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J Davis Consulting LLC                            Joan Davis, Principal
                                                  www.theVirtualBA.com




Process Reinvention Case Study

         Integrated Suite of Services
                 Business Problem Solving

                 Requirements Definition

                 Transition Planning




     SITUATION: Organization needs to quickly understand the
     scope of compulsory enterprise-wide changes, and to adapt
       the organization, processing, and systems to meet the
            deadlines imposed by Regulatory Authorities.




COPYRIGHT © 2006, 2012 J DAVIS CONSULTING LLC
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                                 .                                                                           Process Reinvention Case Study
                                 .
                                 .                                                                                     J Davis Consulting, LLC
                                 .
                                 .
                                 .
                                 .
                                 .
Contents:
    Case Overview.........................................................................................................1

    Approach.....................................................................................................................1

    Benefits ...................................................................................................................... 2

    Week By Week Progress .................................................................................3

    Phase 1 Business Problem Solving ........................................................... 4

           Artifacts .......................................................................................... 4

           Results............................................................................................. 4

    Phase 2 Requirements Definition ........................................................... 6

           A. Process Analysis ................................................................... 6

           Artifacts .......................................................................................... 6

           Results............................................................................................. 7

           B. Systems Usage Analysis ..................................................... 7

           Artifacts .......................................................................................... 7

           Results............................................................................................. 8

           C. Systems Architecture Analysis ......................................... 8

           Artifacts .......................................................................................... 8

           Results............................................................................................. 9

    Phase 3 Transition Planning..................................................................... 10

           Artifacts ........................................................................................10

           Results...........................................................................................10
Process Reinvention Case Study
                                                                 J Davis Consulting, LLC



  1
 Section




Process Reinvention Case Study
Design & Plan Implementation of an Enterprise-Wide Reengineering
Case Overview

           A Court Order mandated changes in the Client’s business directive, causing a
           major shift in function and resulting in significant reduction in workforce. This
           analysis was undertaken as the organization began to gain a better
           understanding of what this challenge entailed. The Client targeted a fixed 3
           month period in which to assess the impact and plan the transition; further
           complicating the assignment, some process changes were effective immediately.

Approach

           The project began in November, charged with defining the immediate tactical and
           longer term strategic approaches for supporting this new environment. Analysis
           objectives included:
            Clarify goals & stakeholders under the new directive.


              Compare the former processing models with requirements under the new
               directive, designing a new workflow and removing obsolete functions.

              Identify value-added system interactions required to support the new
               workflow.

              Identify the current (as is) systems support suitable as short term (tactical)
               solutions.

              Examine the gap between the tactical support design and system support
               requirements going forward.

           J Davis Consulting LLC followed a collaborative approach to fulfill these
           objectives, conducting leadership interviews, focus groups, and workshops with
           processing and technology subject matter experts. The project deliverables were
           submitted to the Client within the 3 month timeframe. The publications included
           analysis findings and group recommendations in both high level overview
           presentation format and as an electronic package of supporting material and
           project artifacts.




                                                                                   1|P A G E
Process Reinvention Case Study
                                                                 J Davis Consulting, LLC

Benefits

What the Clients had to say …

            “The documentation was invaluable in my presentation.”

            “… [the results are] beyond a nice job when we consider that some of the
            business rules were still not defined at the outset.”

            “extremely impressive planning documents”

            “Thanks for really thinking this through and making it work.”



        This Organization realized the following benefits by following this approach:
           Project demand on the valuable time of internal resources was cut to just a
            few hours by using collaborative workshops and review iterations.

           Analysis both broad & deep, the product of enterprise-wide representation
            and “engineered” solutions.

           Neutral, professional facilitation guided participants through difficult, sensitive
            subjects, including legal matters, staff reductions, outsourcing functions, and
            shutting down systems.

           Integrated repeatable process used for analysis and publishing, enabling the
            Client to later drill further into the “to be” workflow detail independently using
            the same tools.

           Printed and electronic documentation of analysis findings subsequently
            served many purposes:

                o   supported Leadership Meetings with Regulators
                o   basis for staff retraining
                o   high level technical architecture reference
                o   workflow was later translated into narrative description for on-line
                    procedural references
                o   workflow supported imaging technology impact assessment to
                    examine points of paper management
                o   Use Case mapping to business function supported CBA for systems
                    application proposals
                o   continuous improvement efforts to forecast and streamline business
                    activities over time


                                                                                      2|P A G E
Process Reinvention Case Study
                                                                   J Davis Consulting, LLC
 Section

  2
Project Details
Requirements and Change Navigation Plan in Only 3 Months
Week By Week Progress
     Project Planning
          Week 1     Project goal setting completed; Scope of Analysis determined; value of
                     background “as is” material evaluated; developed proposed approach
                     and timeline.
     Stakeholder Analysis
          Week 2    Initiated analysis activity.
          Week 3    Completed high level understanding of the business interactions
                    between Client, oversight entities, business partners, and service
                    providers.
     Process & System Requirements Analysis
          Week 4    Completed 1st iteration “to be” workflow models for 9 core processes;
                    identified all “as is” functions no longer applicable; initiated Issues Log
                    management of workflow anomalies and resource gaps.
          Week 5    Completed Use Cases definitions and mapping to process activities.
          Week 6    Completed model refinements; published workflow diagrams and
                    narrative; completed Use Case models detailing organizational
                    responsibility during system interactions.
          Week 7    Completed workflow & Use Case refinements for exception processing;
                    initiated final design edits/signoff process.
          Week 8    Conducted cross-functional walkthrough of “to be” process & system
                    utilization; completed Use Case models detailing application
                    responsibility during system interactions; completed Use Case scenario
                    listing (i.e., each Use Case with its purpose when invoked during a
                    workflow activity).
          Week 9    Published final workflow design & Use Cases package; completed
                    analysis of technology gaps.
     Transition Planning
          Week 10    Conducted Technical Solutions workshop evaluating alternatives to
                     address technology gaps in the near and long term; transitioned Issues
                     Log to Client Leadership team to prioritize and coordinate change
                     program assignments.
          Week 11    Initiated publication review cycle & final edits.
          Week 12    Published IT assessment of transition impact outlining the following
                     topics: “as is” system support, interim tactical approach, potential gaps,
                     and proposed strategic solutions; published Project Final Report and
                     Exhibits.
           The analysis project was completed at the end of Week 12.
                                                                                        3|P A G E
Process Reinvention Case Study
                                                                                                                                                                                                                                             J Davis Consulting, LLC

 Phase 1 Business Problem Solving
Artifacts
            The business models depicted below represent the Process Owners’ View
            delivered in the 3rd week of analysis and became the basis for discovery of
            requirements within the processing environment. This material was the result of a
            series of interviews with Senior Leadership and a ½ day collaborative focus group
            conducted on the subject of managing work under the new business directive.

