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IBM Software
IBM solutions for
connectivity and
integration in the
insurance industry
Helping deliver secure data movement and seamless
business integration
Executive summary
The Business Collaboration Networks (BCNs) that are fundamental to
business operations in the insurance industry feature complex
hierarchies of partner companies, complex rounds of multi-tiered
negotiations, complex products, and diverse channels of
communication. Add the mandatory needs for security and regulatory
compliance to the mix, and the challenges become clear. IBM®
Connectivity and Integration can help address these challenges by
enabling you to connect, communicate and collaborate even better with
the suppliers, customers and partners in your BCN.
The IBM solution
IBM®
Sterling B2B Integrator, IBM®
Sterling Managed File Transfer
and the IBM®
Sterling B2B Network connect people, systems, and
technology and are designed to enable the seamless and safeguarded
integration of business processes.
These solutions deliver a comprehensive set of industry-leading
capabilities that address the critical challenges of:
business-to-business integration•	
managed file transfer and•	
enterprise integration•	
IBM Connectivity and Integration helps enable customers to solve their
integration challenges, both inside and outside their enterprise, by
transforming and signifcantly enhancing the business with a
comprehensive set of solutions rather than relying on multiple vendors
and complex cross-vendor implementations. As a result, insurance
companies can capture the greatest amounts of value and ROI, while
reducing the complexity and total ownership cost of implementing a
comprehensive integration strategy.
The insurance industry challenges
Consolidating data is a significant challenge. Transactions
involve large volumes of data, including complex contracts,
schedules of definition, and image files. Transactions can also
involve rounds of negotiation during which the risk is assessed
and the price is fixed, or the loss is evaluated and claims are
approved or adjusted. Sharing and managing data is part of
this challenge. Information has to be exchanged sequentially
though a chain of partner companies that share no technology
standards and have very different IT capabilities. Yet another
part of this challenge is a large number of business partners
and communication channels. At the hub of the collaboration
network is the insurance carrier (or re-insurer) who is
frustrated by the complexity, cost, service delays, and increased
risk imposed by multiple diverse business communication
channels (some manual rather than electronic).
The carrier is further frustrated by poor integration across
technology siloes inside its own enterprise.
A second big challenge is achieving revenue growth.
Customers’ situations change frequently, which results in
changes in the products and services they need. Products
themselves also change frequently. Growth in this
environment can be difficult and slow when matching
customer needs with products in a manual process.
Information security is also a challenge for the insurance
industry. The lack of secure integration compromises
customer relationship management, impedes business
development, and adds risks in data security and external
regulatory compliance. Products are specialized and complex,
especially for customized commercial lines business.
Quotation negotiations, risk assessment queries, and detailed
contracts all add to the volume of confidential information
that need to be exchanged securely and rapidly. The insurance
business and its brands rely on consumer loyalty and trust, so
maintenance of customer data, together with prompt, accurate
evaluation and settlement of claims are critical.
IBM Software
2
:At the hub of the collaboration network is the insurance carrier (or re-insurer) who is frustrated by the complexity, cost, service delays,
and increased risk imposed by the lack of integration..
