Insurance

Decision Management and Insurance – A Series

February 10, 2011

Insurers face new and growing challenges as the market moves into recovery in 2011: more delivery channels, demographic shifts, a changing competitive landscape and a rapidly evolving regulatory and compliance environment. Many insurers are faced with meeting this challenges hampered by inflexible legacy applications, underutilized data from internal systems and external sources, and manual spreadsheets [...]

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Humana needs a Blaze Advisor Technology Manager

January 4, 2011

Humana is looking for a Technology Manager to manage the Clinical Business Rules Team in Louisville, KY. They are looking for “a self-starter and a proven leader” who would “enjoy using your technical knowledge to help empower your team to identify and resolve organizational issues”. Role has 12-25 direct reports and reports to a [...]

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First Look – General Intelletics

November 30, 2010

I met General Intelletics at the recent Building Business Capability conference. The founder has been working in artificial intelligence and configurators for about 10 years. One of his clients wanted to put together an insurance program for a gold mine in Turkey – total premiums of about $4M/year. He found that there are no real [...]

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Last three webinars in 2010 – Insurance, Analytics, Drools

November 2, 2010

We are wrapping up our webinar series on decision management and I wanted to make sure you knew about the three remaining webinars. These webinars are a great tool for you to learn more about predictive analytics, business rules and decision management in practice. There are more details on the events page [...]

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Fighting fraud at MetLife Auto and Home #pawcon

October 20, 2010

David McMichael of MetLife came next. MetLife Auto and Home is a mid size P&C insurance arm within the overall MetLife group. David runs the Quantitative Research and Modeling team within the actuarial department. Team has grown over the last few years with a diverse set of people, something they find very valuable and expanded [...]

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Unum – Managing business rules #bbc2010

October 19, 2010

Subtitled “from 0 to 1400″, this case study discussed how Unum (an insurance company) introduced business rules. Back in 2009 their rules were scattered, siloed, hidden in requirements documents and in different formats (from code to if/then statements to long verbose notes). And even though they tried to focus on rules, [...]

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Five Ways Predictive Analytics Cuts Enterprise Risk #pawcon

October 19, 2010

Eric Siegel opened Predictive Analytics World with a keynote on Five Ways Predictive Analytics Cuts Enterprise Risk. Predictive analytics is a hot topic these days, with demand in terms of jobs for instance doubling since the beginning of 2009. Yet the audience was really clear that most executives do not get the true power of [...]

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Webinar: The top 10 imperatives for insurers and the role of decision management in addressing them

October 5, 2010

I will be presenting a webinar with Deb Smallwood of Strategy Meets Action on The top 10 imperatives for insurers and the role of decision management in addressing them on November 10th, 2010 at 10am Pacific.
As Insurers position for market recovery and deal with the forces reshaping the insurance business, SMA’s industry research has [...]

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Fixing the BP Fund claims process

September 28, 2010

Syndicated from ebizQ
I saw yet another article about the claims being paid by the BP Fund this weekend – BP fund czar promises bigger, faster claims – and it struck me that every time there is a disaster we go through this. Something happens, lots of people need to make claims, some process gets set [...]

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Detect, prevent, manage claims fraud

April 12, 2010

Insurance claims fraud is a huge deal, with most estimates seeing perhaps 10% of claims made being fraudulent – worth at least $30Bn/year. As a result the value of small improvement is huge. Of course, from my perspective, fraud is one of the classic uses of decision management and predictive analytics. Obviously the current economic [...]

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Speaking at CT Business Rules User Group 12/17/09

December 9, 2009

[ December 17, 2009; 5:30 pm to 7:30 pm. ] I am presenting on Decision Management – putting rules and analytics to work at the Connecticut Business Rules User Group on Thursday December 17th at 5:30. This event is open to the public and is free. Registration is required – email president@hartford.theiiba.org. The schedule is:

Doors open at 5:30PM for registration and networking
Meeting Intro: [...]

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Update – Red Hat Jboss Business Rules

December 2, 2009

I got a chance to catch up with the folks from Red Hat recently. I have reviewed the new functionality that Mark Proctor and his team have been adding to turn the old Drools rule engine into a competitive Business Rules Management System or BRMS when the latest release came out. This time we chatted [...]

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Business Rules Forum 2009 – Day 2 #brf

November 4, 2009

The second full day of the Business Rules Forum/Enterprise Decision Management Summit is over and once again I have been taking notes rather than blogging live. Once again there were some great sessions – today I heard Steve Hendrick of IDC, Sandeep Gupta of Equifax, Chaitan Sharma of DAASL, Zach Springborn of OneData and Mo [...]

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Business Rules Forum 2009 – Day 1 #brf

November 4, 2009

It’s the end of day 1 of the Business Rules Forum/Enterprise Decision Management Summit and time to write a wrap up post for the day – no live blogging today as I have too much on as track chair to sit behind my keyboard!
Today I got to attend Jim Sinur’s keynote and sessions from Roger [...]

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Analytics in the executive suite – a #PBLS panel

October 28, 2009

Syndicated from BeyeNetwork
I am at the Premier Business Leadership Series, SAS/BetterManagement.com’s event, and I got to attend a great panel on Analytics in the Executive Suite. Barbara Pindar of Aeropostale, Eric Webster of State Farm Insurance, Cameron Davies of Disney and Keith Collins of SAS made up the panel. Each panelist gave [...]

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SAS – An executive overview

October 27, 2009

I am spending some time as a guest of SAS this week and we got started today with Jim Goodnight, CEO of SAS. He began by describing SAS Institute’s 33 years of continuous revenue growth as well as similarly growing reinvestment in R&D. SAS has not laid anyone off this year, for which kudos, and [...]

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First Look – FICO Insurance Fraud Manager

October 20, 2009

I got a chance to catch up with Andrea Allmon of FICO to hear about their new Insurance Fraud Manager release (3.0 in July). This is a timely topic because of the debates around healthcare at the moment. In all the discussions about healthcare costs you never hear about the amount of fraud involved, yet [...]

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Survive, thrive and capitalize with BPM

October 5, 2009

Jim Sinur introduced the session by describing how Gartner saw BPM being used to turn a cost reduction axe into a cost reduction scalpel during the recent recession – cutting more precisely. The current economic climate he says is “nirvana” for BPM and BPM is not perceived as a luxury but a necessity. The session’s [...]

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All about Smart Work with Nancy Pearson

September 23, 2009

I got a chance to sit down with Nancy Pearson, Vice President BPM, SOA, WebSphere and Industry Marketing at IBM last week to talk about Smart Work and other related topics. Smart Work is one of the four major themes that are part of IBM’s overall Smarter Planet initiative – New Intelligence, Green and Beyond, [...]

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Putting predictive analytics to work at Infinity Insurance

September 15, 2009

I am giving a tutorial and a presentation on putting predictive analytics to work at the forthcoming Predictive Analytics World show in Washington DC (October 20th-21st with tutorials on the 19th). I always like to illustrate my points with real examples and while I was preparing the presentation I had a chance to talk to [...]

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