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Digital Business
Setting Up a Successful Insurance
Venture
Precise business and operating model definitions can help insurers spin off
ventures that stay ahead of customer needs and market requirements. Here are
some lessons we’ve acquired by helping our clients establish winning ventures.
Executive Summary
Modern insurance is the result of a series of innovations
that happened long ago – be it Edward Lloyd’s invention
of the marine insurance market in a coffee shop that
became Lloyd’s of London, or Benjamin Franklin’s
introduction of the principle of rates based on property
risk assessments, or the establishment of life assurance
fundamentals by Edward Rowe Mores.
Fastforwardtotoday.Theinsuranceindustryisat
aninflectionpoint.Traditionalriskmanagementis
beingredefinedwiththechangingdefinitionofrisk
andanincreasingemphasisonpreventionaheadof
indemnification.Consumerizationanddigitalizationareat
theheartofhowtheindustryisreshaping.Consumerization
isbeingdrivenbycustomers’expectationsfor
individualized,personalizedandon-demandofferings.
Digitalizationisbecomingpervasiveacrossbothcustomer
touchpointsanddecision-makingprocesses.
Insurers are responding by exploring new business
models such as event-driven parametric insurance, risk
protection services and services that are complementary
to insurance. While insurtechs (which are incubated
with agility at their core) are succeeding by rewriting the
Cognizant 20-20 Insights
August 2019
rules of business, traditional players are struggling.
Established carriers suffer from extensive manual
processes, leaders who strongly believe in those
processes, inflexible legacy systems and a heavy
dependency on agents for selling.
To break these shackles, insurers globally are
setting up ventures in parallel to their traditional
business. In the second quarter of 2018, insurance
technology ventures totaled $527 million in 71 deals,
according to a quarterly survey by Willis Towers
Watson Securities.1
Insurance ventures have
proliferated via the establishment of dedicated
stand-alone operations. Examples include Liberty
Mutual’s Solaria Labs, MetLife’s LumenLab,
Guardian Life’s GIS Strategic Ventures, American
Family Ventures, MassMutual Ventures and Aviva
Ventures, among others.
In parallel, a number of ventures have been
established by noninsurance entities that are
looking to exploit growth opportunities in the
insurance space.
This white paper explores the unique challenges in
establishing insurance ventures, and how to define
successful business and operating models.
Cognizant 20-20 Insights
2  /  Setting Up a Successful Insurance Venture
Cognizant 20-20 Insights
3  /  Setting Up a Successful Insurance Venture
Five learnings from establishing insurance ventures
The success of insurance ventures often depends
on their uniqueness – i.e., how they deviate from
traditional insurance environments. Our takeaways:
1.	 It’s not about the big platforms. A key component
of a successful venture is the core platform that
supports its business. Traditional insurers select
platforms based on functional richness. Ventures
prioritize investments – e.g., to enhance user
experience rather than to provide technologically
complex features such as multicurrency support
or functionally rich capabilities such as support for
extraordinary life events.
Insurance ventures can look beyond the large
platform providers with heavy functionalities and
evaluate small, nimble platforms that focus on
experience. The success of the venture depends on
the platform satisfying these criteria:
❙❙ Business agility: Indicators here are the
ability to go-live fast with a minimum viable
product (MVP) and to adapt faster to
customer feedback.
❙❙ Technology flexibility: This typically
includes technological robustness, scalable
infrastructure, ease of integration and
sophisticated data-handling capabilities.
❙❙ Digital capability: Of utmost importance
is the digital experience provided by
the platform, which should increase the
engagement with the customer.
❙❙ Cost of implementation: This is gauged by
the amount of money required to deploy one
line of business with minimal customization.
❙❙ Implementation time: This is measured
by the time it takes to deploy one product
line with minimal customization, and by
subsequent rapid configurations of new
features, states and products.
2.	 The perfect mélange: Startup exuberance with
practicality. Insurance ventures are typically
formed with two distinct sets of people – individuals
with a traditional insurance carrier background
and those with startup experience. The individuals
with insurance experience often find it difficult
to immediately adapt to the agility of a startup.
The individuals with startup experience can find it
hard to think of processes that are needed for the
long-term sustenance of a financial entity. These
difficulties often lead to differences of opinions
and can delay decisions. Additional delays can
also creep in if a decision structure is not clearly
established. For example, who has the final word
in the insurance product design – the customer
insights team or the insurance product team?
Startup companies should establish clear roles
and responsibilities, and also engage third-party
services to facilitate faster decision-making and
resolve conflicts.
3.	 What is not created now, fails later. Innovations
cannot wait for implementation. They address user
needs that exist today, and the insurance industry is
changing rapidly.
Ventures should adopt the “start small, fail
fast” approach in their design, where they
need to be able to break the “big” idea into
“small prototypes” and test them in the
market. Prototypes that evoke positive market
sentiments should be pivoted to quick launch
so that they can ride on the wave of acceptance
and be profitable.
Cognizant 20-20 Insights
4  /  Setting Up a Successful Insurance Venture
4.	 A healthy relationship with the parent company
matters. The existence of a parent firm might create
issues: delays due to decision dependencies, cost
pressures that could lead to roadblocks and
possible regulatory implications if the parent
company is also an insurer.
Thepurposeoftheventureshouldbeclear–itcan
beanincubatorfortheparentcompanyoradirect
sellerindependentoftheparentcompany.Based
ontheintendedpurpose,itisimportanttoestablish
therightrelationshipwiththeparent–definethe
roleoftheparentfirmindecision-making,strategize
geographicalpresencewithrespecttotheparent
(e.g.,shouldtheysellinthesamestates?),and
determineoperationalandtechnologicalreuse/
synergies(e.g.,shouldtheyusethesameCRMand
financialprocessingsystems?).
5.	 The critical path might change the path of
the venture. Setting up the venture requires
managing multiple streams of work. The most
critical workstream might not be the one that
takes the most time. For example, regulatory
approval involves obtaining the NAIC ID, state
license and the product/rate filings, which is
usually more time-consuming and cumbersome
than envisioned, and can lead to launch delays.
Focusing on a critical path can create unforeseen
launch issues which can strangle fledgling
ventures in a cobweb of activities and delays.
When time-to-market is the critical
consideration, ventures should ensure that
time-consuming and externally dependent
workstreams are prioritized.
Venturesshouldadoptthe“startsmall,failfast”approachintheirdesign,
wheretheyneedtobeabletobreakthe“big”ideainto“smallprototypes”
andtesttheminthemarket.Prototypesthatevokepositivemarket
sentimentsshouldbepivotedtoquicklaunchsothattheycanrideon
thewaveofacceptanceandbeprofitable.
Unique considerations for a venture setup
LEARNINGS UNIQUENESS/CHALLENGES KEY CONSIDERATIONS FOR SETUP
It’s not about the
big platforms.
Business platform for a venture is beyond
just functional coverage; other factors like
digital robustness and agility are important.
What are the key selection parameters for
the right platform?
Who should we look at beyond the big
players of yesterday?
Theperfectmélange:Startup
exuberancewithpracticality.
Convergence of people with traditional and
startup mentalities can lead to decision delays.
How should we enable better
collaboration and decision-making?
What is not created now,
fails later.
Time-to-market is key to the success of a
venture; slow and steady will not win the
race.
How do we create a market-tested and
compelling solution?
How do we ensure agility and faster turnaround?
A healthy relationship with
parent company matters.
Relationship with the parent company
needs to be strategized early on to avoid
roadblocks and regulatory concerns.
How do we strategize the right relationship
with the parent company (operations,
technology synergies, office base, regulations)?
The critical path might change
the path of the venture.
