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Underwriting, claims & reinsurance


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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.

 

Contacts

Mark Train
+44 (0) 20 7804 6279

Vincent Branch
+44 (0) 20 7804 3587

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