knowledge sharing forum on technology in … forum...the knowledge sharing forum on technology in...
TRANSCRIPT
Knowledge Sharing Forum on
Technology in Microinsurance
Summary Report
Alisa Hotel, Accra, Ghana
June 4-5, 2013
i
Summary Report: Knowledge Sharing Forum on the Impact of Health Microinsurance
The Knowledge Sharing Forum on Technology in Microinsurance was organized by the ILO
Microinsurance Innovation Facility, together with CGAP and MicroEnsure, as the Facility celebrates five
years of pushing the frontiers in microinsurance. To learn more about the celebration, visit our website
at www.ilo.org/microinsurance.
Table of Contents1 Forum Overview ......................................................................................................................................................... 1
Forum Theme ......................................................................................................................................................... 1
Forum Objectives ................................................................................................................................................... 1
Forum Agenda ........................................................................................................................................................ 1
Key Messages from the Forum .............................................................................................................................. 2
Introductions .............................................................................................................................................................. 3
Technological developments in microinsurance: An Overview ................................................................................. 3
Theme 1: Technology solutions for enrolment .......................................................................................................... 5
1.1 Smart card technology ................................................................................................................................. 5
1.2 Mobile phones ............................................................................................................................................. 6
Theme 2: Support technology for microinsurance .................................................................................................... 8
2.1 Technology for data management ............................................................................................................... 8
2.2 Technology for transaction processing ........................................................................................................ 9
2.3 Technology for process enhancement ......................................................................................................... 9
Theme 3: Technology for claims handling ............................................................................................................... 10
Wrap-up and closing ................................................................................................................................................ 12
Annex A. List of Forum Participants ......................................................................................................................... 14
1 The organizers would like to thank CENFRI for their contributions in producing this Summary Report.
1
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Forum Overview
Forum Theme “Technology as an enabler for improving client value and sustainability in microinsurance”
Forum Objectives a) Provide a platform for sharing good and bad practices and lessons learned in the use of various
technological solutions to support the microinsurance value chain;
b) Take stock of and discuss specific technological solutions used by participating organizations in the
area of microinsurance; and
c) Explore next practices that can benefit the wider microinsurance sector.
Forum Agenda DAY 1: 4 June
09:00 – 09:30 Registration
09:30 – 10:30 Opening remarks and introductions (facilitator: ILO Microinsurance Innovation Facility)
10:30 –12:15 Technological developments in microinsurance: An overview (facilitator: CGAP
Technology and Business Model Innovation Team)
Camilo Tellez, CGAP, USA
Peter Zetterli, CGAP, Ghana
Michiel Berende, Microinsurance Network Technology Working Group, Netherlands
Anju Aggarwal, Leapfrog Investments, United Kingdom 12:15 – 13:30 Lunch
13:30 – 17:00 THEME 1: Technologies for enrolment (with webcast) (facilitator: ILO Microinsurance
Innovation Facility)
Pranav Prashad, ILO Microinsurance Innovation Facility, Switzerland
Sanjay Pande, Amicus Advisory Private Ltd, India
Eugene Adogla, MicroEnsure, Ghana
Camilo Tellez, CGAP, USA
Jasmin Suministrado, ILO Microinsurance Innovation Facility, Switzerland
17:00 – 17:30 Wrap-up of Day 1 (facilitator: ILO Microinsurance Innovation Facility)
19:00 Organized dinner and networking
DAY 2: 5 June
09:00 – 09:30 Recap of Day 1 (facilitator: ILO Microinsurance Innovation Facility)
09:30 – 12:30 THEME 2: Support technologies in microinsurance (facilitator: Berende Consulting)
Eugene Adogla, MicroEnsure, Ghana
Brenda Wandera, International Livestock Research Institute, Kenya
Devendra Shahapurkar, FINO Fintech, India
Michiel Berende, Microinsurance Network Technology Working Group, Netherlands
12:30 – 14:00 Lunch
2
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
14:00 – 17:00 THEME 3: Technologies for claims handling (facilitator: MicroEnsure)
Eugene Adogla, MicroEnsure, Ghana
Emeka Ajanwachuku, Uba Nwogu and Cees Hesp, PharmAccess / Hygeia, Nigeria/Netherlands
Alok Shukla, Tata AIG General Insurance Co., India
Sanjay Pande, Amicus Advisory Private Ltd, India
17:00 – 18:00 Forum wrap-up (facilitator: ILO Microinsurance Innovation Facility)
Key Messages from the Forum Attended by 42 participants from insurance companies, consulting companies, technology and solutions
providers, donors and investment companies, the Forum provided a platform to discuss the following key
messages:
Technology can play a vital role in enhancing the microinsurance processes across the value chain.
