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Insurance Service Meeting 2016 - Andrea Eichhorn
1. Rethinking Insurance:
How cognitive solutions are transforming
the insurance industry
Andrea Eichhorn
Global Cognitive Solutions
Insurance Industry Executive
email: andrea.eichhorn@us.ibm.com | Mobile: 415-505-0783
November 4, 2016
2. Many insurers are still focusing primarily on cost cutting or finding
effeciencies in existing processes…
The response of many insurance leaders
is to improve efficiency1…
52 %
53%
55 %
56 %
62 %
Improving operational efficiency
Reducing risk
Improving customer engagement and experience
Expanding into new products/services
Growing investment income
16%
report that their operational
efficiency was significantly
better than peers
over the last 3 years
But in the last 3 years only 16 %
have performed better than peers2
Watson / IBM Cognitive/
November 4, 20162
Source: IBM IBV C-Suite Studies
3. … but outperformers have shifted their focus to the consumer, and
changing market demands.
Most important objective by performance for…
Out
performers
Under
performers
Improving customer
engagement
Growing investment
income
Expanding into new
products/service
area
Improving
operational efficiency
4 1
5
3 4 3
1
2 5
5
1
2
4
Reducing risk
3
2
Avg
performer
s “We have to listen more to what
customers are saying and asking for,
and we have to be quicker to respond.
Customers distrust financial services,
and so we must be whiter than white.”
- Insurance CMO , UK
“The role IT plays is changing; we’re
spending less time cutting costs and
more time stimulating business
innovation and creation.”
- Insurance CIO, Japan
Watson / IBM Cognitive/
November 4, 20163
Source: IBM IBV C-Suite Studies
4. Insurance Techs also recognize emerging market gaps and are working
actively to fill them
Have digitized the insurance
process, replacing brokers
and paperwork with AI
robots
With Friendsurance, people
come together online and
create their own risk pools
League sells software that
helps employers manage
employee benefits, with the
aim of cutting costs and
reducing paperwork3
Block chain technology
The group's members pool all
their premiums, and payment
for insurance claims come
from the pool
Unspent premiums are
funneled back into the
community through
philanthropic initiatives1
At the end of each year, policy
holders using Friendsurance
receive a cash-back bonus if
they did not make a claim
Policy holders can get back up
to 40 % of their premiums if
they remain claims-free2
Their goal is to make it as
easy as possible for every
individual to take care of their
health every day
Employees are provided with
an allowance on both health
spending accounts and
personal spending accounts
Watson / IBM Cognitive/
November 4, 20164
5. Watson / IBM Cognitive/
November 4, 20165
IOT, the sharing economy and emerging technologies are changing the way
with think about and mange risk
6. Watson / IBM Cognitive/
November 4, 20166
Carriers are
anticipating the
impacts of
ongoing
megatrends on
what it means to
help consumers
and companies
manage their
overall risk
• Knowledge
management
• Sharing
economy, digital
first, crowd
sourcing, social
unreset, etc
•
• Capturing market
share
•
•
• Different
research and
buying
patterns/preferen
ces
Ongoing
balance
between
serving baby
boomers and
evolving
needs of
millennials:
The great
ongoing shift
of wealth
The changing
workforce
Changing
business and
economic
models
7. +
7
Cognitive systems are evolving to drive agility while focusing on amplifying
human cognition
Digital business Digital intelligence
Cognitive Business
Are not programmed
but pose hypotheses based
on data patterns and
probability
Can see, use and
operationalize
virtually all data
Can understand, reason,
learn and interact with
humans naturally
Watson / IBM Cognitive/
November 4, 2016
8. Watson / IBM Cognitive/
November 4, 20168
Cognitive accelerates the consumption of broadening sources of
information, democratizing and scaling expertise
REASON
They can
• Identify similar risks
and claims
• Assess risk
• Check for compliance
• Spot new sales
opportunities, ….
infer and extract ideas.
