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RAPA | 2018 Annual Conference October 21st – 23rd, 2018

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  • RAPA | 2018 Annual Conference

    October 21st – 23rd, 2018

  • Agenda

    8:30 – 9:00 Welcome and Introductions

    9:00 – 10:00 An Introduction to Artificial Intelligence

    10:00 – 10:30 Break

    10:30 – 11:30 Claims: Reviewing the Current Ecosystem& Identifying

    Priorities for Improvement.

    11:30 – 12:30 Total Line/Jumbo – Is There a Problem to be Solved?

    12:30 – 1:45 Lunch

    1:45 – 5:30 Roundtable Session

    Do Old Dogs Need to Lean New Tricks or Do New Dog Need to Learn

    Old Tricks?

    Design Thinking Sprint: The Puzzle Project

    4:00 – 4:30 Break

    Accelerated Underwriting

    5:30 Adjourn Day 1

    7:00 Cocktail Reception and Dinner

  • Antitrust StatementThe Association makes no warranties as to the accuracy of the information contained in discussion forums, meeting minutes or presenter materials. The posting of messages, meeting minutes or presentation materials does not constitute knowledge, endorsement or approval by the Association, nor do we accept any liability for the content of any posting. Individuals using these discussion forums do so at their own risk and shall also remain individually responsible for their actions and statements in using these discussion forums. Because the Association is committed to adhering strictly to the United States and Canada antitrust, copyright, trademark, securities and other federal statutes, as well as state or provincial common laws covering libel, slander, defamation, false advertising, invasion of privacy and violations of the rights of publicity, we strongly discourage users of our discussion forums or attendees of our meetings from verbally stating or writing anything that (1) sets or controls prices or terms of products or services and the manners in which products or services are sold; (2) violates the proprietary or personal rights of others; or (3) constitutes an advertisement. Your use of or participation in Association discussion forums or meetings is acknowledgement of your agreement with the above and your promise to use these forums in a professional and courteous manner.

  • Welcome to New Orleans (or-lins)

    Originally inhabited by the Chitimacha tribe, New Orleans was founded in 1718 by the French as La

    Nouvelle-Orléans, and named in honor of the Regent of France, Philip II, Duke of Orléans. It was sold to

    the U.S. in the historical Louisiana Purchase in1803, and migrated by Americans, French, Creoles,

    Africans, Irish, Germans, and Italians.

    New Or-lins 10 interesting facts

    10. Louisiana is broken into 5 subdivisions called parishes(not counties) - Orleans, Jefferson, Plaquemines, St. Bernard,

    and St. Tammy.

    9. The city was developed in a rectangle block known as the French Quarter, and well known for Cajun style culinary

    dishes. Gumbo anyone?

    8. New Orleans is NOT the home of the first Mardi Gras celebration in the United States. The first was in Mobile, Alabama.

    Really??

    7. Hurricane Katrina in 2005 – levee systems failed and 80% of the city flooded. More than 1,500 died and many were

    permanently displaced.

    6. The New Orleans Saints won their only Super Bowl appearance in 2010. Five years after the Hurricane Katrina

    disaster. The chant "Who dat? Who dat? Who dat say dey gonna beat dem Saints?“ became a rally cry for fans and the city

    of New Orleans post-Katrina.

    5. The Superdome is the largest enclosed arena in the world. More than two football fields in diameter. That is Super!!

    4. Alcohol is available in New Orleans at any moment of the day. Bars can stay open all night and liquor is sold in grocery

    stores. Anyone have eggs and bourbon on their grocery list?

    3. Lee Harvey Oswald, John F. Kennedy’s ‘assassin’, was born in New Orleans in 1939.

    2. New Orleans is where the first opera was performed in the U.S. back in 1796.

    1. New Orleans is the birthplace of Jazz and many famous musicians such as Louis Armstrong, Fats Domino, and Harry

    Connick Jr.

    Enjoy “The Big Easy”

  • Executive and Initiative Chairs

    Eddie Martinez – Chair

    Genevra Pflaum – Vice Chair

    Greg LaRochell – Past Chair

    Garfield McIntyre – Treasurer

    Jill Dupuis – Secretary

    Susan Whitehead – Membership

    Kelly Priest – Planning

    Karen Rotondi – Communications

    Dalia Khoury – Education

    Lynn Martone – Risk Management

    Brittainy Jones – Post Level Term

    Rhonda Nielsen-Jackson – Data Quality

    Mitch O’Campo – Innovation

  • RAPA RECOGNITION

    • Special RAPA Thank You to the spokes that make our

    RAPA wheel turn

    • Members of our Board

    • Initiative Leads and Committee volunteers

    • Transitions in-progress

    • Treasurer role

    • Communications

    • Education

    • Risk Management

  • Thanks to our Sponsors!

    PLATINUM

    BLACK

  • Thanks to our Sponsors!

    SILVER

    GOLD

    BRONZE

    CANADA

    US

  • Membership Overview

    • 110 Members

    • New Membership Package established

    to encourage non-member companies

    • Equitable distribution between Direct

    Writers and Reinsurers

    Other Countries 3%

    Canada 41%U.S.A. 56%

    2018 Geographic Distribution

    Australia, Barbados, Bermuda, Oman Canada U.S.A.

    40

    %

    41

    %

    7%

    12

    %

    INSURA NCE COMPA NIES REINSURERS RETROCESS IONA IRES V END ORS

    INDUSTRY DISTRIBUTION

  • CommunicationsWebsite

    Fully functional with on-going improvements

    RAPA content continues to be updated – Whitepapers, SOA, CRC,

    Newsletters, etc - Check back frequently

    Links to social media

    Paypal Integration (reduces cost for Association)

  • Treasurer’s Report

    Healthy Balance remains stable year-over-year

    Robust Due Diligence

    ▪ Budget

    ▪ Cash Management

    ▪ Financial Statements

    Annual IRS 990 filing completed for the association

  • Artificial Intelligence

    We’re smarter together

    September 2018

    The journey towards smarter automation has just begun

    Ashley Broering, AVP Digital & Smart Analytics

  • 13

    What is AI?

    Why now?

    Why care?

    Agenda

    Wow, what should we do?

    2

    3

    4

    1?

  • 14

    What is AI?

    2 3 41?

  • Artificial Intelligence

    15

    The concept of AI is often mistaken for robots overtaking humanity

  • 16

    Artificial intelligence(AI) is the intelligence of a machine that could successfully perform any intellectual task that a human being can.

    AI is the computer science term for allowing computers to think like humans

    perceiving

    reasoning

    learning

    problem solving

  • 17

    High Level AI Spectrum

    ARTIFICIAL INTELLIGENCEbeginning in the 50s

    MACHINE LEARNINGfrom the 80s

    DEEP LEARNINGthe last decade

    AI represents a spectrum of capabilities whereby machines learn from data

  • 18

    Machine learning: algorithms that use data and statistics so that computers get better at performing a task

    Reinforcement Learning

    Unsupervised Learning

    Supervised Learning

    Mac

    hin

    e Le

    arn

    ing

    Tech

    niq

    ues

    New Data

    These are birds

    Input: Unlabelled Data

    “Bird”

    “Bird”“Bird”

    Take Action

    Observe / Get Reward

    Check Mate

    Input: Labelled Data

    Beginning State End State

    Got it!

