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WHITE PAPER
Next Practices in Insurance: Driving Growth
with Better Customer Engagement
How Enterprise Capture Solutions Can Streamline Claims Processing
and Transform the Customer Experience
Sponsored by:
Next Practices in Insurance: Driving Growth with Better Customer Engagement
2
WHY CUSTOMER EXPERIENCE MATTERS
The insurance industry worldwide stands
at a critical crossroads. A combination of
sluggish economic growth, uncertainty
about the future, and tightening regulatory
pressure has put insurers in a bind. Growth
and profits don’t come as easy as they once
did, and this has left insurers scrambling to
find new formulas for success.
Now insurers are facing an even greater
threat: the rising power of consumers. Armed
with the Web and mobile devices, customers
today enjoy tremendous leverage, able to shop
around with ease, switch carriers painlessly,
and interact with insurers in appealing new
ways. Every day, new communication and
sales channels open up, carrying the promise
of higher levels of convenience and service.
In this new environment, the battleground
for customers has moved beyond simply
products and pricing. Increasingly what
attracts — and keeps — customers are
their personal experiences with insurers
at key points in the relationship, and
especially during the claims process.
This shift has brought into play a range of
new competencies that insurers must master
if they want to stay competitive. The most
innovative carriers have already jumped ahead
of this curve, moving from operations- and
cost-centric practices to solutions specifically
engineered to enhance the customer experience.
These customer-centric solutions — we call them
“Next Practices” — help carriers deliver better
customer engagements across the range of
touch points that make up the insurer-customer
relationship.
A lot is at stake in this effort. When executed
correctly, customer-centric next practices give
insurers the power to attract new customers
with hassle-free call center interactions, rapid
claims-filing experiences, and easy access to
everything from policy documents to new
product and service offerings.
BOTTOM LINE IMPACT
All of this directly impacts the bottom line of your
insurance business. Fast, responsive service
instills loyalty in existing customers and attracts
new business through word of mouth. Studies
show that even a modest increase in customer
experience can increase customer loyalty and
boost revenue by millions of dollars.1
Nation-
wide Insurance, for example, found that a
1% increase in customer retention increased
annual premiums by $1 million.2
Insurance customers are especially sensitive to
negative experiences, research shows. A single
unpleasant interaction with a call-center agent
Table of Contents
Why Customer Experience
Matters 	 2
Bottom Line Impact	 2
Claims Processing:
Core to the Customer
Experience	3
Next Practice: Capture-Driven
Claims Processing Automation	 5
Capture-Enabled Customer
Service 	 6
Conclusion 	 7
Forward-thinking insurers around the globe are meeting the challenges
of the new economy by shifting their focus from “Best Practices” to
“Next Practices.”Among the most significant of these new practices are
technology solutions that enhance the customer experience by automating
and accelerating the claims process using enterprise capture solutions.
1
Customer Experience Index 2010: Insurance Providers, Forrester Research, February 17, 2010.
2	
Insurance Technology — CRM in Global Insurance, Datamonitor, 2008; quoted in “Insurance Providers: Improving Customer
Retention through the Contact Center” by Jacada, 2008.
WHITE PAPER
3
is sometimes all it takes to drive customers away.
Worse is when disgruntled customers spread the
word. Compared to happy policyholders, dissatisfied
insurance customers are far more likely to tell others
about their experiences — and social media outlets
like Facebook and Twitter only amplify this effect.
Once lost, insurance customers are notoriously hard — 
and costly — to regain. Studies show that carriers spend
five to ten times more acquiring a new customer than
retaining an existing one. In fact, it takes most insurers
several years to recoup the costs of winning and
onboarding a new policyholder.3
Satisfied customers, on
the other hand, spur demand through word of mouth and
online recommendations. Satisfied customers also are
more open to buying additional products and services.
In short, while products and pricing will always remain
an important factor in attracting and retaining policy-
holders, customer experience is quickly becoming the
next industry battleground for market share, profitability,
and even survival. And nowhere does the customer
experience matter more than during the claims process.
CLAIMS PROCESSING:
CORE TO THE CUSTOMER EXPERIENCE
For most people, it takes filing a claim to really test the
relationship with their insurer. The claims process is
when the majority of interactions between policyholders
and their insurers occur — and it’s a time that is typi-
cally rife with stress and emotion for the customer. For
property and casualty claims — say an auto accident — 
the process can extend from the first notice of loss and
call-center interactions to the appraisal, repair process,
and car-rental experience.
3
“Keep Them Coming Back for More,” Insurance & Technology, May 30, 2007.
4	
Customer Experience Index 2010: Insurance Providers, Forrester Research, February 17, 2010.
