For insurers undergoing changes in structure, seeking to improve
performance, looking to reduce costs, developing new areas of business,
integrating and updating information and data systems or focusing on mitigating
risks within the business, PwC provides support in key operational areas -
claims management, reinsurance and underwriting.
In each of these areas, we work with you to create and implement new, or
review your existing, policies and procedures in order to ensure the most
efficient and effective use of your resources.
How we can support
you
More about this
service
Potential issues
- Sub-optimal underwriting and pricing procedures and controls are
contributing to inferior underwriting results
- Your competitors are selecting the more profitable risks in the market
through superior risk assessment capability
- You are having difficulty with pricing decisions because of a lack of
understanding of the price/volume relationship in different market
segments
- A part of your business - including past liabilities or closed with-profits
funds - continues to perform badly
- You are not optimising your use of reinsurance and/or other risk financing
products in reducing volatility in your underwriting results
- You want to know if your reinsurance contracts satisfy tax-related transfer
pricing regulations
- You are having difficulty controlling claims costs and expenses relating to
the management of the internal or outsourced claims handling function
- You need to evaluate the quality of the underwriting and claims operations
and controls of a target insurer in the context of mergers and acquisitions due
diligence.
How we can support you
- Identification of strengths and weaknesses in your underwriting and pricing
processes and controls (for example, in relation to catastrophe modelling or
aggregation monitoring)
- The ability to prepare more effectively for a cycle downturn
- Achieving a better understanding of your underwriting performance
drivers
- Improving your competitive edge through a deeper understanding of risk
relativities and price sensitivity by segment
- Capital release from poorly-performing business or closed funds, by
transferring away liabilities or restructuring
- Potentially lower reinsurance costs, combined with a more appropriate
programme
- Avoidance of tax penalties and optimisation of your tax position regarding
internal reinsurance and guarantees
- Tighter controls and enhanced processes to achieve reduced claims
expenditure and lower levels of direct and indirect claims handling costs
- Improved operational due diligence and transaction negotiating
capabilities.
PwC's underwriting, claims & reinsurance services include
- Top down and bottom up reviews of underwriting and pricing processes and
controls (for example, to ensure the correct alignment of the aggregation
management processes with the risk appetite of the organisation)
- Provision of assurance on the accuracy and robustness of catastrophe
aggregation monitoring and management, including suitability of aggregation
MI
- Implementation of controls to avoid leakages in capturing catastrophe
exposures and provision of assurance on key modelling assumptions in
catastrophe risk management
- Development of appropriate realistic disaster scenarios
- Predictive modelling of claims cost and price elasticity using leading edge
data mining and statistical modelling tools to underpin effective pricing
models and business processes
- Performance benchmarking for historical, current and future underwriting
periods
- Closed fund analysis to identify strategies to reduce risk, increase value
and minimise capital requirements
- Reinsurance strategy reviews to check the effectiveness of the reinsurance
programme and other risk financing structures based on the company's risk
profile
- Reinsurance modelling to quantify the volatility of the net result and the
efficiency of the programme in dealing with this volatility
- Actuarial transfer pricing reviews, including the assessment of arm's
length premium calculations, the estimation of potential tax adjustments and
the provision of documentation required by tax authorities
- Claims strategy and operational reviews, to identify operational
effectiveness and indemnity and cost savings opportunities, as well as an
analysis of alternative approaches (eg outsourcing/offshoring)
- Use of our unique Cashfinder tool to identify areas of claims leakage and
to discover and unlock resources that help you self-fund claims performance
improvement programmes
- The benchmarking of claims handling and reserving policies and controls
against competitors' capabilities.
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