    It’s a Bird

    I see a pattern

  • 19

    Deep learning: a type of machine learning, inspired by biology, that uses multiple software layers to form a “neural network”

    INPUT LAYER

    HIDDEN LAYERS OUTPUT LAYER

    Artificial Neural Network

    • Require larger datasets• Generally produce better

    results

    Key Features:

    More Layers = “Deep” Network

  • 20

    AlphaGo: A Deep Learning Success Story

    Solution: self-play & unsupervised training

    Image from: Alphagomovie.com

    Image from: https://blog.yellowant.com/before-google-duplex-5-ai-technologies-that-wowed-us-52aa2f942338

    Lee Sedolwinner of 18 world titles

    computer program

    “AlphaGo” vs.

    Problem: Once we pass human performance, there is no more good training data

  • 21

    There are many branches and applications of AI

    Virtual Assistants

    Speech to Speech

    Translation

    Natural Language Processing

    Robotics

    Recommendation Engines

    Analyze textual data written in human language, from words, syntactic structure, to semantic meaning

    Studies the computing that relates to, arises from, or deliberately influences emotion or other affective phenomena.

    Process images and videos. Recognize objects, identifying depth of objects, direction of light, and the interpretation of images.

    Process signals and transform waveforms into words and sentences.

    Some examples you may have heard of…

    Computer Vision

    Affective Computing

    Speech Recognition

  • 22

    AI models and techniques enable increasingly advanced analytics

    Image from: https://becominghuman.ai/lets-talk-about-advanced-analytics-a-brief-look-at-artificial-intelligence-bf1c7a7d3f96

  • 23

    Why now?

    2 3 41?

  • 24

    AI is not a new topicSony first introduced its Autonomous Entertainment Robot, AIBO, in 1999

    AIBO ERS-210 from: https://www.sony.net/SonyInfo/News/Press_Archive/200010/00-050A/

    AIBO ERS-110, released in 1999

    • Displays happiness and anger • Detects distance from a certain object• Has a head sensor so owners can praise or discipline the dog

    AIBO ERS-110 from: https://www.roboticstoday.com/robots/aibo-ers-110-description

    AIBO ERS-210, released in 2000

    • Recognizes its own name and simple words• Has additional sensors so it can show “an abundant array of emotions”• Reacts to external stimulus and makes its own judgements

  • 25

    An era of massive data & cheap storage makes AI more accessible

    1970 1980 1990 2000 2010

    Sto

    red

    Dig

    ital

    Info

    rmat

    ion 2.7 Zetabytes

    of data exist today

    48hoursof new video every

    minute of every day

    100terabytes of data uploaded

    daily on

    44x more data in 2020 than in 2009

    The Digital Transformation

    Data sizes from: https://analyticsweek.com/content/big-data-facts/

    Storage costs from: https://www.computerworld.com/article/3182207/data-storage/cw50-data-storage-goes-from-1m-to-2-cents-per-gigabyte.html

    1MB hard drive cost $1M in 1967, today

    it’s about $0.02

  • 26

    AI is more relevant now because the data explosion has been coupled with an increase in processing power

    “Recent advances in hardware have

    exponentially increased the

    amount of data that can be

    processed through deep learning.

    Graphical processing units (GPUs) leveraged by video games have increased the speed of

    deep learning systems by orders of magnitude,

    reducing running times from weeks to days. “

    - Dr. Christian Klose, Dr. Nitin Nayak

    Decoding the human genome

    10 years 1 week

  • 27

    AI algorithms have been developing and improving over time

    1950 19601940

    ANOVA

    Fisher's linear discriminant

    Naive Bayes classifier

    Artificial Neural Network

    Perceptron

    Logistic regression

    Backpropagation

    Quadratic classifiers

    Hidden Markov models

    Nearest Neighbor Algorithm

    K-means algorithm

    1980 19901970

    Multinomial logistic regression

    Support Vector Machines

    Single-linkage clustering

    Expectation-maximization algorithm

    CART

    CHAID

    Self-organizing map

    Word Embedding

    Boltzmann machine

    Bayesian network

    Boosting

    C4.5

    Bootstrap (bagging)

    Apriori algorithm

    Random Forests

    2000 2010

    Conditional Random Field

    Latent Dirichlet Allocation

    MapReduce

    Deep Learning

    2018

    Non-parametric Bayesian

    source: Andrew Ng

  • 28

    Advances in algorithms, data, and computing power have propelled AI into the spotlight

    https://www.mckinsey.com/business-functions/mckinsey-analytics/our-insights/an-executives-guide-to-ai

    AlgorithmsMassive data & cheap storage

    Processing power

  • 29

    Why care?

    2 3 41?

  • 30

    AI is already all around us.

    1.

  • 31

    Voice Recognition in Every Day LifeDeep Learning enables speech recognition systems

    Deep Learning revolutionized the field of speech recognition.

    Almost all current speech recognition systems are based on Deep Learning.

  • 32

    AI in HealthcareAI can assist doctors in cancer detection

    Skin cancer is primarily diagnosed visually, beginning with an initial clinical screening and followed potentially by dermoscopic analysis.

    Deep Learning achieves performance on par with tested experts, demonstrating a level of competence comparable to dermatologists.

  • 33

    Autonomous Intelligent VehiclesDeep Learning to solve self-driving car tasks

    Street Mapping

    •Where am I?

    Scene Understanding

    •Where is everyone else?

    Movement Planning

    •How do I get from A to B?

    Driver State

    •What’s the driver up to?

    https://selfdrivingcars.mit.edu/

  • 34

    Autonomous Intelligent VehiclesDeep Learning to solve self-driving car tasks

    Street Mapping

    •Where am I?

    Scene Understanding

    •Where is everyone else?

    Movement Planning

    •How do I get from A to B?

    Driver State

    •What’s the driver up to?

    https://selfdrivingcars.mit.edu/

  • 35

    Autonomous Intelligent VehiclesDeep Learning to solve self-driving car tasks

    Street Mapping

    •Where am I?

    Scene Understanding

    •Where is everyone else?

    Movement Planning

    •How do I get from A to B?

    Driver State

    •What’s the driver up to?

    https://selfdrivingcars.mit.edu/

  • 36

    Autonomous Intelligent VehiclesDeep Learning to improve driver safety

    Street Mapping

    •Where am I?

    Scene Understanding

    •Where is everyone else?

    Movement Planning

    •How do I get from A to B?

    Driver State

    •What’s the driver up to?

    https://selfdrivingcars.mit.edu/

  • 37

    Man’s best friend is back

    Sony is re-launching its robot dog, Aibo, which now uses the same kind of AI that’s in self-driving cars

    $2,899 bundle package:

    Aibo will be in the US in time for the holidays!

    Source: https://www.cnet.com/news/sony-new-aibo-robot-dog-is-finally-coming-to-the-us/

  • 38

    AI is changing what we insure…

    … and how we insure it

    2.