UNDERSTAND
They understand
• Intent, tone, personality
• Submissions, contracts,
claims
• Legal & regulatory
obligations, guidelines
• News, market data, …
like humans do.
INTERACT
With abilities to see, talk
and hear they can support
• Clients, agents & broker
• Contact center agents
• Underwriter
• Claims handler
and many others
in a natural way.
LEARN
They learn from every
interaction and
• Extract and improve
best practices
• Digest new regulatory
requirements,
guidelines ….
and never stop learning.
9. Videos
Sensor Data
Images
NewData
Personality Insights
Internet of Things
Tone Analyzer
ExternalData
Geolocation, Telematics
Weather Data
Social Media News
Wellness Data
Wikis, Blogs, ....
Web Analysis
Forecast Models
Interaction History,
Notes, Correspondence
Perforamance History
Account Information
Treaty Data
IntrnalData
Structuredand
Active
Unstrukturiert,unbekannt
The ability to combine and derive insights from broader sets of data,
support our ability to really “know” our customers
Watson / IBM Cognitive/
November 4, 20169
10. +
Watson / IBM Cognitive/
November 4, 201610
A cognitive strategy incorporates and augments existing capabilities to
deliver differentiated experiences
• Integration with
existing core
capabilities from
policy, claims and
UW, CRM, MDM, etc.
systems.
• Supported by
advanced analytics,
rules, case
managers, and
recommendation
engines.
• Augmented by
insights derived from
internal and external
sources
v Captured
Information
Recommendations
KNOW ME…
Interactions,
preferences,
emerging needs,,
changing
realities…
Partners &
Employees
Internal & External
Information
Derived Insights
Existing
Information
Policy
Notes Conversation
BillingImagesSocial
Media
Core
Systems
Sentiment
Analysis
Email
MarketingIoT
Weather
Documents
+
Broker/
UW/Agent
DVA
CC
Claims
Mail
Phone
Web
Text
Chat
Interaction Points
11. Watson / IBM Cognitive/
November 4, 201611
Processes Across the Insurance Value Chain can Leverage Cognitive to
drive disruptive transformation
Understanding the customer
DNA and better ways to
engage and interact
More accurate risk assessment,
account rounding, expertise
sharing and decision making.
Improved finance, asset and risk
management, automation of
auditing/compliance activities,
End to end support for claims
handling and legal advice,
counter fraud management
New products and services
empowered by sensor and other
IOT data and insights
Personalized access to
insurance expertise, advice
and support for producers,
contact centers and direct to
consumer
Marketing
Sales
& Service
Underwriting Claims
Finance,
Legal & Risk
HR and IT
Enhanced insights and
processes to improve overall
learning and performance
12. Watson / IBM Cognitive/
November 4, 2016Page 12
Cognitive solutions enable insurers to achieve strategic priorities and
deliver value
Top 3 strategic priorities stated by
the insurance executives surveyed1
Top 3 benefits anticipated from
cognitive computing as surveyed1
62%Improving operational
efficiency
Improve operational
efficiency47%
Reduce risk
56% Reduce risk
41%
Improving customer
engagement and
experience 55% Growing investment
income40%
Of insurance
executives surveyed
Of insurance
executives surveyed
Source: [1]: 2016 IBM IBV Cognitive Insurance survey
13. Art of the
Possible:
Transforming
the
Underwrinting
(or claims, or
sales, or?)
Process
13
Submission
Content
Extraction
Submission
Enrichment &
Prioritization
Risk Evaluation
(Underwriting)
Triage
Assess and
Prioritize
Process Evaluate Decide
Does this fit
with our
appetite?
What is the
proabiliy of
closing on
this
submission?
What are
the relevant
risk factors?
What else
do I need to
know?
What have
other «risks
like this»
taught us?
Who can I
collaborate
with?
What is the
right price
for this risk?
What
competitive
consideratio
ns do I need
to consider?
