The claims process is not standardized across the industry. A wide variety of processes and new technologies are being used in the claims area, such as predictive analytics, automated straight-through processing of simplex claims, or automated reserving. Whether or not a carrier uses these techniques varies by size of carrier, by industry sector, and by the strategy, culture, and technical capability of the carrier. And there is always the question of whether these techniques actually impact the financial results and outcomes of the claims process.
I’ve just published a new report that introduces the Novarica Claims Capability Maturity Model (NCCMM). I asked 92 property/casualty insurers complete a self-diagnosis using the NCCMM. The report details what property/casualty insurers are really doing in claims today, and what effect it is having on loss ratio.
In general, personal lines companies are more likely to use sophisticated techniques to manage the claims process, with Workers Compensation carriers a close follower. Personal lines carrier results are also highly correlated with improved loss ratios – likely due to the high level of homogeneity across claims. Commercial lines and specialty carriers lag behind the leaders in terms of the technical capabilities they provide.
Correlating capability levels to loss ratio is an inexact science. Loss ratios are affected by underwriting decisions and cat losses as well as claims capabilities. But it is clear is that regardless of the sector, size of carrier, or age of claims admin system, leading capabilities in areas such as workflow, document creation, utilization of software to support investigations, and multiple channels for FNOL all are associated with lower loss ratios – and significantly so for some sectors.
Read a free preview of the report at www.novarica.com/novarica-claims-capability-maturity-model-benchmark-finds-wide-variations-in-claims-processes/