                                                       Reliance in
                                                       Liquidation




                                                       Administer
                                                                                                                                                                                                                  The Function Hierarchy diagram is
                                                                                                                                                                                                                  used to develop the new process
                             Preserve                                                           Liquidate
                                                        Creditor
                              Assets                                                             Assets
                                                        Claims


                Reliance in Liquidation - Protecting the interests of Reliance Insureds, through
                processes conducted on behalf of the assigned Liquidator in response to the Court’s
                Order to Liquidate.
                                                                                                                                                                                                                  structure and define the functional
                Is composed of ..
                     –Preserve Assets - The activities that take place to comply with responsibilities
                     to the Liquidator to retain existing assets and recoup any outstanding funds
                                                                                                                                                                                                                  objectives.
                     owed to Reliance for eventual distribution to those submitting a Proof of Claim.
                     –Administer Creditor Claims - Coordinate the registration and determination
                     of claim value [i.e. allowed amount] for Proofs of Claim submitted as a claim
                     against the Reliance Estate.
                     –Liquidate Assets - The eventual distribution of Reliance’s assets by proof
                     of claim classification and allowed amount.




                   Fu n c t io n H ier ar c h y

                                                                                            recovered funds                                                                 liquidation status




                                                                        Proof of
                                                                         Claim        recovery opportunity
                                                                                                              claim expense invoice                            Finance

                                                                                                                                                 total liability
                                                                                                                                                                        proof of claim
                                                                                                                                                                                                            State
                                                                                                                                                                                                          Insurance
                                                                                                                                                                                                            Depts.                            The Stakeholder Interactions
                                                                                                                                                                                                                                              diagram is used to identify the key
                                                                        Services
                                                                                                                                                                                                 notice of evaluation
                                                                                                reinsurance claim




                                                                                                                    financial transactions
                                                                       financial transactions                       impacting reinsurance                             liquidation oversight                             Claimant
                                                                       impacting reinsurance




                                                                                                                                                                                                                                              internal & external process roles,
                                                                                                                                           Proof of
                                                                             reinsurance                                  reinsurance claim Claim                                                                dispute
                                                          Recovery            receivable                                        facts        Unit                           allowed amount                      resolution
                                                          Collection
                                                          Services
                                                                                           Reinsurance                                                                                                 Courts



                                                                                                                                                                                                                                              and define their interdependencies
                                                                                                                                                             covered claim fi le(s)
                                                                                            Processing
                                                                                                                                                         uncovered claim file




                                                                                                                                                                                                                                              in terms of deliverables or
                                                                reinsurance payment                                          financial transactions impacting reinsurance                             covered claim payment
                                                                                                                       financial               uncovered claim alert
                                                                                     Reinsurer                      transactions                                                   State
                                                                                                                      impacting                                                  Guarantee




                                                                                                                                                                                                                                              expectations.
                                                                                                                     reinsurance                                                 Association


                                                                                                                                   Insured
                                                                                                                                        TPA servi ce                 TPA service
                                                                                                                    financial transactions impacting
                                                                                                                               reinsurance
                                                                                                                                                    Third Party
                                                                                                                                                   Administrator




                                                       S t a k eh o l d er I n t er a c t io n s
                                                                                                                                                                   Reliance in
                                                                                                                                                                   Liquidation




                                                                                                                                                                    Administer
                                                                                                                         Preserve                                    Creditor                                Liquidate


                                                                                                                                                                                                                                                              The Process Decomposition
                                                                                                                          Assets                                     Claims                                   Assets




                                    Provide Proof of
                                     Claim Package
                                                                                                                                                                 Coordinate
                                                                                                                                                                 Submitted
                                                                                                                                                                                                                                                              diagram is used to define the
                                                                                                                                                                                                                                                                  Provide
                                                                                                                                                                                                                                                                Administrative



                                                                                                                                                                                                                                                              activities that make up each
                                                                                                                                                               Proofs of Claim                                                                                    Support




                                                                                                                                                                                                                                                              function, without concern for
                         Notify Potential     Deliver Proof of             Accept Proof of                                  Determine Claim                         Determine                        Coordinate                    Conduct        Provide        Coordinate      Handle Inquiries
                           Claimants          Claim Package                    Claim                                             Value                               Liability                      Reinsurance                    Recovery       Records         Expense
                                                                                                                                                                                                      Claims                                     Management      Disposition




                                                                                     Pr o c es s D ec o mpo s it io n
                                                                                                                                                                                                                                                              organizational responsibility.



Results
            The Management Focus Group participants collaborated to finalize business
            goals; impacts on organization, process, and technology; and transition issues.
            Their conclusions are recapped below:
             Acknowledgement that the new business directive would have many impacts
               on the organization, process, and technology that supported the Client’s
               former goals.

                    Requirements of new oversight groups, business partners, and roles within
                     the organization needed to be addressed.
                                                                                                                                                                                                                                                                                                    4|P A G E
Process Reinvention Case Study
                                                            J Davis Consulting, LLC


   Many prior functions, including marketing, new business, and regulatory
    compliance, were no longer applicable. These were now supplanted with new
    activities necessary to meet processing and record-keeping requirements
    under the new directive. The workflow also needed to now address handling
    by external entities.

   The technology infrastructure would be impacted by new and renewed calls
    for automated support to access historical records, share documents,
    administer business records, and respond to aggregated financial information.

   Certain transition elements would influence success and warranted attention
    as potential problem areas:

       o    Lower staffing levels and the use of outsourced resources.
       o    Addressing an initially high volume of the responses from a mass
            mailing.
         o Supporting inquiries, business partner needs, and resolving returned
            mail were highlighted as areas for attention.
         o Processing efficiency and staff competencies were impeded by the
            use of multiple legacy systems that supported some functions that
            would continue for a period under the new environment.
         o Accurate records management would be challenged by the
            integration of external records, off-site file handling, and responses
            processed without full documentation.
This information set the stage for the next phase of analysis – Requirements
Definition. The Management group set the guiding principals for the process
design.


