Systems transformation services

PwC provides insurance companies with a customized approach to core insurance systems transformation, including billing, claims, and policy administration. Our credentials include:

  • Over 150 advisory professionals with US claims, billing, and policy administration experience.
  • Expertise in core systems and access to leading practices in North America, Europe and Asia Pacific.
  • A multi-disciplinary team with expertise in audit, tax, actuarial, advisory and forensic services.
  • Our insurance practice professionals have consulted or worked for leading carriers, brokers, reinsurers and insurance technology vendors.
  • Numerous projects in core systems strategy, legal management, process design, systems selection, metrics and organizational structure.
  • More than 20 successful claims systems implementations and multiple ongoing claims business and systems projects.
  • Solution knowledge from strategic relationships with key insurance vendors and related technologies such as Guidewire, HP/EDS, PeopleSoft, SAP/Business Objects, Siebel/Oracle, Avaya, Pegasystems, and Cognos content management tools and integration technologies.

Capability assessment and transformation planning

  • We enable organizations to identify the right investments in key business functional capabilities based on enterprise and product strategies.
  • We use operational and financial measures of expense, disbursement, and customer satisfaction outcomes to structure a roadmap and business case to guide the delivery of the capabilities required to deliver the overall strategy.

Process assessment and optimization

  • PwC has extensive experience helping carriers, brokers and TPAs across all lines of business to reduce bottlenecks and duplication in their processes.
  • We work to reengineer flow across the value chain, determining how work should flow from one function to another and within each claim function, to achieve function operational objectives.

Organization excellence and human capital management

  • We help establish the key activities, the organizational structure and roles in the organization for support staff by line of business and jurisdiction.
  • We work with clients to establish an organizational structure and footprint based on product strategies, market strategies and available technology combined with a transition plan and business case.

Vendor strategy and spend management

  • PwC helps clients determine the appropriate spend given key strategies, including litigation expense, TPA expense, independent adjusters, medical spend, property restoration vendors, and other service partners.
  • Our approach establishes improvements in overall spend and unit cost by jurisdiction by product based on key management and operational strategies.

Technology strategy and implementation

  • We work with our clients to develop technology strategies, select technologies, develop implementation roadmaps and implement leading edge technology platforms.
  • Our staff has significant experience with the latest tools, approaches and platforms to significantly improved functional capabilities across the entire value chain and system life cycle using a disciplined, financial and operationally driven methodology.