Ensuring Confidence & Safety for Policy Holders During Their Claims Journey [USE CASE]

What’s the key to winning the future in insurance?

For insurers, it’s customer convenience. Policy holders everywhere want easy, fast, and on-demand – and they want it their way. Unfortunately, the reality is that many policy holders experience frustration when they file a claim – a time when they may already be annoyed or distraught, and a painful and lengthy claims process only makes matters worse! It’s been shown that many customers will switch insurers after submitting a claim, regardless of whether payment is made, simply because the experience is terrible. But what’s the possible result of a poor claims process?

Up to $170 billion of insurance premiums could be at risk in the next five years due to poor claims experiences, according to a recent report from Accenture*. Dissatisfaction around the claims experience is a key reason driving customers to switch insurers. Nearly one-third (30%) of dissatisfied claimants said they had switched carriers in the past two years, and another 47% said they were considering doing so. Overall, the consumers who reported not being fully satisfied could represent up to $34 billion in premiums annually, or up to $170 billion over the next five years.

Convenience during the claims process is nuanced, though. It also must include ensuring confidence and the feeling of safety, especially for people that are alone and feel vulnerable.

At inQuba, we’ve seen that effective and clear communication throughout the life of a claim is a key element of quality claims handling. Customer Journey Management, and specifically journey orchestration, makes this achievable. This communication needs to include ensuring confidence and empathy. It happens that a policy holder could have to make ten calls to a representative in order to keep updated, and this number can be reduced to zero through digital methods that includes ‘what happens next, and when’. This empathy will improve experiences, build loyalty and significantly reduce customer churn.

Bringing parties together & supporting women during claims

As an insurance professional, you know that it’s a low touch industry with brands and policy holders mainly interreacting around renewals and increases. Until there’s a claim! When customers are going through the claims process, it’s usually after some kind of accident or emergency. They have experienced loss and are anxious and fearful of the unknown. It’s at this point that you can turn a harrowing experience into one that is empathetic, eases a customer’s anxiety and allows them to feel safe in the knowledge that you are there to assist. This builds trust.

Our client, a pioneer in women-centric Property and Casualty (P&C) and life insurance policies that include car, home, buildings, business, and life cover, specialize by providing extra support where needed to help women feel safer on the road and at home, and also to make their lives easier.

It’s difficult to communicate as a single brand when there are so many parties involved. The insurer identified an opportunity to improve the claims experience significantly by managing the communication process between all parties. The solution would provide visibility into the claims process and remove the customers’ burden of constantly chasing somebody for updates. In addition, with insurance packages especially designed for women, our client wanted to convey that they were ensuring safety, enabling confidence in service providers, and displaying empathy for all policy holders.

The claims process, from ‘First Notice of Loss’ onwards, is administrative and intricate. It involves multiple parties from the policy holder to the insurer, and to the adjuster and the independent service provider who’s about to ring the bell.

How did we ensure that policy holders experienced superior service while also addressing their personal safety concerns?

Scaling empathy & improving retention

1/ The actual claims journey

Rather than a conceptual customer journey map, existing data was used to visualize the actual claims journey. One of the noticeable aspects was the volume of calls made to service representatives during the claims process. Policy holders appeared to be needing to follow up or chase updates during the claim. More information was needed to understand the why.

2/ Measuring value delivery

Dipstick surveys were launched at different steps of the claims process to determine where value was being delivered (or not) as well as the policy holders’ sentiment. These steps included major status updates such as ‘pay’ or ‘no pay’, potentially long delays on parts sourcing, after the adjustment process, and then an overarching survey at the end of the claim. This revealed interesting insights:

  • Customers didn’t feel like they were kept updated on status or next steps
  • There was communication confusion due to updates from both insurer and service providers
  • Customers needed a way of accessing support at any stage
  • Some customers felt unsafe letting service providers into their homes

The feedback and sentiment could then be mapped to the obvious customer journeys, providing rich journey analytics. The information gathered would then be applied to the design of interventions and engagements that policy holders needed.

