PwC Claims Services - OverviewPwC is a leader in insurance and claims excellence with unparalleled experience and expertise throughout the firm. We can partner with you to deliver value across the claims operation through our extensive capabilities, experience and global network. Claims excellence is at the centre of all we do.

Assurance

Strategy

Operation

Analysis

Investigation

Claimsexcellence

Transformation

How do you turn insights into competitive advantage? Are you using the right techniques, asking the right questions and using the right data?

Have you made the right choices? How comfortable are you that you can evidence outcomes?

How does claims support the overall corporate strategy? What is your claims value proposition and how does it differentiate you?

How well do you understand your opportunities and risk? How do you pinpoint and prioritise improvements?

How do you deliver a sustainable claims transformation? Are you being bold enough?

How confident are you that your investigations reveal what is really going on? Are you able to find the single version of the truth?

PwC Claims – Services overview

© 2015 PricewaterhouseCoopers LLP. All rights reserved. In this document, "PwC" refers to the UK member firm, 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.

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PwC offers an unrivalled range of specialist claims services designed to drive out more value from your claims function. These services span from strategy and large scale transformation through to operation support, claims modelling, analysis and investigation, and business assurance.

PwC Claims services

Strategy Transform Operate Analyse Investigate Assure

• Claims strategy and operating model design

• Claims culture

• Customer claim experience

• Digital claims optimisation

• Organisational effectiveness

• Run-off/business exiting structure and strategies

• Claims transformation:

- Implementation of claims strategy and operating model

• Customer claims proposition

• Digital claims experience

• Claims technology transformation

• Professional claims talent development

• People performance and leadership

• Claims culture and behaviours

• Regulatory enquiries and support

• Catastrophe and crisis management

• Legacy runoff management

• Actuarial models assistance

• Claims reserving support

• Loss avoidance guidance

• Complex claims support

• Ceded reinsurance claims and recovery support

• Capital management support

• Claims operations review

• Counter-fraud effectiveness review

• Large loss assessment and mitigation

• Claims leakage analysis

• Claims quantum analysis:

- Business Interruption, Structured settlements and PPOs

• Predictive analytics

• Operational performance reporting, benchmarks and MI

• Claims and reserving analysis

• Supply chain effectiveness analysis

• Reinsurance recovery analysis

• Fraud/Forensic investigation

• MGA/TPA/Captive performance reviews

• Due diligence for M&A

• Claims audits, file reviews and inspections

• Claims and reserving reviews

• Supply chain effectiveness reviews

• Reinsurance recovery review

• Claims staffing/structural review

• Claims operational effectiveness

• Claims process and controls

• Professional claims talent development

• People performance and leadership

• Claims culture and behaviours

• Solvency II compliance

• Conduct risk assessment

• IT assurance

PwC contacts: claimsgroup@uk.pwc.com