5	
American Customer Satisfaction Index, quoted in “Insurance Providers: Improving Customer Retention through the Contact Center” white paper by
Jacada, 2008.
6	
Insurance Technology — CRM in Global Insurance, Datamonitor, 2008; quoted in “Insurance Providers: Improving Customer Retention through the
Contact Center” by Jacada, 2008.
7	
A study by the Wharton School cited in “Eight Strategies for First Rate Customer Service,” Cisco Innovators, www.cisco.com, January 2008.
8	
“Enabling Seamless Service Across the Enterprise,” Doug Smith, VP Globalization, Service & Administration, Unum, IASA Executive Education
Roundtable Series, May, 2011.
9	
Financial Services Customer Experience Survey, Maritz, 2008. (quoted in “Insurance Providers: Improving Customer Retention through the Contact
Center” by Jacada, 2008).
The Power of Customer Experience
•	 A modest improvement in customer
experience at a $10 billion insurance carrier
will increase customer loyalty and boost
revenue by approximately $298 million
(Forrester Research).4
•	 Dissatisfied insurance customers are
40% more likely to tell others about their
bad experience.5
•	 A 1% increase in customer retention
increased annual premiums by $1 million
(Nationwide Insurance).6
•	 Reducing customer attrition by 5%–10%
can increase annual profits by as much
as 75%.7
•	 On average, one person will tell eight
people about a bad customer experience — 
and one in five of these people will tell
20 more.8
•	 Satisfied customers are 50% more
likely to listen to a sales offer, while
dissatisfied customers — if they even
choose to listen — are twice as likely
as satisfied customers to decline an
offer after listening to it.9
Next Practices in Insurance: Driving Growth with Better Customer Engagement
4
During this critical period, providing a fast, efficient,
transparent experience for customers is crucial to
improving customer satisfaction and loyalty and
decreasing churn. This conclusion is backed by
research from J.D. Power and Associates, which found
that better claims processing for homeowners insurance
customers leads to policyholder loyalty and advocacy.
Specifically, the research firm found that 71% of
customers who experienced a “highly satisfying claims
experience” said they would “definitely” renew their
policies and 67% said they would recommend their
insurers to others. Conversely, of the customers who
experienced a less satisfying claims experience, only
53% said they planned to renew and less than half
said they would recommend their insurer to others.
As the primary channel through which claimants
interact with their insurer, call centers are pivotal to
the claims experience. This underscores the importance
of equipping agents with the tools and resources to
answer questions quickly and accurately. In a study
by Jacada, slightly more than a quarter of insurance
customers said they would switch carriers based
solely on a bad experience with the contact center.11
To avert negative interactions, more insurers are
adopting process-automation technologies to optimize
the claimant’s experience and facilitate rapid, straight
through processing (STP) of claims. These technologies
integrate with the core claims systems, allowing
“touch-less” processing of claims documents across
the organization. The result: faster claims resolution
and prompt, accurate communication with customers.
These new technologies range from business process
management (BPM) and enterprise content management
(ECM) systems to online portals and advanced capture
solutions. Together they form the foundation for Next
Practices in the insurance industry.The following sections
look more closely at the potential for automating capture
across the enterprise and how that helps transform the
customer experience.
10
“Latest JD Power and Associates review notes improved personal lines homeowners claims processing leads to policy holder loyalty and advocacy,”
Pat Speer, Insurance Networking News, July 9, 2010.
11
	American Customer Satisfaction Index, quoted in “Insurance Providers: Improving Customer Retention through the Contact Center” by Jacada, 2008.
GLOBAL INSURER AVIVA RETOOLS CUSTOMER SERVICE
WITH AUTOMATED DOCUMENT CAPTURE SOLUTION
Eager to sustain its rapid growth trajectory, London-based insurer
Aviva Ltd. has made it a priority to strengthen its customer service
and compliance operations. But to do that, the world’s fifth largest
insurance group realized that it had to remove a critical bottleneck:
a rising tide of customer documents that threatened to overwhelm
the company’s processing centers in Singapore and Hong Kong.
Aviva found a solution in an enterprise capture solution from Kofax
that enabled its processing centers to dramatically increase produc-
tivity and accurately digitize more than 5 million pages of documents
(both structured and unstructured) per year. Working in tandem with
the company’s IBM document management system, the Kofax solu-
tion allows Aviva to reduce turnaround time and consistently meet
ambitious targets for customer service operational performance.
Productivity has been enhanced further with Aviva’s adoption of Kofax
VRS technology that automatically cleans up poor-quality images — 
a move that eliminated hours of manual rescanning effort and service
delays. It’s also improved the document recognition and indexing
process by ensuring crisply rendered bar codes on each document.
Executives say the move has increased labor productivity by 25% to 50%.
