A Risk Management Perspective: De-risking Technology The … · 2019-04-18 · RIMS’ “Emerging...
Transcript of A Risk Management Perspective: De-risking Technology The … · 2019-04-18 · RIMS’ “Emerging...
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© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
A Risk Management Perspective:De-risking Technology
The Progressive Approach to Managing Risk
Chris Mandel, CRMPSVP & Director
Sedgwick InstituteFebruary 2018
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Today’s Agenda
• Evolution of risk management
thought
• Focusing on what matters most
• De-risking & progressive risk
management strategy
• Risk appetite and emerging risks
• Risk management future state
2
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Value
Time
Fundamentals
Enhanced & Broadened
Operational Success
Strategic
High Perf. Risk Mgmt
• Focus: Long term success
• Scope: Mission focused;
Embedded Risk Mgmt
Practices; Risk as DifferentiatorAdvanced Risk
Management
• Focus: Short term success
• Scope: Mitigation of
Controllable Risks/Manage
Risk as an Expense
Traditional Risk
Management
• Focus: Insuring the bad
things
• Scope: Risk
Transfer/Insurance/Loss
Prevention/Mitigation of
Insurable Risks
3
A Strong Migration Toward Strategic
Influence & Ultimate Success
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The discipline of risk management has
evolved from strictly a value preservation-
based focus to a balanced focus between
protecting assets and creating or enhancing
value.
Strategic Risks
Regulatory Risks
Risk Appetite and Culture
Operational Risks
Financial Risks
Risk Tolerances, Ownership
and Accountability
Effective Risk Management?A flexible and dynamic
risk management discipline is uniquely positioned to quickly adapt to change and identify opportunistic
risk to create new streams of revenue and
increase value
Value Preservation to Value Creation
TO COMPETE YOU GROW; TO GROW YOU INNOVATE; TO INNOVATE YOU MUST TAKE RISK
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Why aren’t ERM Programs More Successful?
• Most ERM Programs are built with a “Governance” or “Compliance” focus
• Many aren’t designed to need
• Measures are rarely reliable
• Don’t play a material role in performance management, planning, budgeting or strategy
• Mis-aligned scope and focus
• Not a “day-to-day” part of decision making
• Difficult to translate the provable value proposition
• Ineffective risk mitigation strategies
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DO SOME RISKS MATTER MORE THAN OTHERS?
6
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The Risk Type Spectrum
Strategic
• Acquisitions
• Business Model
• Competition
• Demographic Changes
• Disruptive innovation
• Market.
Operations
• Customer service
• Infrastructure
• Processes
• System capabilities
• Talent
• Technology
Financial
• Capital
• Cash flow
• Credit
• Debt obligations
• Foreign exchange
• Liquidity
• Etc.
External
• Economy
• Environment
• Geopolitical
• Regulatory
• Tax policies
• Weather events
• Etc.
AN ENTERPISE RISK MANAGEMENT SPECTRUM
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Value Destruction: A Call for Creative Mitigation
Source: Corporate Executive Board
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9
Value Killers
➢ High impact, low frequency risks➢ Correlated or interdependent risks➢ Liquidity risks➢ M&A related risks➢ Culture and compensation risks➢ Risk of failing to innovate
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FREQ
UEN
CY/
LIK
ELIH
OO
D
SEVERITY/IMPACT
Choosing Your Risk Range Focus
X Expected Losses
TypicallyInsurable
<<<< Typically Uninsurable >>>>>>
Copyright ERM, LLC: All rights reserved; distribution prohibited without permission
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EMERGING RISKS: CRITICAL TO THE STRATEGIC PLAN HORIZON
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A Broad and Fuzzy Paradigm: Emerging Risks
“There are known knowns. These are things that we know that we know. There are known unknowns. That is to say, there are things we know we don’t
know, but there are also unknown unknowns. These are things we don’t know we don’t know.”
- Donald Rumsfeld, U.S. Sec of Defense
Copyright ERM, LLC: All rights reserved; distribution prohibited without permission
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What is an Emerging Risk?