3/ Scaling empathy through journey orchestration

The engagement solution allowed for the management and visibility of communications between the insurer, the adjuster, the repairer, and the policy holder in one place, via personalized chat dialogues (in this case, WhatsApp). Chat solutions are immediate and personal and provide instant updates so that everyone is informed at all times and progress can be monitored.

When sending a repairer to a single mother’s home to repair a water leak, for example, how do you make sure she feels safe? The designed solution provided the policy holder with the name of the repairer, as well as the company name and logo so that she can check these details before allowing entry to her home. She’d be informed that the repairer is scheduled to arrive at 2.00pm, for example, and at 2.05pm she’d receive a check-in message to confirm that the repairer has arrived and that everything is OK. Should the repairer not have arrived, a solution will be found. Within 30 minutes, she will receive another message to check whether the repairer is still onsite and that everything is OK. Once the insurer receives notification from the repairer that the work is complete, the policy holder receives another message to check that she is satisfied with the work, and safe.

The policy holder can signal for assistance through a chat app at any stage of the claim. Access to the facility alone creates comfort.

In the idle time between updates, policyholders received messages to let them know that nothing had changed yet, but that the claim was in process. The dialogue included the adjustor appointment and repairer appointment, claims status updates, claim payment updates, and a closure message with a survey to determine the customer experience.

This level of journey orchestration highlights our client’s level of commitment and service delivery to the policy holder. The result is a massively enhanced claims experience which can be expanded to all customers across a variety of segments. Engagement strategies are finetuned over time, while paying close attention to the experience metrics.

Answering questions before they are asked

As an insurance professional, you will know that there are three moments when policy holder churn happens.

  1. At annual renewal and increase time
  2. When a claim is not paid
  3. When a claim is paid but the experience has been poor

Submitting a claim is a high-touch experience for the policy holder who will typically call a service representative multiple times to follow-up on progress. This is how customer experience begins negatively and generally continues downhill, influencing the entire claims journey.

By being proactive and automatically issuing a notification at each step of the claims process and informing the customer about their claim status we can eliminate the need for them to call.

As an insurer you have to delicately balance the efficient processing of claims while also delivering an experience worthy of your customer. This kind of care ranks very high when it comes to customer retention and future business.

Customers whose claims experience exceeds their expectations are more likely to stay with their current insurance company even when taking product pricing into consideration. Using Customer Journey Management to open lines of communication between your brand and your customers, thereby creating a personalized customer experience while ensuring empathy and support, will help your customers reach their goals, and you reach yours.

Main moments when policy holder churn take place

  1. At annual renewal and increase time
  2. When a claim is not paid
  3. When a claim is paid but the experience has been poor

Use case coming up!

Look out for our fourth post in the series where we’ll be looking at how a leading insurer set about improving the Claims and Servicing experiences by creating visibility and inspiring action.

We would love to understand your business challenges and the problems you’re trying to solve. Reach out to us and we’ll set you up with an expert for a no-obligation discussion.

Guide customer behavior with inQuba Journey Management

Download our product paper now

Read the full 4-part Insurance series now.

References:

  1. Accenture

 

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    Bruce Eidsvik

    inQuba President, North America

    Bruce is a seasoned executive with over 25 years of experience in sales and marketing mainly within the customer experience space. Bruce has held senior executive roles at Genesys, a private equity backed cloud customer experience company and OpenText, a NASDAQ listed information management company, where he led their Global Growth Marketing and Sales Development organizations. Prior to these roles, Bruce was the Managing Director for the APAC region at Genesys, based out of Singapore. Bruce is also an entrepreneur and a co-founder of Insight Venture backed VoiceGenie Technologies Inc, which was successfully exited in 2006.