However, the introduction of technology has to be accompanied by a change in processes for
benefits to be realized. The choice of the technology should also be made in light of factors such as
its alignment with the objectives of the partners involved, the degree of market maturity and
readiness for the technology, and customer understanding of the product. (see “Overview Session”
on page 3)
Smart cards show promises in improving microinsurance operations – for instance, a reduction from
45-60 days to 25 minutes in a pilot project; an 8% increase in enrolment; reduction of fraud, and the
ability to carry out paperless transaction. Among the biggest challenges though are limited data
storage, client education, and limited availability of hardware suppliers. (see Section 1.1 on page 5)
Mobile phones-based microinsurance has grown significantly over the past three years, particularly
in Africa. It is still primarily used for life microinsurance, as it remains a challenge to offer more
complicated products such as health and agriculture products using mobile phones. And while
providing the microinsurance product for free seems to be a good starting point, experience suggests
the need to shift to paid products before it starts losing value for customers. (see Section 1.2 on page
6)
On technology for data management, it is important for data such as those generated using
satellites to be easily understood by customers, e.g., the presentation of vegetation data using color
codes. To ensure validity of data, government plays a key role. (see Section 2.1 on page 8)
Transaction processing technology requires standard codes and processes so that information
generated by different systems of partners can be seamlessly integrated. (see Section 2.2 on page 9)
Benefits can be derived from the use of certain technologies for process enhancements such as the
use of mobile phones for training the sales force. In this example, agents are kept up-to-date on the
products they sell, improving both their sales efforts and the ability to communicate value to their
clients. (see Section 2.3 on page 9)
The shift from a manual system to technology-enabled claims management can improve data
quality, reduce documentation requirements, hasten claims settlement, and reduce fraud. However,
some of the issues that should be addressed include connecting to legacy systems, high cost of
software development and training, ensuring clients understand the technology and the
accompanying processes, and low computer proficiency at healthcare facilities in the case of health
microinsurance. (see “Theme 3” on page 10)
3
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Participants during the Introductions session
Resource persons in the Overview Session
Introductions
The Forum was opened with remarks from the
ILO Microinsurance Innovation Facility, and the
two co-organizers CGAP and MicroEnsure. All
organizers expressed their eagerness to
understand the variety of work being done
around the use of technology for different
products and across the microinsurance value
chain, as well as their excitement on the sharing
that will happen over the next two days.
A sociometric activity was used to introduce
participants and to set the interactive format of
the forum. Participants expressed their ideas
and insights on various questions including their
organization’s role in microinsurance, their
organization’s satisfaction with the technology
they use in microinsurance operations, and their expectations from the Forum. When asked to choose which
emoticon best represents their organization’s satisfaction with the technology they are using, majority of the
participants chose a thoughtful emoticon (as opposed to a smiling, grinning, or sad one), and explained that
while they are satisfied to a certain extent, they are eager to learn more about the actual benefits it delivers
and how to continuously improve. In terms of Forum expectations, participants see the forum as a venue to
learn from each other, share lessons, and find solutions to issues and challenges.
Technological developments in microinsurance: An Overview
The first session held on day one sought to provide an overview of technological developments in
microinsurance. Organized and moderated by Camilo Tellez from CGAP, the resource persons were Peter
Zetterli from CGAP, Michiel Berende from Berende Consulting representing the Technology Working Group
of the Microinsurance Network, and Anju Aggarwal from Leapfrog Investments. As the resource persons
proceeded with their sharing, a consensor tool was used to capture live feedback from the audience on
numerous polls about technology.