Insurance Business Collaboration Network
IBM Software
3
Issue Capability Benefit
Consolidating data – the
need to create efficiencies
and reduce costs in sharing
and managing information
among many partners across
many channels by increasing
straight-through processing
Streamlining data movement with options such as:
• Consolidated data communications connectivity
between multiple partner companies in a
fragmented distribution chain, automatically
translating data formats and bridging across
diverse technologies
• Increased straight-through processing, with
automated error handling
• Collation and reconciliation of customer data with
policy data, risk exposure data and payment data
• Ability to accelerate receipt and processing of risk
exposure data
• Faster processing of premium receipt/revenue
processing and claims settlement/payment
processing
• Becomes ‘easier to do business with’
• Becomes respected for enabling community
connectivity
• Acquires reputation for improved efficiency and
accuracy, so enhancing the brand
• Is able to expedite real-time pricing transmissions and
complex policy negotiations
• Improves cash flow visibility and liquidity management
through greater certainty of payment movements
• Improves risk exposure management and provision
through faster transmission of ‘at risk’ data
• Reduces costs and errors through increased data
movement integration with fewer manual processes
Achieving revenue growth –
the need to preserve and
grow revenue by retaining
and developing customers
Automation improves growth with options like:
• Consolidation and matching of customer data and
status intelligence
• Efficient movement of data to and from CRM and
CCM systems
• Appropriate movement of customer data to and
from diverse authorized distributors
• Is able to synchronize the promotion of product
launches and communication of product updates
across multiple channels, both direct and through
partners
• Is able to cross-sell to existing customers based
upon more comprehensive and current customer
information
• Has even better current visibility of work-in-progress,
so can advise current status to customers, partners
and regulators
Information security – the
need to improve operational
risk management and data
security practices
Comprehensive world-class data security,
featuring options including:
• Managed file transfer to replace insecure FTP
transmissions
• Messaging transmissions
• Process recovery and restart
• Encryption to protect confidential and sensitive
customer data, both in storage and in transit
• Perimeter security
• User authentication
• Verifiable delivery
• Authenticated customer/partner self-service
• Improves its defense against data interceptions and
losses
• Increases the protection of the brand and reputation
• Reduces operational risk
• Reduces potential for fraud that could result in
significant costs and losses
• Support efforts to enable compliance with national,
state and industry data protection legislation and
other legal/regulatory obligations
• Reduces the associated risk of penalties/fines
IBM Software
4
IBM Connectivity and Integration in the
insurance industry
Tactical, point solutions can be achieved using different,
individual components from many vendors, but the
smarter option is a comprehensive suite from one vendor.
IBM Connectivity and Integration is a comprehensive
infrastructure integration solution. Incremental, related
components can be added in stages, to limit operational risk,
while progressively achieving consolidated data movement
and process integration control, both internally and across the
entire Business Collaboration Network.
IBM in the insurance industry
IBM offers a comprehensive business data movement and
process integration solutions to over 800 insurance
organizations worldwide.
The IBM portfolio is distinct in providing data authorization,
analysis, validation, translation (between many packaged data
standards) and routing, coupled with security-rich data
management and network delivery, fully integrated into an
extensible and scalable solution.
IBM builds bridges between the different technologies used
across insurance communities, enabling insurance
e-commerce operations and efficient, safeguarded
transmission of insurance transaction data.
IBM connects a Eurozone healthcare insurer to a network of
medical practitioners, enabling rules-driven format validation
of claims files, transmission of files to the carrier, integration
into carrier claims processing systems, and the return of
settlement confirmations to the claimants.
IBM connects a major property and casualty insurer to an
automotive agency distributor that is the point of sale for
multiple personal lines insurance products to its consumers.
IBM connects a major insurance call center to six multi-
national carriers, enabling a single suite of call center policy
administration applications designed to connect seamlessly to
diverse carrier technologies.
ZZS03060-USEN-00
Please Recycle
© Copyright IBM Corporation 2012
IBM Corporation
Software Group
Route 100
Somers, NY 10589
USA
Produced in the United States of America
January 2012
IBM, the IBM logo, ibm.com and Sterling Commerce are trademarks or registered
trademarks of International Business Machines Corporation in the United States,
other countries, or both. If these and other IBM trademarked terms are marked on
their first occurrence in this information with a trademark symbol (® or ™), these
symbols indicate U.S. registered or common law trademarks owned by IBM at the
time this information was published. Such trademarks may also be registered or
common law trademarks in other countries. A current list of IBM trademarks is
available on the web at “Copyright and trademark information” at www.ibm.com/
legal/copytrade.shtml.
The information contained in this publication is provided for informational purposes
only. While efforts were made to verify the completeness and accuracy of the
information contained in this publication, it is provided AS IS without warranty of
any kind, express or implied. In addition, this information is based on IBM’s current
product plans and strategy, which are subject to change by IBM without notice.
IBM shall not be responsible for any damages arising out of the use of, or otherwise
related to, this publication or any other materials. Nothing contained in this
publication is intended to, nor shall have the effect of, creating any warranties or
representations from IBM or its suppliers or licensors, or altering the terms and
conditions of the applicable license agreement governing the use of IBM software.
References in this publication to IBM products, programs, or services do not imply
that they will be available in all countries in which IBM operates. Product release
dates and/or capabilities referenced in this presentation may change at any time at
IBM’s sole discretion based on market opportunities or other factors, and are not
intended to be a commitment to future product or feature availability in any way.
