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www.pwc.com/us/insurance
January 2017
Changing business models and the “new” ERM
2 top issues
Changing business models
and the “new” ERM
Significant social, technological,
economic, environmental, and
political, forces are reshaping
the needs and expectations of
insurance buyers, as well as the
business environment in which
insurance providers operate1
.
Even a partial list of these forces is
daunting: aging populations in developed
markets, different needs and purchasing
behavior of younger buyers of insurance,
self-driving vehicles, telematics, artificial
intelligence, the internet of things2
, and
persistent low interest rates. With so many
forces in play, it’s difficult to determine
the exact landscape of the new insurance
world. But, it’s not too early for insurers to
prepare.
Regardless of exactly how they plan to
address a rapidly changing and more
unstable world, one capability that will
remain critical to all insurers’ success is
enterprise risk management. We describe
below three key developments that
insurers should incorporate into their
ERM evolution.
Insurers’ business models are
changing and ERM needs to
keep pace.
1	 For a detailed look at the rapidly changing insurance market and industry, and the STEEP factors that are
influencing them, please see our Insurance 2020  Beyond report as well as our Future of Insurance initiative.
2	 We describe at length innovation in the insurance industry in our Innovating to Grow report, as well as in the
2016 edition of Top Insurance Industry Issues.
3 top issues
Stress testing will join economic capital as
the main risk decision tool
VAR-based economic capital
measures originated in banking
and asset portfolio management
more than 40 years ago. Over
the last couple of decades, the
insurance industry has widely
adopted the concept.
This is particularly true for insurers’ credit
and market risk taking, areas where the
VAR concept is endemic. For some aspects
of insurance risk, like statistical variability
around a stable mean, the concept also fits
well. In an insurance world where credit,
market and insurance are insurers’ main
risks, economic capital is effective. But
what if the world changes to one where
other risks join these at center stage?
Life insurance in a persistent low
interest rate environment with rapidly
evolving distribution models provides a
clear example of recent change and its
implications for ERM. The bulk of many
life insurers’ liabilities and supporting
assets are comprised of permanent type
products they wrote when asset returns
were markedly higher. These higher
returns supported the stable distribution
model of an up-front commission based
sales force. In turn, this fit the products’
complex features that needed such a
model to explain and sell them. Delivering
on these guarantees necessitated focus on
the credit and market risks they created.
And VAR was developed to manage these
risks.
However, now that asset returns are
much lower, supporting this distribution
model will be difficult. Fortunately, other
less costly models are available and
probably preferable to younger buyers
of insurance. This demographic group
has shown a preference for a more fit-
to-purpose protection model that is less
permanent and less complex. As a result,
credit and market risks cease to be ERM’s
overwhelming focus. Instead, strategic
and operational challenges created by
transitioning to and maintaining the
new business model take center stage, as
do the risk tools that can address these
challenges. Among these, stress testing
figures most prominently.3
Trends in the property and casualty sector
also point to a shift in risk focus and
risk management tools. Impending and
actual changes in the nature of driving
and vehicle ownership will radically and
permanently alter the auto insurance
landscape. Developing an understanding
of the implications of these changes and
their risks to an insurance enterprise
needs a tool like stress testing. Similarly
an increased emphasis on assisting
customers with mitigating and managing
their own risks, rather than just insuring
them, moves more of an insurer’s risk
profile out of the traditional risk-taker role
and into a service provider model. VAR is
a good risk tool for a risk taker, but stress
testing is the tool best suited to the service
provider model.
1
3	 Our paper, Doubling an Insurer’s Enterprise
Risk Management Output, expounds on the
characteristics of stress testing that make it well
suited to these challenges.
4 top issues
Lastly, we note that rapidly emerging
technologies, often cited for their role
in shaping customer preferences, also
shape insurers’ own capabilities. Insurers
have begun to modernize their back
offices and computing power continues
its exponential growth. Operational
challenges and resource demands to
implement new and improved risk
tools, like stress testing, will diminish
significantly. With benefits going up and
costs going down, it seems clear that
stress testing is on its way to a prominent
ERM role.
As insurers start to help
customers mitigate and
manage their own risks, the
former’s risk profile will
move from that of traditional
risk-taker toward a service
provider.
