There’s no getting away from the fact that cybercrime is big business. Large scale attacks most notably come in the form of ransomware, where cyber criminals hack into a computer system, freeze and encrypt the user’s data, before demanding a ransom – usually in the form of crypto-currency.
In 2020 alone, it was reported that hackers received more than $350 million worth of cryptocurrency from cyber victims; a figure nearly three times as much compared to previous years.
The magnitude of these attacks has also increased; they are now sophisticated global events, set on bringing down technology service providers in the hopes of securing the biggest rewards.
The results can be highly disruptive, as seen with the recent cyber attack impacting payment systems including Coop supermarkets in Sweden. The attack was targeted on US-based IT service provider Kaseya, putting more than 1,000 businesses at risk and bringing a whole payment system down, with the true impact of the attack yet to be understood.
The latest prediction is that cyber-attacks will take aim at cloud-based SaaS platforms, encrypting cloud services and data; the most concerning of which – as reported by Forbes – is Ransomware 2.0.
Resilience is key
The frequency and scale of cyber-attacks are, without doubt increasing, and the focus for any organisation must be on resilience.
Insurance is one tool that companies turn to in order to improve resilience. And demand for cyber insurance has, unsurprisingly, rocketed. For insureds, not only do they need to get a better understanding and mitigation of their risk, but they need to get a handle on the exposure they are underwriting too.
In a previous article, I referenced how by 2022, the global cyber insurance market is projected to reach US$15 billion in value; current modelled cyber insurance pay-outs in the event of a significant cloud service provider outage, however, comes in at US$14.3 billion alone.
Mitigating cyber-attacks
However, the increasing sophistication of cybercrime can make it challenging to understand exposure to cyber risks and data breaches; however, the real vulnerability comes down to understanding a businesses’ cyber defenses and training, improving and preparing for an attack.
The solution to understanding and rectifying these weaknesses is through cyber audits. From risk assessments, user awareness training, security assessments, and even highlighting emerging threats and their preventive measures.
By understanding the risk, insurers can recognise what technology they – and their insureds – need to protect themselves. By undertaking regular cyber audits, insurance buyers can also demonstrate to their insurers the measures they have in place to counter the cyber threat – a demonstration that may prove useful in negotiating coverage terms and conditions.
Together with its expert cyber security partner, Cyber Security Associates, Pro conducts cyber audits for companies across sectors. To find out more visit https://pro-global.com/what-we-do/audit/cyber-audit/
Litigation in medical malpractice claims is increasing across Europe, and it is a trend that we expect to continue across both ‘claims made’ and ‘claims occurred’ markets.
The former policies cover incidents that happen and are reported within a policy’s timeframe and the claim lies with the original insurer that issued the policy, while occurrence policies have lifetime coverage regardless of when the claim is reported and which insurer has inherited the claim (if a book of business has been sold).
A split in the market
Currently, the European market is split, with Germany handling medical malpractice claims on a claims-occurred principle, while the rest of Europe works on claims-made principles.
Over the last 20 years, however, a combination of longer-term settlements and increasing treatment costs has meant insurers are looking closely at medical malpractice lines of business across territories.
Several factors are also impacting the cost of insuring medical malpractice, including a long-term and higher than inflation increase in the cost of treatments across the board, and an increase in longevity of claimants due to improved treatment options.
Uninsurable risks?
In Germany, larger players have already left the market and it is complex for new market entrants to join from a regulatory perspective. This, combined with the trend for increased litigation from social security carriers looking to recover long-term treatment costs, is driving up premiums.
Midwifery is a case in point, where in Germany the average self-employed midwife has seen premiums triple or even quadruple in some regions. This is an essential profession and clearly it is a situation that needs to be addressed.
Elsewhere in Europe
Beyond Germany, the claims-made principle markets in Spain and Italy see a more competitive environment between insurers, with higher fluctuations on coverage, and a rapidly changing picture in terms of market participants in recent years, particularly with respect to hospital insurance.
However, where some of the key players have underwritten significant lines, they are now in danger of claims developments catching up with them.
We are also seeing increasing direct requests from hospitals in Spain and Italy to enquire around self-retention of risk, with claims managed by Pro’s experts, as a more cost-effective alternative to the private insurance market. This also has the advantage of allowing hospitals to recover VAT.
