2. Agenda
What’s In It for Me ?
MindMap
Insurance Business Rules
Auto Insurance Business Processes
Legacy Transformation
Rules Extraction Process
Unstructured Data
Customer Insights
3. Insur
er
Docto
r
Staff
Phar
macy
Busin
ess
Analy
st
Devel
oper
Can I create
new insurance
policies for
customers
without change
in code ?
Can the
medical
payments/clai
ms be settled
in a fast way
with good
quality?
Can I create
applications on
the no code
platform after
extraction of
business rules
From main
frame ?
Can I have
payment
settlements or
claims happen in
Can I have invoices
processed in time?
Can I deploy
and upgrade
my application
on fly with no
code
platform?
What’s in it for me ?
4. Digital
Transformation
Mind map
No Code Platforms
Low Code Platforms
Market Requirements
Health Insurance
Payment Processing
AI
Insurance
Health Care
Telehealth Digital health
Data Sources
Knowledge
Resources
Budget
In House Applications
Domain
Knowledge
Application Upgrades & Updates
Training
Metadata
Customizations
Licensing & Subscription
Life insurance
Home
Insurance
Auto Insurance
Travel
Insurance
Tech Stack
Wellness Apps
Hospital
Management
Application Scope
Neural
Sketch
Learning
Legacy Systems
& Migration
DevOps
AI/ML
15. Extraction Process
• Conduct Interviews
• Analyze The
Documentation
Business
Analysis
• System Decomposed to
small Modules
• Modules decomposed to
Components
Decomposition
• Blend the code analysis
with documentation
• Correlate the
components from
decomposition exercise
Code Analysis
16. As-Is Analysis
Core
Syste
m
Core
System
Context
Premier
Vantage 12
EUC
RCDS
VRU
Check
Free
Triton
ING
Access
VRR
Proxy
Mailings
DSS 14
Premier
Context
Admin/DSS
Peripherals
Commissions/
Sales
Customer
Service Reserves
Money
Processing
Financial
Processing
Management
Reporting
Customer
Reporting
Premier
Peripherals
11/11/2005
PREMIER_CONTEXT_DIAGRAM_DRAFT_MN_111105.VSD
PAIS
EDS
3121
Partial
Srrndr
Tax
DISC/IRS
AFS Loan
Rpmnt
Actuary
feeds
DMC
ABC
EFT
Intrnal
Exchange
Premier
OMNI Plus
AFTS
Image
file
JD
Benefits
Mailing
Extracts
Moore
Minot
Regulatory
OFAC
Peoplesoft
Ledger
Pricing
Extract
Stuart
Extracts
A = Alternate Source
A
A
A
26 First Line Peripherals Info being validated
Syste
ms
System
Context
17. Modernization Strategy
Modernization
Candidate Analysis Software
Packages
Common Factors
• Cost / Benefit Analysis
• Risks to Business
• Extent of impact
• - Technology
• - Operational
• Implementation Timeline
• Critical Resource
Availability
Functionality /
System Factors
• Necessity of functionality
• Cost of operations
• Degree of fit with the
future state
• Suitability of deployment
• Technical maturity
• - Stability, Performance
• Functional / Technical
Extension
Dependency
Structure
Matrix (DSM)
To understand
and prioritize
future
state definition
Automation
scripts
To review and
report on
application
interconnections
19. Modernization Opportunity Analysis
• Core systems
17% of the total 181 areas can be
modernized
• Interfaces
31% of the total 188 interfaces can be
modernized
• DSS
Decoupling DSS from its admin engine
will considerably reduce regression
cycles needed for testing modifications
Consolidation Opportunities
• Common Capabilities
Significant opportunities exist to
standardize Business processes
• Leveraging Centralized DC Data
Significant portion of operational and
analytical reporting could be utilized
• Archival
44% of policies on ACME and 32% on RES are eligible for archiving and are currently not archived
21% of the total policies are in Waiting status of which 77% of them are older than one year and may be eligible for deletion
• Mainframe CPU
26% of the total Mainframe CPU charges are used for testing of which 65% can be moved out to a mid-tier environment
• Redundant Storage and Processing
ACME and RES approach for calculating balances used in Statements, etc., are not optimized for storage and processing costs
Optimization Opportunities
Standardization Opportunities
• It is technically feasible to modernize
ACME and RES onto a single platform
• VFS platform supports technology
direction for Digital Delivery, Common
Capabilities, and DevOps
Platform Opportunities
20. Modernization Benefits
• Leverage platform capabilities to quickly add,
modify, and clone products
• Offer user interface screens for business to
develop and test product and regulatory
calculations
• Maintain a predictable, controllable and
consistent software
• Leverage table-driven capability to easily
define and customize meaningful values for
fields on platform screens
Time to Market
Total Cost of Ownership
Efficiency Technology
• Offer non-financial transaction
information immediately to
customers
• Eliminate location
dependency Expect significant
gains from productivity
enhancement tools on the mid-
tier environment
• Increase usability and
accessibility
• Offer integration opportunities for all
applications and Common Capabilities
• Integrate with standard capabilities for
Security, Business Activity tracking, and
Systems Management
• Achieve data interfacing through
Enterprise Information Platform.