The solution gave Aviva better control over data integrity, helping it
comply with strict new auditing requirements imposed by insurance
regulators. For example, by introducing more document automation and
less manual handling,Aviva reduced the likelihood of data breaches.
“There hasn’t been a single case of confidentiality breaches,” an execu-
tive reported.“We are cutting this risk substantially.” Singapore recently
certified Aviva’s entire capture and document automation system
under the nation’s Evidence Act, which oversees standards for elec-
tronic transactions in the insurance and financial services industries.
WHITE PAPER
5
NEXT PRACTICE: CAPTURE-DRIVEN CLAIMS
PROCESSING AUTOMATION
Enterprise capture solutions employ a range of technol-
ogies and tools to help companies efficiently capture,
classify, route and archive paper-based and electronic
information. These solutions can extract text and
handwritten data from a wide variety of documents
and convert it into formats that business applications
can utilize. Advanced solutions, like those from Kofax,
also can “learn” from repeated document processing,
progressively minimizing processing errors, time and
costs, as well as manual intervention.
In the last decade, a growing number of companies
have deployed capture technology to cut back on paper
handling and storage and achieve significant cost savings.
It’s been estimated that the average knowledge worker
wastes as much as $4,500 per year working with paper,
and that as much as 15% of an organization’s revenue is
spent creating, managing, and distributing documents.12
More advanced organizations are reaping additional
strategic benefits by harnessing the power of these solu-
tions to deliver timely information to customers and speed
decision-making.13
For insurance carriers, automated
capture has proven its worth as an effective way to
rationalize the claims process, from the initial “inges-
tion” of a claim all the way through to closing the file.
On the front-end of the claims process, insurers have
always faced a tough challenge: how to handle the
flood of documents that arrives at its doorstep every
day. The information comes in a host of different forms,
including paper forms and letters, faxes, emails, texts,
and multiple types of electronic file attachments, as
illustrated in Figure 1.
The data influx contains both structured and unstructured
data — and only a portion of the flow of documents has
to do with claims matters. Thus insurers are faced with
a dual challenge:
•	 Understanding what the incoming information is — 
A claim form? Premium payment? Information
update? A policy issue?
•	 Deciding what to do with it — Where to route it?
(To the claims department. Fraud investigators?
Accounts payable? Compliance team? Partners?)
Manually sorting through this mass of documents — 
and routing it to the right person — consumes a signifi-
cant amount of staff resources. Moreover, the process
is fraught with error and risk and leads to a lengthy claims
resolution cycles, mistakes, and poor decisions — all of
which can damage customer relationships.
Capture-enabled claims processing solutions — typically
involving advanced scanning, indexing, extraction, and
12	
Sources: Gartner, ARMA, AIIM.
13	
See “Capturing the Hidden ROI of Document-Driven Process Automation,” Mainstay Salire, January, 2012.
Figure 1: Capture Driven Claims for Greater Customer Value
Call Center/Agent
Fraud Claims
Accounts Payable
Compliance Vendors
Paper
Fax
Email
SMS
XML
Office
PDF
Understand
Automated
Capture
What is it?
Decide
Call Center/Agent
Fraud Claims
Accounts Payable
Compliance Vendors
What do I
do with it?
Decide
Understand
Paper
Fax
Email
SMS
XML
Office
PDF
Next Practices in Insurance: Driving Growth with Better Customer Engagement
6
workflow technologies — “collapses” this process into
a single, crisp, automated step, massively shrinking
the time it takes insurers to understand incoming
documents and decide what to do with them.
Figure 2 illustrates the streamlined process.
By extracting and routing pertinent claims information,
enterprise capture solutions shrink processing time
and costs while increasing adjudication accuracy. This
naturally leads to a more satisfying customer experi-
ence throughout the claims process, encompassing:
•	 Investigation and Evaluation. Investigators
gather evidence faster while customers receive
timely alerts and communications that promote
trust and transparency.
•	 Negotiation and Settlement. Carriers use enter-
prise capture solutions to ensure access to complete
documentation, translating into faster claims
resolution and greater customer satisfaction.
•	 File Closing. Enterprise capture solutions reduce com-
pliance risk by providing secure document archiving
and ensuring that relevant claim information can be
readily retrieved for regulatory audits and other reviews.
CAPTURE-ENABLED CUSTOMER SERVICE
Faster claims resolution, more efficient investigations, and
error-free settlements — all of this adds up to a superior
claims experience for customers and helps build satisfac-
tion and loyalty. At the call center — the venue for most
customer interactions — agents can be armed early in
the claims process with the full portfolio of documents
and evidence they need to answer queries with authority.
Insurance innovators are taking their capture solutions
further, leveraging the technology to provide customers
with convenient, online access to claims and policy
information. For example, one global life insurance
company is deploying document capture technology
from Kofax to extend access to policy documents to
millions of customers through a secure extranet.
