Insurance Claims & Underwriting

Insurance Claims & Underwriting

KPMG's Insurance Claims & Underwriting service assists insurers to analyse and enhance their claims and underwriting functions.

We assist insurers to analyse and enhance their claims and underwriting functions.

With challenging markets, the claims and underwriting functions have become a critical focus area for insurers. In our view, successful insurers:

  • ensure greater claims and underwriting effectiveness, while still achieving customer experience improvements 
  • have an effective risk management framework, so as to maximise the protective value of underwriting, minimise avoidable claims leakage, reduce volatility of the claims experience and create a sustainable and profitable operating model 
  • realise opportunities for change can mean improved results, and is the first path to reinventing a claims or underwriting operation.

KPMG offers a leading Insurance Claims & Underwriting service which assists insurers to analyse and enhance their claims and underwriting functions. We achieve this through accessing global solutions and knowledge, and by forming long term relationships with our clients that shapes their service and operations.

How we can help

We have extensive industry experience, covering both direct insurers and reinsurers. Our specialist knowledge and expertise can assist with:

Service Innovation – Design and analysis of claims and underwriting service operating models including:

  • customer experience, approach and segmentation 
  • automation of simpler claims and triaging rule sets 
  • integration of practice & operating models 
  • simplicity of process – claims and underwriting rules development 
  • predictive analysis.

Enterprise Risk Management – Developing clear frameworks regarding:

  • structures, oversight and committees 
  • roles and responsibilities 
  • claims and underwriting risk appetite statements 
  • development of claims or underwriting principles, guidelines and standards 
  • monitoring and reporting.

Establishing leading industry practice – Including:

  • claims practice and management analysis (including product and underwriting effectiveness) 
  • industry benchmarking of claims and underwriting standards and capabilities 
  • development of tactical and strategic roadmaps for operational improvement.

People and Capability – Delivering:

  • quality assurance and competency delegations frameworks
    training and development programs 
  • specialist support for subject matter expertise – secondment placement 
  • KPIs and reporting.

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