This demonstrates the output format for a regional P&C carrier.
Organization: Sample Regional Insurance Co.
Type: P&C Carrier
Premium Volume: $250M - $1B
Lines: Personal Auto, Homeowners, Commercial Property
Score: 62/100 — Rules-based decision support. Appetite guidelines documented. Manual exceptions high.
Score: 48/100 — Legacy claims system. Manual adjudication. Cycle time above benchmark.
Score: 71/100 — Strong reserving discipline. Pricing models current. Predictive analytics nascent.
Score: 65/100 — Filing tracking adequate. Market conduct monitored. ORSA process maturing.
Average claim cycle 23 days vs. industry benchmark 14 days. Legacy system limitations. Customer satisfaction impacted.
Manual exception rate at 34%. Pricing deviation from guidelines untracked. Estimated premium leakage 2-4%.
Reserve adequacy strong. Loss ratio within targets. Foundation for advanced analytics.
Implement modern claims platform with straight-through processing. Target: 40% reduction in cycle time. ROI: 18-24 months.
Deploy decision support tools. Track pricing deviations. Expected improvement: 2-3 points loss ratio.
Leverage actuarial foundation. Implement fraud scoring and claims triage. 90-day pilot recommended.
Frameworks: NAIC Model Laws, ORSA Requirements, IFRS 17, SOC 2
Data Sources: NAIC Market Report 2024, AM Best Industry Statistics, Insurance Information Institute