The criticality of a step vs. the time taken
for setup requires early planning: Critical
steps may not always be the ones with
the maximum completion time.
What would be the critical path for the
venture? How do we define it?
Source: Cognizant
Figure 1
Cognizant 20-20 Insights
5  /  Setting Up a Successful Insurance Venture
Establishing Insurance
Ventures for Leading
Companies
One of the leading financial services firms in North America wanted to attract newer,
digitally savvy insurance customer segments. The firm engaged us to help set up a
digital venture that was not bound by the operating model of the parent firm. We
worked as a strategic advisor and helped the client through the entire journey, from
strategy to implementation support. The insurance venture was launched, from idea to
implementation, in roughly 17 months.
A growing capital management firm in North America sought to create a venture to enter
the property insurance market, with a focus on specific types of properties. The client
partnered with us to define and implement the operating model of the new insurance
venture. The insurer is now licensed to sell in all 50 states in the U.S.
A large investment company wanted to start a property and casualty insurtech across
Europe and North America. We were engaged in a strategic role to help the company
design and set up their risk engineering function – including risk engineering processes,
risk analytics and the risk engineering platform. The risk engineering function helped the
insurer in writing more profitable business. The insurer currently writes over $1 billion of
premiums for clients globally.
Quick Take
Cognizant 20-20 Insights
6  /  Setting Up a Successful Insurance Venture
Key dimensions of a successful venture
Source: Cognizant
Figure 2
Design principles for a successful insurance venture
Roughly 70% of startup tech companies fail, usually
within 20 months.2
Examples include peer-to-peer
(P2P) car insurance provider Guevara, which started
in late 2016, shut down during Q1 2018 and is now
looking to start afresh;3
millennial gadget and bike
insurance provider Kinsu, which started in 2016 and
decided to close in Q4 2018;4
drone startup Airware,
which partnered with Everest Insurance in June 2018
and ceased operations in September 2018.5
Many of
these ventures failed due to these reasons:
❙❙ Ineffective solution design: They either
were unable to address customer needs and
expectations, or they lacked a competitive edge.
❙❙ Insolvency: They ran out of cash due to the lack of
a well-planned business case up front.
❙❙ Ineffective operating model and management:
The team failed to effectively translate vision and
strategy into execution on the ground.
❙❙ Personnel issues: They didn’t have the right
team, suffered key management or development
departures, or lost focus.
To navigate these potential pitfalls, the venture needs
a business model and an operating model built in
a way that contributes to the key success factors:
desirability, viability, feasibility and sustainability/
scalability. The business and operating model must
be overseen and anchored by the right founding
team with complementary skills, unified vision and
the perseverance to carry the venture forward
beyond obstacles.
Figure 2 depicts the key dimensions of a successful
insurance venture across the business and operating
models. The unique considerations listed above
are factored into the business and operating model
setup.
Key
Components
Success
Factors
Success
Contributors
KEY
DIMENSIONS OF A
SUCCESSFUL VENTURE
Founding team
Business model
Desirability Feasibility Viability Sustainability & scalability
Operating model
Insurance
Solution/offering
Regulatory
compliance
Market
positioning
Business
case
Operations
People
Technology
Infra-
Structure
Validated
customer need &
solution
Competitive value
proposition
Regulatory proofing
Unique value
proposition
Viable
Business case
Lean, mean
target operating model
Cognizant 20-20 Insights
7  /  Setting Up a Successful Insurance Venture
Navigating insurance ventures across different business models
Source: Cognizant’s Insurance Venture Navigator
Figure 3
There are different types of business models available
to insurance ventures today. Figure 3 presents our
Venture Navigator, which depicts various types
of insurance ventures based on two factors: level
of disruption caused by the venture to prevailing
business models, and level of insurance intensiveness.
FULL
STACK
INSURERS
ACROSS
THE VALUE
CHAIN
ENABLERS
DISINTER-
MEDIARIES
BEYOND
INSURANCE
VALUE CHAIN
PROVIDERS
DIGITAL INSURERS
Full stack insurers selling
traditional products
through digital channels
only.
TRANSFORMERS
Full stack insurers selling
redefined products for new
age risks such as autonomous
cars and cyber liability
through digital channels.
DISRUPTORS
Full stack insurers selling
through newer business
models (P2P, parametric,
micro insurance) through
digital channels.
SERVICE
AGGREGATORS
Aggregators of insurance
service providers such as
surveyors and repairers.
AS-A-SERVICE
PROVIDERS
Providers of on demand
insurance services such as
agents, drone operators and
surveyors.
CROWDSOURCING
SERVICES
Enabling “Uber-ization”
of insurance services like
the crowdsourcing of
surveys for claims.
DIGITAL PLATFORM
PROVIDERS
Providers of digital platforms
such as distribution platforms,
UW andpolicy administration
platforms & claims
management platforms.
DATA SOLUTION
PROVIDERS
Aggregators of Internet-of-
Things-related data or 3rd-
party data, providing more
contextual data for insurers.
DIGITAL
SOLUTIONISTS
Providers of digital
solutions enabling
insurance processes
such as chatbots and
blockchain solutions.
LEAD GENERATORS
Nurturing leads through
dedicated platforms or call
centers and selling leads to
insurers.
COMPARISON
SITES
Enabling aggregation of
insurance quotes on digital
medium.
DIGITAL AGENCIES
Aggregation of
insurance quotes and
buying without human
intervention on digital
medium.
RISK MANAGERS
Providers of risk
management consultative
services.
VALUE ADD SERVICE
PROVIDERS
Providers or aggregatorsof
customer value-addedservices
suchasbusinesssupport
services,homemaintenance,
healthservices.
INTERNET OF “RISKS”
MANAGERS
Enabling risk management
servicesin theconnected
world.
MEDIUM LEVEL OF DISRUPTION HIGH
MEDIUMLEVELOFDOMAININTENSIVENESSHIGH
Cognizant 20-20 Insights
8  /  Setting Up a Successful Insurance Venture
Insurance operating model
Source: Cognizant
Figure 4
The operating model of the venture depends on the
business model. The processes required to support
the venture are determined by the business model,
and typically drive the people and technology
needs. For example, setting up a new-age insurance
company as a venture will require an end-to-end
value chain setup, while a claims-services-related
venture will require only pertinent claims processes.
Figure 4 represents a view of an end-to-end
insurance operating model blueprint across the
dimensions of people, process, technology and
infrastructure.
PROCESS
PEOPLE
TECHNOLOGY
INFRASTRUCTURE
PRODUCT
DEVELOPMENT
SALES AND
DISTRIBUTION
NEW BUSINESS AND
UNDERWRITING
POLICY
SERVICING
CLAIMS
ACTUARIES UNDERWRITINGSALES
SYSTEMS OF ENGAGEMENT / USER EXPERIENCE
PARTNERS
CORE PLATFORMS
DATA AND ANALYTICS
PHYSICAL & IT INFRASTRUCTURE
OPERATIONS
Cognizant 20-20 Insights
9  /  Setting Up a Successful Insurance Venture
Incubating the venture
Source: Cognizant
Figure 5
‘Imagineering’ a venture blueprint
To ensure a successful setup of an insurance venture,
startups must visualize an innovative future and
build the execution capability to realize it. Broadly
speaking, this can be viewed as two phases
of execution:
❙❙ Incubating the venture with a winning and future-
forward business model.
❙❙ Designing the operating model required to
support and scale the incubated venture.
Incubating the venture
The process should begin with asking a few key
questions across the dimensions of the business
model (as spelled out in Figure 5)
KEY
DIMENSIONS
KEY QUESTIONS TO BE
CONSIDERED
SUCCESS CRITERIA
OFFERING
❙❙ Who are the target customers (segments
and markets)?