14. Watson / IBM Cognitive/
November 4, 2016Page 14
Conversations from WoW
Rethinking Insurance: How cognitive solutions are transforming the
insurance industry
The Co-operators Story: Performing analytics is easy, Delivering
benefits is complex
Insurance Customer Insight in the Era of Cognitive
Collaboration in the IoT Ecosystem – Insurers and Device Suppliers
Discuss the Challenges
Building an Insights Driven Organization at AXA UK
Cognitive Computer Center of Competence at Swiss Re – Cognitive
Computing as a Strategic Choice
Life Event Prediction to Better Serve Customer Needs: Insight from
USAA
Cyber and beyond – Insurance and risk in a digital world
Data-driven marketing at South Farm Bureau Life Insurance
Contracts and Claims Intelligence Using IBM Watson Explorer at
Swiss Re
BCAA’s Vision and Roadmap to optimize performance and drive
profitable growth
So you want to talk to Watson, just give it a call
A Unified, Global Insurance Fraud Operation drives a positive return
to the bottom line
How will Millennials disrupt Customer Engagement? How can Watson
help?
Smart-Data for customer-centricity at Germany’s leading public
insurer (VKB)
Amica Drives Digital Transforming with Mobile
Making the world more resilient. Ensure Sustainable Investments at
Swiss Re with IBM Watson
How Nationwide Leverages IBM Customer Analytics to assist in Fraud
Detection
Learn How Česká Pojišťovna Uses IBM Watson Explorer to Deliver
Business Value (Czech Republic’s largest insurer – call center
session)
15. 15
Watson / IBM Cognitive/
November 4, 2016
What’s the cost
of not being
a cognitive
business?
16. Watson / IBM Cognitive/
November 4, 201616
Think Big, Start Small, Expand Quickly
Think Big
Start
Small
Scale
Fast
MVP
Small Apps
Plug into Existing
Agile Methods
Multiple Hills
COC
Drive Innovation
Define the Moonshot
Shape the Role of Cognitive
17. Developer
Tooling
Platforms as a
Service
Watson Services
Data as a
Service
Watson Content
Application
Tooling
Maker
Tooling
Content
Tooling
Software as a
Service
Watson Apps &
Bots
Cloud Infrastructure
Public Private
Crowd
Sourced
Knowledge
Organizatio
n Skills
Basic
Cognitive
Skills
Higher
Reasoning
Skills
IBMWatsonMarketplace
Skills as a
Service
Watson Built
Apps & Bots
Watson Built
Skills
IBM Built
Apps & Bots
IBM Built
Skills
3rd Party
Apps & Bots
3rd Party
Skills
17
IBM’s cognitive platform supports rapid development
Watson
Explorer as
the Hybrid
Cloud and
on Premise
Foundation
Core Systems
Analytics
CRM
Data Stores
And other
integration
points
18. Things you can
start with right
away
Come and meet with us and see some
demos in the IBM break-out room
Let IBM help you with a Hackathon
Get on Blue Mix
https://www.ibm.com/cloud-
computing/bluemix/
Watson / IBM Cognitive/
November 4, 201618
19. Coisas que voce
pode fazer
agora!
Venha nos conhecer na sala IBM
durante os breaks
Deixe a IBM te ajudar com hackatons
Conheça nossa plataforma Blue Mix
https://www.ibm.com/cloud-
computing/bluemix/
Watson / IBM Cognitive/
November 4, 201619
Source:
[1]: 2016 IBM IBV Cognitive Insurance survey, (Sample Size n=1502) Q1: Which of the following are the most important overall objectives for your organization today? Select the top 5
Improving operational efficiency
Improving customer engagement and experience
Growing premiums
Growing investment income
Exploring new business models
Reducing risk
Expanding into new product/service areas
Exploring new business models
Protecting against competitive threats
Reducing claim losses in general
Adapting to changes in financial technology
Expanding into other industries
Reducing frauds
[2]: 2016 IBM IBV Cognitive Insurance survey, (Sample Size n=1502) Q408: How has org's operating efficiency changed over last 3 yrs?