Other insurers now digitize correspondence as part of a
service that reaches out to policyholders with automated
notifications via text messages, emails, phone calls, or
faxes. Active customer communication like this goes a
long way toward securing customer trust and buy-in.
Increasingly companies are integrating automated
document-capture solutions with ECM, BPM, and
business intelligence (BI) systems that together help
consolidate customer information and give managers
a comprehensive “household view” of policyholders.
Such visibility helps insurers propel revenue with well-
crafted sales strategies and marketing campaigns.
A full accounting of the benefits from capture-enabled
claims processing includes a host of additional business
efficiencies and savings, including faster, more
accurate invoice processing, streamlined legal case
management, and more effective fraud investigations.
Examples include:
•	 Global powerhouse Allianz deployed a capture
solution to streamline accounts payables operations
at its shared service centers in Europe (see solution
profile on page 7).
Figure 2: Capture Driven Claims for Greater Customer Value — Streamlined Process
Call Center/Agent
Fraud Claims
Accounts Payable
Compliance Vendors
Paper
Fax
Email
SMS
XML
Office
PDF
Understand
Automated
Capture
What is it?
Decide
Call Center/Agent
Fraud Claims
Accounts Payable
Compliance Vendors
What do I
do with it?
Decide
Understand
Paper
Fax
Email
SMS
XML
Office
PDF
WHITE PAPER
7
•	 Aviva Ltd, a subsidiary of the world’s fifth largest
insurer, reduced the risk of customer data breaches
while improving customer service performance with
its capture solution (see solution profile on page 4).
•	 French insurer GIE-UGIM says its document-
capture platform is helping it integrate organizations
at three remote sites.
•	 U.S.-based Prudential says that deploying Kofax
document-automation technologies will enable
it to sustain its “continuing and rapid expansion
throughout China.”
CONCLUSION
Amid a drastically changed industry landscape character-
ized by choosier customers and tightening regulations,
insurance companies are scrambling to sustain growth
and profits. Innovators are taking the lead with strategies
specifically designed to transform the customer experi-
ence. The most effective of these strategies focus on
radically improving the claims process, a time of great
stress for policyholders when even one bad interaction
can lead to defections.
Remarkably, many insurers are unaware of how poorly
they’re performing in terms of customer experience.
According to Bain & Company 80% of companies
believe they delivered a superior customer experience,
but only 8% of their customers agree.”14
That’s changing, however, in light of the rising success
of insurers that have adopted customer-centric Next
Practices — including new capture-enabled solutions
that automate and expedite claims processing and
customer service. Insurers worldwide are adopting
enterprise capture solutions to:
•	 Dramatically reduce claims cycles, speeding
customer reimbursements
•	 Empower call centers with timely intelligence,
delivering superior customer service interactions
•	 Eliminate costly manual processing errors,
promoting customer trust and loyalty
•	 Drive proactive customer communications,
ensuring transparency during the claims process
•	 Enhance customer understanding with
documented insights into consumer preferences
We expect adoption of capture technologies will become
the new normal for insurance companies that expect to
compete effectively in the realm of customer experience.
ALLIANZ STREAMLINES ACCOUNTING WITH
INVOICE CAPTURE SOLUTION
Serving 75 million customers in 70 countries, the Allianz Group is
one of the world’s top insurance companies. Seeking to strengthen
its cost competitiveness, Allianz launched an initiative in central
and eastern Europe that included standardizing branch operations
on SAP enterprise software and establishing a network of shared
services operations called Allianz Business Services.
Allianz set up its first service center in Bratislava, Slovakia,
with 120 employees. A key goal of the new center: accelerate
invoice processing to help shorten month-end financial closes.
“Our main goal was to transform our accounts payable function
into an automated digital process,” said Sven Rossbach, CEO of
Allianz Business Services. “All incoming invoices were to be
streamed as digital documents into an electronic workflow.”
Allianz selected an automated document capture solution to power the
company’s new front-end invoice processing function. Now local
offices scan each invoice and use re-scanning technology (Kofax
VRS) to automatically fix image imperfections. The corrected digital
documents are transmitted to the service center, where the Kofax
Capture solution extracts key information and pushes it into the
SAP financial system.
The results, says Rossbach, “speak for themselves.” Today, Allianz
pays invoices in eight hours compared to four days before, has
cut overdue invoices in half, slashed manual effort, and set up a
convenient archive of invoice documents within the SAP system.
“We now have faster, more transparent processes, lower costs,
more satisfied suppliers, and an always up-to-date view of the
company’s cash flow situation,” Rossbach concludes.