                  Process Design Guiding Principals:

              Stay loose, expect anything, and keep it simple

              Conduct thorough evaluation of new business

              Be cost-conscious

              Comply with only those statutory requirements still
              relevant to the business directive



                           Be diligent in cash collection efforts

                           Speed & service excellence are now ‘nice to
                           haves’, not requirements


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Process Reinvention Case Study
                                                                                                                                                                                                        J Davis Consulting, LLC


Phase 2 Requirements Definition
         Activities during the Requirements Definition Phase were sequenced to remain
         focused on the new business drivers, delivering first workflow, then required
         systems support, and lastly the technical implementation.

A. Process Analysis
   Artifacts
         The business models depicted below represent the Process Participants’ View
         delivered in the 6th week of analysis and generated the initial inventory of
         transitional issues and longer term requirements to support the new processing
         environment. This material was the result of a series of workshops conducted
         with Functional Directors and processing Subject Matter Experts to identify
         internal roles and responsibilities, key events that trigger activity, and the flow of
         work, information, and deliverables.


                          POC inquiry
                                                 Handle
                  start: POC inquiry            Inquiries          end:
                receive                                          inquiry



                                                                                                                                                                                                                           Process Interaction Diagram is
                 phone                                          answered
                   call
                                                                      "inquiry initiates claim"   Provide Proof          claim
                                                                                                     of Claim          documents             end:



                                                                                                                                                                                                                           used to define the
                                                               pre-rehabilitation bill                                pending POC            POC
                                                                                                    Package                                package
                          claim expense
                                                                                                                                           delivered
                              invoice         Coordinate
                                              Submitted                                                                         pending
                                                                   end:



                                                                                                                                                                                                                           interdependencies or
                start: receive                                                                                                   claims
                                               Invoices          invoice
               correspondence                                   addressed
                                                                                                             "expense paid by RIL"/recoverable expense




                                                                                                                                                                                                                           deliverables across the core
                                                                       "reinsurance triggered"/recoverable expense


                                                        POC activity update




                                                                                                                                                                                                                           processes in scope, without
                                          start:
                                        receiving                                          Provide                           end:
                                          feeds             POC file tracking info        Records                          records
                                           from                                                                            current
                                                                                         Management


                                                                                                                                                                                                                           concern for organizational
                                         external
                                        handlers
                                                                                                  "reinsurance triggered"/reserve
                                                            "GA returned uncovered                 / loss payment / claim expense
                                                                    [portion]"                                payment                                 "reinsurance



                       proof of claim
                                                Accept
                                                Proof of
                                                                "claim fits reinsurance reportable criteria"/reinsurance
                                                                                         claim facts

                                                                                          "reinsurance triggered"/claim
                                                                                                                               Coordinate
                                                                                                                              Reinsurance
                                                                                                                                                        triggered"/
                                                                                                                                                   reinsurance offset

                                                                                                                                                       reinsurance
                                                                                                                                                                            Conduct
                                                                                                                                                                            Recovery               end:
                                                                                                                                                                                                                           responsibility.
                                                                                                     reserve                                            receivable                               recovery
                                                 Claim                                                                           Claims                                                        opportunities
                                                                                                                                                                                                exhausted
                                   incomplete              proof of claim
                                                                              Determine
                      pending         POC                        file
                                                                             Claim Value                           "exceeds retention
                       proofs
                                                                                                                 level"/allowed amount

                                                                                     proposed allowed
                                                                                                          Determine                       recovery opportunity
                                                                                          amount
                                                                                                           Liability


                                                                                                                               end:
                                                                                                                             proof of
                                                                                                                              claim
                                                                                                                            resolved




                           Pr o c es s In t er ac t io n s

                                                                                                                                                                                                                                                                                    Mod el 1

                                                                                                                                                                                              Process Detail: Provide Proof of Claim Package

           Activity or Workflow Diagrams are
                                                                                                                                                                        Proof of Claim Unit




           used to define the flow of events that                                                                                                                                      No tify          undeliverable       Resolve            Deliver           claim         end:
                                                                                                                                                                                     Po tential         POC package         Mailin g           Proof of
                                                                                                                                                                        star t:                                                                                docum ents     POC
                                                                                                                                                                     liquidation     Claimants                               Issue              Claim         pending POC    package



           comprise a processes in scope and
                                                                                                                                                                        order                                                                                                delivered

                                                                                                                                                                                                                                Se arch for
                                                                                                                                                                                                                                              No




                                                                                                                                                                                                                                   Prior       pkg sent Yes
                                                                                                                                                                                                                                                                        pending



           the resulting activity and deliverables,
                                                                                                                                                                                                                                                                        claims
                                                                                                                                                                                                                                Package(s)     already?
                                                                                                                                                                                                                                   Sent




           assigning responsibility to a role,
                                                                                                                                                                                         request for proof of claim package

                                                                                                                                                                                    star t:
                                                                                                                                                                                    POC
                                                                                                                                                                                   inquiry                     "requires POC"


           organization, external party, or                                                                                                                                                   start:
                                                                                                                                                                                        pre-rehabilitation
                                                                                                                                                                                               bill                 "claim m issing PO C"


           system.                                                                                                                                                                                      star t:
                                                                                                                                                                                                       handling
                                                                                                                                                                                                      uncovered
                                                                                                                                                                                                        claim




                                                                                                                                                                         A c t iv it y / Wo r k f l o w




                                                                                                                                                                                                                                                                                               6|P A G E
Process Reinvention Case Study
                                                                                                                                                                           J Davis Consulting, LLC
   Results
         Small groups worked from existing “as is” workflow diagrams to make
         adjustments and designed new workflow that would fulfill the Organization’s
         objectives under the new business directive. During the facilitated refinement of
         the initial “to be” model drafts, the Processing Focus Group participants
         collaborated to finalize responsibilities, information flow, deliverables, and
         transition issues.
         Each of the 9 business processes in scope was modeled as flows of activities
         and decisions responding to an event. Each of the resulting workflow diagrams
         captured the following information:
              Triggering events and conditions
              Possible outcomes
              Process issues
              Process participants
              Processing exceptions
         This information was reorganized and filtered to support the next phase of
         analysis – Transition Planning. The Activity Diagrams also served immediately
         as the basis for discovery of requirements for supporting systems.