❙❙ What are opportunities for gain creators
and pain relievers for the target customer
segment?
❙❙ What should be the unique value
proposition?
❙❙ What is the minimum viable/loveable
product (MVP/MLP) which can be
launched?
❙❙ What is the future product backlog?
❙❙ Validated customer need with desirable
and feasible solution blueprint.
MARKET
POSITIONING
❙❙ What is the differentiated proposition
compared to existing products?
❙❙ How can the proposition be explained to a
customer through familiar notions?
❙❙ What will be the right channel of
communication?
❙❙ Unique selling proposition.
REGULATORY
APPROVALS AND
COMPLIANCE
❙❙ What are the different regulatory
approvals required for registering the
insurance venture?
❙❙ What are the applicable product and rate
filing requirements?
❙❙ What are the applicable regulatory laws for
operations/processes?
❙❙ Regulatory proofing.
COMMERCIALS
❙❙ What are the cost drivers and levers for
influencing them?
❙❙ What are the revenue streams and
revenue projections?
❙❙ What is the breakeven point?
❙❙ What are the investment requirements
over the next three years?
❙❙ Viable business case.
Cognizant 20-20 Insights
10  /  Setting Up a Successful Insurance Venture
Defining the business model
Source: Cognizant
Figure 6
Figure 6 depicts a systematic approach to effective
business model design that addresses the key
questions asked in Figure 5. A design-thinking-
based approach provides a successful mode of
building an effective solution and business model
that can be taken to market.
Theventureneedstostartwithahigh-levelsolution
vision.Theneedsofthetargetcustomers(identified
asakeypartofthevision)shouldbethoroughly
understoodthroughbehavioralresearch.Solutionideas
thataddresstheseneedsarethenvettedviainnovation
workshops.Selectedonesareprototypedandthen
validatedwithaselectedsetoftargetcustomers.
Theprocessisiterative,andtheoutcomeisamarket-
readysolutionidea(s).Adetailedbusinesscaseis
designedfortheventuretounderstandtheinvestment
requirementsandrevenueprojections.Would-be
startupteamsmusthaveaholisticunderstandingofall
theregulatoryrequirementsapplicabletothesolution
ideaandventuresetupbeforeitislaunched.
Designing the operating model
With a holistic business model design established, it
becomes easier for the company to define an aligned
operating model design – across process, people,
technology and infrastructure. Key questions that
insurers should consider across these attributes are
covered in Figure 7 (next page).
INSURANCE
SOLUTION
VISION
Draw a high level
product hypothesis
Learn about
target customer
segments
Construct point of views or outside in
insights based on your user needs
Brainstorm
and come
up with
innovative
solution
ideas
Build
prototypes to
represent the
ideas
Validate the prototypes
with a selected user sets
and gather feedback
SUCCESSFUL
FAILPREPARE
TO
LAUNCH
1
Empathize
PIVOT
if failed
2
Insights
5
Test
3
Ideate
4
Prototype
DESIGN
THINKING
APPROACH
BUSINESS
CASE
❙❙ Identify revenue sources
and project revenue based
on assumptions.
❙❙ Identify the cost drivers
and project costs.
❙❙ Develop a detailed
business case.
❙❙ Prepare a plan for the
investments required.
REGULATORY
COMPLIANCE
❙❙ Conduct market scan
to understand all the
regulatory requirements
– for setup, products and
operations.
❙❙ Prepare a plan for the pre-
launch requirements.
❙❙ Document the regulatory
requirements that need
to be considered during
operating model setup.
MARKET
POSITIONING
STRATEGY
❙❙ Conduct market research
to understand the
competition, partners in
the market, etc.
❙❙ Design a market
positioning strategy
– market entry, brand
strategy, content strategy
and channel strategy.
FOR IDEAS THAT ARE PREPARED TO LAUNCH
Cognizant 20-20 Insights
11  /  Setting Up a Successful Insurance Venture
Operational Considerations
Source: Cognizant
Figure 7
KEY DIMENSIONS KEY QUESTIONS TO BE CONSIDERED SUCCESS CRITERIA
ACTUARIAL
❙❙ How to manage the filing processes with the regulatory authorities?
❙❙ What tools should be enabled for the actuaries?
Financialsoundness
withtime-to-market.
SALES
❙❙ What is the optimal set of channels required for the designed product and
targeted customer segments? How to integrate online and offline channels?
Sales effectiveness.
❙❙ How can “true fans” be created in the market to build the brand?
❙❙ Howcanthesaleschannelbeenabledtogeneratemoreleadsand
conversions?
❙❙ Is multi-branding needed with different channel partners?
Market penetration.
❙❙ How can conflicts be avoided among channels - existing or new?
❙❙ What can be innovative ways of partner remuneration?
Channel retention.
UNDERWRITING
❙❙ How much of straight-through-processing is desirable?
❙❙ How can the underwriting process be simplified?
❙❙ Will some of the current insurance roles (e.g., raters, policy processors)
exist in the future? If so, how can the skills of people be “future-proofed”?
❙❙ Whatarethesystemcapabilitiesrequiredforourunderwritingfunctions?
Process and cost-
efficiency.
❙❙ What third-party data sources are available to get better contextual
data of the risk? How may those sources be integrated?
❙❙ How can artificial intelligence or advanced analytics be leveraged to
help in the underwriting decision-making?
Pricing accuracy.
POLICY
SERVICING
OPERATIONS
❙❙ How to create standard operating procedures based on deliberate
design to make operations repeatable and efficient?
❙❙ How can the efficiency of the customer service representatives and
back office workers be tracked and managed?
❙❙ How to utilize analytics for continuous improvements?
Process and cost-
efficiency.
❙❙ How much self-servicing can be enabled for the customers? Customersatisfaction.
CLAIMS
OPERATIONS
❙❙ Howcantheclaimprocessesbemadecost-effectiveandcustomer-centric?
❙❙ How can a cost-effective partnership strategy be designed for claims
– loss surveys, risk prevention services, towing, roadside assistance,
recovery, repairs?
❙❙ What are the third-party data sources available to get better contextual
data of the loss?
❙❙ What are the system capabilities required to support the processes?
Process efficiency.
❙❙ What self-servicing capabilities are available for the customer? Customer satisfaction.
❙❙ Howcanartificialintelligencebeleveragedacrossclaimsfunctionssuchas
reserving,assignment,estimationandadjudicationforbetterclaimsdecisions?
Loss containment.
INFRASTRUCTURE
❙❙ What are the infrastructure requirements for operations including
physical locations, hardware and software assets?
❙❙ Can any of the parent company’s existing offices or setup be leveraged
for the venture, if available?
❙❙ How should IT infrastructure be setup and automated so that new
environments can be automatically configured?
Cost-efficiency.
❙❙ How should IT security vulnerabilities be identified and resolved, in a
continuous manner?
Cybersecurity.
Cognizant 20-20 Insights
12  /  Setting Up a Successful Insurance Venture
Designing the operating model
Source: Cognizant
Figure 8
Figure 8 details the key steps to design a lean
operating model in a well-integrated and sequenced
manner. The internal journeys (end-to-end
processes) required to support the business model
need to be robustly orchestrated. Following that, the
supporting people, technology and infrastructure
requirements need to be drafted such that they
ensure the leanest and most efficient process flows.
INSURANCE
PROCESS
PEOPLE
TECHNOLOGY
INFRASTRUCTURE
❙❙ Identify the functions/departments required to
support the solution (new business, underwriting,
claims, customer servicing etc.).
❙❙ Design lean core and supporting process across the
identified functions, based on industry best practices
through collaborative workshops with stakeholders.
