president, ward group gaining 360 o view of your claims operation april 28, 2010 jeff rieder program...
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President, Ward Group
Gaining 360o View ofYour Claims Operation
April 28, 2010
Jeff Rieder
Program Manager, Assessments, Guidewire SoftwareEugene Lee
How Can You Better Measure Performance?
2© Guidewire and Ward Group Proprietary and Confidential. Do not distribute without permission.
360° Approach
Quantitative Benchmarking
Qualitative Process Assessment
ReviewingDoing
Integration of Financial Comparisons and Best Practices
3
Comparing numbers without understanding the underlying business practices (in detail) of the other companies quickly leads one to the dead end question, “Now what do we do?
Comparing business practices among companies without financial comparisons may cause one to implement a business practice that does not lead to superior performance.
MUST HAVE BOTH ELEMENTS!
© Guidewire and Ward Group Proprietary and Confidential. Do not distribute without permission.
The Need for Comparative Evaluation
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Internal / departmental
comparative data points: 1
Inter-office, intra- / inter-
company
comparative data points: varies, if avail.
Country specific benchmarks
comparative data points: ~60 max (UK)
International benchmarks
comparative data points: > 1000 max
Customer Service
Not available (trend only)
Limited dataset (if available at all)
Size of dataset depends on country and
desire/need to breakdown by
carrier size or LOB
Largest possible dataset – visibility into global best
practicesStaffing
ExpensesUtility depends on
specific metric
Indemnity
Comparative dataset
Metric category
Effective / Useful Limited dataset / utility Not available
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Where Do the Numbers Come FromApples to Apples Methodology
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Your Company’s Operating Structure
Operating Structure of Other Companies
ClaimsBenchmarking
Framework
Guidewire and Ward Group Proprietary and Confidential. Do not distribute without permission.
Key Performance Comparison
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Enabling Successful Projects that Deliver Improved Performance
Help customers define achievable, measurable objectives
System features to facilitate performance to targets
Assessment framework for claims process evaluation
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8© Guidewire Software, Inc. All rights reserved. Do not distribute without permission.
Qualitative Benchmarking SummaryClaim Intake &Assignment
CoverageVerification
FinancialControls
File Documentation& Correspondence
TaskManagement
Vendor Assignment& Management
Reporting &Supervisor Tools
Security &User Administration
Carrier B
Carrier A
Carrier C
Carrier D
Standard Evaluation Criteria
9© Guidewire Software, Inc. All rights reserved. Guidewire and Ward Group Proprietary and Confidential. Do not distribute without permission.
A Useful Tool at Multiple Stages of a Project
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Building a Business Case
Baselining & Evaluating
Project Impact
Tracking & Measuring
Continuous Improvement
Evaluation and analysis ofcurrent business processes
Claims Assessments provide:•Standard methodology•Evaluation framework•Peer benchmarking
© Guidewire and Ward Group Proprietary and Confidential. Do not distribute without permission.
Offer for UK Insurers
Introducing the formation of UK specific financial and best practice benchmarks
First 5 companies to sign up by June 30 receive the following benefits:▪ Financial & operational benchmarking analysis▪ Process & systems evaluation▪ Discount on normal prices
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Next Steps
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Interest formInterest form Individual meetingsIndividual meetings Sign contractSign contract
Due Date
Purpose / Content
15 May 15 June 30 June
Discuss specific needs
Shape proposed engagement
Finalize participation
Start / schedule engagements
Gather initial interest
Schedule follow-ups
Receive electronic copy of full sample deliverable
© Guidewire and Ward Group Proprietary and Confidential. Do not distribute without permission.
For more information
Quin Netzel, Ward Group▪ +1-904-477-6919▪ [email protected]
13© Guidewire and Ward Group Proprietary and Confidential. Do not distribute without permission.