▪ Those issues hat have not manifested themselves sufficiently to be managed using the tools commonly applied to more developed exposures. They are “those risks an organization has not yet recognized or those which are known to exist, but are not well understood
RIMS’ “Emerging Risks and ERM
▪ A condition, situation or trend that could significantly impact the Company’s financial strength, competitive position or reputation within the next 5 years. Emerging risks involve a high degree of uncertainty. It is unclear where an emerging risk will land on the loss curve.
Anonymous actuary
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Traits of Emerging Risks
Emerging Risks
High Level of Uncertainty
Lack of Consensus
Uncertain relevance
Difficult to Communicate
Difficult to Assign
Ownership
Systemic or “business practice”
issues
Source: RIMS Executive Report Emerging Risks and Enterprise Risk Management © 2010 RIMS
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15© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
What is De-risking?
• De-risking: taking steps to make something less risky or less likely to involve a financial loss
– Classic risk mitigation in risk management parlance
• Key Questions:
– How much less risk is the goal?
– How much financial loss is acceptable?
– Can either be measured reliably?
– Is qualitative measurement acceptable in lieu of quantification?
– What about other types of risk/loss?
• Reputational
• Brand impact
• Cultural impact
• Market impact
• Operational
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16© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
Technology De-risking vs Risk Mgmt Process
• Addressing key risk early >>>>>>>>>>>>>>>> Emerging Risk ID
• Assess the risk >>>>>>>>>>>>>>>>>>>>>>>> Risk Assessment
• Addressing the typical causes of failure>>>>> Root Cause Analysis
• Technical innovation policy and strategy>>>> ????????????????
• Technology readiness>>>>>>>>>>>>>>>>>>> Business Continuity
• Reviewing and simulating technologies>>>>> ????????????????
• Understand and agree on business reqtms>> Scenario Assumptions
• Engage key stakeholders>>>>>>>>>>>>>>>>> Risk Stakeholders
• Secure executive sponsorship>>>>>>>>>>>>> Executive Mandate
• Choosing the right technology>>>>>>>>>>>> ????????????????
• Design to future state>>>>>>>>>>>>>>>>>>> ERM Component
• Implement effective governance>>>>>>>>>> ERM Component
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RISK APPETITE STRATEGY
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Key questions addressing risk appetite strategy
• How much risk are we taking?
• How much risk can we take?
• How much risk do we prefer to take?
• How much risk do we need to take to reach our strategic goals?
• Which risks do we want to take and which risks are unacceptable to take and why?
• What is the gap between capacity and need?
• If the gap is large between need and capacity, how and which strategies need to be modified?
• What is the cost/benefit of key gap closing activities?
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Align Appetite & Tolerances to Business Priorities
Risks should tie to the
processes of key products
or services
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20© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
A VUCA World
• Volatile: nature, dynamics and speed of change
• Uncertainty: Lack of predictability, subject to surprises
• Complexity: Multiplex of forces, confounding issues, chaos and confusion
• Ambiguity: Haziness of reality, mixed meanings, potential for misreads
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21© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
Requirements of a VUCA World
➢Anticipate the unexpected
➢Adapt to changing conditions
➢Maneuver through obstacles
➢Be decisive on critical issues
➢Be ready and able to change course with limited
information
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22© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
Experts on Attributes of the Current State
▪ Analog approach in a digital age – Jim DeLoach, Protiviti
▪ Focus must be on LT value creation and robust Risk Assessment - Tim Leech, Principal Consultant, Navigant
▪ Mgt must be willing to change strategies when risk cannot be mitigated/leveraged to target
▪ HPRM is achieved when the board and mgmt have reasonable assurance that good, informed decisions are taken throughout the organization - Norman Marks – Chief Risk Evangelist, SAP
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23© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
Top Risks of 2018: First 5
1. The rapid speed of disruptive innovations and new technologies within the industry may outpace the organization’s ability to compete or manage risk appropriately.
2. Resistance to change could restrict the organization from making necessary adjustments to the business model and core operations.