    This work has led Bruce to points around the globe, helping both Fortune 100 and SMBs alike. Bruce is a frequent keynote speaker at CX events worldwide, where he is more than happy to share his experiences and best practices to help others. Bruce is a team builder, has a passion for driving creativity, developing leaders and getting stuff done. Bruce strongly believes that fun is an important component of driving great results. Outside of work, Bruce is an avid skier, road and mountain biker, triathlete and in love with the mountains.

    Bruce holds a Bachelors of Science degree with Honors in engineering physics from Queen’s University. After 14 years abroad, Bruce and his family are back in Canada and living just outside Banff, Alberta.

    Liza Rogers-Nolte

    Head: Inside Sales SA and Marketing

    Liza joined inQuba shortly after inception in 2011. She has held various roles and responsibilities during the time and has been vital to the success of the business. Since 2016, Liza has headed up inQuba’s global Inside Sales function, responsible for identifying, qualifying and nurturing new business relationships. She also plays a fundamental role within inQuba’s marketing function, being jointly responsible for all key, global marketing events. Liza also manages the relationships of inQuba Partners, specifically the Microsoft Partner Relationship for which she is the MSFT Alliance Partner Manager.

    Prior to inQuba, Liza spent over 10 years in London (UK) gaining international experience in various industries. This included working closely with top executives in FTSE 250 and blue-chip companies in industries such as banking, private equity, investment property, executive search, and others.

    Prinay Panday

    Head: BI and DevOps

    Prinay is responsible for overseeing all IT operations, technical delivery and technical strategy for inQuba, ensuring alignment with the company’s business requirements and goals. Prinay is responsible for assisting other departments within inQuba, such as Product, Development and Professional Services, in utilising technology efficiently and profitably. He also spent several years in software development at inQuba which has provided him with deeper insight into effective technical delivery and operations of the inQuba platform. Prior to joining inQuba, Prinay worked in IT operations and software development across various industries including insurance, banking and retail. Prinay holds a Bachelor of Science in Information Technology from the University of Johannesburg.

    Dasha Naidoo

    Head: Product Experience

    Dasha joined inQuba in 2013 and has held various positions over the years. Dasha found her niche when she joined the core Product team in designing the inQuba CX platform. As the Head of Product Experience, she is ultimately responsible for the overall user experience and value delivery to inQuba’s customers. Dasha has been instrumental in the product’s success, providing insight into design, customer behaviours and practical solutions to complex customer challenges. Before joining the product team, she spent 2 years guiding customers through their Customer Experience programmes.

    With a professional career spanning 10+ years, Dasha has extensive experience across CX, Marketing, Campaign management and Data management and analysis. Dasha holds a Bachelor of Commerce (Information Systems Technology) degree from the University of KwaZulu Natal.

    Kobus Snyman

    Head: Service Operations

    Kobus is responsible for overseeing all technical operations including customer support and general operations activities ensuring the inQuba’s customer platform is optimal and stable. He has extensive Systems and Business Analysis experience gained from industries such as Banking, Information Technology and Mining. He has gained solid knowledge in Project Management, Disaster Recovery and Business Continuity management as he managed the Disaster Recovery site for one of South Africa’s Big Four Banks for a significant period. In 2016, Kobus joined inQuba as a Senior Analyst and has subsequently been promoted to Head: Service Operations, bringing with him the technical platform knowledge as well as customer management experience gained through the management of large, strategic inQuba clients. Kobus holds a Certificate in IT Service Management (ITIL) and SDIP. He also holds an ‘Essential skills for the Business analyst’ certification.

    Eben Odendaal

    Head: Professional Services

    Eben is responsible for the successful delivery of inQuba’s CX solution programmes to clients. He is an experienced Business Consultant and Project Manager and has delivered multiple Management Consulting, Digital Application and Software Development programmes, across multiple industries, throughout his career. Eben holds a Mechanical Engineering degree from the University of Pretoria, an MBA from the University of Stellenbosch and is a registered Project Management Professional.

