Business Rules

Getting The Claims Outcomes You Want With ML/AI and Digital Decisioning

Neal Silbert of DataRobot had an interesting post on the DataRobot blog last week – Outcome-Based Claims Assignment: The “New Grail” of Insurance. He talks about using ML and AI to improve the assignment of claims adjusters to commercial claims. As he says “why make exceptions [to ensure the best assignment] when you can make […]

Fraud, AI and Digital Decisioning

Automating decisions about transactions lets them be handled in real-time, providing better customer service. If that decision fails to detect fraudulent transactions, this lets fraud into the system. Once a fraudulent transaction has been allowed, you are committed to a “pay and chase” approach to eliminating it. This has a poor success rate. Much better […]

Innovating the Insurance Customer Experience

By:  Zoe Zhou There is a common high-level customer journey for insurance customers. The customer researches providers and policy options. Once a preferred provider and policy are decided, the customer applies for the policy. If they are approved the policy is issued. If they have a claim, they fill out the relevant paperwork and the claim […]

Using Technology to Better Manage Risk in Insurance

In February, we published a blog post on “Using Technology to Add Value in Insurance”. In that post, I referenced Matt Josefowticz’s article – Technology May be the Answer for Insurers, but What Was the Question?, in which he states there are only three levers of value in insurance: Sell More, Manage Risk Better (aka underwriting and adjusting), […]

Tips for Successful Data Science Implementation in Insurance

Nancy Casbarro and Deb Zawisa of Novarico recently published a new paper on Data Science in Insurance: Expansion and Key Issues subscription required) that was summarized in this nice little article on Dig-in  3 challenges facing insurers in data science implementation. These three challenges – getting business buy in, attracting talent, and strategic alignment are exactly […]

Using Technology to Add Value in Insurance

Matt Josefowticz wrote a great piece recently – Technology May be the Answer for Insurers, but What Was the Question? In this he argues that there are only three levers of value in insurance: 1. Sell More 2. Manage Risk Better (aka underwriting and adjusting) 3. Cost Less to Operate And that while some of these will […]

Five Reasons to Fire Your Rules Consultant

We do a lot of decision management projects, helping clients adopt the technologies and approaches they need to succeed with digital decisioning and decision automation. One of the key technologies for these types of projects is a Business Rules Management System (BRMS). Sometimes, we get push-back on using business rules because existing business rules projects […]

80% of insurance carriers aren’t delivering high impact analytics. Here’s how you can do better.

80% of data and analytics leaders with global life insurance and property & casualty carriers surveyed by McKinsey reported that their analytics investments are not delivering high impact. What’s stopping them from delivering high impact? 38% of those surveyed cited a failure to integrate analytics into workflows and frontline systems. This was the leading obstacle to […]

Decision Modeling and DMN for IBM Customers – New Brief

We have a new Leading Practices brief available – Decision Modeling and DMN for IBM Customers. IBM has long been a leading player in business rules management systems and Decision Management Solutions has many customers using IBM Operational Decision Manager in North America and Asia. Our DecisionsFirst Modeler software decision requirements modeling using the Decision […]

Decision Modeling and IBM Operational Decision Manager

IBM yesterday announced that Operational Decision Manager v8.10 (ODM – IBM’s Business Rules Management System) will be available in December and will support decision modeling. This is great news as it will bring the Decision Composer functionality IBM has been developing into the main business user interface for ODM, Decision Center. We’re big fans of decision […]