Peter Zetterli from CGAP started with a sharing of key
findings from a global market scan involving 63 mobile
phone-based microinsurance products to identify
patterns on how mobile phones are being used across
the microinsurance value chain over the past few years,
and explore where it is headed in the future. About 70%
of the products surveyed used mobile phones to initiate
registration, although less than half of these allow full
registration over phones. Around 85% use mobile
phones for premium payment, and almost 90% send out
policy information over the phone (though less
4
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
commonly for policy administration). In terms of geography, it has been observed that over half of mobile-
phone based insurance schemes operates in Sub-Saharan Africa, where 10 new products where launched in
2012 alone.
In terms of composition, mobile phone based-insurance products remain heavily focused around life
products, which account for 70% of active products as opposed to roughly 8% for health. Products tend to
offer very simple benefits rather than tiered coverage, and they have largely been tied directly to a mobile
network operator. Peter cited the fact that 60% are paid products, while 33% are free products, which can
be further subdivided into passive loyalty where the product is provided by the mobile network operator
(MNO) in return for post-paid voice loyalty, and active loyalty products where insurance is offered to
incentivize various kinds of behaviours (e.g., more frequent use of mobile money, increase savings balance,
etc.). The presentation concluded with a look at the untapped market for future growth in mobile insurance
products, with the largest potential market in East Asia.
Following Peter’s informative presentation, Michiel Berende presented on his work with the Microinsurance
Network’s (MIN) Technology Working Group, which since 2008 has been working on the development of a
technology inventory for microinsurance, allowing practitioners and other interested parties to filter
technology solutions across a number of categories. Located on the MIN’s website
(http://www.microinsurancenetwork.org/Technology-Inventory/), the inventory currently houses
information on 26 technology solutions. The MIN Technology working group is also currently working on the
Microinsurance Open Source Initiative (MOSI), which will create and promote open source technology. The
presentation concluded with a debate on how to achieve scale in microinsurance with Michiel highlighting
the importance of standardization, harmonization, and interoperability.
Shifting gears, Anju Aggarwal shared on Leapfrog’s investments and portfolio management for seven
microinsurance players. She cited how mobile technology has improved customer service, distribution, and
transactions in microinsurance products. Posing the question “How should we focus on making customer
perspectives much more important on the development of technology innovations?”, the audience had a
lively debate with some questioning whether customers can accurately articulate their needs regarding
technology. Others argued that insurance products must innovate and then see whether the market accepts
it. It was largely agreed that those products which are built around customer needs are much more easily
accepted once they reach the market.
To close the session, Camilo led a brief question-and-answer session between the audience and the panel of
speakers. Peter commented on how MNOs have largely shaped the mobile phone based insurance space
and have in some cases become the largest insurers in certain countries. He further noted that failure of
mobile insurance products could have devastating effects on the industry. The discussion then shifted to
partnerships in mobile insurance products, with Anju sharing that each partner must have a distinct role and
Peter noting that the more partners you bring on board, the harder it is for a product to be viable. Camilo
closed the discussion citing the importance of alignment of all partners’ objectives.
In the final live poll, an overwhelming number of participants (84%) believed that an insurance company’s
technological roadmap should be one of the top five priority areas for its CEO. Although perhaps not
surprising at a technology forum, this conclusion illustrated the importance the participants gave to
technology, and paved the way for a number of very participatory and engaging sessions for the remainder
of the event.
5
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Panelists in the webinar session on “Technology: Improving the enrolment experience”
Theme 1: Technology solutions for enrolment
The first thematic session of the event focused on how technology can be used in enrolment and included a
webinar for external audiences moderated by Jasmin Suministrado of the ILO’s Microinsurance Innovation
Facility with panellists Sanjay Pande, Director of Amicus Advisory Services in India, Eugene Adogla,
MicroEnsure Regional Operations Manager for Africa, Camilo Tellez of the CGAP Technology and Business
Model Innovation Team, and Pranav Prashad of the ILO’s Microinsurance Innovation Facility. To watch the
webinar recording, please visit: http://www.youtube.com/watch?v=4dexU97ymLM&feature=youtu.be. A
summary of the session is also provided below.