    Allan Lee Son

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    Allan is a Senior Architect in the core team working on the architecture and development of the inQuba CX platform for over six years. As a technical lead, product designer and software architect, he is a driving force in the inQuba Product Development team, providing insight into design and practical solutions to complex software challenges.

    Previous to joining inQuba, Allan’s five years at On-IT-1, developing software solutions for the Bosasa Group, have given him broad perspective on design, development and deployment of software applications across various industries, including aquaculture, youth rehabilitation, fleet management and device integrations for biometric and programmable logic controllers. Allan brings this valuable experience to bear on the challenges of developing a globally distributed SaaS platform.

    Allan completed his treatise in 2006 and holds a honours degree in Bachelor of Commerce (Computer Science and Information Systems) from the Nelson Mandela University.

    Warren Reed

    Senior Software Architect

    Warren is responsible for high-level software design choices and selecting the best tools, platforms, and technologies for developing and delivering inQuba’s CX software platform. He helped build the inQuba platform from the ground up, including products such as Engage, Case Management, and Journey Analytics. He implemented the continuous delivery pipeline that automatically deploys inQuba’s software solutions globally. Prior to inQuba, he spent five years at Bosasa architecting and developing systems for vehicle maintenance, youth development centres, access control security, and job recruitment. He also spent two years at Korbitec developing legal practice management software. Warren holds an honours degree in Computer Science and Information Systems from the Nelson Mandela University.

    Jon Salters

    Non-Executive Director

    Jon brings with him a wealth of experience in market research and technology enabled services in the insights domain.

    Prior to being strategic advisor to inQuba, Jon spent four years at Vision Critical, the world’s leader in Insight Community solutions where he launched Vision Critical’s presence in Africa, re-launched their partner program internationally and was also integrally involved in the team that executed the spin-off of Vision Critical’s Research and Consulting business unit which became a cornerstone of the newly formed Maru Group.

    Jon holds a GDE in Engineering Management and a B.Sc Mechanical Engineering (industrial Option) for the University of the Witwatersrand.

    Antony Adelaar

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    Antony joined the inQuba story early, towards the end of 2011. He is responsible for the planning, design, production, marketing and release of inQuba’s CX software solutions to customers on 4 continents. Prior to managing product, Antony oversaw the account management team who in turn oversee inQuba clients using the full range of inQuba CX solutions.

    Antony has ten years’ experience in market research across the African continent and across all major industries. Prior to inQuba, he headed up digital research at an agency, Yellowwood Future Architects, which specialises in strategy, research and design.

    Antony completed post-graduate Leadership Development studies at Gordon Institute of Business Science (GIBS), following a Bachelor’s degree (Industrial Psychology) at the University of South Africa.

    Trent Rossini

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    Trent is responsible for all operational delivery, professional services engagement, product conceptualisation and delivery of inQuba software. Prior to joining inQuba, Trent was the CIO for Discovery Health and in 2003, was appointed as COO of PruHealth, Discovery’s UK joint healthcare venture with Prudential. He also spent several years consulting on various systems integration projects for Deloitte and Accenture.Trent holds a B.Sc.(Mech) Engineering from the University of the Witwatersrand and a Graduate Diploma in Industrial Engineering.

    Micheal Renzon

    Group CEO

    Michael Renzon is an entrepreneur and visionary and the driving force behind highly successful internet, technology, content and Customer Experience companies. He is an Endeavor Entrepreneur, the leading high-impact entrepreneurship movement around the world, and was named the Most Promising Entrepreneur of Entrepreneur Organization (EO) in 2006.

    Michael’s thought leadership in Customer Experience and Customer Journey Management has been adopted by leading companies around the world who use inQuba’s analyst-rated Customer Journey SaaS Platform and Methodology to drive their customer experience transformation and customer journey optimization.

    Michael holds an MBA from the University of Cape Town, an Honours Degree in Computer Science and a Bachelor of Economic Science Degree, both from the University of the Witwatersrand.

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