B. Systems Usage Analysis
   Artifacts
         The business models depicted below represent the System Users’ View delivered
         in the 6th week of analysis and served as the basis for discovery of interim and
         strategic supporting systems. This material was the result of a series of
         workshops conducted with Functional Directors and processing Subject Matter
         Experts (SME) on the subject of system interactions required while processing
         business under the new directive.

                                       Process Detail: Handle Inquiry                                                                     Model 2




               Proof of Claim Unit
                                                       28       6       18 20 21 19                                           Provide Proof                          System Usage Mapping is used to
                                                                                                                                                                     define scenarios that call for
                                                                                           "inquiry initiates claim"            of Claim
                                                 "how to" request
                                                                         Provide                                                Package
                                                                        Instruction



                                                                                                                                                                     system utilization, by linking Use
                  start:
                 inquiry                                                Research                1       2
                received                                "needs
                                       22             research"          Answer                          3
                                                                                                                                    28

                                                                                                                                                                     Case reference #s to the Activities
                                                                                                  4                       10
                                                  "requestor is authorized"/request for policy or claim
                                      Receive                                                                         Provide
                       POC inquiry                                       info
                                       Inquiry                                                                      Requested
                                                    "inquiry initiates claim file


                                                                                                                                                                     they support, without concern for
                                                       update"/claim-related                                        Information
                                                            information                                        "claim
                                                                                      Provide                documents
                                                     request to reopen claim                                                                      end:
                                                                                     Records                  delivered"


                                                                                                                                                                     the application that will support the
                                                                                                                                                inquiry
                                                      "need file documents"         Management                                                 answered


                                                   "someone else


                                                                                                                                                                     functionality.
                                                      handles"           Redirect
                                                                          Inquiry
                                                                                                    6
                                                                                          20


                                     S ys t em U s ag e Mappin g

                                                                                                                                                                     Use Case diagrams are used to
                                                                 System Interactions: Update a Record
                                                                                                selected name & address record       Update Contact



                                                                                                                                                                     group similar system usage
                                                                                                                                          Info
                                                                              Reliance in
                                                                              Liquidation
                                                                             Representatives                  selected proof of claim record



                                                                                                 Proof of
                                                                                                  Claim
                                                                                                 Handler
                                                                                                                                         Record NOE
                                                                                                                                           Activity
                                                                                                                                                                     scenarios and identify the
                                                                                                                                                                     responsible Role, Organization, or
                                                                                                             new / changed info
                                                                                                            voided or spoiled check info
                                                                                                                        manual check info




                                                                                                                                                                     external entity, and what is
                                                                                     Authorized                         periodic data feeds Update Claim
                                                                                     Bill Payer                                                Information




                                                                                                                                                                     communicated during the system
                                                                                                 State     Hartford Third Party
                                                                                               Guarantee    ECS     Administrator
                                                                                               Association




                                                                                                                                                                     interaction.
                                                                                           record corrections              Enable Error
                                                                                                rejected records            Correction




                                                                                                                                                 Update Claim
                                                                                                                                                  File Locator




                                                                                                  U s e Cas e


                                                                                                                                                                                                   7|P A G E
Process Reinvention Case Study
                                                                                                                                                                                         J Davis Consulting, LLC


   Results
         The Systems Utilization Focus Group participants worked from the “to be”
         workflow diagrams to identify system utilization scenarios - Use Cases that occur
         during each activity in the new workflow - and defined the purpose of the system
         interaction. The analysis identified 32 Use Cases representing the following types
         of automated support required under the new business directive:
          Logging on to secure systems.
          Searching for a relationship to the enterprise.
          Accessing contact information.
          Accessing historical records.
          Analyzing financial transactions.
          Communicating and sharing information with others.
          Making expense payments.
         This information was reorganized and filtered to support the next phase of
         analysis – Transition Planning. The Use Case Diagrams also served immediately
         as the basis for assessment of the Client’s existing supporting systems.
C. Systems Architecture Analysis
   Artifacts
         The business models depicted below represent the System Architect’s View
         delivered in the 8th week of analysis and generated the initial inventory of
         Information Technology gaps in the Client’s capability to support the new
         processing environment. This material was the result of a series of workshops
         conducted with processing Subject Matter Experts (SME) and representatives
         from IT’s architecture, applications, and data groups, on the subject of the
         technical infrastructure that would support system interactions required under the
         new business directive.

                                          Interim System Support: Update a Record
                                  selected name & address record       Update Contact
                                                                                               new / changed info
                                                                            Info
                Reliance in                                                                                             Name &
                 Liquidation                                                                                            Address
               Representatives                  selected proof of claim record
                                                                                                                        System


                                   Proof of
                                    Claim
                                   Handler
                                                                          Record NOE
                                                                            Activity
                                                                                                    NOE activity update
                                                                                                                                                                                        Use Case diagrams are also used
                                                                                                                                                                                        to identify the system(s)
                                                                                                      new / changed info                      new / changed info
                                               new / changed info                                    Proof of Claim records                       RN, BW,
                                              voided or spoiled check info                                                                     Cybercomp claim WINS
                                                                                                                                  Proof of         records


                                                                                                                                                                                        responsible for a usage scenario
                                                          manual check info                                                        Claim
                                                                                                                                  System                 new / changed info
                       Authorized                         periodic data feeds Update Claim                                                       Rel Re Direct claim records
                       Bill Payer                                                Information


                                                                                                                                                                                        and what is communicated during
                                                                                                                                                                               Rel Re
                                                                                                                                   new / changed info                          WINS
                                                                                                                              Rel Re Assumed claim records
                                                                                                                                                                      Rel Re


                                                                                                                                                                                        the system interaction.
                                   State     Hartford Third Party
                                                                                                                                                                      URS /
                                 Guarantee    ECS     Administrator                                                         new / changed info                        SICS
                                 Association                                                                                RIC claim records
                                                                                                                                                          Version 7
                             record corrections              Enable Error
                                  rejected records            Correction
                                                                                                    external claim data updates