1.1 Smart card technology
After a discussion of main hurdles for enrolment
– on education and awareness; infrastructure;
and identification – facilitated by Pranav, Sanjay
presented on the smart card technology that
Amicus Advisory Services developed for the
RSBY National Health Insurance Scheme in India
and a pilot health microinsurance scheme in
2012. Sanjay explained that the Smart Card
technology was implemented to help identify
eligible participants for the two schemes and
reduce fraud. The scheme was suffering from
two types of fraud: (i) Identity fraud, i.e. saying
you are one person when you are really
another and (ii) collaborative fraud between
agents, beneficiaries and hospitals where they charge for higher operations that were administered and
pocketed the additional revenue.
The biometric smart card supports identification for enrolment. It is a standard issue plastic card with a 64
MB chip that stores family details, finger prints and photos. Each family member has a distinctive number
that is encrypted in the card. The card can be used at almost all 10,000 hospitals that have been networked
to honour the cards. Each of the hospitals is equipped with the necessary hardware: (i) card reader (ii)
desktop computer to show the details of the card and (iii) biometric fingerprints to confirm the card.
To enrol for the card, the administrators of the government-sponsored schemes inform eligible participants
of where and when enrolment will take place. The administrator has the basic client information from the
Indian census that identifies who is below the national poverty line. Previous issues with fictitious data can
be picked up at enrolment (for example age, name, and gender) and amended on the spot with the smart
card.
The impact of the smart card technology has been impressive. Sanjay explained that in the pilot health
microinsurance project that was migrated from a manual system to a smart card system, they have observed
a reduction in waiting time for enrolment from 45-60 days to 25 minutes and an 8% increase in the
enrolment ratio. In addition to saving time, enrolment costs have been reduced by US$ 0.15 per client in the
pilot project. However, there are still challenges. The location and timing of the enrolment period is limited,
6
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Break out discussion on smart cards hosted by Sanjay Pande of Amicus Advisory
potentially leaving many left out. On the technology side, participants are still intimated by technology and
operational constraints such as intermittent or lack of power supply and internet connectivity remain.
In the breakout discussions following the
webinar, one of the issues discussed was
the replicability of the smart card success.
Sanjay commented that while there may
be issues with replication given the unique
context of identification fraud in India,
companies encountering similar issues
that are operating in countries where
census data or a national identity scheme
is in place, can benefit significantly.
1.2 Mobile phones
Eugene Adogla from MicroEnsure and Camilo Tellez from CGAP presented their experience with using the
mobile phone in microinsurance enrolment and payment. Eugene started his presentation by highlighting
that microinsurance growth in Africa has been mobile. Microinsurance grew 200% from 2010-2012 with 8 of
9 markets outside of South Africa reaching 1 million insured lives through mobile insurance. Mobile phones
offer customer access, a financial transaction platform, a reputable and trusted brand and a cost-effective
information transfer source.
Camilo introduced the different business models and subsequent payment mechanisms for mobile insurance
that they have discovered in CGAP’s study of 63 mobile insurance products: (i) passive loyalty (ii) active
loyalty and (iii) the paid model. As explained in the previous section, passive loyalty schemes are those
products offered free of charge by MNOs in return for post-paid voice loyalty. Active loyalty is when a
product is offered to not just increase loyalty but to incentivize other kinds of behaviours such as buying
more airtime. CGAP’s research found that these two models make up about two thirds of the mobile
insurance offerings globally. The last model is the payment model which could be either a top-up of an
existing loyalty scheme, referred to as a freemium model, or a full premium model. Payments can be either
airtime based or mobile money based, with the former making up the majority of the market.
