FNB - Funeral Automated Claims Processing - Insurer Innovation Award 2022

1. FNB Funeral Automated Claims
Processing (STP)
End-to-end claims excellence in under 40 minutes

2. FNB Life provides Funeral Insurance policies to 1.3 million clients with an annual
growth of 5%. The advent of Covid-19 has increased the average number of
claims to more than 3,000 per month, which has placed tremendous pressure on
our operational claims staff.
Additional capacity through external call centre staff and overtime working hours
were required to maintain sufficient levels of client servicing throughout the
pandemic, leading to a large increase in operational costs.
We had to find a way to keep our promise to our clients by assessing and paying
out funeral claims to beneficiaries as quickly as possible during difficult and unsure
times, while also ensuring that our business remains stable in terms of costs.
T h e P r o b l e m
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
FUNERAL CLAIMS VS COVID WAVES
Wave 1 Wave 2 Wave 3 Wave 4

3. FNB Life identified an opportunity to scale its funeral claims processing capabilities
while also reducing resourcing costs through the development of an end-to-end
automated claims process.
The automated claims process brings technologies such as optical character
recognition, machine learning, integration with external third-party information
services and risk assessment models together on a single workflow orchestration
platform to assess claims and provide digital feedback to clients within minutes.
80% Claims Processed in Less Than 1 Hour
60% Claims Automatically Approved by System
Create Additional Claims Capacity with Existing Resources
T h e S o l u t i o n O u r G o a l s
A truly modular, transparent, and customer-centric claims process able to perform straight through processing of claims
within a matter of minutes and with minimum human involvement

4. By combining a hyper-
automation approach with a
workflow orchestration platform
We’ve developed an
automated end-to-end funeral
claims process

5. Process Performance Summary
812
The number of claims processed through the system
C L A I M S P R O C E S S E D
16,944
The number of documents assessed by OCR on
documents attached
D O C U M E N T S
A S S E S S E D
282,483
The number of fields extracted
F I E L D S E X T R A C T E D
276
The number of claims approved by the system
C L A I M S A P P R O V E D
R 6.8 M
The value of the approved claims paid by the system
C L A I M S P A I D
3 min
For all automated claims – a reduction in 35 minutes
compared to our average
H A N D L I N G T I M E
M o n t h l y C l a i m s
3000
M i l l i o n A n n u a l
C o s t
R 1,6
M i l l i o n A n n u a l
C o s t S a v i n g
R 6,2

6. C u s t o m e r I m p a c t & E x p e r i e n c e
Just want to complement you on excellent
service. My father passed on and I had a
funeral cover with FNB. I submitted my
claim this morning and within less than 20
minutes my claim was paid out.
Job well done!
I just want to compliment FNB Funeral Insurance.
My mum passed on last week Monday because of
being busy I couldn’t claim on Monday then I
submitted claim via FNB app on Tuesday around
about 15h00.
All required documents were submitted. To my
surprised money was into my bank account round
about 17h00. It was easy to make preparations.
Was so impressed with outstanding service most
of the time people will complain about other
insurance companies but FNB outdone
themselves. When you are mourning you don't
want to be stress when you don’t get money for
making preparations.

7. The entire platform is designed, built and
managed through our internal platform’s
workflow and decisioning engine,
allowing for a transparent and
configurable claims process that can be
scaled and updated with minimal
technical or development intervention
required
Automated Claims Document
Indexing & Capturing with
Optical Character Recognition
Automated Validation of all
Indexed and Captured
Information
Automated Death Validations
Automated Beneficiary
Account Validations on
payment partner platform
Automated Beneficiary
Screening through internal
customer data system
Claims Rules through
Decisioning Engine
Automated Claims Risk
Assessment
Automated Claims Payment
Automated Client
Communications during
Claims Processing
>
Live Process Monitoring &
Management
On-the-fly Process
Configuration & Rule
Adjustments
Process Performance
Analysis and Reporting
Process Capabilities InsureWorX Platform Capabilities
F e a t u r e S u m m a r y
Email
Mobile App
Online
Telephonic

8. Future Development
Timeline
Next Steps
This solution will be further enhanced and scaled to include all
of FNB Life’s mortality products, which will lead to the
realisation of a singular mortality claims process capable of
assessing claims for a wide range of products in a configurable
and modular fashion.
There will always be the need for human involvement. Manual
tasks will be optimised by enabling agents to do all they need
to do on a single system, by automating admin tasks as far as
possible and provide a guideline to follow when assessing
claims.
Risk and fraud models will also be enhanced to include a wider
range of data and real time feedback from the fraud desk will
enhance our predictive capabilities.
July 2022
May 2022
June 2022
September 2022
Enablement of parallel assessment for
multiple funeral claims linked to a single
deceased
Enablement of automated beneficiary
tracing through social networking and
lineage analysis
Addition of improved predictive capabilities
to current risk and fraud models
Expansion of current process to include
the assessment of other products with
mortality benefits
Development Journey
The development has thus far taken a total of 6 months. The first full
development cycle took 4 months to complete, from the initial design
concepts to final testing. Numerous enhancements have been
implemented since the first release over the last 3 months.

9. Thank You