❙❙ Document standard operating procedures and
training manuals across the process.
❙❙ Define the organizational structure, depicting the
hierarchical arrangement of lines of authority.
❙❙ Define the operational teams across the identified functions.
❙❙ Design team size, define roles across teams & map the skills
required across the roles.
❙❙ Prepare job descriptions for each of the roles.
❙❙ Identify a high level recruitment strategy.
❙❙ Define the future business and technical capabilities
required across processes.
❙❙ Define future state solution blueprint and technical
architecture across core, ancillary and systems of
engagement .
❙❙ Identify and evaluate COTS products through RFIs and
demo sessions, to suggest best fit product vendors.
❙❙ Design future state infrastructure (including hardware)
needs.
❙❙ Define sourcing strategy.
❙❙ Define security management strategy.
PROCESS MAPS
ORGANIZATION
STRUCTURE
TECHNICAL
BLUEPRINT
INFRASTRUCTURE
BLUEPRINT
SLAS & KPIS
STANDARD
OPERATING
PROCEDURES
JOB
DESCRIPTIONS
COTS PRODUCT
VENDORS
VENDOR
Cognizant 20-20 Insights
13  /  Setting Up a Successful Insurance Venture
The road ahead
Setting up an insurance venture is a complex
journey. It requires combining the agility of a
startup, knowledge of the insurance business
and the resilience to overcome failures. The
journey encompasses choosing the right design
principles given the type of insurance startup and
then “imagineering” to incubate the venture and
design the operating model. In this journey, diverse
capabilities are required. Insurance ventures can
increase their chances of success by choosing
partners that can complement and augment their
capabilities.
The right partner can bring in capabilities ranging
across business consulting, experience design and
operations implementation. Consulting capability
can assist in designing the right business and
operating models working with various stakeholders.
Design capability can assist in creating products
that are desirable and engaging. Implementation
capability can assist in bringing scale and speed of
launching while reducing the risks.
Thejourneyencompasseschoosingtherightdesignprinciplesgiven
thetypeofinsurancestartupandthen“imagineering”toincubatethe
ventureanddesigntheoperatingmodel.
Cognizant 20-20 Insights
14  /  Setting Up a Successful Insurance Venture
About the authors
Chris Blatchly
Chief Digital Officer & Consulting Leader for Insurance, Cognizant
Chris Blatchly is the Chief Digital Officer and Consulting Leader for Insurance at Cognizant. Chris helps insurers
harness the power of new technologies and the information they create to build their capabilities and transform
their businesses. As a former consulting partner, software company business unit leader and large company
IT executive, he has a unique perspective on technology strategy and executing process-driven business
transformation. Chris has a deep background in insurance and financial services, and he has often been in the
forefront of working with the latest technologies and successfully implementing them for his clients. Chris holds an
MBA in marketing from the University of Toronto, a master’s degree in economics from Western University and a
bachelor’s degree in economics from Trent University. He can be reached at Christopher.Blatchly@cognizant.com |
www.linkedin.com/in/chrisblatchly-3981a39.
Soumya Ranjan Dash
Senior Director and Insurance Innovation Leader, Cognizant
Soumya Ranjan Dash is a Senior Director and the Insurance Innovation Leader with Cognizant. He is a proven leader
in management consulting and digital transformation with over 15 years of experience in the global insurance
industry. Soumya has advised the senior management of global insurance majors on their top strategy, operations,
and technology issues, especially in the field of digital transformation. He has also led the development of innovative
insurance solutions on exponential technologies such as artificial intelligence (machine learning), the Internet of
Things, augmented reality/virtual reality and blockchain. Soumya has a post graduate degree in management from
the Indian Institute of Management (IIM), Calcutta and a bachelor of engineering degree from the Indira Gandhi
Institute of Technology, Sarang. He can be reached at Soumya.Dash@cognizant.com | https://www.linkedin.com/
in/soumyadash/.
Ramanujam Venkatesan
Property & Casualty Insurance Consulting Leader and Venture Setup Specialist, Cognizant
RamanujamVenkatesanisaDirectorforCognizantConsulting’sInsurancePractice.HeleadstheP&Cinsurance
consultingpractice.RamhasadvisedmanyinsurancecarriersacrossNorthAmerica,EuropeandAsia-Pacific.Hehas
extensiveexperienceinsettingupventurestrategiesforleadingcompaniesacrosstheglobe.Ramisalsoathoughtleader
whohaspublishedmanypapersandarticlesaboutopportunitiesintheinsuranceindustry.Hehasapostgraduatedegree
inmanagementfromtheIndianInstituteofManagement(IIM),Indoreandabachelorinengineeringdegreefromthe
UniversityofMadras.RamcanbereachedatRam.V@cognizant.com|https://www.linkedin.com/in/ram-venkatesan/.
Vinodh Stanley Stephen
Digital Insurance Consulting Manager, Cognizant
Vinodh Stanley Stephen is a Consulting Manager within Cognizant Consulting focused on the insurance industry.
Vinodh has worked with senior insurance executives across North America and the Asia-Pacific zone. His consulting
experience includes business transformation advisory, innovation advisory, digital strategy, process transformation,
operating model redesign, platform modernization and business case development. He has also conceptualized
innovative solutions and has also published many thought leadership papers in the digital insurance space. Vinodh has
a master’s degree in management from the Institute for Financial Management and Research (IFMR) and a bachelor’s
degree in engineering from Anna University. He also holds certifications from AICPCU and CII. Vinodh can be reached
at Vinodhstanley.Stephen@cognizant.com | https://www.linkedin.com/in/vinodh-stanley-stephen-50206218.
Cognizant 20-20 Insights
15  /  Setting Up a Successful Insurance Venture
Endnotes
1	 Quarterly InsurTech Briefing Q2 2018, September 2018, Tower Watson, www.willistowerswatson.com/-/media/WTW/
PDF/Insights/2018/09/insurtech-quarterly-report-q2-2018.pdf.
2	 298 Startup Failure Post-Mortems, February 28, 2019, CB Insights, www.cbinsights.com/research/startup-failure-post-
mortem/.
3	 Guevara 2.0 In the Works, Coverager.com, 2018, https://coverager.com/guevara-2-0-in-the-works/.
4	 “Unfortunately Kinsu is closing down. To manage your policy, please contact customer support,” Kinsu.com, 2018, https://
kinsu.co.uk/.
5	 “Drone startup Airware crashes, shuts down after burning $118M,” techcrunch.com, 2018, https://techcrunch.
com/2018/09/14/airware-shuts-down/.
Acknowledgments
The authors would like to thank Dinesh Maroo, a Cognizant Vice President of Insurance, for his thoughtful
feedback and inputs in the creation of this white paper.
© Copyright 2019, Cognizant. All rights reserved. No part of this document may be reproduced, stored in a retrieval system, transmitted in any form or by any means,electronic, mechanical,
photocopying, recording, or otherwise, without the express written permission from Cognizant. The information contained herein is subject to change without notice. All other trademarks
mentioned herein are the property of their respective owners.
Codex 4778
World Headquarters
500 Frank W. Burr Blvd.
Teaneck, NJ 07666 USA
Phone: +1 201 801 0233
Fax: +1 201 801 0243
Toll Free: +1 888 937 3277
European Headquarters
1 Kingdom Street
Paddington Central
London W2 6BD England
Phone: +44 (0) 20 7297 7600
Fax: +44 (0) 20 7121 0102
India Operations Headquarters
#5/535 Old Mahabalipuram Road
Okkiyam Pettai, Thoraipakkam
Chennai, 600 096 India
Phone: +91 (0) 44 4209 6000
Fax: +91 (0) 44 4209 6060
About Cognizant’s Insurance Business Unit
Cognizant is a leading global services partner for the insurance industry. In fact, seven of the top 10 global insurers and 33 of the top 50 U.S. insurers
benefit from our integrated services portfolio. We help our clients run better by driving greater efficiency and effectiveness, while simultaneously helping
them run differently by innovating and transforming their businesses for the future. Cognizant redefines the way its clients operate — from increasing
sales and marketing effectiveness, to driving process improvements and modernizing legacy systems, to sourcing business operations.