  • 39

    AI touches all areas in the Insurance Value Chain

    Sales UnderwritingPolicy

    AdministrationClaims

  • 40

    AI can increase sales and streamline the sales process

    ➢Reach customers through new distribution channels

    ➢Personalize communication and provide relevant advice

    ➢Understand existing and potential customers to

    improve upselling & cross-selling

    ➢Prioritize leads to focus on closing the most promising cases

    SalesUnderwritin

    g

    Policy Administrat

    ionClaims

    Insurance products can be embedded in Digital Ecosystems to provide relevant product options

    AI-enabled Opportunities:

  • 41

    AI will fundamentally change the way we assess risk

    Pressure from consumers, new data sources, and analytics capabilities have given rise to accelerated underwriting initiatives

    ➢Improve customer journeys and lower costs by

    increasing straight-through processing

    ➢Increase price flexibility through a more personalized and accurate cost of claims prediction

    ➢Detect anomalies due to mistakes and nondisclosure

    SalesUnderwritin

    g

    Policy Administrat

    ionClaims

    AI-enabled Opportunities:

  • 42

    AI can help identify and manage risks in existing books of business

    Smart home, smart mobility, and smart health devices engage consumers and provide new data streams for AI models

    ➢Engage policy holders to improve risk awareness and jointly prevent future risks

    ➢Understand if risk selection was as planned

    ➢Identify and manage factors that drive claims costs

    ➢Focus retention efforts to reduce lapse of good risks

    SalesUnderwritin

    g

    Policy Administrat

    ionClaims

    AI-enabled Opportunities:

  • 43

    AI can streamline claims processing

    Satellite images can be used to expedite the estimation of damages and claims following a natural catastrophe

    ➢Improve fraud detection

    ➢Optimize current claims processing

    ➢Estimate expected costs from open claims

    SalesUnderwritin

    g

    Policy Administrat

    ionClaims

    AI-enabled Opportunities:

    𝒑𝒊 𝒑𝒊

    Satellite 𝑆𝑎𝑓𝑡𝑒𝑟 Satellite 𝑆𝑏𝑒𝑓𝑜𝑟𝑒

  • 44

    Source: http://captricity.com/technology/

    SalesUnderwriti

    ng

    Policy Administrat

    ionClaims

    AI enables digitization and automation along the entire insurance value chainAI-enabled Opportunities:

    ➢Digitize data

    ➢Convert unstructured data into a structured format

    ➢Automate repetitive tasks

  • 45

    We can be part of the change

    3.

  • 46

    Deep learning could account for

    $3.5-$5.8 trillion in annual value, across industries …

    Source: https://www.mckinsey.com/featured-insights/artificial-intelligence/notes-from-the-ai-frontier-applications-and-value-of-deep-learning

    AI has the potential to make a big impact

    …and $142-$312 billion in

    insurance

  • 47

    There’s room for AI and humans to coexist

    Source: https://hbr.org/2018/07/collaborative-intelligence-humans-and-ai-are-joining-forces

    Humans Assisting Machines:

    ▪ Train machines to perform a task

    ▪ Explain the outcomes of machine tasks

    ▪ Sustain the responsible use of machines

    Machines Assisting Humans:

    ▪ Amplify our cognitive strengths

    ▪ Embody human skills to extend our physical capabilities

    ▪ Interact with customers and employees, and free up our time

  • 48

    What can we do?

    2 3 41?

  • Think about long-standing problems in new ways

    Example and illustration from: https://hbr.org/2017/01/are-you-solving-the-right-problems

    “Make the wait feel shorter.”Put up mirrorsPlay musicInstall a hand sanitizer

    “Make the elevator faster.”Install a new liftUpgrade the motorImprove the algorithm

    SOLUTION SPACE

    SOLUTION FINDING“The elevator is too slow.”

    PROBLEM FRAMING

    Reframing the problem

    “The wait is annoying.”

    Imagine you own a building and your tenants are complaining about the elevator…

    “The point of reframing is not to find the “real” problem but, rather, to see if there is a better one to solve.”

    - Thomas Wedell-Wedellsborg, HBR, Jan-Feb 2017

  • 50

    Look for ways to test potential solutions quickly

    Agile and Design Thinking methodologies help teams take a human-centered approach to innovation and develop solutions that people will actually use

    • Fail fast

    • Iterate on a prototype• Empathize with customers • Shorten the feedback loop

    • Think “How might we?”

    Key Concepts:

  • 51

    Data is the new gold

    Deep learning algorithms have a

    voracious appetite for data...

    …but finding large datasets can be hard.

    With appropriate diligence around data use, security, and privacy, it is possible to utilize and share valuable information

    • Public data sources• Datasets that other departments may

    maintain and use

    • External partnerships to share and jointly analyze data

    Consider:

  • 52

    What AI really means

    Why we’re hearing about AI now

    Why we should care about AI

    We now understand…

    What we can do to be part of the change

    2

    3

    4

    1?

  • 53

    Thank you!

  • 54

  • General Public Release

    Legal notice

    55

    ©2018 Swiss Re. All rights reserved. You are not permitted to create any modifications or derivative works of this presentation or to use it for commercial or other public purposes without the prior written permission of Swiss Re.

    The information and opinions contained in the presentation are provided as at the date of the presentation and are subject to change without notice. Although the information used was taken from reliable sources, Swiss Re does not accept any responsibility for the accuracy or comprehensiveness of the details given. All liability for the accuracy and completeness thereof or for any damage or loss resulting from the use of the information contained in this presentation is expressly excluded. Under no circumstances shall Swiss Re or its Group companies be liable for any financial or consequential loss relating to this presentation.

  • Sponsored by

    Swiss Re

    Break

  • CLAIMS: REVIEWING THE

    CURRENT ECOSYSTEM AND

    IDENTIFYING PRIORITIES

    FOR IMPROVEMENT

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    AGENDA

    Our Hypothesis on the Current Ecosystem

    How We Have Addressed Current Challenges

    Current Ecosystem Panel Q&A: Featuring Viewpoints of Reinsurer and Insurer

    Audience Brainstorming: What are the Needs of Ceding Companies and Reinsurers?

    Next Steps

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    OUR HYPOTHES I S ON THE

    CURRENT ECOSYSTEM:

    THE REINSURANCE

    CLAIMS PROCESS IS

    INEFFICIENT

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    Have inventory and status of all reinsurance claims

    ACCURATE

    Reinsurance claims are covered by the treaty and claim amounts including expenses are correct

    Claims are submitted within agreed upon time standards and reflected in proper financial period

    TIMELY

    THE IDEAL

    OPERATIONAL

    CONTROL

    FRAMEWORK

    COMPLETE

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    HO W W E HAV E AD D R E S S E D

    C U R R E NT C HAL L E NG E S

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    TAI partnered with a Reinsurer to improve overall process focusing on

    improving exchange of seriatim claim data

  • HOW WE HAVE

    ADDRESSED

    CURRENT

    CHALLENGES

    Drive all claims into to TAI and create new extract from TAI of all claims and status

    ACCURATE

    Leverage the data relationships in TAI to properly allocate the claims amount to correct treaties/shares inclusive of DI,CI,LTD and expenses

    Submitted claims are part of regular TAI cycles and reinsurer submits seriatim payment details back for TAI consumption which is also processed as a regular TAI cycle.

    TIMELY

    COMPLETE

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    18TARGET STATE TO ACHIEVE EFFICIENCY IN

    REINSURANCE CLAIMS

    .

    Timely reporting of payments

    Automation Eliminates Claim Payment screen

    Common Format Supports all types of claims

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    CLAIM PROOFSExpected increased use of Xpress or continued use of

    proprietary secure exchange.

    ADDITIONAL

    REINSURER

    ADOPTIONIncremental value from one reinsurer sending cash seriatim file

    THE GAP: WHAT IS

    MISSING?

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    CURRENT ECOSYSTEM PA NEL Q&A:

    FEATURING VIEWPOINTS OF:

    Candy Tolentino Director, Commercial Reinsurance

    Pacific Life Ins. Co.

    Andrea HollyProcess Integration – Retrocession Administration Manager

    Munich Re

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    In our current claims

    process between

    business partners –

    WHAT SHOULD WE

    CONTINUE?

