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AI for underwriting, personalization, claims & more

Sunil Jain, Chief Digital & Technology Officer, Pramerica Life Insurance:

Ravi Lalwani: The life insurance sector is increasingly adopting personalized and digital-first services. What advancements or strategic changes does your organization plan to implement by 2025 to cater to evolving customer needs? Are there specific demographics or regional markets where you aim to strengthen your presence?

Sunil Jain: One of Pramerica Life’s key focus areas is simplifying the insurance purchasing journey through intuitive digital platforms that reduce complexity and enable faster, more informed decision-making. To streamline processes, we are leveraging advanced technologies like Vision AI to extract relevant information from documents, such as bank statements. This ensures accurate, automated data capture, simplifying both underwriting and claims management.

On the group business front, we are driving a comprehensive digital transformation by developing robust digital integrations and APIs for our partners. This initiative will enable instant policy issuance and real-time claims management, enhancing our value proposition for corporate clients and SMEs.

From a demographic perspective, we are prioritizing millennials and Gen Z, who increasingly demand hyper-personalized and accessible solutions. To expand our reach, we are focusing on strengthening our presence in tier 2 & 3 cities by leveraging digital channels. These regions present significant untapped potential, and by simplifying insurance processes, we aim to drive growth and improve accessibility in underserved markets.

With the rapid digital transformation in the insurance sector, what technology initiatives (e.g., AI-driven underwriting, predictive analytics for risk assessment, or blockchain for policy management) are you prioritizing for 2025? What milestones have you set, and how do you plan to measure the impact in terms of operational efficiency or customer satisfaction?

Our technology roadmap for 2025 focuses on AI-driven risk assessment and automated claims management to enhance operational efficiency and improve customer experience. Key initiatives include AI-based underwriting, where machine learning algorithms will be utilized to evaluate risk profiles more effectively, enabling faster and more tailored policy offerings. Additionally, we aim to implement AI-driven claims assessment to detect fraud, automate approvals, and minimize manual interventions, ensuring faster claims resolution. Another major initiative is the use of Vision AI for document processing, automating data extraction from documents like bank statements.

To measure our progress, we have established several milestones and success metrics. We aim to achieve a 30-40% reduction in underwriting and claims processing times by 2025, significantly enhancing operational efficiency. In terms of customer satisfaction, we plan to improve our Net Promoter Score (NPS) and First Touch Resolution (FTR) rates. Furthermore, to ensure scalability, we are driving the adoption of APIs for group business transactions, targeting the onboarding of at least 80% of our digital partners.

These initiatives are designed to strengthen our position as a digital-first insurer, ensuring operational excellence and heightened customer satisfaction.

Policyholders are increasingly seeking personalized and user-friendly insurance solutions. What innovative offerings or digital experiences (e.g., app-based policy management, teleconsultations, or AI-powered financial planning tools) are you developing to enhance customer satisfaction by 2025? What metrics will you use to gauge the effectiveness of these initiatives?

To meet the growing demand for personalized and user-friendly insurance solutions, we are introducing several innovative digital offerings. Our fully digitized and intuitive buying journey simplifies the process, reducing complexity and enabling policy purchases in fewer steps with the help of AI-powered guidance. We are also launching AI-powered financial planning tools that help customers evaluate their financial goals and recommend the most suitable insurance products. Additionally, we will offer instant claims and policy management, allowing for real-time claims settlement and immediate policy issuance, particularly in the group business segment.

Another key offering is our next-generation AI-powered chatbot, which is based on Large Language Models (LLM) and embedding. Unlike traditional rule-based chatbots, this advanced system enables customers to ask composite, contextual queries in natural language and receive instant, accurate support. These offerings will be further enhanced through intuitive app-based features, self-service portals, and instant notifications to keep customers informed at every stage.

To gauge the effectiveness of these initiatives, we will focus on key metrics, including achieving a 10% yoy increase in customer retention, reducing policy issuance times to under 10 minutes, improving customer satisfaction (CSAT/NPS) by 20% over the next 2 years, and ensuring that 70-80% of customers engage with digital channels for policy management and claims. These measures underscore our commitment to providing seamless, efficient, and tech-enabled experiences for our customers.

As cybersecurity becomes a critical concern, how is your organization enhancing the security of policyholder data and digital transactions? Are you planning investments in specific technologies (e.g., AI-based threat detection or encryption protocols) or pursuing certifications by 2025? Could you share KPIs related to data breach prevention or trust-building measures with policyholders?

We understand that cybersecurity is fundamental to building customer trust in a digital-first environment. To safeguard policyholder data and transactions, we are implementing several critical initiatives. These include deploying AI-driven solutions for proactive threat detection, using enterprise-grade encryption to secure all data and transactions, and enhancing internal system resilience through a Zero Trust Architecture to prevent unauthorized access. Additionally, we are pursuing ISO 27001 certification to align with global data security standards and further bolster customer confidence. To enhance this trust, we will also conduct periodic customer awareness programs on safe digital practices.

Our commitment to cybersecurity is backed by clear Key Performance Indicators (KPIs) to track progress and measure success. These include maintaining a 100% breach-free environment, reducing incident response times to under 30 minutes, achieving a 90%+ customer trust rating based on regular surveys, and ensuring full adherence to regulatory and security standards by 2025. These measures position us as a secure and reliable partner, enabling customers to transact with confidence in an increasingly digital landscape.


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