5 top issues
Customer analytics decision platforms
will become the key focus of model risk
management efforts
Model risk management (MRM)
is receiving extensive ERM focus
at present. Much of the original
impetus may have come from
European companies seeking to
validate their Solvency II internal
models. In the US and Canada,
due in part to direct or indirect
regulatory encouragement, the
scope goes beyond economic
capital and solvency models, and
most insurers seek to apply their
efforts to all models.
The early priority for validation has
skewed toward economic capital and
complex liability valuation models.
Insurers with advanced MRM capabilities
have begun to focus more attention
outside of risk and financial reporting
models. This is to be expected to some
degree, as insurers model validation
activities work their way through their
inventory of models. In addition, as
they develop a working experience
of risk rating their models, many are
reconsidering the irrecoverable nature
of product pricing decisions and the
importance of getting those models right.
In other words, while small errors in
financial and risk reporting models can be
rectified once errors are uncovered, losses
from inadequate premium charges are
permanent.
The impetus for higher attention to
pricing and risk selection models
is further amplified when insurers
implement newer, non-traditional
approaches. Without a long history
of successful use, newer customer
analytic models put a higher priority on
their timely and thorough validation.
Additionally, we have observed
insurers further enhancing their level
of attention when these models move
to autonomous execution mode. In this
mode, the model makes decisions in
an automated fashion without manual
intervention or deliberation. Deploying
more models of this sort is a common
feature of most visions of the near-term
future of insurance. As their use expands,
so too should ERM’s focus on effective
risk management of these models. In
an environment in which these types of
customer analytics decision platforms
become an insurer’s key business engine
they also will need to become the key
focus of MRM efforts.
Small errors in financial and
risk reporting models can be
remedied; however, losses from
inadequate premium charges
are permanent.
2
6 top issues
Risk diversification measurement will
become the single most important element
in economic capital calculations
There is a continuing focus on the
effectiveness of economic capital
modelling, especially in connection
with IAIS and regulatory efforts
outside of the US. In the US as
well, insurers continue to look
at how they can improve their
calculations. However, one area
that we believe attracts insufficient
attention is diversification.
Not only is an effective understanding
and quantification of diversification an
important goal in the current insurance
environment, it likely will become even
more critical in the future. As the new
risk profile moves away from a credit/
market nexus to a more diverse insurance,
business and strategic risk set, managing
the interaction between and among them
will be especially important. If customers
move to a more holistic view of insurance
and blur the distinctions between life,
property and casualty and health, just
quantifying the diversification across all
insurance risks will be a key task on its
own.
3
7 top issues
Implications
If they haven’t done so already,
CROs should start to sketch out
a few versions of what their
company might look like in the
future and consider what might be
required of their ERM capabilities.
They can adjust and clarify this
high-level road map as the future
becomes clearer.
Considerations they should keep in mind
while creating this roadmap include:
•	On the life side in particular, credit
and market risks will cease to be ERM’s
overwhelming focus, but stress testing
will figure more prominently with new
business models.
•	Assisting customers with mitigating
and managing their own risks instead
of just insuring them will move more
of an insurer’s risk profile out of the
traditional risk-taker role and into a
service provider model. VAR is a good
risk tool for a risk taker, but stress
testing – which is becoming cheaper
and easier to do – is better suited to the
service provider model.
•	As advanced customer analytics
decision platforms become an insurer’s
key business engine, they will need
to become the key focus of model risk
management efforts.
•	As insurance becomes more holistic for
customers, quantifying diversification
across all insurance risks will be a key
task for insurers.
www.pwc.com/us/insurance
At PwC, our purpose is to build trust in society and solve important problems. We’re a network of firms in 157 countries with more than 208,000 people who are committed
to delivering quality in assurance, advisory and tax services. Find out more and tell us what matters to you by visiting us at www.pwc.com.
This publication has been prepared for general guidance on matters of interest only, and does not constitute professional advice. You should not act upon the information
contained in this publication without obtaining specific professional advice. No representation or warranty (express or implied) is given as to the accuracy	
or completeness of the information contained in this publication, and, to the extent permitted by law, PwC does not accept or assume any liability, responsibility or duty of
care for any consequences of you or anyone else acting, or refraining to act, in reliance on the information contained in this publication or for any decision based on it.