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    P A N E L Q U E S T I O N 1

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    P A N E L Q U E S T I O N 2

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    In our current claims

    process between

    business partners –

    WHAT SHOULD WE

    START?

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    In our current claims

    process between

    business partners –

    WHAT SHOULD WE

    STOP?

    P A N E L Q U E S T I O N 3

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    In our current claims

    process between

    business partners –

    WHAT IS ONE STEP WE

    CAN TAKE THAT WILL

    HAVE GREATEST

    IMPACT?

    P A N E L Q U E S T I O N 4

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    WHAT ELSE CAN WE DO AS AN INDUSTRY COMMITTEE TO

    IMPROVE OUR BUSINESS PRACTICES?

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    BRAINSTORM

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    WHAT SHOULD BE THE

    NEXT STEPS?

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    APPENDIX – TAI CLAIMS FEATURES

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    Claims System

    How you can benefit:

    CONNECT TAI WITH YOUR CLAIMS SYSTEM

    Improved accuracy Don’t have to wait for manual data pulls

    Speeds up process

    Efficiency & Operational Control

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    18HOW SHOULD YOU SEND SUPPORTING CLAIMS

    EVIDENCE?

    TAI X-Press Private FTP Email Regular Mail

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    .

    EDC Claims Extract File (EDI Claims)

    Automate recording of payments

    Comprehensive data feed, for

    internal use and for reinsurers

    ENHANCEMENTS INTRODUCED LAST YEAR

    Cash Flow extract (Claims Reimbursement feed)

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    .

    CLAIMS EDI EXTRACT

    Streamline claims reporting and eliminate the need for paper notices

    Efficiency & Operational Control

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    BENEFITS

    .

    Timely reporting of payments

    Automation Streamlined workflows

    Common Format Comprehensive data

    elements

    Supports all types of claims

    in one file format

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    CLAIMS REIMBURSEMENT EXTRACT

    Automates and enhances the tracking of collected claims

    Efficiency & Operational Control

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    BENEFITS

    .

    Timely reporting of payments

    Automation Eliminates Claim Payment screen

    Common Format Supports all types of claims

  • © 2018 TAI. All Rights Reserved.

    THANK YOU!

  • © 2018 TAI. All Rights Reserved.

    All-in-one Life Reinsurance

    Software Solution.

  • © 2018 MIB Group, Inc. All rights reserved.

    Use of this information without prior MIB approval is strictly prohibited.

    © 2018 MIB Group, Inc. All rights reserved.

    Use of this information without prior MIB approval is strictly prohibited.

    Reinsurance Study of Highly Insured PersonsTotal Line/Jumbo – is there a problem to be solved?

    Brian MillmanVice President, Underwriting [email protected]

    Amy RaymondDirector, Product [email protected]

  • © 2018 MIB Group, Inc. All rights reserved.

    Use of this information without prior MIB approval is strictly prohibited.

    © 2018 MIB Group, Inc. All rights reserved.

    Use of this information without prior MIB approval is strictly prohibited

    84

    Agenda

    ▪ Fraud

    ▪ History/Objective of ReSHIP

    ▪ Methodology

    ▪ Study Challenges

    ▪ Findings

    ▪ Case Studies

    ▪ Next Steps/Future State

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    Use of this information without prior MIB approval is strictly prohibited.

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    85

    ▪ Playing Dead

    ▪ A Journey Through the World of Death Fraud

    by Elizabeth Greenwood

    https://www.npr.org/books/titles/489305469/playing-dead-a-journey-through-the-world-of-death-fraud

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    86

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    87

    ▪ Steve Israel

    ▪ John Darwin

    ▪ Skip Tracer

    ▪ Michael Jackson?

    ▪ The Philippines

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    88

    Agent Organized Opportunistic Misrepresentation

    • Medical

    • Financial

    • Producer

    • Murder

    • Foreign Death

    • Fake Death

    • Jumbo

    • Foreign Travelers

    • Para-med Fraud

    • Churning

    • Stacking

    • Rebating

    • Bogus

    Applicant

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    89

  • © 2018 MIB Group, Inc. All rights reserved.

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    90

    Jumbo Limit Timeline

    $50 Million

    2005

    Today

    $65 Million, there is no buffer

    $75 Million & Introduction of No Jumbo Layer

    of $10M

    Introduction of Super Jumbo layer,

    - but No Jumbo eliminated by 4/2003

    Post 9-11, loss of capacity

    Super Jumbo layer disappears at end of 2004

    2013

    1999

    2001

    2003

    2004

    1998

    Jumbo notification2008

    Courtesy of

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    91

    ▪ Membership Model

    ▪ Data Coordination

    ▪ Receiving PHI / PII daily

    ▪ Analytics

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    92

    Study Objective

    ▪ Reinsurance Study of Highly Insured Persons (ReSHIP) was developed to help quantify and define an industry-wide concern—the extent of jumbo limit breaches across the U.S. life insurance industry.

    ▪ Analyzes in-force policy data gathered from all participants

    ▪ Links highly-insured individuals (>$50 million) in life insurance together

    ▪ ReSHIP was successfully piloted in 2009 (8 reinsurers).

    ▪ MIB expanded the scope for ReSHIP 2013 by inviting direct writers (with significant internal retention)

    ▪ Repeated same effort for another study in 2017.

    ▪ Despite the history of jumbo limits varying, MIB has used the $65 million Jumbo Limit as a standard for all of the ReSHIP studies.

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    93

    2017 Participants/Timeline

    ▪ 7 - returning reinsurers

    ▪ 4 - new direct writers

    ▪ Obtained commitments and signed contracts by year end 2016

    ▪ Delivered data to MIB by June 1, 2017

    ▪ MIB delivers final results to study participants by September 30, 2017

    One reinsurer and one direct writer contributed data but chose not to be named.

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    94

    Study Methodology

    ▪ Aggregate data across all companies and participants

    ▪ Identify/de-dupe individuals and policies

    ▪ Similar individuals in same submission and across submissions

    ▪ Name Match Confidence applied (Last/First Name, DOB, Gender)

    ▪ ‘Very confident' matches either match exactly or extremely close on all identifying criteria.

    ▪ 'Confident' matches will include small discrepancies in the identifying criteria.

    ▪ 'Less confident' matches had more discrepancies.

    ▪ Policy matching logic applied

    ▪ De-duping was based on matching Issue Date, Policy Number (deemed equal or close) and Face Amount

    ▪ Ceding company was removed as a duplicate criteria value after analysis showed it was increasing aggregated inforce totals for many individuals

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    95

    Methodology Cont’d

    ▪ Report contains any individual with an aggregate exposure of at least $50 million and bands were defined as:

    ▪ $50 to $64.9 million

    ▪ $65 to $99.9 million

    ▪ $100+ million

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    96

    Study Challenges

    ▪ Participation, timing of submissions

    ▪ Missing reinsurers and large direct writers with wholly retained business

    ▪ Mergers and acquisitions change blocks of business over time

    ▪ Treaty Limits vary – difference by company and by product

    ▪ Aggregating the Policy level details

    ▪ Policy Number submissions vary across companies, and often included common suffixes and prefixes

    ▪ Logic was defined to determine if one policy number was contained within the other

    ▪ Errors or inconsistencies in the data

    ▪ Variations in total face amounts per submitter. At least one Reinsurer’s records seemed to double the total face amount on records inflating overall inforce

    aggregates.