Rate on a scale of 1–5, where 1 = Decreased significantly and 5 = Increased significantly
Sources :
[1]: Lemonade
http://www.cnbc.com/2016/09/21/peer-to-peer-companies-set-their-sights-on-disrupting-the-insurance-industry.html
http://www.lifehealthpro.com/2016/09/21/3-reasons-lemonades-ceo-wants-to-disrupt-the-insur
Its mobile technology can provide consumers with policies at a fraction of the cost
[2] : Friendinsrance
http://www.cnbc.com/2016/09/21/peer-to-peer-companies-set-their-sights-on-disrupting-the-insurance-industry.html
League :
http://www.reuters.com/article/canada-healthcare-funding-idUSL1N1911VY
TOMORROW’S DISRUPTORS WILL BE ORGANIZATIONS THAT CAN CONVERGE DIGITAL BUSINESS WITH A NEW LEVEL OF DIGITAL INTELLIGENCE.
Tomorrow’s disruptors will marry the strengths of a digital business with the power of endless digital intelligence
They will set their sights on going deeper and wider into their own data as well as third-party data.
They will shorten the cycles between what they can learn from data and what game-changing actions they take.
This result: a cognitive business that can think collectively and respond in whole new ways to the marketplace.
A COGNITIVE BUSINESS HAS SYSTEMS THAT CAN ENHANCE DIGITAL INTELLIGENCE EXPONENTIALLY.
Key to attaining a richer digital intelligence are cognitive systems.
With analytics, we get key insights from data, but with cognitive systems, we can turn those key insights into knowledge.
Traditional computing is programmed (rules-based, logic-driven, dependent on organized information), but cognitive systems are probabilistic (they learn systematically, they are not dependent on rules, they handle disparate and varied data).
Cognitive systems can understand unstructured information such as the imagery, natural language and sounds in books, emails, tweets, journals, blogs, images, sound and videos.
They unlock meaning because they can reason through it, giving us new contexts to weigh and consider.
Cognitive systems also learn continually, honing our own expertise so we can immediately take more informed actions.
And they interact with us and with our customers, dissolving barriers between humans and machine, fueling unique, essential user experiences.
Source:
[1]: 2016 IBM IBV Cognitive Insurance survey, (Sample Size n=1502) Q1: Which of the following are the most important overall objectives for your organization today? Select the top 5
Improving operational efficiency
Improving customer engagement and experience
Growing premiums
Growing investment income
Exploring new business models
Reducing risk
Expanding into new product/service areas
Exploring new business models
Protecting against competitive threats
Reducing claim losses in general
Adapting to changes in financial technology
Expanding into other industries
Reducing frauds
[2]: 2016 IBM IBV Cognitive Insurance survey, (Sample Size n=1353) Q14 : What benefit(s) do you believe cognitive computing will yield?
Improving operational efficiency
Improving customer engagement and experience
Growing premiums
Growing investment income
Exploring new business models
Reducing risk
Expanding into new product/service areas
Exploring new business models
Protecting against competitive threats
Reducing claim losses in general
Adapting to changes in financial technology
Expanding into other industries
Reducing frauds
BUILD TOWARD OUTCOMES AND ACTIONS.
When you’re putting together your strategy (left side), IBM can offer a cognitive value assessment to identify your gaps and build a roadmap for you.
The other thing you’ll do is decide what cognitive actions (right side) you will take first:
Use Watson APIs on Bluemix to start TODAY, building cognitive apps or customizing your business application
Give your workflows cognitive capabilities
Go for building a cognitive system from the ground up.
SaaS – How most of it is delivered.
Skills – Training you
Platform – WDCE
Data – Health, financial data increasingly
HOW WILL YOU GET STARTED?
Where do you start your own journey to solve the problems you’re facing down today yet in entirely new ways?
The possibilities can seem endless, so narrow your focus. Not every problem you have is a cognitive problem to solve.