3. The organization may not be sufficiently prepared to manage cyber threats that could significantly disrupt core operations and damage its brand.
4. Regulatory changes and scrutiny may heighten, noticeably affecting the manner in which organizations’ products or services will be produced or delivered.
5. The organization’s culture may not sufficiently encourage timely identification and escalation of significant risk issues that could affect core operations and achievement of strategic objectives.
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24© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
Top Risks of 2018: Second 5
6. Succession challenges and the ability to attract and retain top talent may limit the ability to achieve operational targets.
7. Privacy, identity management, and information security risks may not be addressed with sufficient resources.
8. Economic conditions in markets the organization currently serves may significantly restrict growth opportunities
9, Inability to utilize data analytics to achieve market intelligence and increase productivity and efficiency may significantly affect core operations and strategic plans
10. Companies that were not “born digital” face significant operational challenges
Source: NC State Univ and Protiviti Survey
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25© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
What Mgmt and Boards Want
Risks are increasingly priorities for execs and boards, including:
▪ Understanding what risks are most threatening to mission accomplishment
▪ Connecting actionable risk information to goals & strategy
▪ Managing critical risk interdependencies
▪ Getting ahead of emerging risks
▪ Controlling risks brought to the firm by third parties
▪ Fostering a strong ethics and risk culture
▪ Addressing low-frequency, high-impact risks proactively
▪ Providing creative solutions for key risks not effectively mitigated
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26© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
Risk Management Future State
➢ Disruptors are radically shifting organizational risk profiles
➢ Risk managers are behind the curve on the digitization of risk
➢ Technology is one of the least understood risks by risk mgrs.
➢ Cyber risk, like other new risks are often treated with insurance only
➢ little creative thinking about non-insurance solutions
➢ Insuretech represents one of the great disruptors of the traditional insurance mitigation paradigm
➢ ERM represents a key driver for the evolution of risk mgmt. that enables:
➢ Responding more effectively to all risk types
➢Using solutions that would have never previously been considered …digital solutions
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Components of HPRM Risk Management
Including these key elements in your Risk Management Strategy will support High Performance Risk Management & Drive Results
$$
Informed Decisions
Risk Taking Communications
Innovative Risk Solutions
Standard Guided Governance & Accountability
Risk Appetite & Tolerances Defined
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© 2017 Sedgwick Claims Management Services, Inc. - Do not disclose or distribute.
T H A N K Y O U | Q U E S T I O N S
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Typical Risk Management Performance
Criteria
• Top quartile TCOR (from Advisen benchmark
report) performance
• Evidence of superior claim management
programs/strategies
• Evidence of superior workplace safety
• Evidence of innovation in risk management
initiatives
• Recognition by others such as Risk Manager of
the Year and other award recipients
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Chris Mandel
SVP Strategic Solutions, Sedgwick
& Director, the Sedgwick Institute
“Visit the agenda of the Sedgwick Institute at:
www.LinkedIn.com Sedgwick Institute group
Other References of Interest:
Latest thinking in the industry at:
www.Insurancethoughtleadership.com
www.sedgwickcms.com www.sedgwickinstitute.com
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Influencing Change in the Industry
Join the Conversation
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CHRISTOPHER E. MANDEL, RIMS-CRMP, RF, CPCU, ARMe
Christopher E. Mandel is engaged, in helping Sedgwick chart its future through the long term planning for products, services and strategic solutions for this claims and productivity management firm. He is also co-founder and EVP, Professional Services for rPM3 Solutions, LLC as well as founder and president of Excellence in Risk Management, LLC. both independent consulting firms specializing in governance, risk and compliance, with a special emphasis on enterprise risk management. rPM3 Solutions holds a patent for a unique risk measurement process known as ARQ™. Prior to electing early retirement and for ten years from 2001-2010, Mr. Mandel was head of enterprise risk management for USAA Group, a $165 billion diversified financial services organization. At USAA, he designed, developed and led the enterprise-wide risk management and corporate insurance centers of excellence. He also served as President and Vice Chairman, Enterprise Indemnity CIC, Inc., an Arizona based alternative risk financing facility.