    ▪ Bottom Line

    ▪ Results likely include false positives and overstatement of aggregate in-force values for some, but ultimately provide a meaningful representation.

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    97

    Records

    Total records submitted for ReSHIP 1,131,704

    Number of records that were submitted and returned in results 56,225

    Individuals

    Number of Individuals returned in the results 19,524

    Number of individuals with in force between 50 and 64.9 million 8,513

    Number of individuals with a breach 6,294

    Number of individual with a contestable breach 772

    Policies

    Number of policies that breached 9,748

    Number of contestable policies that breached 1,103

    ReSHIP 2017 Results

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    98

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    99

    Example- “Clean” Case

    Policy number, issue date and face amounts vary making de-duping simpler and less subjective

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    100

    Example- Face Amount

    Same policy number, issue date, different face amounts for each record

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    101

    Example- Double Face Amount

    Same policy number, issue date, different face amount counts as New

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    102

    User “experience”

    MIB’s role

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    103

    2013 chart - Concentration of top 50 Individuals (Total Inforce)

    0

    100

    200

    300

    400

    500

    600

    700

    800

    900

    0 10 20 30 40 50Ag

    gre

    ga

    te In

    Fo

    rce

    (M

    illio

    ns

    )

    Count of Policies

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    104

    2013 chart - Concentration of Individuals 51-100 (Total Inforce)

    0

    100

    200

    300

    400

    500

    600

    700

    800

    900

    0 10 20 30 40 50

    Count of Policies

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    105

    Is there a better way to solve this problem?

    ▪ Transactional

    ▪ At policy issue

    Issues

    ▪ Use of data

    ▪ FCRA

    ▪ Coverage

    ▪ Better matching /de-duping

    MIB

    Member

    Reply: Brian Millman - $70,000,000

    123XYZ; 2 IAI

    Co 1 Co 2 Co 3

    MIB U/W

    Services

    Brian Millman

    Code: 123XYZ

    IAI: 2 RepliesBrian Millman

    $5,000,000

    Brian Millman

    $25,000,000

    Brian Millman

    $40,000,000

    MIB Financial U/W Services

    Inquiry: Brian Millman

    April 2014

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    106

  • Sponsored by

    LOGiQ3

    Lunch

  • Roundtables

    Design Thinking Sprint:

    The Puzzle Project

    Accelerated Underwriting

    Do Old Dog Need to Learn

    New Tricks OR Do New Dogs

    Need to Learn Old Tricks

  • Sponsored by

    Hannover Re

    Break

  • Sponsored by

    Cocktails & Dinner

  • RAPA | 2018 Annual Conference

    October 23, 2018

  • Agenda

    8:45 – 9:00 Welcome and Agenda Review

    9:00 – 10:00 Transformation & Innovation

    10:00 – 10:30 Break & Conference Evaluation Survey

    10:30 - 12:00 Initiative Updates

    - Education

    - Risk Management

    - Data Initiative

    - Post Level Term

    - Innovation

    12:00 – 12:30 Project and Initiative Breakout Meetings

    12:30 Adjourn

  • 2019 Conference

    Mark your calendar for the 2019 Annual Conference!!

    October 20th – 22nd, 2019

    Savannah, GA Marriott - Mansion on Forsyth Park

  • Sponsorship Opportunities

    $5,000

    Platinum

    $3,000

    Gold

    $2,500

    Silver

    $1,500

    Bronze

    $1,000

  • 2018 Conference Evaluation Survey

    Sponsored by

    Break

  • Initiative Strategy

    Purpose: To improve the effectiveness and efficiency of RAPA member's reinsurance

    understanding and processes. The initiatives work streams provides the

    opportunity for members to work together on education, training, and to benefit

    from robust collaboration with industry experts within the working groups.

    Want to join an Initiative? Just contact one of

    the leads

    Education: Dalia Khoury

    [email protected]

    Data: Rhonda Nielsen-Jackson

    [email protected]

    Risk: Lynn Martone

    [email protected]

    Post Level: Brittainy Pratt

    [email protected]

    Innovation: Mitch O’Campo

    [email protected]

    Thinking of a new initiative?

    Submit your suggestion to Eddie Martinez

    [email protected]

    RAPA

    DATA

    EDUCATION

    RISK

    PLT

    INNOVATION

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]

  • EDUCATION INITIATIVE

  • Education Initiative

    Purpose

    To develop training material for different

    processing functions and ultimately have case

    studies.

    The training material includes the following topics:

    ▪ Treaty Fundamentals and Provisions

    ▪ Glossary of Reinsurance Terms

    ▪ Workflow of New Business

    ▪ Workflow of Maintenance

  • Education Initiative

    Our 2018 mandate is to develop a webinar to inform RAPA

    members and non-members of the educational material

    available, how to access it and the costs (if any).

    Future plans under discussion include a webinar about

    Best Practices and another about Post Level Term.

  • Education Initiative

    Deliverables

    4Q2018 – RAPA/Education Initiative Webinar

    1Q 2019- Post Level Term

    If you have ideas for webinars or podcast, let us know

  • Education Initiative

    WHAT IS RAPA?

    WHY SHOULD YOU BECOME A RAPA MEMBER?

    WHO WILL BENEFIT?

    WHY SHOULD YOU ATTEND THE ANNUAL CONFERENCE?

    http://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwjil7r9pOjdAhWd2YMKHe6_A54QjRx6BAgBEAU&url=http://www.jatengpos.com/2012/10/dprd-jogja-pertanyakan-efektivitas-forpi-337365&psig=AOvVaw1D7_geVLB7zTcBvpiGh2Yw&ust=1538587767466664http://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwj-wY7avujdAhVF34MKHTAGCFQQjRx6BAgBEAU&url=http://tradezyone.com/&psig=AOvVaw2QcI5VY0z7FftdAiiNHmQo&ust=1538594872042119https://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwjVwo3Rw-jdAhVk5YMKHQJgDhsQjRx6BAgBEAU&url=https://laurelplace.ca/delta-chamber-networking-evening/&psig=AOvVaw3d_BLF9nGr4owmHoIhU9dl&ust=1538596174306731

  • Education Initiative

    New Members are welcome

    http://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwja35bQxejdAhVJ9YMKHYF0DQcQjRx6BAgBEAU&url=http://www.inlandempireafp.com/index.php?page%3D82&psig=AOvVaw3aHSsbuG8IFdKPfDsyUVpz&ust=1538596706415237

  • RISK INITIATIVE

  • Risk Initiative

    Lynn Martone, Swiss Re

    Amalia Figueiras, Prudential Financial

  • Risk Initiative

    The RAPA Risk Management initiative team works to develop tools and techniques related to risk identification,

    assessment and mitigation, as well as assessing audit and compliance reviews of the reinsurance administration

    function. The key goal is to provide common reinsurance guidelines and methodology approaches for direct

    writers, reinsurers and retrocessionaires.

    This initiative is divided into two sub-teams with focus on:

    Reinsurance Administration Risk Assessment:

    The Risk Assessment sub-team has developed a risk assessment matrix (spreadsheet) detailing and defining

    strategic, operational and compliance risks. We have concentrated our efforts on assessing the key sub risks to the

    function and defining how it leads to risk mitigation. During 2018, our team completed the following:

    • Confirmed all risk classifications in the matrix have been reviewed and populated appropriately.

