IBM announced that Westfield Insurance, a provider of personal, commercial and surety insurance, is working with IBM to transform their claims operations.
In their transformation, Westfield is using business analytics to increase flexibility, operational efficiency and effectiveness, enabling Westfield to keep pace with its evolving customer base and business growth.
According to a study conducted by the IBM Institute for Business Value, leading insurers are leveraging cloud, analytics and social technologies to stay ahead of the competition. Westfield’s multi-year claims handling transformation initiatives, including process, organizational and technology changes, focuses on using data and analytics to better serve customers.
IBM’s deep end-to-end capabilities allow the company to improve customer service though an integrated claims solution that standardizes operations. IBM brought together the best of IBM, from software to its strategy and analytics services, to deliver several of the major components of the program.
IBM developed a new protocol to migrate data for use with predicative models and uses simulation models to evaluate bottlenecks in the claims process and develop a strategy for expedited workflow. This simulation helped expedite organizational changes. The new claims system will also utilize a suite of IBM counter fraud capabilities to detect suspicious activity.
"We’ve been working with IBM for years on multiple initiatives, in order to become a data-oriented company," said Robert Bowers, National Claims Strategy Leader, Westfield Insurance. IBM has optimized Westfield’s current claims handling process to provide a seamless, fully-integrated customer experience. Westfield’s claims system with Guidewire is now consolidated to ensure efficient operations across its network.
Through industry leadership, technology expertise and proven practices, IBM was able to evaluate current processes and determine a roadmap to develop an optimized business model, including:
A fully integrated solution to enable paperless processing, decreasing errors and increasing efficiency. Customers are also able to communicate with Westfield electronically, shortening the lifecycle of a claim.
Systems integration with third party providers to allow for automated actions throughout the claims process, improving the customer experience and creating adjuster efficiencies.
Controlled and secure access to applications, functionality, and data. Additionally, IBM’s advanced analytics solutions and services are used to analyze millions of data points and identify and predict suspicious claims and activity in real-time.
Conversion of data from legacy claims system to ensure existing claims are still open and that a record of closed claims are accessible to agents throughout the country.