© 2016 PwC. All rights reserved. PwC refers to the US member firm or one of its subsidiaries or affiliates, and may sometimes refer to the PwC network. Each member firm is
a separate legal entity. Please see www.pwc.com/structure for further details.
Contacts
Henry Essert
US Insurance Risk Management
Leader
+1 646 471 4400
henry.essert@pwc.com

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2017 Top Issues - Changing Business Models - January 2017

  • 2. 2 top issues Changing business models and the “new” ERM Significant social, technological, economic, environmental, and political, forces are reshaping the needs and expectations of insurance buyers, as well as the business environment in which insurance providers operate1 . Even a partial list of these forces is daunting: aging populations in developed markets, different needs and purchasing behavior of younger buyers of insurance, self-driving vehicles, telematics, artificial intelligence, the internet of things2 , and persistent low interest rates. With so many forces in play, it’s difficult to determine the exact landscape of the new insurance world. But, it’s not too early for insurers to prepare. Regardless of exactly how they plan to address a rapidly changing and more unstable world, one capability that will remain critical to all insurers’ success is enterprise risk management. We describe below three key developments that insurers should incorporate into their ERM evolution. Insurers’ business models are changing and ERM needs to keep pace. 1 For a detailed look at the rapidly changing insurance market and industry, and the STEEP factors that are influencing them, please see our Insurance 2020 Beyond report as well as our Future of Insurance initiative. 2 We describe at length innovation in the insurance industry in our Innovating to Grow report, as well as in the 2016 edition of Top Insurance Industry Issues.
  • 3. 3 top issues Stress testing will join economic capital as the main risk decision tool VAR-based economic capital measures originated in banking and asset portfolio management more than 40 years ago. Over the last couple of decades, the insurance industry has widely adopted the concept. This is particularly true for insurers’ credit and market risk taking, areas where the VAR concept is endemic. For some aspects of insurance risk, like statistical variability around a stable mean, the concept also fits well. In an insurance world where credit, market and insurance are insurers’ main risks, economic capital is effective. But what if the world changes to one where other risks join these at center stage? Life insurance in a persistent low interest rate environment with rapidly evolving distribution models provides a clear example of recent change and its implications for ERM. The bulk of many life insurers’ liabilities and supporting assets are comprised of permanent type products they wrote when asset returns were markedly higher. These higher returns supported the stable distribution model of an up-front commission based sales force. In turn, this fit the products’ complex features that needed such a model to explain and sell them. Delivering on these guarantees necessitated focus on the credit and market risks they created. And VAR was developed to manage these risks. However, now that asset returns are much lower, supporting this distribution model will be difficult. Fortunately, other less costly models are available and probably preferable to younger buyers of insurance. This demographic group has shown a preference for a more fit- to-purpose protection model that is less permanent and less complex. As a result, credit and market risks cease to be ERM’s overwhelming focus. Instead, strategic and operational challenges created by transitioning to and maintaining the new business model take center stage, as do the risk tools that can address these challenges. Among these, stress testing figures most prominently.3 Trends in the property and casualty sector also point to a shift in risk focus and risk management tools. Impending and actual changes in the nature of driving and vehicle ownership will radically and permanently alter the auto insurance landscape. Developing an understanding of the implications of these changes and their risks to an insurance enterprise needs a tool like stress testing. Similarly an increased emphasis on assisting customers with mitigating and managing their own risks, rather than just insuring them, moves more of an insurer’s risk profile out of the traditional risk-taker role and into a service provider model. VAR is a good risk tool for a risk taker, but stress testing is the tool best suited to the service provider model. 1 3 Our paper, Doubling an Insurer’s Enterprise Risk Management Output, expounds on the characteristics of stress testing that make it well suited to these challenges.
  • 4. 4 top issues Lastly, we note that rapidly emerging technologies, often cited for their role in shaping customer preferences, also shape insurers’ own capabilities. Insurers have begun to modernize their back offices and computing power continues its exponential growth. Operational challenges and resource demands to implement new and improved risk tools, like stress testing, will diminish significantly. With benefits going up and costs going down, it seems clear that stress testing is on its way to a prominent ERM role. As insurers start to help customers mitigate and manage their own risks, the former’s risk profile will move from that of traditional risk-taker toward a service provider.
