Swiss Re Reinsurance Solutions - Automated Claims Experience – Insurer Innovation Award 2023

The Digital Insurer
The Digital InsurerDeveloping digital insurance in Asia & around the world em The Digital Insurer
1
Automated
Claims Experience
Evolving customer experience with a simplified and transparent claims process
ReinsuranceSolutions
WHAT IT IS:
SaaS cloud-based digital online claim submission form, designed to
improve customer claims experience with a simple and empathetic claim
submission process
WHAT MAKES IT GREAT:
 Built with research-based insights and behavioral science to make
the process as clear and jargon free as possible
 A “one and done” claim submission process - the claims team
receives all information needed in one place, in minutes, and the
claimant/beneficiary avoids the stress of sending information through
different channels
 Claims status available 24/7 with regular status updates
IMPACT TO AN INSURER’S BUSINESS:
Automated
Claims
Experience
2
More efficient
operations reduce
errors and support
calls
Superior claimant
experience
Fast & easy info
gathering improves
claims response
times
Life Insurance Co
Claimants are in the midst a significant, emotional
event and the current process for submitting a claim
is often time-consuming and error-prone. Swiss Re’s
Automated Claims Experience moves the claims
experience to the digital age, and helps turn
beneficiaries into brand advocates and potentially
new customers.
Health or
Life
Claim
Claimant
A significant,emotional event. At
their most vulnerable
Claims / Call Centre Team
Stressful, upsetting, emotionally draining –
nature & volume of claims
The process can be challenging
for all involved
A positive claims experience focussing
on empathy and trust is proven to help
drive new business
3
4
The Automation
Opportunity
Leverage claims knowledge and
technology to transform your business
Improve the
customer claim
experience
with a simpler and
more empathetic
online experience for
your customers
Enable fast &
easy information
gathering
with minimum
information needed
to make a decision
Improve claims
cost efficiency
with improved case
handling
5
Evolve beyond
barriers with
Automated Claims
Experience (ACE)
At the front end of the customer
experience, Automated Claims
Experience brings simplicity and
transparency to the claimant while
allowing you to further automate your
claims, deliver efficiency gains, and
create opportunities for further growth.
6
Put
customers
at the
centre of
the claims
experience
What Automated Claims Experience
can deliver
01
Improved customer
experience
• Simple language – anyone can understand
• Designed with empathy
• Transparency on the process
• Customer empowerment –
availability 24/7
• Reduced time to submit
the claim
• Safety (you know where it is)
• Data security
7
Improving
efficiency and
agility
02
Fast & Easy Information
Gathering
• Upload all customer
documentation in one go
• Focus on minimum information needed to make a
claims decision
• Document directly uploaded into insurer’s system
• Avoiding loss of mail
03
Improved Profits
• Steering resource to where it
is needed - some areas need a
more human touch
• Reducing errors and manual work
in the process
• Creating positive brand impact
and generating more business
• Gathering data digitally leading
to fast decision making on valid claims
What Automated Claims Experience
can deliver
8
Benefits of
Automated
Claims
Experience
Web-based submission
form reflexive for laptop,
tablet and mobile
Simple &
empathetic
Behavioral economics
to nudge, guide &
minimize fraud
Trust & signposting
design improves the
customer claim experience
Less beneficiary stress
& frustration at a
difficult time
Faster claim
delivery enables
faster claim
decision
Upload documents
feature
Microsoft Azure
cloud-based
technology
API technology
compatible
Instant notifications -
24/7 access to your
claim status
2-factor
authentication that
provides security and
access
Designed around
beneficiary/claimant
9
How does
Automated Claims Experience
work?
01
Customers, who have lost
their loved one or suffered
an illness/injury, submit
the claim with the
minimum required
information and
documents at their ease
of time in digital
environment
02
Authentication ensures
secure log in
Anti-fraud, tax and
legal declarations for
compliance
Documents uploaded
are ensured to be
readable and scanned
for anti-virus protection
03
Submitted claim and
uploaded documents
directly move to the
internal claims system
Claim submissions
with uploaded
documents stay in
ACE only until
submission takes
place
04
Notifications are sent
to customers as per
status change or
reminders are set for
pending submissions
05
API technology is
embedded in ACE to
transform manual
checks to instant
automation
10
How does
Automated Claims Experience
work?