About Cognizant
Cognizant (Nasdaq-100: CTSH) is one of the world’s leading professional services companies, transforming clients’ business, operating and technology
models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient business-
es. Headquartered in the U.S., Cognizant is ranked 195 on the Fortune 500 and is consistently listed among the most admired companies in the world.
Learn how Cognizant helps clients lead with digital at www.cognizant.com or follow us @Cognizant.

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Setting Up a Successful Insurance Venture

  • 1. Digital Business Setting Up a Successful Insurance Venture Precise business and operating model definitions can help insurers spin off ventures that stay ahead of customer needs and market requirements. Here are some lessons we’ve acquired by helping our clients establish winning ventures. Executive Summary Modern insurance is the result of a series of innovations that happened long ago – be it Edward Lloyd’s invention of the marine insurance market in a coffee shop that became Lloyd’s of London, or Benjamin Franklin’s introduction of the principle of rates based on property risk assessments, or the establishment of life assurance fundamentals by Edward Rowe Mores. Fastforwardtotoday.Theinsuranceindustryisat aninflectionpoint.Traditionalriskmanagementis beingredefinedwiththechangingdefinitionofrisk andanincreasingemphasisonpreventionaheadof indemnification.Consumerizationanddigitalizationareat theheartofhowtheindustryisreshaping.Consumerization isbeingdrivenbycustomers’expectationsfor individualized,personalizedandon-demandofferings. Digitalizationisbecomingpervasiveacrossbothcustomer touchpointsanddecision-makingprocesses. Insurers are responding by exploring new business models such as event-driven parametric insurance, risk protection services and services that are complementary to insurance. While insurtechs (which are incubated with agility at their core) are succeeding by rewriting the Cognizant 20-20 Insights August 2019
  • 2. rules of business, traditional players are struggling. Established carriers suffer from extensive manual processes, leaders who strongly believe in those processes, inflexible legacy systems and a heavy dependency on agents for selling. To break these shackles, insurers globally are setting up ventures in parallel to their traditional business. In the second quarter of 2018, insurance technology ventures totaled $527 million in 71 deals, according to a quarterly survey by Willis Towers Watson Securities.1 Insurance ventures have proliferated via the establishment of dedicated stand-alone operations. Examples include Liberty Mutual’s Solaria Labs, MetLife’s LumenLab, Guardian Life’s GIS Strategic Ventures, American Family Ventures, MassMutual Ventures and Aviva Ventures, among others. In parallel, a number of ventures have been established by noninsurance entities that are looking to exploit growth opportunities in the insurance space. This white paper explores the unique challenges in establishing insurance ventures, and how to define successful business and operating models. Cognizant 20-20 Insights 2  /  Setting Up a Successful Insurance Venture
  • 3. Cognizant 20-20 Insights 3  /  Setting Up a Successful Insurance Venture Five learnings from establishing insurance ventures The success of insurance ventures often depends on their uniqueness – i.e., how they deviate from traditional insurance environments. Our takeaways: 1. It’s not about the big platforms. A key component of a successful venture is the core platform that supports its business. Traditional insurers select platforms based on functional richness. Ventures prioritize investments – e.g., to enhance user experience rather than to provide technologically complex features such as multicurrency support or functionally rich capabilities such as support for extraordinary life events. Insurance ventures can look beyond the large platform providers with heavy functionalities and evaluate small, nimble platforms that focus on experience. The success of the venture depends on the platform satisfying these criteria: ❙❙ Business agility: Indicators here are the ability to go-live fast with a minimum viable product (MVP) and to adapt faster to customer feedback. ❙❙ Technology flexibility: This typically includes technological robustness, scalable infrastructure, ease of integration and sophisticated data-handling capabilities. ❙❙ Digital capability: Of utmost importance is the digital experience provided by the platform, which should increase the engagement with the customer. ❙❙ Cost of implementation: This is gauged by the amount of money required to deploy one line of business with minimal customization. ❙❙ Implementation time: This is measured by the time it takes to deploy one product line with minimal customization, and by subsequent rapid configurations of new features, states and products. 2. The perfect mélange: Startup exuberance with practicality. Insurance ventures are typically formed with two distinct sets of people – individuals with a traditional insurance carrier background and those with startup experience. The individuals with insurance experience often find it difficult to immediately adapt to the agility of a startup. The individuals with startup experience can find it hard to think of processes that are needed for the long-term sustenance of a financial entity. These difficulties often lead to differences of opinions and can delay decisions. Additional delays can also creep in if a decision structure is not clearly established. For example, who has the final word in the insurance product design – the customer insights team or the insurance product team? Startup companies should establish clear roles and responsibilities, and also engage third-party services to facilitate faster decision-making and resolve conflicts. 3. What is not created now, fails later. Innovations cannot wait for implementation. They address user needs that exist today, and the insurance industry is changing rapidly. Ventures should adopt the “start small, fail fast” approach in their design, where they need to be able to break the “big” idea into “small prototypes” and test them in the market. Prototypes that evoke positive market sentiments should be pivoted to quick launch so that they can ride on the wave of acceptance and be profitable.