• Expect efficiency gains from platform
• Use open standards
Process Steps
• Upgrade to New platform
• Merge ACME and RES onto a
single system
• Leverage mid-tier for
development and testing
• Implement archival strategy
• Consolidate system and
Interfaces
• Utilize the new platform
features
• Reduce analysis, development,
and testing costs by investing
in mid-tier environment
• Optimize resource usage by
implementing an archival
strategy
• Decrease risk and support
costs by consolidating redundant
applications and interfaces
• Leverage the ability to implement
an easier, cost-effective rate
maintenance solution
21. Unstructured Data
Customer
• geospatial information
• location data
• traffic patterns
• weather events
• health records
• historical profile data
• aerial and satellite images
Processes
• underwriting
• claims adjustment
• claims survey
• social media interaction
• third-party witness
22. Customer Insights
• Risk Profile
• New Exposures
• Pricing Strategies
• Underwriting decisions
• Loss prevention Strategies
• Merit Rating
Metrics
• Age
• Address
• Call logs
• Online history
• Location data
Profile
• Speeds
• Acceleration
• Hard Braking
• Weather patterns
• Traffic Patterns
• Pathway Hazards
• Routes
• Risks
Performance
24. Underwriting Engine Testing
Auto Health
Property &
casualty
Commercial
Life Travel
Business
Processes
Business
Rules
Business
Policies
Compliance
Rules
Policy creation
Scenarios
Quote
Process
Claims
Process
Customer
Onboarding
25. AI Based Testing – Underwriting Engine
Test Data
Creation
• Legacy Rules
• Customer Profiles
• Customer Interests
Simulation
• Random Profile Selection
• Check for Failure Scenarios
34. Digital Platform – 3 Pillars
Digital Transformation
Customer
Experience
Operational
Processes
Business
Models
35. Digital Capabilities
Customer Experience
• Multi Channel Care
• Customer Trust
Development
• Improving
Customer Journeys
• Transactional Brand
Awareness
• Customer
Understanding
• Top line growth
Operational
Processes
• Process Digitization
• Worker Enablement
• Performance
Management
• Process Automation
• Process Digitization
• Worker Enablement
• Performance
Management
• Cyber Security
• Enterprise Social
Networks
Business Models
• Digital Business
• Digital Globalization
• Disruption and
Innovation
• Business
Composition
• New Business
Models
• Subscription
model
• Freemium Model
• Free Model
• Market Place
Model
• On demand Model
37. Digital Maturity Model
Beginner
Fashionista
Conservative
Digerati
• Operational
changes
• No business
benefits
• No Governance
• Corporate
Culture
• Great Vision
• Good
Governance
• Business Value
Driven
• Business
Benefits Focus
• Digital Culture
Encouraged
• Competitive edge
over their
competitors
38. Challenges – Digital Transformation
Business Model
• Multiple Interchangeable
parts are created in the
ecosystem
• Co-opetition happens as
new entry increases
• Empowerment of other
ecosystem players is
needed
• Composable business
models are created by
service economy
Technology
• Automated Agents of
change are created
• Role of People is fulfilled
by technology
39. Digitization – Verticals Differences
Finance
• Self Service
• Customer Interaction
Insurance
• Policy Administration
• Underwriting
• Pricing
• Claims Processing
HealthCare
• Patient Real time monitoring
• Personalized Experiences
• Healthcare electronic records
Pharma • Quality Control
Telecom
• Robust Consumer analytics
• Digitization of order management
• Self-service CRM
• Simplified IT interfaces
• Business Automation
40. Digitization vs Digital Transformation
• Conversion of information
from Physical to Digital
• Creates business value
(needs data)
Digitization
• Transformation of
Business processes
• Change in Business
Models
Digital
Transformation
41. Mind map - DevOps
No Code Platforms
Low Code Platforms
Market Requirements
Health Insurance
Payment Processing
AI
Digital health
Data Sources
Knowledge
Resources
Legacy Systems & Migration
Budget
In House Applications
Health Care
Application Upgrades & Update
Training
Metadata
Customizations
Licensing & Subscription
Life insurance
Tech Stack
Wellness Apps
Hospital
Management
Application Scope
Neural
Sketch
Learning
AI/ML
Devops
Containers
Cloud
CI/CD
Version
Control
Testing
GIT
IDE
Automation
Virtualization
Network
Monitoring
System Admin
43. DevOps Evolution - Metrics
Metric Value
Deployment
Frequency
Monthly
Lead Time Between
a week
and
6months
MTTR Less than
a week
Change
Failure Rate
Less than
15%
Low
Mid High
Metric Value
Deployment
Frequency
Between Daily
and Weekly
Lead Time Less than a
week
MTTR Less than a day
Change Failure
Rate
Less than 15%
Metric Value
Deployment
Frequency
On Demand
Lead Time Less than an
hour
MTTR Less than an
hour
Change Failure
Rate
Less than 5%
44. DevOps Evolution - Challenges
• Resistance to Change
• Legacy Architecture
• Shortage of Skills
• Lack of Automation
• Unclear Objectives
Low
• Resistance to Change
• Legacy Architecture
• Shortage of Skills
• Lack of Automation
Mid • Legacy Architecture
• Shortage of Skills
High
46. What’s in your RoadMap ??
MultiLingual Speech
Learning- Knowledge Assistant
Connected Systems
Dynamic Program
Creation
AI Coder
No Code Automation Platform
Next Gen AI Platform
Automated Content Generation
Natural Language Generation
Few Shot Learning
XAI(Explainable AI)
AI & IOT Convergence