Eugene from MicroEnsure introduced the challenges with mobile insurance schemes for both the MNO and
the insurer. He highlighted that in certain markets it is important to offer free products for a certain period,
but once you’ve grown the pool of consumer through a free product (perhaps over a span of 18 to 24
months), there is a need to transition to a paid product. In the case of the Tigo Bima product in Ghana, a
“freemium” product combining the free product with a small premium payment was introduced to offer
better coverage.
Eugene concluded by introducing the challenges encountered in offering mobile insurance. Clients are often
illiterate and are not familiar with using the mobile phone for value added services beyond voice. In addition,
technologies are not fail-safe and there is the potential that an SMS is not delivered or the USSD server goes
down. He suggested that there is a need for good backups with either human agents or telecom service
centres.
7
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Break out discussions on mobile phones for microinsurance hosted by Camilo Tellez and Peter Zetterli of CGAP (left) and by Eugene Adogla of MicroEnsure (right)
Small group discussions amongst participants after the webinar revolved around the following:
Free products are not necessarily loss making, but can lose value over time, making it difficult then to
reach new clients with a free model.
There are other schemes where mobile phone usage is coupled with other products or other benefits
to reach more clients. For example, Bradesco in Brazil uses a lottery ticket component to incentivize
potential clients to purchase insurance. M-PANI, also in Brazil, signs up a community to one telecom
service and the community is then provided water pipe benefits based on how much airtime they
use in a year.
Mobile phone technology is not an enrolment solution for every market. In India, regulation does not
allow the use of mobile phones for money transfers which inhibits collection of insurance premiums.
In Nigeria, mobile money can only be provided via third parties and not by MNOs, creating an
additional layer that lends itself to inefficiencies.
Limited technological infrastructure is a common characteristic among the developing countries,
providing challenges for sufficient mobile network coverage and internet connectivity. In India, such
limitations do not help in collecting data/premiums back from the microinsurance agents, who use
mobile phone platforms, especially when they operate in remote areas. There is still a gap between
the available technology solutions and the operational requirements, and infrastructure limitations
still hinder the wide use of different technological inventions in microinsurance enrolment.
In Nigeria, fraud was making it so challenging to offer hospitalization products. Eugene shared that
while mobile based insurance can contribute to scale, it may be challenging to verify each and every
case. Costs need to be considered while verifying claims for remote customers.
The session concluded with the understanding that technology can significantly improve the enrolment
efforts in microinsurance, but this must not be viewed as a stand-alone initiative. The need to support
enrolment technologies with not only education, but back-end processes is critical. Cooperation between
the various stakeholders is essential to make this happen, and they must align their incentives for greater
likelihood of success.
8
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Fishbowl session to discuss support technology for microinsurance
Theme 2: Support technology for microinsurance
The second thematic session focused on support technologies in microinsurance. The session was moderated
by Michiel Berende of the Microinsuance Network Technology Working Group and panellists included
Eugene Adogla from MicroEnsure, Ghana who focused on transaction technology, Brenda Wandera from the
International Livestock Research Institute (ILRI), Kenya who focused on data management technology, and
Devendra Shahpurkar from FINO Paytech, India who focused on technology to enhance business processes.
The session allowed for a brief presentation of each type of support technology, and discussions were then
encouraged using a fishbowl method.
2.1 Technology for data management
Brenda kicked-off the presentations by introducing the work ILRI had done in developing an index-based
livestock insurance product in rural Kenya and Ethiopia. She explained that ILRI found livestock-related
deaths were one of the biggest problems for rural households in Kenya and identified microinsurance as
being a good solution. IRLI used satellite imagery combined with other available data to develop an index-
based livestock insurance product to meet the needs of the rural households. The parameters of index
insurance contract are based on climate levels that were correlated with livestock-related illness or death. In
Kenya, they use satellite data on vegetation trends for contracts. Claims are paid when forage scarcity is
predicted to cause livestock deaths in an area. In Ethiopia the index insurance contracts are based on the
deviation of availability of land for raising livestock from the long-run average.
Participants were interested in understanding how ILRI had overcome the challenge related to data accuracy.