  • 4. Cognizant 20-20 Insights 4  /  Setting Up a Successful Insurance Venture 4. A healthy relationship with the parent company matters. The existence of a parent firm might create issues: delays due to decision dependencies, cost pressures that could lead to roadblocks and possible regulatory implications if the parent company is also an insurer. Thepurposeoftheventureshouldbeclear–itcan beanincubatorfortheparentcompanyoradirect sellerindependentoftheparentcompany.Based ontheintendedpurpose,itisimportanttoestablish therightrelationshipwiththeparent–definethe roleoftheparentfirmindecision-making,strategize geographicalpresencewithrespecttotheparent (e.g.,shouldtheysellinthesamestates?),and determineoperationalandtechnologicalreuse/ synergies(e.g.,shouldtheyusethesameCRMand financialprocessingsystems?). 5. The critical path might change the path of the venture. Setting up the venture requires managing multiple streams of work. The most critical workstream might not be the one that takes the most time. For example, regulatory approval involves obtaining the NAIC ID, state license and the product/rate filings, which is usually more time-consuming and cumbersome than envisioned, and can lead to launch delays. Focusing on a critical path can create unforeseen launch issues which can strangle fledgling ventures in a cobweb of activities and delays. When time-to-market is the critical consideration, ventures should ensure that time-consuming and externally dependent workstreams are prioritized. Venturesshouldadoptthe“startsmall,failfast”approachintheirdesign, wheretheyneedtobeabletobreakthe“big”ideainto“smallprototypes” andtesttheminthemarket.Prototypesthatevokepositivemarket sentimentsshouldbepivotedtoquicklaunchsothattheycanrideon thewaveofacceptanceandbeprofitable. Unique considerations for a venture setup LEARNINGS UNIQUENESS/CHALLENGES KEY CONSIDERATIONS FOR SETUP It’s not about the big platforms. Business platform for a venture is beyond just functional coverage; other factors like digital robustness and agility are important. What are the key selection parameters for the right platform? Who should we look at beyond the big players of yesterday? Theperfectmélange:Startup exuberancewithpracticality. Convergence of people with traditional and startup mentalities can lead to decision delays. How should we enable better collaboration and decision-making? What is not created now, fails later. Time-to-market is key to the success of a venture; slow and steady will not win the race. How do we create a market-tested and compelling solution? How do we ensure agility and faster turnaround? A healthy relationship with parent company matters. Relationship with the parent company needs to be strategized early on to avoid roadblocks and regulatory concerns. How do we strategize the right relationship with the parent company (operations, technology synergies, office base, regulations)? The critical path might change the path of the venture. The criticality of a step vs. the time taken for setup requires early planning: Critical steps may not always be the ones with the maximum completion time. What would be the critical path for the venture? How do we define it? Source: Cognizant Figure 1
  • 5. Cognizant 20-20 Insights 5  /  Setting Up a Successful Insurance Venture Establishing Insurance Ventures for Leading Companies One of the leading financial services firms in North America wanted to attract newer, digitally savvy insurance customer segments. The firm engaged us to help set up a digital venture that was not bound by the operating model of the parent firm. We worked as a strategic advisor and helped the client through the entire journey, from strategy to implementation support. The insurance venture was launched, from idea to implementation, in roughly 17 months. A growing capital management firm in North America sought to create a venture to enter the property insurance market, with a focus on specific types of properties. The client partnered with us to define and implement the operating model of the new insurance venture. The insurer is now licensed to sell in all 50 states in the U.S. A large investment company wanted to start a property and casualty insurtech across Europe and North America. We were engaged in a strategic role to help the company design and set up their risk engineering function – including risk engineering processes, risk analytics and the risk engineering platform. The risk engineering function helped the insurer in writing more profitable business. The insurer currently writes over $1 billion of premiums for clients globally. Quick Take
  • 6. Cognizant 20-20 Insights 6  /  Setting Up a Successful Insurance Venture Key dimensions of a successful venture Source: Cognizant Figure 2 Design principles for a successful insurance venture Roughly 70% of startup tech companies fail, usually within 20 months.2 Examples include peer-to-peer (P2P) car insurance provider Guevara, which started in late 2016, shut down during Q1 2018 and is now looking to start afresh;3 millennial gadget and bike insurance provider Kinsu, which started in 2016 and decided to close in Q4 2018;4 drone startup Airware, which partnered with Everest Insurance in June 2018 and ceased operations in September 2018.5 Many of these ventures failed due to these reasons: ❙❙ Ineffective solution design: They either were unable to address customer needs and expectations, or they lacked a competitive edge. ❙❙ Insolvency: They ran out of cash due to the lack of a well-planned business case up front. ❙❙ Ineffective operating model and management: The team failed to effectively translate vision and strategy into execution on the ground. ❙❙ Personnel issues: They didn’t have the right team, suffered key management or development departures, or lost focus. To navigate these potential pitfalls, the venture needs a business model and an operating model built in a way that contributes to the key success factors: desirability, viability, feasibility and sustainability/ scalability. The business and operating model must be overseen and anchored by the right founding team with complementary skills, unified vision and the perseverance to carry the venture forward beyond obstacles. Figure 2 depicts the key dimensions of a successful insurance venture across the business and operating models. The unique considerations listed above are factored into the business and operating model setup. Key Components Success Factors Success Contributors KEY DIMENSIONS OF A SUCCESSFUL VENTURE Founding team Business model Desirability Feasibility Viability Sustainability & scalability Operating model Insurance Solution/offering Regulatory compliance Market positioning Business case Operations People Technology Infra- Structure Validated customer need & solution Competitive value proposition Regulatory proofing Unique value proposition Viable Business case Lean, mean target operating model
  • 7. Cognizant 20-20 Insights 7  /  Setting Up a Successful Insurance Venture Navigating insurance ventures across different business models Source: Cognizant’s Insurance Venture Navigator Figure 3 There are different types of business models available to insurance ventures today. Figure 3 presents our Venture Navigator, which depicts various types of insurance ventures based on two factors: level of disruption caused by the venture to prevailing business models, and level of insurance intensiveness. FULL STACK INSURERS ACROSS THE VALUE CHAIN ENABLERS DISINTER- MEDIARIES BEYOND INSURANCE VALUE CHAIN PROVIDERS DIGITAL INSURERS Full stack insurers selling traditional products through digital channels only. TRANSFORMERS Full stack insurers selling redefined products for new age risks such as autonomous cars and cyber liability through digital channels. DISRUPTORS Full stack insurers selling through newer business models (P2P, parametric, micro insurance) through digital channels. SERVICE AGGREGATORS Aggregators of insurance service providers such as surveyors and repairers. AS-A-SERVICE PROVIDERS Providers of on demand insurance services such as agents, drone operators and surveyors. CROWDSOURCING SERVICES Enabling “Uber-ization” of insurance services like the crowdsourcing of surveys for claims. DIGITAL PLATFORM PROVIDERS Providers of digital platforms such as distribution platforms, UW andpolicy administration platforms & claims management platforms. DATA SOLUTION PROVIDERS Aggregators of Internet-of- Things-related data or 3rd- party data, providing more contextual data for insurers. DIGITAL SOLUTIONISTS Providers of digital solutions enabling insurance processes such as chatbots and blockchain solutions. LEAD GENERATORS Nurturing leads through dedicated platforms or call centers and selling leads to insurers. COMPARISON SITES Enabling aggregation of insurance quotes on digital medium. DIGITAL AGENCIES Aggregation of insurance quotes and buying without human intervention on digital medium. RISK MANAGERS Providers of risk management consultative services. VALUE ADD SERVICE PROVIDERS Providers or aggregatorsof customer value-addedservices suchasbusinesssupport services,homemaintenance, healthservices. INTERNET OF “RISKS” MANAGERS Enabling risk management servicesin theconnected world. MEDIUM LEVEL OF DISRUPTION HIGH MEDIUMLEVELOFDOMAININTENSIVENESSHIGH
  • 8. Cognizant 20-20 Insights 8  /  Setting Up a Successful Insurance Venture Insurance operating model Source: Cognizant Figure 4 The operating model of the venture depends on the business model. The processes required to support the venture are determined by the business model, and typically drive the people and technology needs. For example, setting up a new-age insurance company as a venture will require an end-to-end value chain setup, while a claims-services-related venture will require only pertinent claims processes. Figure 4 represents a view of an end-to-end insurance operating model blueprint across the dimensions of people, process, technology and infrastructure. PROCESS PEOPLE TECHNOLOGY INFRASTRUCTURE PRODUCT DEVELOPMENT SALES AND DISTRIBUTION NEW BUSINESS AND UNDERWRITING POLICY SERVICING CLAIMS ACTUARIES UNDERWRITINGSALES SYSTEMS OF ENGAGEMENT / USER EXPERIENCE PARTNERS CORE PLATFORMS DATA AND ANALYTICS PHYSICAL & IT INFRASTRUCTURE OPERATIONS
  • 9. Cognizant 20-20 Insights 9  /  Setting Up a Successful Insurance Venture Incubating the venture Source: Cognizant Figure 5 ‘Imagineering’ a venture blueprint To ensure a successful setup of an insurance venture, startups must visualize an innovative future and build the execution capability to realize it. Broadly speaking, this can be viewed as two phases of execution: ❙❙ Incubating the venture with a winning and future- forward business model. ❙❙ Designing the operating model required to support and scale the incubated venture. Incubating the venture The process should begin with asking a few key questions across the dimensions of the business model (as spelled out in Figure 5) KEY DIMENSIONS KEY QUESTIONS TO BE CONSIDERED SUCCESS CRITERIA OFFERING ❙❙ Who are the target customers (segments and markets)? ❙❙ What are opportunities for gain creators and pain relievers for the target customer segment? ❙❙ What should be the unique value proposition? ❙❙ What is the minimum viable/loveable product (MVP/MLP) which can be launched? ❙❙ What is the future product backlog? ❙❙ Validated customer need with desirable and feasible solution blueprint. MARKET POSITIONING ❙❙ What is the differentiated proposition compared to existing products? ❙❙ How can the proposition be explained to a customer through familiar notions? ❙❙ What will be the right channel of communication? ❙❙ Unique selling proposition. REGULATORY APPROVALS AND COMPLIANCE ❙❙ What are the different regulatory approvals required for registering the insurance venture? ❙❙ What are the applicable product and rate filing requirements? ❙❙ What are the applicable regulatory laws for operations/processes? ❙❙ Regulatory proofing. COMMERCIALS ❙❙ What are the cost drivers and levers for influencing them? ❙❙ What are the revenue streams and revenue projections? ❙❙ What is the breakeven point? ❙❙ What are the investment requirements over the next three years? ❙❙ Viable business case.