Mr. Mandel has more than 25 years of experience in risk management and insurance in large, global corporates. He has pioneered the development of cross-enterprise risk management capabilities resulting in S&P rating USAA as “excellent and a leader in ERM” from 2006 through 2010. In 2007, Treasury and Risk Magazine bestowed the Alexander Hamilton Award for “Excellence in ERM” on USAA. Mr. Mandel has been a long term senior leader in the Risk and Insurance Management Society including being elected President and Chief Risk Officer and was named Risk Manager of the Year in 2004 and received RIMS’ Goodell Award in 2016.
Mr. Mandel’s deep, wide and diverse experience in all facets of risk management and insurance allows him to offer those interested in managing risk with excellence to engage him to provide everything from a comprehensive strategy and complete ERM framework to targeted guidance, tools, techniques and/or training. Mr. Mandel’s innovative approach to making risk a key strategically placed and results oriented function results from solidly connecting risk management outputs to a company’s key performance metrics and ultimately, mission accomplishment.
Mr. Mandel received his B.S. in Business Management from Virginia Polytechnic Institute and State University and an MBA in finance from George Mason University. He holds the RIMS-CRMP, RF, CCSA, CPCU, ARM and AIC designations and is a frequent industry speaker, teacher and writer. He writes the “Risk Innovation” column for Risk and Insurance magazine and in 2008 was elected a member of Risk Who’s Who (RWW). He also wrote the Ask a Risk Manager column for Business Insurance from 1996 through 2008.
CONTACT: [email protected] 210-698-8056 o 210-845-5804 m
https://www.sedgwick.com
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Sedgwick © 2013 Confidential – Do not disclose or distribute. 33
Sedgwick CMS
The leader in innovative claims and productivity
management solutions
Sedgwick Claims Management Services, Inc. is the leading global provider of innovative
claims and productivity management solutions. Sedgwick and its affiliated companies
deliver cost-effective claims, productivity, managed care, risk consulting, and other
services to clients through the expertise of more than 20,000 colleagues in 600 offices
located in the around the world. The company specializes in workers’ compensation;
disability, FMLA and other employee absence; managed care; general, automobile and
professional liability; warranty and credit card claims services; fraud and investigation;
structured settlements; and Medicare compliance solutions. Sedgwick and its affiliates
design and implement customized programs based on proven practices and advanced
technology that exceed client expectations. Sedgwick has been repeatedly awarded the
distinguished Employer of Choice® certification, the only third-party administrator (TPA)
to receive this designation as often as it has. Sedgwick has also been named the Best
Overall TPA by buyers of risk services through an independent survey conducted by
Business Insurance. For more see www.sedgwick.com.
© 2018, Sedgwick Claims Management Services, Inc. applies to all content except where otherwise noted
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Sedgwick © 2013 Confidential – Do not disclose or distribute. 34
Sedgwick Institute
Vision
Established in 2016, the Sedgwick Institute serves as an incubator for some of the best and
brightest minds to advance the conversations that affect all the players in our industry, including
injured and ill members of the workforce, insurance carriers, employers, property owners, third
party claims administrators, brokers, lawmakers and medical providers. The institute’s thought
leaders work individually and collaboratively to examine selected complex challenges facing the
various stakeholders in our space and propose innovative options and solutions to improve
public and private decision making on these issues.
Purpose
The Sedgwick Institute is an interdisciplinary community of thought leaders dedicated to helping
drive dialogue and action around issues affecting the risk and benefits industry.
Who
To fulfill its evolving agenda, the Sedgwick Institute leverages both full- and part-time expertise
from business, government, academia and other industry sources, through visiting or full-time
fellow positions. While no specific minimum criteria are anticipated for appointment, related
decisions about institute appointments will be primarily a function of the issues selected to
populate the agenda as it develops and evolves.
SedgwickInstitute
Chris Mandel, SVP& Director
Visit us at: www.sedgwickinstitute.com