Brenda explained that ILRI uses a trusted source in the NASA satellite data that is updated every 16 days, and
confirms the data with the community representatives. In addition, to address illiteracy concerns ILRI uses
colour codes to identify areas that would be paid out to the community. However, there are challenges with
complexity—the product is not very easy to understand and explaining community satellites to rural
communities in Kenya have been difficult. ILRI recognizes that it is important for communities to understand
what is being used to calculate their pay-outs and with continuous effort, education is starting to improve.
On the issue of sustainability, Brenda explained that for the scheme to be sustainable, the government or a
neutral third-party such as the national remote sensing unit needs to be involved. While it is a costly process,
9
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
it promotes data integrity that might be an issue if the technology resides with insurance companies. In this
set-up, data can simply be sold to insurance companies.
On the question of replicability, Brenda explained that as it is not in ILRI’s mandate to be a practitioner, it is
now creating a process manual that codifies the whole process that other people can take and use. They are
also busy mentoring institutions that can continue their work.
2.2 Technology for transaction processing
Eugene’s presentation focused on supporting the link between local back-end processes and central
administration technology. MicroEnsure has a global MIS team in Cheltenham, United Kingdom, that
manages data for all MicroEnsure’s clients using its proprietary ARK system. The MicroEnsure operations in
Ghana can access the central server through web-based interfaces and upload their data. MicroEnsure has
developed a new software that standardizes all the information to link up local servers (where these are
deployed) to the global system. He explained that they have codified and scheduled the process to increase
efficiency. It defines how and when the information will be shared to link the local server deployments with
the central server.
Eugene explained that sharing of information is scheduled upfront and the systems talk to each other
periodically to ensure that what is in the local server is in the global server. When the system is down, a red
flag is triggered and there is then a manual process to fix-it (though this can be done remotely over the
Internet). Also, necessary data exports can be sent through secure FTP transfer processes as a back-up. The
challenge MicroEnsure now faces is with on-boarding the old yet relevant client data onto the new platform.
2.3 Technology for process enhancement
Devendra then discussed the use of mobile phones, in addition to in-person interaction, to train its agents.
He explained that by becoming a corporate agent for a non-life insurance company, FINO addresses possible
regulatory concerns on selling insurance products. It then keeps its on-field sales force updated and trained
through mobile phone.
To support their agents, FINO developed mIT, an
application for insurance training on mobile phones.
mIT is easy to access and free to download – there is
no login ID and password required. The module can
be used by any agent irrespective of the network
service provider. This helps keep agents up-to-date
on the products they are selling, improving both
their sales efforts and ability to communicate value
to their clients.
The use of mobile phones is something that ILRI had
also done to support its agents. ILRI initially tried to use point of sale (POS) devices with their agents to
collect payments from rural communities, but found it was too expensive with each POS device costing US$
12,500 on-average.
Subsequently, ILRI introduced a very basic java enabled phone that agents can buy as an investment into
their operations (costing less than US$100). However, the processes around collection of premium required
an agent to place a deposit with the insurer besides investment in the handset which limited the cash flow at
10
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Resource persons on the use of technology solutions for claims management
the agent’s end. To overcome this, ILRI selected only trusted shopkeepers from whom no deposit was
required to collect the premium and sell to the community.
The session concluded with Michiel identifying challenges that still remain despite the improvements that
are resulting from the innovations discussed:
Insurance contracts based on data provided by satellites require funding and good understanding by
the target customers, both of which can be a challenge in the rural communities where
microinsurance is most needed.
It is important to have standardized processes when linking back-end processes through technology,
but having a back-up is important.
Finally, the mobile phone offers a great opportunity for efficient and improved agent management,
but it needs to be done in a cost-effective way and still be complemented with a human touch.
Theme 3: Technology for claims handling
In the third thematic session, the focused shifted
from enrolment and support technology to the use
of technology for claims handling. Eugene Adogla
from MicroEnsure facilitated the session, with
panelists Cees Hesp, Emeka Ajanwachuku and Uba
Nwogu from PharmAccess and Hygeia from the
Netherlands and Nigeria, respectively; Sanjay Pande
from Amicus Advisory in India, and Alok Shukla from
Tata AIG in India.