Nothing contained in these materials is intended to, nor shall have the effect of,
stating or implying that any activities undertaken by you will result in any specific
sales, revenue growth, savings or other results.

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IBM Solutions for Connectivity and Integration in the Insurance Industry

  • 1. IBM Software IBM solutions for connectivity and integration in the insurance industry Helping deliver secure data movement and seamless business integration Executive summary The Business Collaboration Networks (BCNs) that are fundamental to business operations in the insurance industry feature complex hierarchies of partner companies, complex rounds of multi-tiered negotiations, complex products, and diverse channels of communication. Add the mandatory needs for security and regulatory compliance to the mix, and the challenges become clear. IBM® Connectivity and Integration can help address these challenges by enabling you to connect, communicate and collaborate even better with the suppliers, customers and partners in your BCN. The IBM solution IBM® Sterling B2B Integrator, IBM® Sterling Managed File Transfer and the IBM® Sterling B2B Network connect people, systems, and technology and are designed to enable the seamless and safeguarded integration of business processes. These solutions deliver a comprehensive set of industry-leading capabilities that address the critical challenges of: business-to-business integration• managed file transfer and• enterprise integration• IBM Connectivity and Integration helps enable customers to solve their integration challenges, both inside and outside their enterprise, by transforming and signifcantly enhancing the business with a comprehensive set of solutions rather than relying on multiple vendors and complex cross-vendor implementations. As a result, insurance companies can capture the greatest amounts of value and ROI, while reducing the complexity and total ownership cost of implementing a comprehensive integration strategy.
  • 2. The insurance industry challenges Consolidating data is a significant challenge. Transactions involve large volumes of data, including complex contracts, schedules of definition, and image files. Transactions can also involve rounds of negotiation during which the risk is assessed and the price is fixed, or the loss is evaluated and claims are approved or adjusted. Sharing and managing data is part of this challenge. Information has to be exchanged sequentially though a chain of partner companies that share no technology standards and have very different IT capabilities. Yet another part of this challenge is a large number of business partners and communication channels. At the hub of the collaboration network is the insurance carrier (or re-insurer) who is frustrated by the complexity, cost, service delays, and increased risk imposed by multiple diverse business communication channels (some manual rather than electronic). The carrier is further frustrated by poor integration across technology siloes inside its own enterprise. A second big challenge is achieving revenue growth. Customers’ situations change frequently, which results in changes in the products and services they need. Products themselves also change frequently. Growth in this environment can be difficult and slow when matching customer needs with products in a manual process. Information security is also a challenge for the insurance industry. The lack of secure integration compromises customer relationship management, impedes business development, and adds risks in data security and external regulatory compliance. Products are specialized and complex, especially for customized commercial lines business. Quotation negotiations, risk assessment queries, and detailed contracts all add to the volume of confidential information that need to be exchanged securely and rapidly. The insurance business and its brands rely on consumer loyalty and trust, so maintenance of customer data, together with prompt, accurate evaluation and settlement of claims are critical. IBM Software 2 :At the hub of the collaboration network is the insurance carrier (or re-insurer) who is frustrated by the complexity, cost, service delays, and increased risk imposed by the lack of integration.. Insurance Business Collaboration Network
  • 3. IBM Software 3 Issue Capability Benefit Consolidating data – the need to create efficiencies and reduce costs in sharing and managing information among many partners across many channels by increasing straight-through processing Streamlining data movement with options such as: • Consolidated data communications connectivity between multiple partner companies in a fragmented distribution chain, automatically translating data formats and bridging across diverse technologies • Increased straight-through processing, with automated error handling • Collation and reconciliation of customer data with policy data, risk exposure data and payment data • Ability to accelerate receipt and processing of risk exposure data • Faster processing of premium receipt/revenue processing and claims settlement/payment processing • Becomes ‘easier to do business with’ • Becomes respected for enabling community connectivity • Acquires reputation for improved efficiency and accuracy, so enhancing the brand • Is able to expedite real-time pricing transmissions and complex policy negotiations • Improves cash flow visibility and liquidity management through greater certainty of payment movements • Improves risk exposure management and provision through faster transmission of ‘at risk’ data • Reduces costs and errors through increased data movement integration with fewer manual processes Achieving revenue growth – the need to preserve and