COVID-19 Impact
It is likely that the pandemic crisis will have an impact on future medical malpractice claims, potentially driving up claims against hospitals and care home settings where it can be proven that patients originally contracted the virus.
Although it must be highlighted that we have not seen this trend emerge as yet, the impact of COVID should be a top priority for insurers taking on medical malpractice today, especially as the long-term impacts related to COVID on an individual level are still largely unknown.
Proactive claims management
Medical malpractice is, understandably, a very emotional and sensitive topic, and often leads to complex, multifaceted claims. But the reality is that most claims costs tend to be associated with social security carriers trying to recover money from insurers, over and above individual claimants, who rarely have to battle to recover costs for ongoing treatment and support.
Regardless of whether claims occurred or claims made principles are governing in the territory, we expect litigation to increase across Europe in the coming months and years.
A clear view of your exposure
As such, we strongly believe that insurers should embark on thorough reserve analysis and portfolio reviews, and carefully assess their claims administration procedures to ensure they have the most efficient, cost-effective procedures in place.
Providing clear and quick settlements wherever possible is essential in the medical malpractice market, while at the same time keeping control of legal costs and expenses.
This is prompting some innovative thinking from insurers and companies like Pro that work with insurers and medical establishments to help manage claims. Pro’s experts approach medical malpractice portfolios proactively, using a systems and data analytics approach to identify trends.
We also partner with medical malpractice experts to help advise on complex cases, and work to appoint panel law firms that reduce the timelines of claims disputes – a factor that works to the best interests of both claimants and insurers.
Having independent, expert advice during arbitration and litigation is essential to achieving transparent negotiating with policyholders and cedants.
Please get in touch to find out more about how Pro’s medical malpractice experts can support you.
London, 12 August, 2021: Global re/insurance outsourcing and consulting specialist Pro Global Holdings Limited (‘Pro’) is pleased to announce the appointment of Louisa Pavis to head up its Consulting business.
Louisa joins Pro from innovation-led private equity group Apater Capital, where she was Chief Operating Officer and Head of Advisory. Louisa’s background is as a professional transformation and change expert, with a deep understanding of portfolio management and programme delivery, including governance, management of incubator start-ups and heading up advisory servicing networks focused on harnessing technology and data advancements.
Prior to Apater Capital, Louisa was appointed as NED for Propel Consult Limit a specialist digital transformation consultancy focusing on robotic process automation and before that, she held senior strategic consultancy, change delivery and transformation roles at a number of household names including HSBC, Legal & General, Close Brothers, Prudential plc and MetLife. Louisa began her career as a consultant with Accenture.
Pro is a leader in providing consultancy services for the re/insurance industry and it has a strong record of creating value-creating solutions for its clients – combining subject matter expertise with business transformation capabilities. Louisa’s appointment reinforces further Pro’s commitment to working in partnership with its clients in areas such as major change and transformation projects, business analysis, process improvement, data and communications services.
Steve Lewis, CEO of Pro Global, said:
“We are a business of problem solvers and pride ourselves on providing our clients with innovative solutions to meet their often complex needs. It’s a real pleasure to welcome Louisa to the Pro team – I’m confident that her extensive consulting and change management background will be invaluable as we continue to enhance further our capabilities in this key area of our business. Louisa brings a wealth of highly relevant experience across multiple industries, as well as enthusiasm and strong management skills, and I know that our consulting business will be in very good hands under her leadership.”
Louisa Pavis, Head of Consulting at Pro Global, added:
“I am delighted to be joining the Pro team and am looking forward to bringing my cross-industry experience to bear in helping our clients translate their often complex strategic visions into prioritised business outcomes that generate real value. Pro has a proven track record of partnering with companies as they seek better, faster and more efficient ways of working – including in particular through innovation and automation – and I am very much looking forward to working with the team to help these clients achieve their strategic goals.”
– Ends –
Notes for Editors – About Pro Global
Pro is a leading international consultancy and service provider that focuses on delivering flexible outsourcing solutions for live and run-off business, operational consultancy and audit services exclusively to the global insurance industry.