14	
“The Three D’s of Customer Experience,” Bain & Company, The Harvard Management Update, November, 2005.
MAINSTAY
www.mainstaycompany.com
901 Mariners Island Blvd, Ste. 105
San Mateo, California 94404-1592
(p) 650.638.0575 (f) 650.638.0578
Sponsored by:
Research and analysis for this white paper was conducted by Mainstay, an
independent consulting firm that has performed over 300 studies and white papers
for leading information technology providers including Cisco, Oracle,
SAP, Microsoft, Dell, Lexmark, HP, EMC and NetApp.
Copyright © 2012 Mainstay

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Kofax Insurance

  • 1. WHITE PAPER Next Practices in Insurance: Driving Growth with Better Customer Engagement How Enterprise Capture Solutions Can Streamline Claims Processing and Transform the Customer Experience Sponsored by:
  • 2. Next Practices in Insurance: Driving Growth with Better Customer Engagement 2 WHY CUSTOMER EXPERIENCE MATTERS The insurance industry worldwide stands at a critical crossroads. A combination of sluggish economic growth, uncertainty about the future, and tightening regulatory pressure has put insurers in a bind. Growth and profits don’t come as easy as they once did, and this has left insurers scrambling to find new formulas for success. Now insurers are facing an even greater threat: the rising power of consumers. Armed with the Web and mobile devices, customers today enjoy tremendous leverage, able to shop around with ease, switch carriers painlessly, and interact with insurers in appealing new ways. Every day, new communication and sales channels open up, carrying the promise of higher levels of convenience and service. In this new environment, the battleground for customers has moved beyond simply products and pricing. Increasingly what attracts — and keeps — customers are their personal experiences with insurers at key points in the relationship, and especially during the claims process. This shift has brought into play a range of new competencies that insurers must master if they want to stay competitive. The most innovative carriers have already jumped ahead of this curve, moving from operations- and cost-centric practices to solutions specifically engineered to enhance the customer experience. These customer-centric solutions — we call them “Next Practices” — help carriers deliver better customer engagements across the range of touch points that make up the insurer-customer relationship. A lot is at stake in this effort. When executed correctly, customer-centric next practices give insurers the power to attract new customers with hassle-free call center interactions, rapid claims-filing experiences, and easy access to everything from policy documents to new product and service offerings. BOTTOM LINE IMPACT All of this directly impacts the bottom line of your insurance business. Fast, responsive service instills loyalty in existing customers and attracts new business through word of mouth. Studies show that even a modest increase in customer experience can increase customer loyalty and boost revenue by millions of dollars.1 Nation- wide Insurance, for example, found that a 1% increase in customer retention increased annual premiums by $1 million.2 Insurance customers are especially sensitive to negative experiences, research shows. A single unpleasant interaction with a call-center agent Table of Contents Why Customer Experience Matters 2 Bottom Line Impact 2 Claims Processing: Core to the Customer Experience 3 Next Practice: Capture-Driven Claims Processing Automation 5 Capture-Enabled Customer Service 6 Conclusion 7 Forward-thinking insurers around the globe are meeting the challenges of the new economy by shifting their focus from “Best Practices” to “Next Practices.”Among the most significant of these new practices are technology solutions that enhance the customer experience by automating and accelerating the claims process using enterprise capture solutions. 1 Customer Experience Index 2010: Insurance Providers, Forrester Research, February 17, 2010. 2 Insurance Technology — CRM in Global Insurance, Datamonitor, 2008; quoted in “Insurance Providers: Improving Customer Retention through the Contact Center” by Jacada, 2008.