grow revenue by retaining and developing customers Automation improves growth with options like: • Consolidation and matching of customer data and status intelligence • Efficient movement of data to and from CRM and CCM systems • Appropriate movement of customer data to and from diverse authorized distributors • Is able to synchronize the promotion of product launches and communication of product updates across multiple channels, both direct and through partners • Is able to cross-sell to existing customers based upon more comprehensive and current customer information • Has even better current visibility of work-in-progress, so can advise current status to customers, partners and regulators Information security – the need to improve operational risk management and data security practices Comprehensive world-class data security, featuring options including: • Managed file transfer to replace insecure FTP transmissions • Messaging transmissions • Process recovery and restart • Encryption to protect confidential and sensitive customer data, both in storage and in transit • Perimeter security • User authentication • Verifiable delivery • Authenticated customer/partner self-service • Improves its defense against data interceptions and losses • Increases the protection of the brand and reputation • Reduces operational risk • Reduces potential for fraud that could result in significant costs and losses • Support efforts to enable compliance with national, state and industry data protection legislation and other legal/regulatory obligations • Reduces the associated risk of penalties/fines
  • 4. IBM Software 4 IBM Connectivity and Integration in the insurance industry Tactical, point solutions can be achieved using different, individual components from many vendors, but the smarter option is a comprehensive suite from one vendor. IBM Connectivity and Integration is a comprehensive infrastructure integration solution. Incremental, related components can be added in stages, to limit operational risk, while progressively achieving consolidated data movement and process integration control, both internally and across the entire Business Collaboration Network. IBM in the insurance industry IBM offers a comprehensive business data movement and process integration solutions to over 800 insurance organizations worldwide. The IBM portfolio is distinct in providing data authorization, analysis, validation, translation (between many packaged data standards) and routing, coupled with security-rich data management and network delivery, fully integrated into an extensible and scalable solution. IBM builds bridges between the different technologies used across insurance communities, enabling insurance e-commerce operations and efficient, safeguarded transmission of insurance transaction data. IBM connects a Eurozone healthcare insurer to a network of medical practitioners, enabling rules-driven format validation of claims files, transmission of files to the carrier, integration into carrier claims processing systems, and the return of settlement confirmations to the claimants. IBM connects a major property and casualty insurer to an automotive agency distributor that is the point of sale for multiple personal lines insurance products to its consumers. IBM connects a major insurance call center to six multi- national carriers, enabling a single suite of call center policy administration applications designed to connect seamlessly to diverse carrier technologies.
  • 5. ZZS03060-USEN-00 Please Recycle © Copyright IBM Corporation 2012 IBM Corporation Software Group Route 100 Somers, NY 10589 USA Produced in the United States of America January 2012 IBM, the IBM logo, ibm.com and Sterling Commerce are trademarks or registered trademarks of International Business Machines Corporation in the United States, other countries, or both. If these and other IBM trademarked terms are marked on their first occurrence in this information with a trademark symbol (® or ™), these symbols indicate U.S. registered or common law trademarks owned by IBM at the time this information was published. Such trademarks may also be registered or common law trademarks in other countries. A current list of IBM trademarks is available on the web at “Copyright and trademark information” at www.ibm.com/ legal/copytrade.shtml. The information contained in this publication is provided for informational purposes only. While efforts were made to verify the completeness and accuracy of the information contained in this publication, it is provided AS IS without warranty of any kind, express or implied. In addition, this information is based on IBM’s current product plans and strategy, which are subject to change by IBM without notice. IBM shall not be responsible for any damages arising out of the use of, or otherwise related to, this publication or any other materials. Nothing contained in this publication is intended to, nor shall have the effect of, creating any warranties or representations from IBM or its suppliers or licensors, or altering the terms and conditions of the applicable license agreement governing the use of IBM software. References in this publication to IBM products, programs, or services do not imply that they will be available in all countries in which IBM operates. Product release dates and/or capabilities referenced in this presentation may change at any time at IBM’s sole discretion based on market opportunities or other factors, and are not intended to be a commitment to future product or feature availability in any way. Nothing contained in these materials is intended to, nor shall have the effect of, stating or implying that any activities undertaken by you will result in any specific sales, revenue growth, savings or other results.