  • 10. Cognizant 20-20 Insights 10  /  Setting Up a Successful Insurance Venture Defining the business model Source: Cognizant Figure 6 Figure 6 depicts a systematic approach to effective business model design that addresses the key questions asked in Figure 5. A design-thinking- based approach provides a successful mode of building an effective solution and business model that can be taken to market. Theventureneedstostartwithahigh-levelsolution vision.Theneedsofthetargetcustomers(identified asakeypartofthevision)shouldbethoroughly understoodthroughbehavioralresearch.Solutionideas thataddresstheseneedsarethenvettedviainnovation workshops.Selectedonesareprototypedandthen validatedwithaselectedsetoftargetcustomers. Theprocessisiterative,andtheoutcomeisamarket- readysolutionidea(s).Adetailedbusinesscaseis designedfortheventuretounderstandtheinvestment requirementsandrevenueprojections.Would-be startupteamsmusthaveaholisticunderstandingofall theregulatoryrequirementsapplicabletothesolution ideaandventuresetupbeforeitislaunched. Designing the operating model With a holistic business model design established, it becomes easier for the company to define an aligned operating model design – across process, people, technology and infrastructure. Key questions that insurers should consider across these attributes are covered in Figure 7 (next page). INSURANCE SOLUTION VISION Draw a high level product hypothesis Learn about target customer segments Construct point of views or outside in insights based on your user needs Brainstorm and come up with innovative solution ideas Build prototypes to represent the ideas Validate the prototypes with a selected user sets and gather feedback SUCCESSFUL FAILPREPARE TO LAUNCH 1 Empathize PIVOT if failed 2 Insights 5 Test 3 Ideate 4 Prototype DESIGN THINKING APPROACH BUSINESS CASE ❙❙ Identify revenue sources and project revenue based on assumptions. ❙❙ Identify the cost drivers and project costs. ❙❙ Develop a detailed business case. ❙❙ Prepare a plan for the investments required. REGULATORY COMPLIANCE ❙❙ Conduct market scan to understand all the regulatory requirements – for setup, products and operations. ❙❙ Prepare a plan for the pre- launch requirements. ❙❙ Document the regulatory requirements that need to be considered during operating model setup. MARKET POSITIONING STRATEGY ❙❙ Conduct market research to understand the competition, partners in the market, etc. ❙❙ Design a market positioning strategy – market entry, brand strategy, content strategy and channel strategy. FOR IDEAS THAT ARE PREPARED TO LAUNCH
  • 11. Cognizant 20-20 Insights 11  /  Setting Up a Successful Insurance Venture Operational Considerations Source: Cognizant Figure 7 KEY DIMENSIONS KEY QUESTIONS TO BE CONSIDERED SUCCESS CRITERIA ACTUARIAL ❙❙ How to manage the filing processes with the regulatory authorities? ❙❙ What tools should be enabled for the actuaries? Financialsoundness withtime-to-market. SALES ❙❙ What is the optimal set of channels required for the designed product and targeted customer segments? How to integrate online and offline channels? Sales effectiveness. ❙❙ How can “true fans” be created in the market to build the brand? ❙❙ Howcanthesaleschannelbeenabledtogeneratemoreleadsand conversions? ❙❙ Is multi-branding needed with different channel partners? Market penetration. ❙❙ How can conflicts be avoided among channels - existing or new? ❙❙ What can be innovative ways of partner remuneration? Channel retention. UNDERWRITING ❙❙ How much of straight-through-processing is desirable? ❙❙ How can the underwriting process be simplified? ❙❙ Will some of the current insurance roles (e.g., raters, policy processors) exist in the future? If so, how can the skills of people be “future-proofed”? ❙❙ Whatarethesystemcapabilitiesrequiredforourunderwritingfunctions? Process and cost- efficiency. ❙❙ What third-party data sources are available to get better contextual data of the risk? How may those sources be integrated? ❙❙ How can artificial intelligence or advanced analytics be leveraged to help in the underwriting decision-making? Pricing accuracy. POLICY SERVICING OPERATIONS ❙❙ How to create standard operating procedures based on deliberate design to make operations repeatable and efficient? ❙❙ How can the efficiency of the customer service representatives and back office workers be tracked and managed? ❙❙ How to utilize analytics for continuous improvements? Process and cost- efficiency. ❙❙ How much self-servicing can be enabled for the customers? Customersatisfaction. CLAIMS OPERATIONS ❙❙ Howcantheclaimprocessesbemadecost-effectiveandcustomer-centric? ❙❙ How can a cost-effective partnership strategy be designed for claims – loss surveys, risk prevention services, towing, roadside assistance, recovery, repairs? ❙❙ What are the third-party data sources available to get better contextual data of the loss? ❙❙ What are the system capabilities required to support the processes? Process efficiency. ❙❙ What self-servicing capabilities are available for the customer? Customer satisfaction. ❙❙ Howcanartificialintelligencebeleveragedacrossclaimsfunctionssuchas reserving,assignment,estimationandadjudicationforbetterclaimsdecisions? Loss containment. INFRASTRUCTURE ❙❙ What are the infrastructure requirements for operations including physical locations, hardware and software assets? ❙❙ Can any of the parent company’s existing offices or setup be leveraged for the venture, if available? ❙❙ How should IT infrastructure be setup and automated so that new environments can be automatically configured? Cost-efficiency. ❙❙ How should IT security vulnerabilities be identified and resolved, in a continuous manner? Cybersecurity.