    • Assigned control names and risk categories to relevant key controls

    • Took a deep dive into the Operational Sub Risks including; Quality Assurance, Collusion, Fraud, STOLI,

    and Outsourcing

    This updated document will be added to the RAPA website for your review.

    Reinsurance Audit & Compliance Reviews:

    The Audit & Compliance sub-team has identified what criteria should be used when selecting audit candidates.

    Our areas of concentration focused on taking a deep dive into the administration and audit of term conversions.

    During 2018, we completed the following:

    • Reached out to committee members, as well as industry contacts, to discuss the world of term conversions.

    • Researched and documented industry facts and insights regarding term conversion administration, audit

    practices, pain points, etc.

    • Drafted the Administration view/practices to complete best industry approaches (and insights) when auditing

    term conversions.

    • Drafting the Audit view/practices (and insights) of white paper to be shared with the industry.

  • Risk Initiative

    Next Steps - 2019

    Risk Assessment:

    • Gather feedback from larger population

    regarding: what are your pain

    points/biggest risk?

    • Treaty negotiations, administration

    and set up?

    • Ongoing adherence?

    • Financial reporting?

    • KPI’s?

    • Based on feedback, this subcommittee will

    continue to take a deep dive into the next

    relevant sub risk.

    Audit & Compliance:

    • Continue writing of Audit practices and

    combine with Administration practices to

    complete white paper for final review.

    • Publish Term Conversion white paper on

    RAPA site.

    • Continue discussions and research on next

    key audit topic identified by team in 2018 /

    PLT.

    Thank you to all who took time from

    their day job to support this initiative!

    Lynn Martone, Swiss Re

    Amalia Figueiras, Prudential

    Laura D’Andrea, Prudential

    Garfield McIntyre, Munich Re

    Anthea Cote, Munich Re

    Ricky Peterson, Munich Re

    Carolyn MacPherson, Swiss Re

    Carol Arada, Swiss Re

    Janice Lawrence, Pac Life

    Alan Woodlard, RGA

    Barbara Beicker, USAA

    Kelly Priest, LOGIQ3

    Karl Martone, Martone & Martone

    Antonio Layne, RBC

    Thomas Trent, Transamerica

    Jennifer Atlee, Hannover Re

    Kim Langstaff, Hannover Re

    Glenn Beuschel, Munich Re

    Chantal Lessard, Optimum Re

    John Whitaker, RGA

    Bethany Stivenson, Axa

    Troy Leach, Canada Life

    Zayda Marie, Associated Consulting

  • DATA QUALITY INITIATIVE

  • Data Initiative

    Initiative Participants

    ➢ Initiative Chair: Rhonda Nielsen-Jackson, Hannover Re

    Dean Santos, Munich Re Toni Ollerton, Aurigen Re

    Sumitra Kumhare, Pacific Life Re Diana Aversa, Pacific Life Re

    Genevra Pflaum, Hannover Re Grace Sirianni, Munich Re

    Eileen Ah-Fat, Canada Life Kate Coyle, Ohio National

    Duane Pfaff, Voya Lisa Clarke, Logiq3

    Mindy Epstein-Hinshaw, Logiq3 Saline Smith, Swiss Re

    Melinda Bynoe, BMO Reinsurance Dzan Dinh, Munich Re

    Karen Lipka, RGA Allison Forde, RBC

    Maureen Headley, Met Life Tom Kuenzel, Ameriprise Financial

    Paul Winters, Q-Perior Tom Hartlett, Logiq3

  • Purpose

    • Create a document for Guidelines for Reinsurance Reporting, in essence a document of

    best practices for specific areas of reinsurance administration and data quality.

    • The document includes information, samples and realistic scenarios. Topics:

    ▪ Reporting Issues

    ▪ Communication/Notifications

    ▪ Data Quality

    ▪ Conversions

    ▪ Taking a Treaty from paper to system implementation

    ▪ Samples of typical reinsurance reporting, i.e. Policy Exhibit, Transaction files, etc.

    Data Initiative

  • Data Initiative

    Deliverables & Milestones

    1) Reinsurance-Reporting-Guidelines-and Best-Practices living document versions

    1-6 have been rolled out between October 2014 and November 2017

    ❖ Currently available on the RAPA website @

    http://www.reinsadmin.org under Initiatives and Data Management

    2) Reporting Guidelines and Best Practices status:

    a) Complete

    ▪ Reporting Issues

    ▪ Communication/Notifications

    ❖ Communicating New System, Data or Administration to Business

    Partners is available on RAPA website and not required to be a

    RAPA Member to use.

    ▪ Conversions

    ▪ Taking a Treaty from paper to system implementation

    ▪ Samples of typical reinsurance reporting, i.e. Policy Exhibit,

    Transaction files, etc

    b) Same topic – new twist

    ▪ Data Quality

    http://www.reinsadmin.org/

  • Initiate

    RAPA: Data Quality Initiative

    Support

    Create a Team of Advisors

    SMART Goal Set

    Develop a Plan

    Execute

    Complete Objective

    RAPA Data Quality Initiative: Project Cycle

  • Big Data

    Tre

    aty

    Com

    pli

    an

    ce

    The alignment of accurate data with its intended

    use

    Data Quality

    Initiate

    RAPA: Data Quality Initiative

    Focus:Data Quality: Treaty Compliance

    • How can we better state the administration requirements written in the treaty?

  • Dean Santos Director, Reinsurance Administration Individual Reinsurance OperationsMunich Re Canada (Life)

    Sumitra KumbhareAVP OperationsPacific Life Re | Retro

    Toni OllertonSenior Business Analyst, North America LifePartnerRe

    Diana Aversa, ACSSenior Treaty AnalystPacific Life Re | Retro

    Support

    Create a Team of Advisors

  • SpecificClear and concise goals.

    •Create a Mission Statement

    •Identify purpose and objective

    MeasurableAbility to track progress.

    •Develop plan withmilestones for completing the documentation with the Data Quality focus team

    AchievableSet challenging, yet achievable goals.

    •Plan allows for review and feedback by the committee

    •Distribute to participants of the RAPA - Data Quality Initiative

    RelevantGoals that are relevant to our overall plan.

    •Complete the documentation on the focus for RAPA - Data Quality Initiative

    •Opportunity of standardization by creating the basis of expected data

    •Communicate and promote approach through RAPA

    TimelyTarget finish time.

    •Recruit participants for the committee

    •Assign accountabilities to committee members

    •Set up touch points with participants of the RAPA - Data Quality Initiative

    •Update RAPA on the focus and approach for the Data Quality Initiative

    •Promote initiative and next steps

    SMART Goal Set

    Data Quality: Treaty Compliance

  • Our mission is to ensure that the highest quality of data is

    delivered through the coordination of our efforts for the purpose of lowering the

    risk of systemic issues.

    Data Quality Mission Statement

    SMART Goal Set

  • Purpose: Ensure that data produced adheres to the treaty and satisfies both business and the technological requirements.

    ✓ Treaty, Plan fields identification

    ✓ Data requirements and validation

    Client Data Files

    Data Transformation

    Internal Stakeholders

    ✓ File types (Inforce, Transaction, Billing, Claims)

    ✓Meeting the needs of our stakeholders

    SMART Goal Set

  • CESSION ADMINISTRATION

    1. REPORTING, BILLING AND PAYMENT OF ACCOUNTS

    Reporting

    (1) The reporting period will not be less frequent than quarterly.