  • 3. WHITE PAPER 3 is sometimes all it takes to drive customers away. Worse is when disgruntled customers spread the word. Compared to happy policyholders, dissatisfied insurance customers are far more likely to tell others about their experiences — and social media outlets like Facebook and Twitter only amplify this effect. Once lost, insurance customers are notoriously hard —  and costly — to regain. Studies show that carriers spend five to ten times more acquiring a new customer than retaining an existing one. In fact, it takes most insurers several years to recoup the costs of winning and onboarding a new policyholder.3 Satisfied customers, on the other hand, spur demand through word of mouth and online recommendations. Satisfied customers also are more open to buying additional products and services. In short, while products and pricing will always remain an important factor in attracting and retaining policy- holders, customer experience is quickly becoming the next industry battleground for market share, profitability, and even survival. And nowhere does the customer experience matter more than during the claims process. CLAIMS PROCESSING: CORE TO THE CUSTOMER EXPERIENCE For most people, it takes filing a claim to really test the relationship with their insurer. The claims process is when the majority of interactions between policyholders and their insurers occur — and it’s a time that is typi- cally rife with stress and emotion for the customer. For property and casualty claims — say an auto accident —  the process can extend from the first notice of loss and call-center interactions to the appraisal, repair process, and car-rental experience. 3 “Keep Them Coming Back for More,” Insurance & Technology, May 30, 2007. 4 Customer Experience Index 2010: Insurance Providers, Forrester Research, February 17, 2010. 5 American Customer Satisfaction Index, quoted in “Insurance Providers: Improving Customer Retention through the Contact Center” white paper by Jacada, 2008. 6 Insurance Technology — CRM in Global Insurance, Datamonitor, 2008; quoted in “Insurance Providers: Improving Customer Retention through the Contact Center” by Jacada, 2008. 7 A study by the Wharton School cited in “Eight Strategies for First Rate Customer Service,” Cisco Innovators, www.cisco.com, January 2008. 8 “Enabling Seamless Service Across the Enterprise,” Doug Smith, VP Globalization, Service & Administration, Unum, IASA Executive Education Roundtable Series, May, 2011. 9 Financial Services Customer Experience Survey, Maritz, 2008. (quoted in “Insurance Providers: Improving Customer Retention through the Contact Center” by Jacada, 2008). The Power of Customer Experience • A modest improvement in customer experience at a $10 billion insurance carrier will increase customer loyalty and boost revenue by approximately $298 million (Forrester Research).4 • Dissatisfied insurance customers are 40% more likely to tell others about their bad experience.5 • A 1% increase in customer retention increased annual premiums by $1 million (Nationwide Insurance).6 • Reducing customer attrition by 5%–10% can increase annual profits by as much as 75%.7 • On average, one person will tell eight people about a bad customer experience —  and one in five of these people will tell 20 more.8 • Satisfied customers are 50% more likely to listen to a sales offer, while dissatisfied customers — if they even choose to listen — are twice as likely as satisfied customers to decline an offer after listening to it.9
  • 4. Next Practices in Insurance: Driving Growth with Better Customer Engagement 4 During this critical period, providing a fast, efficient, transparent experience for customers is crucial to improving customer satisfaction and loyalty and decreasing churn. This conclusion is backed by research from J.D. Power and Associates, which found that better claims processing for homeowners insurance customers leads to policyholder loyalty and advocacy. Specifically, the research firm found that 71% of customers who experienced a “highly satisfying claims experience” said they would “definitely” renew their policies and 67% said they would recommend their insurers to others. Conversely, of the customers who experienced a less satisfying claims experience, only 53% said they planned to renew and less than half said they would recommend their insurer to others. As the primary channel through which claimants interact with their insurer, call centers are pivotal to the claims experience. This underscores the importance of equipping agents with the tools and resources to answer questions quickly and accurately. In a study by Jacada, slightly more than a quarter of insurance customers said they would switch carriers based solely on a bad experience with the contact center.11 To avert negative interactions, more insurers are adopting process-automation technologies to optimize the claimant’s experience and facilitate rapid, straight through processing (STP) of claims. These technologies integrate with the core claims systems, allowing “touch-less” processing of claims documents across the organization. The result: faster claims resolution and prompt, accurate communication with customers. These new technologies range from business process management (BPM) and enterprise content management (ECM) systems to online portals and advanced capture solutions. Together they form the foundation for Next Practices in the insurance industry.The following sections look more closely at the potential for automating capture across the enterprise and how that helps transform the customer experience. 10 “Latest JD Power and Associates review notes improved personal lines homeowners claims processing leads to policy holder loyalty and advocacy,” Pat Speer, Insurance Networking News, July 9, 2010. 11 American Customer Satisfaction Index, quoted in “Insurance Providers: Improving Customer Retention through the Contact Center” by Jacada, 2008. GLOBAL INSURER AVIVA RETOOLS CUSTOMER SERVICE WITH AUTOMATED DOCUMENT CAPTURE SOLUTION Eager to sustain its rapid growth trajectory, London-based insurer Aviva Ltd. has made it a priority to strengthen its customer service and compliance operations. But to do that, the world’s fifth largest insurance group realized that it had to remove a critical bottleneck: a rising tide of customer documents that threatened to overwhelm the company’s processing centers in Singapore and Hong Kong. Aviva found a solution in an enterprise capture solution from Kofax that enabled its processing centers to dramatically increase produc- tivity and accurately digitize more than 5 million pages of documents (both structured and unstructured) per year. Working in tandem with the company’s IBM document management system, the Kofax solu- tion allows Aviva to reduce turnaround time and consistently meet ambitious targets for customer service operational performance. Productivity has been enhanced further with Aviva’s adoption of Kofax VRS technology that automatically cleans up poor-quality images —  a move that eliminated hours of manual rescanning effort and service delays. It’s also improved the document recognition and indexing process by ensuring crisply rendered bar codes on each document. Executives say the move has increased labor productivity by 25% to 50%. The solution gave Aviva better control over data integrity, helping it comply with strict new auditing requirements imposed by insurance regulators. For example, by introducing more document automation and less manual handling,Aviva reduced the likelihood of data breaches. “There hasn’t been a single case of confidentiality breaches,” an execu- tive reported.“We are cutting this risk substantially.” Singapore recently certified Aviva’s entire capture and document automation system under the nation’s Evidence Act, which oversees standards for elec- tronic transactions in the insurance and financial services industries.