  • 12. Cognizant 20-20 Insights 12  /  Setting Up a Successful Insurance Venture Designing the operating model Source: Cognizant Figure 8 Figure 8 details the key steps to design a lean operating model in a well-integrated and sequenced manner. The internal journeys (end-to-end processes) required to support the business model need to be robustly orchestrated. Following that, the supporting people, technology and infrastructure requirements need to be drafted such that they ensure the leanest and most efficient process flows. INSURANCE PROCESS PEOPLE TECHNOLOGY INFRASTRUCTURE ❙❙ Identify the functions/departments required to support the solution (new business, underwriting, claims, customer servicing etc.). ❙❙ Design lean core and supporting process across the identified functions, based on industry best practices through collaborative workshops with stakeholders. ❙❙ Document standard operating procedures and training manuals across the process. ❙❙ Define the organizational structure, depicting the hierarchical arrangement of lines of authority. ❙❙ Define the operational teams across the identified functions. ❙❙ Design team size, define roles across teams & map the skills required across the roles. ❙❙ Prepare job descriptions for each of the roles. ❙❙ Identify a high level recruitment strategy. ❙❙ Define the future business and technical capabilities required across processes. ❙❙ Define future state solution blueprint and technical architecture across core, ancillary and systems of engagement . ❙❙ Identify and evaluate COTS products through RFIs and demo sessions, to suggest best fit product vendors. ❙❙ Design future state infrastructure (including hardware) needs. ❙❙ Define sourcing strategy. ❙❙ Define security management strategy. PROCESS MAPS ORGANIZATION STRUCTURE TECHNICAL BLUEPRINT INFRASTRUCTURE BLUEPRINT SLAS & KPIS STANDARD OPERATING PROCEDURES JOB DESCRIPTIONS COTS PRODUCT VENDORS VENDOR
  • 13. Cognizant 20-20 Insights 13  /  Setting Up a Successful Insurance Venture The road ahead Setting up an insurance venture is a complex journey. It requires combining the agility of a startup, knowledge of the insurance business and the resilience to overcome failures. The journey encompasses choosing the right design principles given the type of insurance startup and then “imagineering” to incubate the venture and design the operating model. In this journey, diverse capabilities are required. Insurance ventures can increase their chances of success by choosing partners that can complement and augment their capabilities. The right partner can bring in capabilities ranging across business consulting, experience design and operations implementation. Consulting capability can assist in designing the right business and operating models working with various stakeholders. Design capability can assist in creating products that are desirable and engaging. Implementation capability can assist in bringing scale and speed of launching while reducing the risks. Thejourneyencompasseschoosingtherightdesignprinciplesgiven thetypeofinsurancestartupandthen“imagineering”toincubatethe ventureanddesigntheoperatingmodel.
  • 14. Cognizant 20-20 Insights 14  /  Setting Up a Successful Insurance Venture About the authors Chris Blatchly Chief Digital Officer & Consulting Leader for Insurance, Cognizant Chris Blatchly is the Chief Digital Officer and Consulting Leader for Insurance at Cognizant. Chris helps insurers harness the power of new technologies and the information they create to build their capabilities and transform their businesses. As a former consulting partner, software company business unit leader and large company IT executive, he has a unique perspective on technology strategy and executing process-driven business transformation. Chris has a deep background in insurance and financial services, and he has often been in the forefront of working with the latest technologies and successfully implementing them for his clients. Chris holds an MBA in marketing from the University of Toronto, a master’s degree in economics from Western University and a bachelor’s degree in economics from Trent University. He can be reached at Christopher.Blatchly@cognizant.com | www.linkedin.com/in/chrisblatchly-3981a39. Soumya Ranjan Dash Senior Director and Insurance Innovation Leader, Cognizant Soumya Ranjan Dash is a Senior Director and the Insurance Innovation Leader with Cognizant. He is a proven leader in management consulting and digital transformation with over 15 years of experience in the global insurance industry. Soumya has advised the senior management of global insurance majors on their top strategy, operations, and technology issues, especially in the field of digital transformation. He has also led the development of innovative insurance solutions on exponential technologies such as artificial intelligence (machine learning), the Internet of Things, augmented reality/virtual reality and blockchain. Soumya has a post graduate degree in management from the Indian Institute of Management (IIM), Calcutta and a bachelor of engineering degree from the Indira Gandhi Institute of Technology, Sarang. He can be reached at Soumya.Dash@cognizant.com | https://www.linkedin.com/ in/soumyadash/. Ramanujam Venkatesan Property & Casualty Insurance Consulting Leader and Venture Setup Specialist, Cognizant RamanujamVenkatesanisaDirectorforCognizantConsulting’sInsurancePractice.HeleadstheP&Cinsurance consultingpractice.RamhasadvisedmanyinsurancecarriersacrossNorthAmerica,EuropeandAsia-Pacific.Hehas extensiveexperienceinsettingupventurestrategiesforleadingcompaniesacrosstheglobe.Ramisalsoathoughtleader whohaspublishedmanypapersandarticlesaboutopportunitiesintheinsuranceindustry.Hehasapostgraduatedegree inmanagementfromtheIndianInstituteofManagement(IIM),Indoreandabachelorinengineeringdegreefromthe UniversityofMadras.RamcanbereachedatRam.V@cognizant.com|https://www.linkedin.com/in/ram-venkatesan/. Vinodh Stanley Stephen Digital Insurance Consulting Manager, Cognizant Vinodh Stanley Stephen is a Consulting Manager within Cognizant Consulting focused on the insurance industry. Vinodh has worked with senior insurance executives across North America and the Asia-Pacific zone. His consulting experience includes business transformation advisory, innovation advisory, digital strategy, process transformation, operating model redesign, platform modernization and business case development. He has also conceptualized innovative solutions and has also published many thought leadership papers in the digital insurance space. Vinodh has a master’s degree in management from the Institute for Financial Management and Research (IFMR) and a bachelor’s degree in engineering from Anna University. He also holds certifications from AICPCU and CII. Vinodh can be reached at Vinodhstanley.Stephen@cognizant.com | https://www.linkedin.com/in/vinodh-stanley-stephen-50206218.
  • 15. Cognizant 20-20 Insights 15  /  Setting Up a Successful Insurance Venture Endnotes 1 Quarterly InsurTech Briefing Q2 2018, September 2018, Tower Watson, www.willistowerswatson.com/-/media/WTW/ PDF/Insights/2018/09/insurtech-quarterly-report-q2-2018.pdf. 2 298 Startup Failure Post-Mortems, February 28, 2019, CB Insights, www.cbinsights.com/research/startup-failure-post- mortem/. 3 Guevara 2.0 In the Works, Coverager.com, 2018, https://coverager.com/guevara-2-0-in-the-works/. 4 “Unfortunately Kinsu is closing down. To manage your policy, please contact customer support,” Kinsu.com, 2018, https:// kinsu.co.uk/. 5 “Drone startup Airware crashes, shuts down after burning $118M,” techcrunch.com, 2018, https://techcrunch. com/2018/09/14/airware-shuts-down/. Acknowledgments The authors would like to thank Dinesh Maroo, a Cognizant Vice President of Insurance, for his thoughtful feedback and inputs in the creation of this white paper.
  • 16. © Copyright 2019, Cognizant. All rights reserved. No part of this document may be reproduced, stored in a retrieval system, transmitted in any form or by any means,electronic, mechanical, photocopying, recording, or otherwise, without the express written permission from Cognizant. The information contained herein is subject to change without notice. All other trademarks mentioned herein are the property of their respective owners. Codex 4778 World Headquarters 500 Frank W. Burr Blvd. Teaneck, NJ 07666 USA Phone: +1 201 801 0233 Fax: +1 201 801 0243 Toll Free: +1 888 937 3277 European Headquarters 1 Kingdom Street Paddington Central London W2 6BD England Phone: +44 (0) 20 7297 7600 Fax: +44 (0) 20 7121 0102 India Operations Headquarters #5/535 Old Mahabalipuram Road Okkiyam Pettai, Thoraipakkam Chennai, 600 096 India Phone: +91 (0) 44 4209 6000 Fax: +91 (0) 44 4209 6060 About Cognizant’s Insurance Business Unit Cognizant is a leading global services partner for the insurance industry. In fact, seven of the top 10 global insurers and 33 of the top 50 U.S. insurers benefit from our integrated services portfolio. We help our clients run better by driving greater efficiency and effectiveness, while simultaneously helping them run differently by innovating and transforming their businesses for the future. Cognizant redefines the way its clients operate — from increasing sales and marketing effectiveness, to driving process improvements and modernizing legacy systems, to sourcing business operations. About Cognizant Cognizant (Nasdaq-100: CTSH) is one of the world’s leading professional services companies, transforming clients’ business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient business- es. Headquartered in the U.S., Cognizant is ranked 195 on the Fortune 500 and is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com or follow us @Cognizant.