    (2) The Cedant will provide the Reinsurer with the minimum data requirements within 30 days of the end of the applicable reporting period, reflecting all reinsurance transactions taking place during the reporting period, with respect to Policies reinsured under this Agreement as set forth in the Reinsurer's Minimum Data Reporting Requirements, as amended from time

    to time, in an electronic data interchange (EDI) format acceptable to the Reinsurer. the Reinsurer's current version of its Minimum Data Reporting Requirements as at the Effective Date

    is attached as an Appendix to the Agreement. If the information reasonably required by the Reinsurer for the maintenance of proper records and appropriate actuarial reserves changes,

    the original format agreed upon by the Cedant and the Reinsurer for the details reported by the Cedant will be updated to the extent possible. Any changes to the data field layout last

    agreed to with the Reinsurer must be communicated in writing to the Reinsurer at least 30 days before the end of the applicable reporting period.

    Sample: Current

    Objective: Reestablish the requirements in the treaty to clearly state the needs of the Reinsurer to better utilize technology and to satisfy the needs of our stakeholders. Develop treaty language to be used as a source of reference with a minimum data requirements template that is promoted by RAPA.

    SMART Goal Set

  • Jul 2018•Create deck and plan on the Data Quality focus

    Aug 2018•Discuss advisory committee review

    • Incorporate feedback

    Sep 2018• Share the deck with

    RAPA Data Quality group

    Oct 2018• Discuss at the RAPA

    Conference

    Feb 2019• Prepare a draft

    • Advisory committee review

    Mar 2019• Complete proposal

    Apr 2019• Discuss at the RAPA

    Spring Conference

    • Determine next steps

    Develop Plan

  • Treaty: Cession Administration

    Minimum data requirements

    Frequency of the reporting

    Consistent file name and data

    format

    File type provided (Inforce,

    Transactional, Billing, Claims)

    Machine readable format

    Plan allocation

    Communication of changes to:

    Data transmission

    File format

    Actuarial reserves

    Execute

    Minimum data

    requirements

    Frequency of the

    reporting

    Communication of changes to:

    Data transmission

    File format

    Actuarial reserves

    Elements for the ProposalCurrent

  • Factors for completeness:

    1. Utilizing the Treaty as the agreement to support our administrative requirements.

    2. Developing a sample of Treaty wording for Cession Administration that can be used as reference.

    3. Promoting a base of reference in communicating the needs of a reinsurer through RAPA.

    Complete Objective

  • Minimum data requirements

    Frequency of the reporting

    Consistent file name and data

    format

    File type provided (Inforce,

    Transactional, Billing, Claims)

    Machine readable format

    Plan allocation

    Communication of changes to:

    Data transmission

    File format

    Actuarial reserves

    Administration Requirements

  • POST-LEVEL TERM INITIATIVE

  • POST LEVEL TERM

    STARTING AT THE END

    RAPA PLT Committee

    2018

  • Data Inconsisten

    cies

    Shock Lapse

    Timing Issues

    Premium Inaccuracies

    Data Analysis & Reporting

    System Administrati

    on

    Standardization

    Product Innovation

    Addressing Financial Volatility

    For many years, level term policies entered into administration systems have been entered as quickly and efficiently as possible. Often times the need to enter plans

    with descriptive titles and actual term periods has been overlooked and due to time constraints there has been a

    lack of forethought to what happens at the end of the level period. Conventional thinking has been that the policy would terminate prior to the post level period.

    What happens if it does not?

    So that is where we start…at the end.

  • Why do we need to discuss PLT?

    Experience shows that policies are approaching and entering the post level term period more frequently and that is leading to some industry wide issues:

    • Data Inconsistencies

    • Premium Inaccuracies

    • Administration Inconsistencies

    • Shock Lapses

    • Difficulty Modeling

    • Financial Volatility

    • Communication Gaps in Reinsurance Partnerships

    • New Product Implementation Administration Challenges

    • Resourcing Gaps to Handle Administration Challenges

  • Where do we begin?

    As we reviewed issues and challenges presenting themselves as a result of Post Level Term Administration we arrived at four distinct categories that covered the issues presented.

    Administration & Processing

    Communication

    FinanceEmerging

    Trends

  • Data Integrity

    • Conduct system data integrity reviews to identify inaccuracies

    • Create log of identified issues and develop corrective action plans

    Corrections

    • Develop timelines for all corrections and communicate plans and timeline to Internal Customers, Reinsurers and Retros

    • Understand implications/downstream effects of corrections within the reinsurance system

    Implementation

    • Develop governance and guidelines to ensure products are implemented into the system accurately

    • Create a repeatable process that includes appropriate testing of administration

    Controls

    • Develop appropriate controls to ensure previous issues are mitigated in the current environment

    • As corrections and implementations occur ensure proper signoff from downstream consumers of data

    Addressing Data Issues – Past and PresentMany current day data issues are the result of historical system migrations, upgrades and poor administrative practices. As we move toward leveraging our data throughout our organizations, the accuracy and integrity of the data becomes increasingly more important.

  • Shock Lapse

    Inconsistency in the administration of policies entering the post level term period create difficulties for Reinsurers and Retrocessionaires. For Reinsurers and Retrocessionaires tracking direct writers method of administration can be helpful. Implementing predictive analysis to address each direct writers preferred method can provide the ability to produce more accurate estimates for accruals and reduce the amount of adjustments required.

    Policies are kept active but remit premiums based on the last year of the term period

    PLT A

    ctive Policies

    Policies are suppressed for 2-3 months to off-set the “Shock Lapse” activities

    PLT

    Po

    licy

    Sup

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    PLT

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    Post level term premiums are paid and lapses are applied as they occur

  • Premium Inaccuracies

    Correct Premiums

    Ensure correct premium rates at renewal and verify rates within reinsurance system are accurate and complete.

    Conduct trending and predictive analysis to identify large premium increases on level term blocks to signify the entrance of policies into the post level term period.

    Premium Rate Implementation

    Implement premium increases utilizing appropriate methodology and governance to ensure appropriate timing and communication to internal stakeholders, reinsurers and retrocessionaires.

    Ensure testing addresses all use cases to mitigate the need for recoding or corrections.

    Repricings

    Initiate communication with Reinsurers or Retrocessionaires early in the repricing process to ensure engagement and ease negotiations.

    Ensure appropriate treaty setup in preparation for repricings by leveraging reinsurance system test environments to test rate application and premium calculations.

  • Data Analysis & Reporting

    Timely Updates

    Prepare and communicate timely updates of both assumed company and reinsurance administration systems to ensure accurate premiums, reserves, financial modeling and reporting.

    Resource Allocation

    Create a resource allocation and training plan to ensure the appropriate resource skill mixture is available to work on administration projects related to Post Level Term products.

    Risk Mitigation &

    Analysis

    Implement risk reviews and quality assurance checks and analysis to obtain the appropriate comfort with data being received and reported.

    Reporting Consistency

    Implement a practice of providing descriptive and consistent naming conventions for plan/treaty codes in the reinsurance administration system. Eases administration for both direct writers, reinsurers and retrocessionaires. Catalog or keep a library of treaty mapping to plan and treaty codes to aid responses to reinsurance partners.

  • System Administration

    Term Campaigns− Often times campaigns are unique and difficult to administer.

    − Provide/Obtain detailed information during negotiations to ensure assuming administration team understand the product(s) and the challenges administration may present.

    Addressing Direct Writers Flexible Products

    ‒ Direct Writers like to offer flexible products to their clients at competitive prices and this can create challenges for administration as they strive to retain business.

