Insurance transformation

Modernizing the claims function

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Claims is one of the most underutilized strategic assets within many insurance organizations today and insurance leaders recognize it will take nothing short of a transformation to unlock the value that the function could deliver.

Insurance businesses understand that claims can make a material difference to their balance sheets. The function also plays a leading role in defining the customer experience and bringing the organizational strategy to life for clients. Yet traditional claims functions were not built to deliver on this strategic value. More often, claims organizations were built upon a foundation of technical claims handling expertise. Now the function is being asked to augment this with technology, including the potential use of artificial intelligence (AI) in order to redesign and transform how the claims function operates.

To unlock the true potential of the claims function, a deeper, more holistic and transformative approach is needed. At its core should be a steel thread that connects claims with underwriting, actuarial, finance and other key functions though an integrated, end-to-end business architecture.

In this report, KPMG insurance professionals explore some of the drivers for claims transformation in today’s market, identify the opportunities and barriers, and share key considerations to help insurance organizations on their transformation journey.


Insurance transformation: Modernizing the claims function

Insurance leaders recognize that claims transformation represents an opportunity to create competitive advantage, encourage innovative ideas and significantly differentiate the customer experience. Download this report to discover key insights and considerations to support a successful transformation of the claims function.


The business case for transforming claims should be clear; claims transformation offers significant scope for productivity and efficiency improvements whilst also being able to deliver significant uplift in customer experience at this key moment of truth. claims represents a broad cost base across which to identify leakage reduction opportunities, which alone, should deliver the return on investment needed to underpin a business case for investment.

Caroline Leong

Global Claims Lead and Partner

KPMG in Australia

Caroline Leong

Claims plays a leading role in defining the customer experience

A great claims reputation attracts new customers and enables the business to grow profitably. But a poor claims process – perhaps leading to a late payment, an underpayment, or an overly-complicated and drawn-out interaction – can undermine the customer experience and hamper growth. Claims is where insurance companies can truly differentiate at moments that matter to customers. 

Five key considerations for modernizing the claims function

Transformation never stops. Neither do we.

KPMG professionals believe transformation starts with people. Our global network of experienced insurance professionals provides clients with deep industry knowledge, actionable insights and implementation expertise, helping to realize the full potential of their people and technology, and working together to achieve successful transformation. Because when people and technology are in harmony great things happen.

Making a world of difference

KPMG people can make all the difference on your transformation journey. Together we can help you to orient your business around the customer, optimize functions for a new era, manage enterprise risk and regulation for a safer future, rise to a new level of value creation, and create an environment for managing ongoing change.

Contact your local KPMG member firm to learn more about how KPMG can help you successfully transform your claims function.

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