  • 5. 5 top issues Customer analytics decision platforms will become the key focus of model risk management efforts Model risk management (MRM) is receiving extensive ERM focus at present. Much of the original impetus may have come from European companies seeking to validate their Solvency II internal models. In the US and Canada, due in part to direct or indirect regulatory encouragement, the scope goes beyond economic capital and solvency models, and most insurers seek to apply their efforts to all models. The early priority for validation has skewed toward economic capital and complex liability valuation models. Insurers with advanced MRM capabilities have begun to focus more attention outside of risk and financial reporting models. This is to be expected to some degree, as insurers model validation activities work their way through their inventory of models. In addition, as they develop a working experience of risk rating their models, many are reconsidering the irrecoverable nature of product pricing decisions and the importance of getting those models right. In other words, while small errors in financial and risk reporting models can be rectified once errors are uncovered, losses from inadequate premium charges are permanent. The impetus for higher attention to pricing and risk selection models is further amplified when insurers implement newer, non-traditional approaches. Without a long history of successful use, newer customer analytic models put a higher priority on their timely and thorough validation. Additionally, we have observed insurers further enhancing their level of attention when these models move to autonomous execution mode. In this mode, the model makes decisions in an automated fashion without manual intervention or deliberation. Deploying more models of this sort is a common feature of most visions of the near-term future of insurance. As their use expands, so too should ERM’s focus on effective risk management of these models. In an environment in which these types of customer analytics decision platforms become an insurer’s key business engine they also will need to become the key focus of MRM efforts. Small errors in financial and risk reporting models can be remedied; however, losses from inadequate premium charges are permanent. 2
  • 6. 6 top issues Risk diversification measurement will become the single most important element in economic capital calculations There is a continuing focus on the effectiveness of economic capital modelling, especially in connection with IAIS and regulatory efforts outside of the US. In the US as well, insurers continue to look at how they can improve their calculations. However, one area that we believe attracts insufficient attention is diversification. Not only is an effective understanding and quantification of diversification an important goal in the current insurance environment, it likely will become even more critical in the future. As the new risk profile moves away from a credit/ market nexus to a more diverse insurance, business and strategic risk set, managing the interaction between and among them will be especially important. If customers move to a more holistic view of insurance and blur the distinctions between life, property and casualty and health, just quantifying the diversification across all insurance risks will be a key task on its own. 3
  • 7. 7 top issues Implications If they haven’t done so already, CROs should start to sketch out a few versions of what their company might look like in the future and consider what might be required of their ERM capabilities. They can adjust and clarify this high-level road map as the future becomes clearer. Considerations they should keep in mind while creating this roadmap include: • On the life side in particular, credit and market risks will cease to be ERM’s overwhelming focus, but stress testing will figure more prominently with new business models. • Assisting customers with mitigating and managing their own risks instead of just insuring them will move more of an insurer’s risk profile out of the traditional risk-taker role and into a service provider model. VAR is a good risk tool for a risk taker, but stress testing – which is becoming cheaper and easier to do – is better suited to the service provider model. • As advanced customer analytics decision platforms become an insurer’s key business engine, they will need to become the key focus of model risk management efforts. • As insurance becomes more holistic for customers, quantifying diversification across all insurance risks will be a key task for insurers.
  • 8. www.pwc.com/us/insurance At PwC, our purpose is to build trust in society and solve important problems. We’re a network of firms in 157 countries with more than 208,000 people who are committed to delivering quality in assurance, advisory and tax services. Find out more and tell us what matters to you by visiting us at www.pwc.com. This publication has been prepared for general guidance on matters of interest only, and does not constitute professional advice. You should not act upon the information contained in this publication without obtaining specific professional advice. No representation or warranty (express or implied) is given as to the accuracy or completeness of the information contained in this publication, and, to the extent permitted by law, PwC does not accept or assume any liability, responsibility or duty of care for any consequences of you or anyone else acting, or refraining to act, in reliance on the information contained in this publication or for any decision based on it. © 2016 PwC. All rights reserved. PwC refers to the US member firm or one of its subsidiaries or affiliates, and may sometimes refer to the PwC network. Each member firm is a separate legal entity. Please see www.pwc.com/structure for further details. Contacts Henry Essert US Insurance Risk Management Leader +1 646 471 4400 henry.essert@pwc.com