Underwriting: Plus ça change... part deux

clock • 7 min read

As stated in July, the more things change the more they stay the same - but how are systems checked and how are they assessed? Gill Salton explains.

The underwriting engine

The underwriter has now taken on a different form. No longer do they turn up Monday to Friday and work a seven-hour day sitting at the same desk, looking at a set number of cases. A large number are now an underwriting system/rules engine making decisions on up to 85% of the business being received at any time.
Underwriting systems have developed since their introduction in the early 1990s from:

  • Static systems with non-interactive questions, where the answers were entered into system at the head office or branch, without the customer being present, to
  • Customer-present fully interactive underwriting systems, asking drill-down questions which allow final decisions (standard rates, ratings, exclusions, declines) to be issued at the point of sale on a vast majority of cases.

Some systems are also built into the tele-underwriting process where the tele-interviewer can input the answers in real time and ask further interactive questions, or input the details once the interview has been completed.

Underwriting systems: potential for good

Underwriting systems have certainly revolutionised the way in which applications are underwritten. However, there needs to be a balance between accepting as many applications as possible and not compromising the claims position. There are various benefits both for the customer, distributor and from a provider/risk management perspective:

Customer / distributor benefits:

  • Immediate acceptance for the customer.
  • Ratings can also be accepted at point of sale.
  • Saves time for the distributor.
  • Significantly reduces the application to policy issue time.
  •  The management information available can allow comparison with other distributors with regards the business quality.
  •  Reduced claims issues as the right cases are accepted on the right terms.
  •  Overall, a good customer journey.

Provider / risk management benefits:

  • Vast amounts of management information can be produced for analysis - straight-through processing rates, top 25 disclosures, NTU rates, etc.
  •  Provides more consistent decisions.
  •  Capacity to underwrite far more cases than their human equivalent.
  •  Peaks and troughs in volumes are easier to deal with.


Underwriting systems: potential for bad

However, with any system there is the potential for things to go wrong. As Bill Vaughan (American columnist and author) said: “To err is human, to really foul things up requires a computer.”

With the high number of cases being ‘accepted’ each day by a system, an error in the questions being asked or the decisions being applied can affect a far greater number of policies. In addition, these errors could continue unnoticed for a significant period of time.

Obviously, the more ‘intelligent’ the system the more chance of an error occurring and the higher the impact. Important questions to ask are:

  • Who will pick this up?
  •  How many cases will it effect?
  •  What will the cost be?

More on PMI

General and Medical Healthcare joins amii
PMI

General and Medical Healthcare joins amii

PMI provider

Jaskeet Briah
clock 04 November 2024 • 1 min read
Benenden Health names Tom Woolgrove as CEO
PMI

Benenden Health names Tom Woolgrove as CEO

Former CII president

Jaskeet Briah
clock 29 October 2024 • 1 min read
Societal ageing and climate change adding to healthcare challenges
PMI

Societal ageing and climate change adding to healthcare challenges

AXA research shows

Jaskeet Briah
clock 14 October 2024 • 2 min read

Highlights

COVER Survey: Advisers damning of protection insurer service levels

COVER Survey: Advisers damning of protection insurer service levels

"It takes longer than ever to get underwriting terms"

John Brazier
clock 12 October 2023 • 5 min read
Online reviews trump price for young people selecting life and health cover

Online reviews trump price for young people selecting life and health cover

According to latest ReMark report

John Brazier
clock 11 October 2023 • 2 min read
ABI members with staff neurodiversity policy nearly doubles

ABI members with staff neurodiversity policy nearly doubles

Women within executive teams have grown to 32%

Jaskeet Briah
clock 10 October 2023 • 3 min read