  • 5. WHITE PAPER 5 NEXT PRACTICE: CAPTURE-DRIVEN CLAIMS PROCESSING AUTOMATION Enterprise capture solutions employ a range of technol- ogies and tools to help companies efficiently capture, classify, route and archive paper-based and electronic information. These solutions can extract text and handwritten data from a wide variety of documents and convert it into formats that business applications can utilize. Advanced solutions, like those from Kofax, also can “learn” from repeated document processing, progressively minimizing processing errors, time and costs, as well as manual intervention. In the last decade, a growing number of companies have deployed capture technology to cut back on paper handling and storage and achieve significant cost savings. It’s been estimated that the average knowledge worker wastes as much as $4,500 per year working with paper, and that as much as 15% of an organization’s revenue is spent creating, managing, and distributing documents.12 More advanced organizations are reaping additional strategic benefits by harnessing the power of these solu- tions to deliver timely information to customers and speed decision-making.13 For insurance carriers, automated capture has proven its worth as an effective way to rationalize the claims process, from the initial “inges- tion” of a claim all the way through to closing the file. On the front-end of the claims process, insurers have always faced a tough challenge: how to handle the flood of documents that arrives at its doorstep every day. The information comes in a host of different forms, including paper forms and letters, faxes, emails, texts, and multiple types of electronic file attachments, as illustrated in Figure 1. The data influx contains both structured and unstructured data — and only a portion of the flow of documents has to do with claims matters. Thus insurers are faced with a dual challenge: • Understanding what the incoming information is —  A claim form? Premium payment? Information update? A policy issue? • Deciding what to do with it — Where to route it? (To the claims department. Fraud investigators? Accounts payable? Compliance team? Partners?) Manually sorting through this mass of documents —  and routing it to the right person — consumes a signifi- cant amount of staff resources. Moreover, the process is fraught with error and risk and leads to a lengthy claims resolution cycles, mistakes, and poor decisions — all of which can damage customer relationships. Capture-enabled claims processing solutions — typically involving advanced scanning, indexing, extraction, and 12 Sources: Gartner, ARMA, AIIM. 13 See “Capturing the Hidden ROI of Document-Driven Process Automation,” Mainstay Salire, January, 2012. Figure 1: Capture Driven Claims for Greater Customer Value Call Center/Agent Fraud Claims Accounts Payable Compliance Vendors Paper Fax Email SMS XML Office PDF Understand Automated Capture What is it? Decide Call Center/Agent Fraud Claims Accounts Payable Compliance Vendors What do I do with it? Decide Understand Paper Fax Email SMS XML Office PDF
  • 6. Next Practices in Insurance: Driving Growth with Better Customer Engagement 6 workflow technologies — “collapses” this process into a single, crisp, automated step, massively shrinking the time it takes insurers to understand incoming documents and decide what to do with them. Figure 2 illustrates the streamlined process. By extracting and routing pertinent claims information, enterprise capture solutions shrink processing time and costs while increasing adjudication accuracy. This naturally leads to a more satisfying customer experi- ence throughout the claims process, encompassing: • Investigation and Evaluation. Investigators gather evidence faster while customers receive timely alerts and communications that promote trust and transparency. • Negotiation and Settlement. Carriers use enter- prise capture solutions to ensure access to complete documentation, translating into faster claims resolution and greater customer satisfaction. • File Closing. Enterprise capture solutions reduce com- pliance risk by providing secure document archiving and ensuring that relevant claim information can be readily retrieved for regulatory audits and other reviews. CAPTURE-ENABLED CUSTOMER SERVICE Faster claims resolution, more efficient investigations, and error-free settlements — all of this adds up to a superior claims experience for customers and helps build satisfac- tion and loyalty. At the call center — the venue for most customer interactions — agents can be armed early in the claims process with the full portfolio of documents and evidence they need to answer queries with authority. Insurance innovators are taking their capture solutions further, leveraging the technology to provide customers with convenient, online access to claims and policy information. For example, one global life insurance company is deploying document capture technology from Kofax to extend access to policy documents to millions of customers through a secure extranet. Other insurers now digitize correspondence as part of a service that reaches out to policyholders with automated notifications via text messages, emails, phone calls, or faxes. Active customer communication like this goes a long way toward securing customer trust and buy-in. Increasingly companies are integrating automated document-capture solutions with ECM, BPM, and business intelligence (BI) systems that