    ‒ Reinsuring products may require complex treaty setup to be administered correctly in the reinsurance system. Administration representatives should receive notifications throughout negotiations and should start writing business requirements early to determine if the complexity can be handled with base reinsurance system functionality or if custom modifications are required.

    Administration System Setup

    ‒ Leverage reinsurance system test environments to ensure proper setup of treaties, pointers and rates.

    ‒ Leverage project implementation plans to create a repeatable process with appropriate controls and signoffs to mitigate the risk of incorrect system setup.

  • Better Data, Better Analysis

    Data

    Multiple options have been added to handle an

    organization’s preferred method of administering PLT policies on the administration

    system

    Delayed Renewal Processing & Automatic Recalculation in 1st

    year of Post Level Term are a few of those methods

    System

    Leverage System Updates to improve administration

    processing, data quality and analytics

    For example reinsurance systems have been updated to include switches that indicate

    the level term period on a treaty code to aid in

    communication to reinsurers and retrocessionaires

    Analytics

    Utilize proactive monitoring of level term business in

    conjunction with historic data/ lapse and mortality studies to facilitate the adjustment and

    scaling of estimates

    Leverage new data fields in predictive analytics to estimate

    financials and approximate accruals as they achieve post

    level term period

  • Create industry standards around…

    PLT Administration & Premium Reporting

    Graded Periods

    Scaled Premium Rate

    Implementation

    Lapse Practices

    Create guidelines to standardize reporting files to reinsurers, so the need for translation/interpretation is minimal

    Create guidelines to standardize graded periods used in pricing new products and the method of implementation in reinsurance systems

    Ensure that scaled premium rate implementations adhere to specific guidelines to allow for consistency in modeling

    Develop products and practices to mitigate shock lapses with insureds

  • Financial Volatility

    As treaties and amendments are negotiated ensure representatives from all areas are present – Administration, Finance, Actuarial

    Fluctuations in cash flow caused by paying the first year PLT premium and having the policy lapse a month or two later.

    Direct writers decrease premiums charged to insureds but do not notify the reinsurer of the change in rate structure.

    Incorrect premium rates are coded in the reinsurance system and PLT policies that truly remain inforce are paying the incorrect premium. When this is discovered there is often a fairly significant financial impact.

    Run audit checks of premium calculations against entire blocks of term business by sample selection or by treaty code to effectively review large blocks. Ensure rates are populated in the reinsurance system beyond the term periods final duration.

    Adjust parms and invest in system modifications to communicate specific arrangements/rate structures/unique product terms via reporting to reinsurers and retrocessionaires.

    Today we see… Tomorrow we should…

  • CommunicationIn order to manage PLT business efficiently and effectively special attention is required to how you implement and evaluate change with in the organization. Imploring a consistent methodology can increase reinsurance partner communication, while minimizing the time and effort required to do so.

    Initial ResearchDetermining

    Course of ActionImplementation

    Initial Research: Identify Business✓ What is the level term period being

    analyzed? Where is the administration performed?

    ✓ Are there key dates when a large count of policies will enter PLT?

    ✓ Who are the reinsurers?✓ Are we repricing business? ✓ Has my direct writer contacted me about

    repricing business?

    Determining Course of Action✓ Communicate Intent

    • Reprice or grade direct premiums?

    • Allow policies to enter PLT ungraded?

    ✓ Provide Details • Assumptions for potential

    grading decision• Describe administrative changes

    ✓ Identify Risk/Concerns• Will reinsurers want to opt out

    Implementation✓ Execute Treaty Amendments✓ System Implementation

    • Share specifics• New TAI Treaty codes• New Rates

    • Settle-up vs Programming Changes

    ✓ Audit

  • Conclusion

    As term business approaches the post level term period, there are administrative implications and business decisions that both the direct insurer and participating reinsurers must be aware of. Predictive and smooth earnings with minimal volatility of premiums paid, while maintaining sound administrative practices that adhere to the governing treaties is always the goal. Insurers, Reinsurers and Retrocessionaires can use effective communications, standardized administrative processing guidelines and innovation to ensure administration runs smoothly, accurate reporting is produced and business profitability is achieved.

  • INNOVATION INITIATIVE

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    LEVERAGING COLLABORATION ACROSS THE RAPA COMMUNITY

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    • A treaty management hub to help automate the treaty management process

    • Industry standard language to simplify the complexity of treaty language

    • A contributory database to give the industry a baseline for benchmarking

    • A premium validation tool to address the risk of future financial impact

    INDUSTRY IDEAS GENERATED BY RAPA COMMITTEE

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    WE SURVEYED THE RAPA BOARD & BROADER MEMBER COMMUNITY TO DISCOVER WHICH IDEA WOULD BR ING THE MOST VALUE

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    LabOUT OF MORE THAN 100 SURVEY RESPONDENTS…

    A premium validation tool to address the risk of future financial impact37%

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    WORKSTREAMS IDENTIFIED

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    PMO / LOGISTICS

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    WORKSTREAMS IDENTIFIED

    PMO / LOGISTICS BUSINESS PROCESS

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    WORKSTREAMS IDENTIFIED

    PMO / LOGISTICS BUSINESS PROCESS TECHNOLOGY

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    WORKSTREAMS IDENTIFIED

    PMO / LOGISTICS BUSINESS PROCESS TECHNOLOGY MARKET / DATA

    INDUSTRY

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    WORKSTREAMS IDENTIFIED

    PMO / LOGISTICS BUSINESS PROCESS TECHNOLOGY MARKET / DATA

    INDUSTRYCOMMUNICATION

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    SLIDE 6

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    WHAT WOULD THIS TOOL NEED?

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    GENDERSMOKER

    CLASSAGE BASIS

    UNDER-WRITING

    PLT

    BENEFITS RATINGS DURATIONSELECT/

    ULTIMATE

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    WHAT WOULD THIS TOOL NEED?

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    WHAT DID WE CONSIDER NEXT?

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    SCALABILITY

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    WHAT DID WE CONSIDER NEXT?

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    SCALABILITY TRANSPARENCY

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    WHAT DID WE CONSIDER NEXT?

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    TRANSPARENCYSCALABILITY USABILITY

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    WHAT DID WE CONSIDER NEXT?

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    TRANSPARENCYSCALABILITY USABILITY AFFORDABLE

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    WHAT DID WE CONSIDER NEXT?

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    TRANSPARENCYSCALABILITY USABILITY AFFORDABLE

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    WHAT DID WE CONSIDER NEXT?

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    CARRIER

    REINSURER 1

    REINSURER 2

    REINSURER 3

    Ceded Premiums

    Ceded Premiums

    Ceded Premiums

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    PROPOSED SOLUTION

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    W E E N V I S I O N T H I S T O B E A N I N D U S T R Y - W I D E P L A T F O R M T H A T C A N A L S O B E U S E D T O G E N E R A T E B E N C H M A R K I N G D A T A

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    MORE DETAILS AVAILABLE IN THE WHITEPAPER

    THE ROAD TO BETTER DATA

    AN INDUSTRY WHITEPAPER FOR L IFE REINSURANCE

  • BREAKOUT SESSION

  • Breakout Sessions

    1. Executive - Eddie Martinez

    2. Planning - Kelly Priest

    3. Data Quality - Dean Santos

    4. Risk Initiative - Amalia Figueiras

    5. Post Level Term - Brittainy Jones

    6. Education - Dalia Khoury

    7. Innovation - Mitch O’Campo

    8. Audit & Compliance - Lynn Martone