Client’s Claims
System
ACE
Rules Base
Analytics &
Reporting
Claims Case
Referral (CCR)
Claims Guide
CARE
Claimant
11
Why would an
insurer choose
Swiss Re’s
Automated Claims
Experience?
Our experience & reach
01
One of world’s largest
reinsurer — unrivalled
insight & expertise
03
The global benchmark
for applied risk
knowledge
02
A reputation for innovation
& automation excellence
04
For use by any business,
anywhere — flexible,
digital solutions using
cloud technology, API
Our solutions reflect Swiss Re’s 150+ years’
experience & world-leading reputation
In Summary
What Swiss Re’s
Automated Claims
Experience (ACE)
offers
• Automation to improve the life
and health claims experience
for customers and claims
handlers.
• The best of Swiss Re —
combines our reputation for
innovation and automation
excellence with our unrivalled
risk insight and expertise.
• Digital credibility — future
proofing, API, cloud technology.
• Increased profitability —
improved claims cost efficiency,
fast information gathering and
improved customer experience.
• A custom-fit, scalable and
affordable solution.
• A solution that can standalone
or as part of a Swiss Re digital
value chain ecosystem.
• Easy implementation whether
the insurer has an existing
system or are new
to automation.
• Swiss Re support every step
of the way — design,
implementation,
day-to-day trouble-shooting.
12
©2023 Swiss Re. All rights reserved. You may use this presentation for private or internal purposes but note
that any copyright or other proprietary notices must not be removed. You are not permitted to create any
modifications or derivative works of this presentation, or to use it for commercial or other public purposes,
without the prior written permission of Swiss Re.
The information and opinions contained in the presentation are provided as at the date of the presentation and
may change. Although the information used was taken from reliable sources, Swiss Re does not accept any
responsibility for its accuracy or comprehensiveness or its updating. All liability for the accuracy and
completeness of the information or for any damage or loss resulting from its use is expressly excluded.
Legal notice
13
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Swiss Re Reinsurance Solutions - Automated Claims Experience – Insurer Innovation Award 2023

  • 1. 1 Automated Claims Experience Evolving customer experience with a simplified and transparent claims process ReinsuranceSolutions
  • 2. WHAT IT IS: SaaS cloud-based digital online claim submission form, designed to improve customer claims experience with a simple and empathetic claim submission process WHAT MAKES IT GREAT:  Built with research-based insights and behavioral science to make the process as clear and jargon free as possible  A “one and done” claim submission process - the claims team receives all information needed in one place, in minutes, and the claimant/beneficiary avoids the stress of sending information through different channels  Claims status available 24/7 with regular status updates IMPACT TO AN INSURER’S BUSINESS: Automated Claims Experience 2 More efficient operations reduce errors and support calls Superior claimant experience Fast & easy info gathering improves claims response times Life Insurance Co Claimants are in the midst a significant, emotional event and the current process for submitting a claim is often time-consuming and error-prone. Swiss Re’s Automated Claims Experience moves the claims experience to the digital age, and helps turn beneficiaries into brand advocates and potentially new customers.
  • 3. Health or Life Claim Claimant A significant,emotional event. At their most vulnerable Claims / Call Centre Team Stressful, upsetting, emotionally draining – nature & volume of claims The process can be challenging for all involved A positive claims experience focussing on empathy and trust is proven to help drive new business 3
  • 4. 4 The Automation Opportunity Leverage claims knowledge and technology to transform your business Improve the customer claim experience with a simpler and more empathetic online experience for your customers Enable fast & easy information gathering with minimum information needed to make a decision Improve claims cost efficiency with improved case handling
  • 5. 5 Evolve beyond barriers with Automated Claims Experience (ACE) At the front end of the customer experience, Automated Claims Experience brings simplicity and transparency to the claimant while allowing you to further automate your claims, deliver efficiency gains, and create opportunities for further growth.
  • 6. 6 Put customers at the centre of the claims experience What Automated Claims Experience can deliver 01 Improved customer experience • Simple language – anyone can understand • Designed with empathy • Transparency on the process • Customer empowerment – availability 24/7 • Reduced time to submit the claim • Safety (you know where it is) • Data security
  • 7. 7 Improving efficiency and agility 02 Fast & Easy Information Gathering • Upload all customer documentation in one go • Focus on minimum information needed to make a claims decision • Document directly uploaded into insurer’s system • Avoiding loss of mail 03 Improved Profits • Steering resource to where it is needed - some areas need a more human touch • Reducing errors and manual work in the process • Creating positive brand impact and generating more business • Gathering data digitally leading to fast decision making on valid claims What Automated Claims Experience can deliver
  • 8. 8 Benefits of Automated Claims Experience Web-based submission form reflexive for laptop, tablet and mobile Simple & empathetic Behavioral economics to nudge, guide & minimize fraud Trust & signposting design improves the customer claim experience Less beneficiary stress & frustration at a difficult time Faster claim delivery enables faster claim decision Upload documents feature Microsoft Azure cloud-based technology API technology compatible Instant notifications - 24/7 access to your claim status 2-factor authentication that provides security and access Designed around beneficiary/claimant
  • 9. 9 How does Automated Claims Experience work? 01 Customers, who have lost their loved one or suffered an illness/injury, submit the claim with the minimum required information and documents at their ease of time in digital environment 02 Authentication ensures secure log in Anti-fraud, tax and legal declarations for compliance Documents uploaded are ensured to be readable and scanned for anti-virus protection 03 Submitted claim and uploaded documents directly move to the internal claims system Claim submissions with uploaded documents stay in ACE only until submission takes place 04 Notifications are sent to customers as per status change or reminders are set for pending submissions 05 API technology is embedded in ACE to transform manual checks to instant automation
  • 10. 10 How does Automated Claims Experience work? Client’s Claims System ACE Rules Base Analytics & Reporting Claims Case Referral (CCR) Claims Guide CARE Claimant
  • 11. 11 Why would an insurer choose Swiss Re’s Automated Claims Experience? Our experience & reach 01 One of world’s largest reinsurer — unrivalled insight & expertise 03 The global benchmark for applied risk knowledge 02 A reputation for innovation & automation excellence 04 For use by any business, anywhere — flexible, digital solutions using cloud technology, API Our solutions reflect Swiss Re’s 150+ years’ experience & world-leading reputation
  • 12. In Summary What Swiss Re’s Automated Claims Experience (ACE) offers • Automation to improve the life and health claims experience for customers and claims handlers. • The best of Swiss Re — combines our reputation for innovation and automation excellence with our unrivalled risk insight and expertise. • Digital credibility — future proofing, API, cloud technology. • Increased profitability — improved claims cost efficiency, fast information gathering and improved customer experience. • A custom-fit, scalable and affordable solution. • A solution that can standalone or as part of a Swiss Re digital value chain ecosystem. • Easy implementation whether the insurer has an existing system or are new to automation. • Swiss Re support every step of the way — design, implementation, day-to-day trouble-shooting. 12
  • 13. ©2023 Swiss Re. All rights reserved. You may use this presentation for private or internal purposes but note that any copyright or other proprietary notices must not be removed. You are not permitted to create any modifications or derivative works of this presentation, or to use it for commercial or other public purposes, without the prior written permission of Swiss Re. The information and opinions contained in the presentation are provided as at the date of the presentation and may change. Although the information used was taken from reliable sources, Swiss Re does not accept any responsibility for its accuracy or comprehensiveness or its updating. All liability for the accuracy and completeness of the information or for any damage or loss resulting from its use is expressly excluded. Legal notice 13

Notas do Editor

  1. Maintaining good customer experience while handling heavy admin process is not easy
  2. Spending a lot of time gathering and compiling data reduces availability to connect with customers High cost per claim due to time spent on case handling