                                                                                                                              Clearinghouse

                                                                                                      external claim data updates               WINS
                                                                                   Update Claim                                                 batch
                                                                                    File Locator        archive location                      interface


                                                                                                                                  Iron Mtn                  Corp Sys
                                                                                                                                  Archival                    TPA
                                                                                                                                   System                    System

                                                                                                                      WINS
                                                                                                    Version 7       Provisional
                                                                                                      EPF



                                                                      U s e Cas e




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Process Reinvention Case Study
                                                           J Davis Consulting, LLC


Results
      Small groups extended the Use Case diagrams to identify existing or proposed
      applications that would satisfy the system utilization scenarios. During the
      facilitated workshop the Systems Architecture Focus Group collaborated to
      examine gaps in the automated capabilities required under the new business
      directive. Some functions were found to currently have limited or no formal
      support, and needed to be prioritized for resources & funding:
       Producing standard communications.
       Supporting inquiries, finding standard answers, and delivering documentation.
       Aggregating financial transactions.
      This information set the stage for the technical recommendations formulated in
      next phase of analysis – Transition Planning.




                                                                            9|P A G E
Process Reinvention Case Study
                                                                  J Davis Consulting, LLC



 Phase 3 Transition Planning

Artifacts
            Matrices and lists were produced as Transition Planning tools for reference during
            post-project Client activities associated with building business cases and
            implementing recommendations. These publications were the result of
            workshops conducted with representatives from technical and business areas on
            the subject of assessing gaps, solutions, and priorities. Subsequent feedback
            during the publication review process generated additional ways to extend the
            usability of project materials.
             Technical Transition Planning Document. Expanded the Use Case
                Definitions to include current implementation details, issues, and proposed
                solutions.
             Issues Log Assignments. Transitioned the remaining open resource and
                process issues to the Client Leadership team to prioritize and coordinate
                change program assignments.
             Use Case Scenarios. Recapped each workflow element that calls for a given
                Use Case, along with the business purpose and impact if not available.
             As Is Application Inventory. Recapped technology elements found in the
                Client’s current environment, along with the supported Use Cases (or prior
                function if identified as obsolete).
            The Project Final Report delivered in the 12th week of analysis presented an
            Executive Summary and Analysis Results recapping the following topics:
             Enterprise Objectives

               Interim Structure of Organization, Processes, and Technology
               Influencing Factors
               Obsolete Elements
               Transition Recommendations
Results
            Small groups collaborated on factors that would influence a smooth transition to
            the new business directive. A final review cycle via e-mail enabled key project
            participants to evaluate the draft Final Report publication and the inventory of
            artifacts generated during the project.
            The analysis as published in the Final Report resulted in defined goals, new roles
            and workflow, and the identification of automation needs. The findings were
            supported by supplemental exhibits that detailed stakeholder interactions,
            workflow, system interactions, and supporting technical architecture.




                                                                                    10 | P A G E
Process Reinvention Case Study
                                                              J Davis Consulting, LLC

The Final Report made recommendations on the following transition topics:
   Organization
       o Leadership & staffing.
       o Staff location(s) and facilities.
       o Skills, in terms of technical and systems knowledge.
       o Outsourcing opportunities.
   Process
       o Channeling incoming phone call inquiries.
       o Supporting information and documentation needs of new process
           partners.
       o Processing mass mailing responses.
       o Tracking physical and electronic file locations.
       o Correcting errors and reflecting changes in mailing addresses across
           enterprise records.
       o Triggering alerts on high financial risk situations.
       o Reporting management and operational information.
       o Correcting errors causing rejected electronic feed records.
   Technology
       o Method for prioritizing technical initiatives.
       o Low-cost, low-effort solutions where systems support requirements
           are not currently being met:
            Utilizing the e-mail / Lotus Notes infrastructure to support
               electronic communication records, and to generate standard
               letters.
            Utilizing the internet/intranet infrastructure to support self-help
               answers to frequently asked questions.
            Producing CD-ROMs of records for business partners & internal
               use.
            Automated production of coding sheets for business partners.
       o Longer term cost control opportunities:
            Consolidation of redundant systems.
            Reducing the number of computer platform environments, as
               operational systems are streamlined and retired.
The Client’s next steps targeted prioritization of business needs in order to
appropriately plan and budget for the business and technology resources
required to implement solutions.


For information on how J Davis Consulting LLC can help you with your Blueprint to Success,
                  write to Joan Davis, Principal, theVirtualBA@gmail.com
                              or visit J Davis Consulting LLC


                                                                                     11 | P A G E

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Blueprint for success process reinvention case study

