Human vs. Machine: How Adaptive Case Management Helps Insurance Firms Serve Customers

By Deb Miller (@DebsG360) Dec 5, 2011

Have you seen the movie Real Steel? In the storyline of this flick, automation has replaced human fighters with 2000-pound, 8-foot-tall steel robot boxers. The moral is "humans out, automation in" — end of story, right? Not exactly. As it turns out, it’s the right combination of human and machine that proves necessary for the win. Sounds a lot like business process improvement to me.

How does this notion of human and machine translate to success in the business world? Legendary fighter and advisor to the movie Sugar Ray Leonard tells us that we are actually seeing a story about relationships in Real Steel. That is, the importance of the relationship between Hugh Jackman, the ex-boxer now “corner man” and Atom, his robot fighter. It is that enabling (some might say co-dependent) relationship that leads to their success. Herein lies the lesson learned for business — while automation is required, it is not sufficient for success. I have seen that hold true in my world of business process solutions where adaptive case management and knowledge workers team up to drive productivity.

Customer Experience is the Competitive Battlefield

Industry leading companies, in insurance for example, are using the relationship between the knowledge worker and their case management systems to compete on the basis of the experience they provide to their customers. As a raving fan of adaptive case management (ACM), I have had the opportunity to see firsthand implementations that reflect the Real Steel lesson.

A critical first step is modernizing the legacy systems (yes, the automation) which drive most insurance companies in terms of core administration and where the sheer number of transactions handled and paper generated each day interferes with service to the customer. When taking on new business policies, ACM provides the all-important balance between automating out manual inefficiencies that lead to frustrating customer experiences and using technology to improve the service provided by humans, all the while assuring transparency and adherence to regulatory requirements.

By enhancing the legacy systems and providing information and content in context, ACM helps insurers effectively manage their complex enrollment and underwriting processes and the associated "paper" across multiple systems. For example, with commercial and life products, new business needs to be presented to the underwriter in a single view with multiple systems and third party data sources as well. Adaptive case management helps these insurers improve underwriter productivity and make more timely and informed decisions that in turn impact the customer experience for the better.

Case Study: A Tipping Point for Capturing New Business

One life insurance company whose implementation I reviewed provides a perfect success story for new business capture. The firm had reached a productivity tipping point in their processing of new applications. They faced a situation where they would have to hire four people for every 100 new applications received, in large part because staff had to physically move paper throughout the organization — file it, track it and retrieve it when requested — and the necessary information was not readily available to progress the application forward. With typical applications containing between 10 and 100 pages, depending on the complexity of the package, and the company receiving between 600 and 900 applications every week, they knew making a change was critical.

Today, with their new technology solution in place, the company is able to handle more applications and is growing the business with no increase in staff. Knowledge workers now have instantaneous access to the status of a file, the ability to view documents within the file, and can immediately review any of the reports related to the case, all in real time with the agent or broker. And, the company’s underwriters have increased their capacity by 20 percent.