The session was kicked off with a mapping of
challenges in claims management, with claims
understood as the actual test of fulfilling the promise
of the microinsurance products. While this doesn’t
mean that all claims have to automatically be paid, it
is important that that the claims payment process be
transparent and fair. Challenges in claims recording,
claims approval, and claim settling were shared by
participants. Some of the common challenges that
arose included:
Trying to keep turnaround time as short as possible;
Controlling fraud;
The difficulty both in securing documentation and paying out claims for rural clients, and
Validating the coverage and the claim.
With the map of challenges setting the stage, presentations started with Cees Hesp from PharmAccess in the
Netherlands and Uba Nwogu from Hygeia Healthcare in Nigeria. PharmAccess has partnered with Hygeia to
subsidize health insurance, improve healthcare facilities, and ultimately determine how to extend greater
access to quality healthcare for Nigerians. Cees highlighted a number of challenges that the project has
experienced thus far such as the difficulties of managing communication and objectives when there are
11
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Participants break out into smaller groups in a role play aimed at identifying solutions to claims handling challenges
many partners involved in a project. They also discussed how Hygeia handled claims initially with paper
forms and eventually shifted to a custom-built front office solution with adequate problem analysis. As
technologies like fingerprint identification were introduced, claims processing times have decreased. While
technology has improved data quality and processing, challenges still remain with trying to connect to legacy
systems and addressing low computer proficiency at healthcare facilities. Based on lessons learned with
Hygeia, PharmAccess is now establishing national and federal standards in Kenya, Tanzania, and 9 states in
Nigeria.
Following the presentation by PharmAccess, Alok Shukla from Tata AIG presented on how technology was
used to improve the provision of livestock insurance in India. Tata AIG partners with dairies, microfinance
institutions (MFIs), and non-government organizations to cover over 300,000 animals as of 2012. Given the
issues of high loss, high fraud, and vast geography, Tata introduced mobile technologies that translated to
several benefits – i.e., data to be relayed in real time from field to server, policy issuance time to decrease,
claims settlement to quicken, on-spot carcass verification, and decreased fraud. Even though challenges like
high cost of software development and training remain, Tata is showing that strong processes and field
controls can bring down fraud in a high-risk insurance field.
As the final speaker of the session, Sanjay Pande from Amicus spoke about his organization’s work with
smart cards on the RSBY National Health Insurance Scheme in India. In RSBY, smart cards created benefits for
all parties involved including hospitals, insurers, beneficiaries, and government. Essentially the smart cards
have resolved identification and verification problems (see Section 1.1 for more details), allowed for the shift
to cashless treatment, enabled real-time tracking of insurance policies, and permitted the availability of
medical history at multiple points. Nevertheless, challenges remain in the areas of data storage limitations,
stigma surrounding new technologies, and operational constraints like power and internet supplies. Despite
these, the experience of Amicus in India shows that technologies like smart cards can serve to increase
efficiencies and improve customer experience in large-scale insurance products.
Following the presentations, participants were challenged to come up with possible solutions to common
problems across four broad categories: documentation, validation, fraud control, and turnaround time. In
terms of documentation, participants suggested standardized templates and decentralized data collection to
ease the process clients must go through to submit claims. To improve claims validation and fraud control,
12
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Insights shared by the participants at the end of the Forum
the group highlighted technologies that can audit and highlight suspicious claims. Similarly, the use of
biometric data and creating links to partner databases like MNOs or MFIs can help validate information.
Finally, to improve turn-around time in the claims process, participants suggested clearing out low-value
claims by quickly approving with less scrutiny, payment through distribution channels, and reducing
bureaucracy.
In conclusion, while technological solutions for claims management will vary by the type of product and the
environment in which it operates, the session illustrated the potential is there for technology to greatly
improve claims processing through increased efficiency, decreased fraud, and improved customer service.