  • 1. J Davis Consulting LLC Joan Davis, Principal www.theVirtualBA.com Process Reinvention Case Study Integrated Suite of Services  Business Problem Solving  Requirements Definition  Transition Planning SITUATION: Organization needs to quickly understand the scope of compulsory enterprise-wide changes, and to adapt the organization, processing, and systems to meet the deadlines imposed by Regulatory Authorities. COPYRIGHT © 2006, 2012 J DAVIS CONSULTING LLC
  • 2. . . Process Reinvention Case Study . . J Davis Consulting, LLC . . . . . Contents: Case Overview.........................................................................................................1 Approach.....................................................................................................................1 Benefits ...................................................................................................................... 2 Week By Week Progress .................................................................................3 Phase 1 Business Problem Solving ........................................................... 4 Artifacts .......................................................................................... 4 Results............................................................................................. 4 Phase 2 Requirements Definition ........................................................... 6 A. Process Analysis ................................................................... 6 Artifacts .......................................................................................... 6 Results............................................................................................. 7 B. Systems Usage Analysis ..................................................... 7 Artifacts .......................................................................................... 7 Results............................................................................................. 8 C. Systems Architecture Analysis ......................................... 8 Artifacts .......................................................................................... 8 Results............................................................................................. 9 Phase 3 Transition Planning..................................................................... 10 Artifacts ........................................................................................10 Results...........................................................................................10
  • 3. Process Reinvention Case Study J Davis Consulting, LLC 1 Section Process Reinvention Case Study Design & Plan Implementation of an Enterprise-Wide Reengineering Case Overview A Court Order mandated changes in the Client’s business directive, causing a major shift in function and resulting in significant reduction in workforce. This analysis was undertaken as the organization began to gain a better understanding of what this challenge entailed. The Client targeted a fixed 3 month period in which to assess the impact and plan the transition; further complicating the assignment, some process changes were effective immediately. Approach The project began in November, charged with defining the immediate tactical and longer term strategic approaches for supporting this new environment. Analysis objectives included:  Clarify goals & stakeholders under the new directive.  Compare the former processing models with requirements under the new directive, designing a new workflow and removing obsolete functions.  Identify value-added system interactions required to support the new workflow.  Identify the current (as is) systems support suitable as short term (tactical) solutions.  Examine the gap between the tactical support design and system support requirements going forward. J Davis Consulting LLC followed a collaborative approach to fulfill these objectives, conducting leadership interviews, focus groups, and workshops with processing and technology subject matter experts. The project deliverables were submitted to the Client within the 3 month timeframe. The publications included analysis findings and group recommendations in both high level overview presentation format and as an electronic package of supporting material and project artifacts. 1|P A G E
  • 4. Process Reinvention Case Study J Davis Consulting, LLC Benefits What the Clients had to say … “The documentation was invaluable in my presentation.” “… [the results are] beyond a nice job when we consider that some of the business rules were still not defined at the outset.” “extremely impressive planning documents” “Thanks for really thinking this through and making it work.” This Organization realized the following benefits by following this approach:  Project demand on the valuable time of internal resources was cut to just a few hours by using collaborative workshops and review iterations.  Analysis both broad & deep, the product of enterprise-wide representation and “engineered” solutions.  Neutral, professional facilitation guided participants through difficult, sensitive subjects, including legal matters, staff reductions, outsourcing functions, and shutting down systems.  Integrated repeatable process used for analysis and publishing, enabling the Client to later drill further into the “to be” workflow detail independently using the same tools.  Printed and electronic documentation of analysis findings subsequently served many purposes: o supported Leadership Meetings with Regulators o basis for staff retraining o high level technical architecture reference o workflow was later translated into narrative description for on-line procedural references o workflow supported imaging technology impact assessment to examine points of paper management o Use Case mapping to business function supported CBA for systems application proposals o continuous improvement efforts to forecast and streamline business activities over time 2|P A G E
  • 5. Process Reinvention Case Study J Davis Consulting, LLC Section 2 Project Details Requirements and Change Navigation Plan in Only 3 Months Week By Week Progress Project Planning Week 1 Project goal setting completed; Scope of Analysis determined; value of background “as is” material evaluated; developed proposed approach and timeline. Stakeholder Analysis Week 2 Initiated analysis activity. Week 3 Completed high level understanding of the business interactions between Client, oversight entities, business partners, and service providers. Process & System Requirements Analysis Week 4 Completed 1st iteration “to be” workflow models for 9 core processes; identified all “as is” functions no longer applicable; initiated Issues Log management of workflow anomalies and resource gaps. Week 5 Completed Use Cases definitions and mapping to process activities. Week 6 Completed model refinements; published workflow diagrams and narrative; completed Use Case models detailing organizational responsibility during system interactions. Week 7 Completed workflow & Use Case refinements for exception processing; initiated final design edits/signoff process. Week 8 Conducted cross-functional walkthrough of “to be” process & system utilization; completed Use Case models detailing application responsibility during system interactions; completed Use Case scenario listing (i.e., each Use Case with its purpose when invoked during a workflow activity). Week 9 Published final workflow design & Use Cases package; completed analysis of technology gaps. Transition Planning Week 10 Conducted Technical Solutions workshop evaluating alternatives to address technology gaps in the near and long term; transitioned Issues Log to Client Leadership team to prioritize and coordinate change program assignments. Week 11 Initiated publication review cycle & final edits. Week 12 Published IT assessment of transition impact outlining the following topics: “as is” system support, interim tactical approach, potential gaps, and proposed strategic solutions; published Project Final Report and Exhibits. The analysis project was completed at the end of Week 12. 3|P A G E
  • 6. Process Reinvention Case Study J Davis Consulting, LLC Phase 1 Business Problem Solving Artifacts The business models depicted below represent the Process Owners’ View delivered in the 3rd week of analysis and became the basis for discovery of requirements within the processing environment. This material was the result of a series of interviews with Senior Leadership and a ½ day collaborative focus group conducted on the subject of managing work under the new business directive. Reliance in Liquidation Administer The Function Hierarchy diagram is used to develop the new process Preserve Liquidate Creditor Assets Assets Claims Reliance in Liquidation - Protecting the interests of Reliance Insureds, through processes conducted on behalf of the assigned Liquidator in response to the Court’s Order to Liquidate. structure and define the functional Is composed of .. –Preserve Assets - The activities that take place to comply with responsibilities to the Liquidator to retain existing assets and recoup any outstanding funds objectives. owed to Reliance for eventual distribution to those submitting a Proof of Claim. –Administer Creditor Claims - Coordinate the registration and determination of claim value [i.e. allowed amount] for Proofs of Claim submitted as a claim against the Reliance Estate. –Liquidate Assets - The eventual distribution of Reliance’s assets by proof of claim classification and allowed amount. Fu n c t io n H ier ar c h y recovered funds liquidation status Proof of Claim recovery opportunity claim expense invoice Finance total liability proof of claim State Insurance Depts. The Stakeholder Interactions diagram is used to identify the key Services notice of evaluation reinsurance claim financial transactions financial transactions impacting reinsurance liquidation oversight Claimant impacting reinsurance internal & external process roles, Proof of reinsurance reinsurance claim Claim dispute Recovery receivable facts Unit allowed amount resolution Collection Services Reinsurance Courts and define their interdependencies covered claim fi le(s) Processing uncovered claim file in terms of deliverables or reinsurance payment financial transactions impacting reinsurance covered claim payment financial uncovered claim alert Reinsurer transactions State impacting Guarantee expectations. reinsurance Association Insured TPA servi ce TPA service financial transactions impacting reinsurance Third Party Administrator S t a k eh o l d er I n t er a c t io n s Reliance in Liquidation Administer Preserve Creditor Liquidate The Process Decomposition Assets Claims Assets Provide Proof of Claim Package Coordinate Submitted diagram is used to define the Provide Administrative activities that make up each Proofs of Claim Support function, without concern for Notify Potential Deliver Proof of Accept Proof of Determine Claim Determine Coordinate Conduct Provide Coordinate Handle Inquiries Claimants Claim Package Claim Value Liability Reinsurance Recovery Records Expense Claims Management Disposition Pr o c es s D ec o mpo s it io n organizational responsibility. Results The Management Focus Group participants collaborated to finalize business goals; impacts on organization, process, and technology; and transition issues. Their conclusions are recapped below:  Acknowledgement that the new business directive would have many impacts on the organization, process, and technology that supported the Client’s former goals.  Requirements of new oversight groups, business partners, and roles within the organization needed to be addressed. 4|P A G E
  • 7. Process Reinvention Case Study J Davis Consulting, LLC  Many prior functions, including marketing, new business, and regulatory compliance, were no longer applicable. These were now supplanted with new activities necessary to meet processing and record-keeping requirements under the new directive. The workflow also needed to now address handling by external entities.  The technology infrastructure would be impacted by new and renewed calls for automated support to access historical records, share documents, administer business records, and respond to aggregated financial information.  Certain transition elements would influence success and warranted attention as potential problem areas: o Lower staffing levels and the use of outsourced resources. o Addressing an initially high volume of the responses from a mass mailing. o Supporting inquiries, business partner needs, and resolving returned mail were highlighted as areas for attention. o Processing efficiency and staff competencies were impeded by the use of multiple legacy systems that supported some functions that would continue for a period under the new environment. o Accurate records management would be challenged by the integration of external records, off-site file handling, and responses processed without full documentation. This information set the stage for the next phase of analysis – Requirements Definition. The Management group set the guiding principals for the process design. Process Design Guiding Principals: Stay loose, expect anything, and keep it simple Conduct thorough evaluation of new business Be cost-conscious Comply with only those statutory requirements still relevant to the business directive Be diligent in cash collection efforts Speed & service excellence are now ‘nice to haves’, not requirements 5|P A G E
  • 8. Process Reinvention Case Study J Davis Consulting, LLC Phase 2 Requirements Definition Activities during the Requirements Definition Phase were sequenced to remain focused on the new business drivers, delivering first workflow, then required systems support, and lastly the technical implementation. A. Process Analysis Artifacts The business models depicted below represent the Process Participants’ View delivered in the 6th week of analysis and generated the initial inventory of transitional issues and longer term requirements to support the new processing environment. This material was the result of a series of workshops conducted with Functional Directors and processing Subject Matter Experts to identify internal roles and responsibilities, key events that trigger activity, and the flow of work, information, and deliverables. POC inquiry Handle start: POC inquiry Inquiries end: receive inquiry Process Interaction Diagram is phone answered call "inquiry initiates claim" Provide Proof claim of Claim documents end: used to define the pre-rehabilitation bill pending POC POC Package package claim expense delivered invoice Coordinate Submitted pending end: interdependencies or start: receive claims Invoices invoice correspondence addressed "expense paid by RIL"/recoverable expense deliverables across the core "reinsurance triggered"/recoverable expense POC activity update processes in scope, without start: receiving Provide end: feeds POC file tracking info Records records from current Management concern for organizational external handlers "reinsurance triggered"/reserve "GA returned uncovered / loss payment / claim expense [portion]" payment "reinsurance proof of claim Accept Proof of "claim fits reinsurance reportable criteria"/reinsurance claim facts "reinsurance triggered"/claim Coordinate Reinsurance triggered"/ reinsurance offset reinsurance Conduct Recovery end: responsibility. reserve receivable recovery Claim Claims opportunities exhausted incomplete proof of claim Determine pending POC file Claim Value "exceeds retention proofs level"/allowed amount proposed allowed Determine recovery opportunity amount Liability end: proof of claim resolved Pr o c es s In t er ac t io n s Mod el 1 Process Detail: Provide Proof of Claim Package Activity or Workflow Diagrams are Proof of Claim Unit used to define the flow of events that No tify undeliverable Resolve Deliver claim end: Po tential POC package Mailin g Proof of star t: docum ents POC liquidation Claimants Issue Claim pending POC package comprise a processes in scope and order delivered Se arch for No Prior pkg sent Yes pending the resulting activity and deliverables, claims Package(s) already? Sent assigning responsibility to a role, request for proof of claim package star t: POC inquiry "requires POC" organization, external party, or start: pre-rehabilitation bill "claim m issing PO C" system. star t: handling uncovered claim A c t iv it y / Wo r k f l o w 6|P A G E
  • 9. Process Reinvention Case Study J Davis Consulting, LLC Results Small groups worked from existing “as is” workflow diagrams to make adjustments and designed new workflow that would fulfill the Organization’s objectives under the new business directive. During the facilitated refinement of the initial “to be” model drafts, the Processing Focus Group participants collaborated to finalize responsibilities, information flow, deliverables, and transition issues. Each of the 9 business processes in scope was modeled as flows of activities and decisions responding to an event. Each of the resulting workflow diagrams captured the following information:  Triggering events and conditions  Possible outcomes  Process issues  Process participants  Processing exceptions This information was reorganized and filtered to support the next phase of analysis – Transition Planning. The Activity Diagrams also served immediately as the basis for discovery of requirements for supporting systems. B. Systems Usage Analysis Artifacts The business models depicted below represent the System Users’ View delivered in the 6th week of analysis and served as the basis for discovery of interim and strategic supporting systems. This material was the result of a series of workshops conducted with Functional Directors and processing Subject Matter Experts (SME) on the subject of system interactions required while processing business under the new directive. Process Detail: Handle Inquiry Model 2 