Founded in 1993, Pro has some 160 clients spanning the global insurance market, including insurers, reinsurers, brokers, lawyers and corporate investors.
The company has over 500 employees around the world, with recent geographic expansion in Germany and North America. Pro has offices in London, Cologne, Zurich, New York and Buenos Aires, all supported by regional delivery centres, enabling Pro to act for clients across multiple markets, cultures and territories.
For more information, please visit: www.pro-global.com.
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The fundamentals: 5 key principles for robust and secure insurance auditing
An insurance audit can surface insight that help navigate a businesses’ growth trajectory. Best practice insurance audits are underpinned by these 5 principles.
1: Document collation
Collating all relevant documentation to commence the audit process is a complex process, but one which the insurance audit depends upon.
Documentation required for this process includes:
2: Process mapping
Process mapping ensures that the complexity of a business process does not block anything or cause operational issues. Responsibilities, success indicators and quality assurance all fall within the area of process mapping. There are a number of key tasks involved:
3: Operational evaluation
Operational evaluation involves deep scrutiny of business processes. Accounting and operational procedures are thoroughly examined, including mid-term adjustments, query monitoring and unallocated cash management. The claims management and automatch system are also evaluated to ensure accounting is clearly defined, reporting is accurate and that accounts are reported punctually and accurately to the general ledger.
4: Control policies
From theft to mismanagement of funds, there are many risks attached to poor internal controls and policy management. A robust insurance audit should evaluate and optimise policies on:
5: Reconciling records
As a fundamental aspect of a robust insurance audit, reconciliation covers a number of key areas that enable compliance and boost growth:
The insurance audit landscape
Assuring the reliability of internal cash management processes is only possible through forensic auditing. In order to ensure the deep analysis and accuracy that defends a business, it is imperative to leverage specialist knowledge.
As part of the insurance audit, a TPA’s internal control environment can be verified through a third-party audit.
During a TPA audit, detailed tests can be conducted on the claims processed during a defined time period and forensic analysis can help identify irregularities in claims and policies.
A typical TPA audit includes rigorous inspection on TPA services and risk mapping covering all data and major classes of direct and reinsurance business.
This process enables you to benchmark underwriting, claims, accounting and management of your business so you can be confident that your reputation, brand and quality standards are being protected.
Inspection teams undertake audit & due diligence programmes on an anonymised ‘third party’ basis to get a true picture of the TPA’s operations.
Coverholder Audit
Coverholder audits can focus on compliance, claims handling, claims reporting, underwriting, or systems and can help management teams review issues related to specific areas of concern, supporting decision making and informing wider strategic objectives.
Both coverholders and insurers can benefit from coverholder audits by enabling coverholders to identify opportunities to streamline processes.
In addition to identifying and reducing unnecessary operating expenditures, audits can improve credit control, reduce cyber threats, and ensure compliance with regulations.
Governance coverholder audit components
Operational coverholder audit elements
Most organisations have process maps which can be used and interrogated to identify the causes of unallocated cash. Having established the extent of the problem, a remediation plan can then be defined to allocate ownership. This includes identifying the resource required, as well as setting high level KPIs; this ensures progress is monitored and meets expectations.
A vital part of an insurance audit, the remediation plan will also enable you to assess the required budget to address the problem and then to maintain an effective cash management process thereafter.
5 key components to an unallocated cash audit
Access to historic data: Where cash relates to historic systems or acquired accounts, access to the data is essential when undertaking an insurance audit. Where the data is simply not available a decision has to be made as to whether the business requests information from brokers or clients.
Access to technical resources: Where technical transactions are incorrectly processed or missing, technical resources will be needed to reprocess transactions so the cash can be cleared.
Query resolution: Robust query monitoring is necessary to ensure that queries which are preventing the allocation of cash are answered.
Interaction with credit control: Procedures should be established to ensure the immediate referral of identified funding and previously unidentified outstanding aged debt (premium or claims) become apparent.
Write-off parameters: Cost efficiency dictates that an acceptable de minimis limit for investigation is set.
Defending your business against legacy and ongoing threats requires a rigorous insurance audit. Keeping the above principles and operational components in mind will ensure the process is a useful one.
The Ultimate Insurance Industry Toolkit: