging and analyzing their data. The fact is insurance companies have a lot of data, but they are not doing a lot with it. A lot of companies say ‘I’m very data rich but I’m information poor.’  Many companies haven’t yet figured out how to aggregate the data to make sure it is clean and begin to model this data. We are also seeing a lot of focus on product development. Companies are trying to figure out how to get products to market faster, how to take their system and make it more agile so they can respond to these industry needs. They are looking at  the process of how they deal with their distributors, looking at traditional channels—independent, captive, and direct channels and looking for new partners.” 

“I would disagree that business process management is just business process reengineering reinvented,” said Eyler. “Business process reengineering projects were almost all geared toward cutting people and not necessarily improving the process. With business process management, we are looking not only at the people part of the process but really involving systems in the mix. We are providing viability across all the interactions of people in the systems, with the end state being true process and better outcomes in real process improvement, not just cutting people.”

“One of the most interesting things about implementing BPM solutions is typically they are brought in for one particular process, one particular area of the business,” said Josefowicz. “But the first step in these projects is to map a process. We see it again and again, you get twenty different stakeholders in a process together in a conference room to map out the process and ten or twelve of them say, ‘oh is that what we do,’ when they see the process mapped out. The lack process visibility overall by people in the process as well as by IT, and in a lot of cases by management, really inhibits the capability to find improvements. People don’t know what to do better because they don’t know what they are doing now. So a lot of the effect that we are seeing between BPM tools and BPM driven business practices out in the market is creating this process visibility and creating the opportunity to find marginal improvements. At the end of the day most of gains in the insurance industry and most of the gains that are to be had are from marginal improvements.”

“Most companies focus way too much on the ‘as is’ and not enough on the ‘to be.’ The ‘as is’ is brutal,” said Eyler. “Companies that have been successful with transforming underwriting or claims have had a lot of strong leadership. Leadership that would go into a room, take a white board and say, ‘lets assume for a moment that we’ve never even had a claims process and just reinvent a process that we think is very efficient,’ and then added the results to the ‘as is’ instead of starting with the ‘as is’ first.”  

Transformation  

Some believe that deep down the industry is really not interested in transformation. The analysts explained how insurance companies are dealing with transformation issues.

“Transformation is absolutely a leadership and a cultural issue,” said Josefowicz. “Transformation implies doing everything different. I think that a lot of processes need to be transformed and a lot of thinking about what is important needs to be transformed. A lot of internal communication needs to be transformed; but in terms of transforming enterprises or transforming businesses I don’t see that on anybody’s agenda. When it is on somebody’s agenda it tends to be, not in all cases, but it tends to be a buzz word and a flavor of the month. No specifics are communicated about it and everybody knows if they keep their head down for six months it will go away.”

Harris-Ferrante explained that companies are really more concerned with innovation and modernization than transformation. “We are not transforming from an insurance company today to one tomorrow that looks completely different—that wouldn’t even look like an insurance company by today’s definition,” she said. “It is not that radical. I think first of all we need to innovate; which means we need to think differently about how we do our business and what it means to be an insurance company. Second, we need to modernize. Just because the company has been doing business a certain way for 30 years, doesn’t necessarily mean it is the best way to do it, particularly now in today’s environment with the regulatory pressures the consumer demands. Consumers are changing we have to be up with the times.”

Saccocia warned that insurance companies do need to be thinking about transformation. “If companies are not thinking about transformation, they are at risk of eventually running their business out, because the competitors are going to attract the best distributors. They are going to price their products much more effectively and they are going to squeeze out the business. Companies need to become much more efficient and effective organizations, so that they are delivering more profitable results, writing better business and attracting the best premium. If transformation is not on your mind it creates a real risk for your future stability.”  

Best Practices  

Analysts talked about the best practices they are seeing, both within the industry and outside the industry in financial services, banking and securities.

“The things that I’ve seen that are good in other industries that are beginning to come into the insurance industry is using methodologies like lean manufacturing or six sigma,” said Eyler. “The methodology is less important than the fact that you have a methodology just to get the troops rallied, both in IT and business, around some kind of a process and structure for the conversation. Then the most important thing I think is missing is metrics.”

“One of the great opportunities of best practices we are seeing is around sourcing,” said Harris-Ferrante. “Sourcing to certain companies is seen as a negative because there has been a lot of hype about the loss of control, concerns over intellectual property preservation, as well as the offshore issues. We encourage companies to consider outsourcing. Consider all the sourcing options you will have for your project and use that for both tactical and strategic initiatives. Tactically, we’ve seen most companies use it for staff augmentation, to get projects done quicker when they don’t have enough time to respond to something or to help with what they are considering noncore.  There are a lot of opportunities also in strategic sourcing where you can find partners to help you with process improvement. An outsourcer who really knows a lot about the insurance industry can come in and help you identify how your process can be improved; help you modernize your technology infrastructure; help you look at what systems are available and help you migrate to  new systems. Also, with business process outsourcing you can find a partner who is a specialist in that specific area. So we see that happening a lot in banking, as well as outside the financial services industry altogether. We are big outsourcing users but we are not necessarily always using them as strategic partners. I think we can look at some of our peers in other industries to get some ideas.”

 Legacy Systems  

Legacy systems continue to be a concern for many insurance companies. While some insurance companies are taking action to surround or replace their legacy systems, others are currently not taking any action. One audience member asked how do you address the reality of a legacy system that works, yet doesn’t work well with other systems, and doesn’t show a clear ROI for replacement.

Josefowicz said if the legacy system doesn’t show a clear ROI case for replacing it then run with it. However, he added, “if you look around the ROI analysis is probably not very thorough. There is probably a lot of hidden costs and a lot of missed opportunity that those legacy systems are causing, in terms of delaying product innovation and time to market, delaying adding additional distribution channels making it impossible to generate timely compliance reports and business reports. The system may be requiring too much staff to keep them up and running. I think in a lot of cases it really depends on the thoroughness of that ROI analysis. If you’ve done a fairly thorough ROI analysis; your business is static and you are comfortable in the market; your niche is growing; you don’t require any new business processes to support your business growth I would say you are very unusual. But if that is your case then it is fine you can run with it for a while.”

“When you look at legacy systems you have to look beyond return on investment,” Harris-Ferrante added. “It is more than just an investment. The major question I ask companies when they talk about legacy systems is, ‘is it meeting your business requirements today, will it allow your business to go where it wants to go five years from now?’  And generally we can talk about ROI. We can talk about the cost of a new system or new functionality, but the fact is most of these systems will not allow us to be what we want to be. That is going to be the biggest risk for us.  The legacy system is going to be a huge problem for you if you can’t respond to the business needs and you miss opportunities or have great risks because you can’t comply with regulations because that legacy system won’t allow you to have the audit and reporting capabilities. We need to be focusing more on that than necessarily the IT return on investment.”

“You can’t have the people who are running the legacy systems making decisions about whether or not you are going to keep the legacy system,” Saccocia added. “You have to integrate dialogue between the business and IT. IT has to be able to articulate to the business why the legacy system needs to be replaced.”

 Data Transparency & Regulations  

Some companies now have processes that are driven by the perception that regulators require them to change a lot of their processes and steps.  An audience member asked how real is the regulatory must-have verses perception and how much does regulatory view inhibit transformation?

“A lot of the regulatory stuff I see today is less about controlling processes and steps and more about controlling data transparency,” said Josefowicz. “It is more about accurate reporting. It is more about live snapshots of the business and knowing what is going on in your enterprise then doing step ‘a’ before you do step ‘b.’  There is certainly some of that, but most of it seems to be around data quality and data transparency. What I think is interesting about all this fear of compliance that is going on in the industry right now, is that when it gets down to data quality and data transparency the regulators aren’t asking for anything that you shouldn’t have already, to be able to run your business effectively. If a regulator wants a break down of your business by ‘x’ or ‘y’ factors, I am guessing that somewhere in the organization there is somebody who wants that breakdown too, for marketing purposes, for strategic planning purposes, for operational efficiency purposes and they can’t get it. It is not just the regulators who need timely access to the data that is locked up disparate systems.”

 Leadership  

Analysts gave their perspective as to the role that needs to be played by the senior level executives both on the business side and the IT side to ensure alignment.

“If you look to other industries like banking or brokerage some companies in these areas actually force their executives to have an appreciation for technology,” said Eyler. “They are forced to go offsite and be schooled in technology at a functional level, so that they can have an intelligent conversation with the people in IT. Having a greater appreciation for technology on the business side is very important. The CIOs in this industry are very smart people but are often not respected as peers by the other senior business people. The CIOs need to be more aggressive and assertive in providing business value and getting respect of the other senior level business people so they can have more of a partner kind of approach. I think that is going to be challenging but I do see it happening.”

“I think the years of strict focus on cost containment created an environment where there is a relative amount of distrust,” Saccocia said. “This forced institutions to find ways to just do things cheaper, whether that was just cutting people or cutting applications. Today though we are making a turn; we are trying to move toward differentiation and growth and without having the strategic plan in place we can’t support that business. I strongly believe today that business lacks a fundamental understanding of what really is possible. I don’t think they truly appreciate what the technology enablers can do for them today.”

Josefowicz said, “It really comes down to communication. The CIO needs a seat at the table. He or she needs to be brought in to the business side. All the way up and down the chain people have to be working together between business and IT counterparts. The IT people need to understand what the business drivers are, which way the money goes, who gets paid for doing what, and how the company makes money. The business people need to understand what is possible when they ask for this new function or new capability. They need to know what they are really asking for and why it is so hard to get.”

“Business executives have to clearly understand that technology makes them more successful,” Saccocia added. “At the end of the day if they understand how to use technology to run their business more effectively, I think they would spend more time trying to get it.”

 Recommendations for Future Success

 Analysts left audience members with some parting advice and tips for future success.

“First, companies need to realistically access the legacy system,” said Harris-Ferrante. “Realize that modernizing a billion things around it probably won’t keep you successful in 2010, particularly if you’ve got 20- or 30-year old systems. The reality is you may be able to bandage them together at that point, but they are not going to allow you to do your business requirements. Make sure you are adequately able to support your business. Second, understand your customers. You have to understand how customer needs are evolving, how they want to be interacted with and what their needs are.”

Josefowicz added, “The two biggest things are to understand your data and understand your processes. That is where your competitive advantage is probably going to come from.” 

     

 

Contact Resource at resource@loma.org

 

 

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