Proof of Claim Unit 28 6 18 20 21 19 Provide Proof System Usage Mapping is used to define scenarios that call for "inquiry initiates claim" of Claim "how to" request Provide Package Instruction system utilization, by linking Use start: inquiry Research 1 2 received "needs 22 research" Answer 3 28 Case reference #s to the Activities 4 10 "requestor is authorized"/request for policy or claim Receive Provide POC inquiry info Inquiry Requested "inquiry initiates claim file they support, without concern for update"/claim-related Information information "claim Provide documents request to reopen claim end: Records delivered" the application that will support the inquiry "need file documents" Management answered "someone else functionality. handles" Redirect Inquiry 6 20 S ys t em U s ag e Mappin g Use Case diagrams are used to System Interactions: Update a Record selected name & address record Update Contact group similar system usage Info Reliance in Liquidation Representatives selected proof of claim record Proof of Claim Handler Record NOE Activity scenarios and identify the responsible Role, Organization, or new / changed info voided or spoiled check info manual check info external entity, and what is Authorized periodic data feeds Update Claim Bill Payer Information communicated during the system State Hartford Third Party Guarantee ECS Administrator Association interaction. record corrections Enable Error rejected records Correction Update Claim File Locator U s e Cas e 7|P A G E
  • 10. Process Reinvention Case Study J Davis Consulting, LLC Results The Systems Utilization Focus Group participants worked from the “to be” workflow diagrams to identify system utilization scenarios - Use Cases that occur during each activity in the new workflow - and defined the purpose of the system interaction. The analysis identified 32 Use Cases representing the following types of automated support required under the new business directive:  Logging on to secure systems.  Searching for a relationship to the enterprise.  Accessing contact information.  Accessing historical records.  Analyzing financial transactions.  Communicating and sharing information with others.  Making expense payments. This information was reorganized and filtered to support the next phase of analysis – Transition Planning. The Use Case Diagrams also served immediately as the basis for assessment of the Client’s existing supporting systems. C. Systems Architecture Analysis Artifacts The business models depicted below represent the System Architect’s View delivered in the 8th week of analysis and generated the initial inventory of Information Technology gaps in the Client’s capability to support the new processing environment. This material was the result of a series of workshops conducted with processing Subject Matter Experts (SME) and representatives from IT’s architecture, applications, and data groups, on the subject of the technical infrastructure that would support system interactions required under the new business directive. Interim System Support: Update a Record selected name & address record Update Contact new / changed info Info Reliance in Name & Liquidation Address Representatives selected proof of claim record System Proof of Claim Handler Record NOE Activity NOE activity update Use Case diagrams are also used to identify the system(s) new / changed info new / changed info new / changed info Proof of Claim records RN, BW, voided or spoiled check info Cybercomp claim WINS Proof of records responsible for a usage scenario manual check info Claim System new / changed info Authorized periodic data feeds Update Claim Rel Re Direct claim records Bill Payer Information and what is communicated during Rel Re new / changed info WINS Rel Re Assumed claim records Rel Re the system interaction. State Hartford Third Party URS / Guarantee ECS Administrator new / changed info SICS Association RIC claim records Version 7 record corrections Enable Error rejected records Correction external claim data updates Clearinghouse external claim data updates WINS Update Claim batch File Locator archive location interface Iron Mtn Corp Sys Archival TPA System System WINS Version 7 Provisional EPF U s e Cas e 8|P A G E
  • 11. Process Reinvention Case Study J Davis Consulting, LLC Results Small groups extended the Use Case diagrams to identify existing or proposed applications that would satisfy the system utilization scenarios. During the facilitated workshop the Systems Architecture Focus Group collaborated to examine gaps in the automated capabilities required under the new business directive. Some functions were found to currently have limited or no formal support, and needed to be prioritized for resources & funding:  Producing standard communications.  Supporting inquiries, finding standard answers, and delivering documentation.  Aggregating financial transactions. This information set the stage for the technical recommendations formulated in next phase of analysis – Transition Planning. 9|P A G E
  • 12. Process Reinvention Case Study J Davis Consulting, LLC Phase 3 Transition Planning Artifacts Matrices and lists were produced as Transition Planning tools for reference during post-project Client activities associated with building business cases and implementing recommendations. These publications were the result of workshops conducted with representatives from technical and business areas on the subject of assessing gaps, solutions, and priorities. Subsequent feedback during the publication review process generated additional ways to extend the usability of project materials.  Technical Transition Planning Document. Expanded the Use Case Definitions to include current implementation details, issues, and proposed solutions.  Issues Log Assignments. Transitioned the remaining open resource and process issues to the Client Leadership team to prioritize and coordinate change program assignments.  Use Case Scenarios. Recapped each workflow element that calls for a given Use Case, along with the business purpose and impact if not available.  As Is Application Inventory. Recapped technology elements found in the Client’s current environment, along with the supported Use Cases (or prior function if identified as obsolete). The Project Final Report delivered in the 12th week of analysis presented an Executive Summary and Analysis Results recapping the following topics:  Enterprise Objectives  Interim Structure of Organization, Processes, and Technology  Influencing Factors  Obsolete Elements  Transition Recommendations Results Small groups collaborated on factors that would influence a smooth transition to the new business directive. A final review cycle via e-mail enabled key project participants to evaluate the draft Final Report publication and the inventory of artifacts generated during the project. The analysis as published in the Final Report resulted in defined goals, new roles and workflow, and the identification of automation needs. The findings were supported by supplemental exhibits that detailed stakeholder interactions, workflow, system interactions, and supporting technical architecture. 10 | P A G E
  • 13. Process Reinvention Case Study J Davis Consulting, LLC The Final Report made recommendations on the following transition topics:  Organization o Leadership & staffing. o Staff location(s) and facilities. o Skills, in terms of technical and systems knowledge. o Outsourcing opportunities.  Process o Channeling incoming phone call inquiries. o Supporting information and documentation needs of new process partners. o Processing mass mailing responses. o Tracking physical and electronic file locations. o Correcting errors and reflecting changes in mailing addresses across enterprise records. o Triggering alerts on high financial risk situations. o Reporting management and operational information. o Correcting errors causing rejected electronic feed records.  Technology o Method for prioritizing technical initiatives. o Low-cost, low-effort solutions where systems support requirements are not currently being met:  Utilizing the e-mail / Lotus Notes infrastructure to support electronic communication records, and to generate standard letters.  Utilizing the internet/intranet infrastructure to support self-help answers to frequently asked questions.  Producing CD-ROMs of records for business partners & internal use.  Automated production of coding sheets for business partners. o Longer term cost control opportunities:  Consolidation of redundant systems.  Reducing the number of computer platform environments, as operational systems are streamlined and retired. The Client’s next steps targeted prioritization of business needs in order to appropriately plan and budget for the business and technology resources required to implement solutions. For information on how J Davis Consulting LLC can help you with your Blueprint to Success, write to Joan Davis, Principal, theVirtualBA@gmail.com or visit J Davis Consulting LLC 11 | P A G E