Wrap-up and closing At the end of day 2, participants identified take away insights that they can explore in their work to improve
microinsurance both from the business and the client perspective. Some of the insights, classified according
to the three main themes of the Forum, are:
Insights related to enrolment technology solutions:
o Third party administrators should invest in standardized and flexible mobile-based enrolment (and claims management) software to facilitate the use of technology and maintain operational efficiency.
o Developing strategic partnerships with MNOs is a key factor in building scale of insurance
programs.
o Mobile payment platforms should be integrated with mobile insurance solutions to provide
end-to-end services, including claims settlement.
Insights related to support technology:
o It is important to standardize data collection processes.
o There is a need for marketing & sales support in awareness campaigns and data collection.
o Interoperability, the ability of partners’ systems to integrate seamlessly, is key.
Insights related to claims management technology:
o Mobile phones can be used to submit the claims form and dispatch the claim amount when
documents are complete.
o Technology helps in rethinking the claims process in terms of documents collection,
archiving, and claims payment.
13
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
For further comments on the Knowledge Sharing Forum on Technology in Microinsurance, please email us
at - [email protected].
14
Summary Report: Knowledge Sharing Forum on Technology in Microinsurance
Annex A. List of Forum Participants
Alok Shukla Senior Manager Tata AIG General Insurance Company Ltd.
Anindya Roy Mitra Senior Manager Amicus Advisory Pvt. Ltd.
Anju Aggarwal Associate Director, Mobile Financial Services LeapFrog Investments
Ayham Esmaiel ILO Microinsurance Fellow Star Microinsurance Services Ltd.
Ayodeji Bankole-Olusina Head Distribution FBN Life Assurance Limited
Bernard Nana Acheampong Junior Advisor for Agricultural Insurance GIZ
Bilal M Mamdani Manager Accenture
Birhanu Taddesse Ayana Research Officer International Livestock Research Institute
Brenda Wandera Project Development Manager International Livestock Research Institute
Camilo Tellez Merchan Financial Sector Analyst CGAP World Bank
Cees Hesp Director Joint Learning PharmAccess
David Saunders Knowledge Manager Cenfri
Devaraj Naidoo Management Consultant Accenture
Devendra Shahapurkar Manager - Product Management FINO PayTech Ltd
Emeka Ajanwachuku Senior Project Manager PharmAccess Foundation
Emmanual Essien Yankey Senior Underwriting Officer Star Microinsurance Services Limted
Eugene Adogla Regional Operations Manager, Africa MicroEnsure
Evans Bediako Osei National Insurance Commission, Ghana
Kofi Ofori Osei –Foku Star Microinsurance
Krystal Lin GIZ
Jasmin Suministrado Knowledge Management Officer ILO Microinsurance Innovation Facility
Kwabena Twum-Barimah Head of IT Express Life Insurance Company Limited
Mark Akanko Achaw Technical Advisor GIZ
Matthew Mpoke Bigg Senior Correspondent Thomson Reuters
Michiel Berende Consultant Berende Consulting
Ogunjobi-Fele Itunu M-Insurance Relationship Officer FBN Life Insurance Limited
Oluwaseun adesanya Head, Corporate Planning & Strategy FBN Life Insurance Limited
Peter Zetterli Ghana Focal Point CGAP
Pranav Prashad Microinsurance Officer ILO's Microinsurance Innovation Facility
Rob Gruijters Junior Advisor GIZ Ghana
Rona Asiedu-Larbi Enterprise Life Insurance
Ruth Ann Cecilia Smith Project Coordinator Innovations for Poverty Action
Sanjay Pande Executive Director Amicus Advisory Pvt. Ltd.
Sharleen Naa Sarkai Obeng Junior Technical Advisor GIZ
Solomon Larbey Head of Operations Star Microinsurance Services Limited Ltd.
Tola Olunloyo Business Associate Greystone Partners
Tyler Tappendorf ILO Microinsurance Fellow Cenfri
Uba Nwogu IT & Enterprise Applications Manager Hygeia Community Health Care
Winfred Darko Enterprise Life Insurance
Worlali Senyo Associate consultant eNovation4D Ltd
Xiaojie Zhang Ph.D student International Research Institute for Climate
and Society, Earth Institute