together help consolidate customer information and give managers a comprehensive “household view” of policyholders. Such visibility helps insurers propel revenue with well- crafted sales strategies and marketing campaigns. A full accounting of the benefits from capture-enabled claims processing includes a host of additional business efficiencies and savings, including faster, more accurate invoice processing, streamlined legal case management, and more effective fraud investigations. Examples include: • Global powerhouse Allianz deployed a capture solution to streamline accounts payables operations at its shared service centers in Europe (see solution profile on page 7). Figure 2: Capture Driven Claims for Greater Customer Value — Streamlined Process Call Center/Agent Fraud Claims Accounts Payable Compliance Vendors Paper Fax Email SMS XML Office PDF Understand Automated Capture What is it? Decide Call Center/Agent Fraud Claims Accounts Payable Compliance Vendors What do I do with it? Decide Understand Paper Fax Email SMS XML Office PDF
  • 7. WHITE PAPER 7 • Aviva Ltd, a subsidiary of the world’s fifth largest insurer, reduced the risk of customer data breaches while improving customer service performance with its capture solution (see solution profile on page 4). • French insurer GIE-UGIM says its document- capture platform is helping it integrate organizations at three remote sites. • U.S.-based Prudential says that deploying Kofax document-automation technologies will enable it to sustain its “continuing and rapid expansion throughout China.” CONCLUSION Amid a drastically changed industry landscape character- ized by choosier customers and tightening regulations, insurance companies are scrambling to sustain growth and profits. Innovators are taking the lead with strategies specifically designed to transform the customer experi- ence. The most effective of these strategies focus on radically improving the claims process, a time of great stress for policyholders when even one bad interaction can lead to defections. Remarkably, many insurers are unaware of how poorly they’re performing in terms of customer experience. According to Bain & Company 80% of companies believe they delivered a superior customer experience, but only 8% of their customers agree.”14 That’s changing, however, in light of the rising success of insurers that have adopted customer-centric Next Practices — including new capture-enabled solutions that automate and expedite claims processing and customer service. Insurers worldwide are adopting enterprise capture solutions to: • Dramatically reduce claims cycles, speeding customer reimbursements • Empower call centers with timely intelligence, delivering superior customer service interactions • Eliminate costly manual processing errors, promoting customer trust and loyalty • Drive proactive customer communications, ensuring transparency during the claims process • Enhance customer understanding with documented insights into consumer preferences We expect adoption of capture technologies will become the new normal for insurance companies that expect to compete effectively in the realm of customer experience. ALLIANZ STREAMLINES ACCOUNTING WITH INVOICE CAPTURE SOLUTION Serving 75 million customers in 70 countries, the Allianz Group is one of the world’s top insurance companies. Seeking to strengthen its cost competitiveness, Allianz launched an initiative in central and eastern Europe that included standardizing branch operations on SAP enterprise software and establishing a network of shared services operations called Allianz Business Services. Allianz set up its first service center in Bratislava, Slovakia, with 120 employees. A key goal of the new center: accelerate invoice processing to help shorten month-end financial closes. “Our main goal was to transform our accounts payable function into an automated digital process,” said Sven Rossbach, CEO of Allianz Business Services. “All incoming invoices were to be streamed as digital documents into an electronic workflow.” Allianz selected an automated document capture solution to power the company’s new front-end invoice processing function. Now local offices scan each invoice and use re-scanning technology (Kofax VRS) to automatically fix image imperfections. The corrected digital documents are transmitted to the service center, where the Kofax Capture solution extracts key information and pushes it into the SAP financial system. The results, says Rossbach, “speak for themselves.” Today, Allianz pays invoices in eight hours compared to four days before, has cut overdue invoices in half, slashed manual effort, and set up a convenient archive of invoice documents within the SAP system. “We now have faster, more transparent processes, lower costs, more satisfied suppliers, and an always up-to-date view of the company’s cash flow situation,” Rossbach concludes. 14 “The Three D’s of Customer Experience,” Bain & Company, The Harvard Management Update, November, 2005.
  • 8. MAINSTAY www.mainstaycompany.com 901 Mariners Island Blvd, Ste. 105 San Mateo, California 94404-1592 (p) 650.638.0575 (f) 650.638.0578 Sponsored by: Research and analysis for this white paper was conducted by Mainstay, an independent consulting firm that has performed over 300 studies and white papers for leading information technology providers including Cisco, Oracle, SAP, Microsoft, Dell, Lexmark, HP, EMC and NetApp. Copyright © 2012 Mainstay