Platform-Centric Digital Strategy: Powering Transformation Efforts in the Insurance Industry 

Most industries today are undergoing a transformative shift, and the insurance industry is not immune to it. It is driven by several factors, from increasing pressure from new entrants and competing organizations to skyrocketing consumer expectations for personalized services and digital experiences. These challenges have compelled insurers to step up their game to achieve better customer experience (CX).

Amidst the dynamic market conditions, insurers have a unique opportunity not just to survive but to thrive. The key lies in delivering personalized customer experiences, enhancing operational efficiencies, and establishing long-term competitive differentiation. However, this journey is not without its hurdles, including legacy IT systems, change resistance, data issues, and ever-evolving regulations. Overcoming these challenges is crucial for the insurance industry’s digital transformation journey.

Embracing AI technologies can help revolutionize the way insurers operate, providing new avenues for growth and innovation. The potential of connectivity, automation, and AI to drive disruptive change in the insurance industry is not just significant; it is immense.

Challenges of digital transformation in insurance

EdgeVerve commissioned Forrester Consulting to conduct a custom study with 104 business and IT decision-makers from insurance firms to understand the effectiveness of digital transformation initiatives and the adoption of platform-based strategies.

The study found that 53% said that their organization’s transformation efforts have not been very successful in achieving desired business outcomes. The top challenges of digital transformation that insurance firms need to address are change resistance, organizational silos, and unreceptive company culture.

Challenges that impede digital transformation efforts:

If left unaddressed, transformation roadblocks can pose significant risks to insurers’ competitiveness and operations. However, digital leaders in insurance firms that harness AI technologies effectively are better poised to generate efficiencies and deliver customer outcomes at scale.

Driving disruptive change in the insurance industry with AI

Connectivity, automation, and AI are transforming the business landscape of insurance at scale. Global insurance firms are ramping up AI investments to achieve desired business goals. According to the study, 35% of insurance respondents said they invested a minimum US$10 million in AI in the past year, a clear testament to the rapid pace at which insurers are seizing AI opportunities.

The study also highlighted that 72% of surveyed decision-makers consider leveraging emerging technologies such as AI and the Internet of Things (IoT) to be a top priority in creating customer and business value.

Though many have invested in AI, they face challenges in operationalizing AI models at scale and are unable to identify where AI applies to their business. Insurers are still wrapping their heads around AI implementation and challenges in scaling AI usage, from an inability to operationalize AI models at scale to lacking well-curated and quality data to train AI systems. It’s thus crucial to address these issues to leverage the full potential of AI.

Here are a few benefits of adopting AI:

Digital transformation use cases for insurers

According to the custom study, 87% percent of surveyed decision-makers from insurance firms ranked CX as a top business priority. Insurance firms today are pivoting to a more customer-focused model, utilizing AI technologies to streamline operations, improve backend processes, and enhance customer experience.

Here are a few digital transformations use cases that drive CX, operational visibility, and efficiency.

Propelling digital transformation in insurance with a platform-based strategy

The growing role of technology is reshaping the insurance landscape. The goal is not just to fuel profitability but to remain relevant and survive in this rapidly changing environment. This is feasible by adopting a platform-centric approach that offers adaptability and flexibility.

A platform-based strategy is not just a solution, but a powerful tool that can empower insurers to address many of the challenges they face in executing digital initiatives. It can guide them on their digital transformation journey, and more importantly, it allows firms to leverage strategy, processes, and people to improve connectivity and realize customer and business outcomes. A platform-based strategy has the potential to propel insurers’ connectivity, digital, and AI journey, creating unique and unparalleled business value.

Navigating Digital Transformation in Healthcare with a Platform-based Approach

The healthcare industry is in the midst of a digital revolution driven by an explosion of data. Today, the healthcare sector generates approximately 30% of the world’s data volume. This figure is set to skyrocket, with the compound annual growth rate of data for healthcare projected to reach 36% by 2025. The exponential growth emphasizes the urgent need for the healthcare industry to actively leverage advanced technologies and harness the power of data analytics.

Digital transformation in the healthcare industry cannot be overlooked. Despite significant investments in digital transformation, healthcare organizations are still in the intermediate stages of digital maturity and enterprise connectivity. The primary obstacle is the insufficient leverage of data, which results in a lack of a comprehensive patient view and trust. Thus, it’s clear that we need to address these challenges to move forward.

Challenges of digital transformation in healthcare

EdgeVerve commissioned Forrester Consulting to conduct a custom study with 105 business and IT decision-makers from healthcare firms to understand the effectiveness of digital transformation initiatives and the adoption of platform-based strategies.

33% of healthcare decision-makers strongly believe their digital transformation efforts have been successful in achieving desired business outcomes.

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Digital transformation success remains elusive due to the lack of a data-driven culture, data rigor, and process inefficiencies.

Here are a few challenges:

Healthcare firms should thus prioritize leveraging advanced technologies and data analytics to overcome the challenges in their transformation journey.

Unleashing the transformative power of AI in healthcare

The custom study also indicates that 84% of organizations highlighted the critical need to harness emerging technologies to create customer and business value. Still, healthcare firms cannot fully leverage AI capabilities due to insufficient data readiness, skillsets, and understanding of technology.

How can healthcare companies improve healthcare experiences amidst legacy technologies, looming recessions, legacy technologies, and workforce shortages?

Through the utilization of AI, healthcare providers can not only analyze and store vast amounts of data but also derive invaluable insights for enhanced decision-making. This continuous testing, iteration, and optimization of digital assets can empower healthcare organizations to outperform their competitors. The value of data is pivotal in overcoming challenges such as data inaccuracy and biases, incorrect diagnoses, misinformation, and inadequate care recommendations, paving the way for a more efficient healthcare system.

It’s also crucial to recognize the hurdles that healthcare firms encounter in scaling AI usage, from the difficulty of operationalizing AI models at scale to the growing data security threats. These challenges, while substantial, can be overcome with the right strategies and technologies in place.

Therefore, to maintain a competitive edge, healthcare firms must prioritize data analysis and integration by leveraging emerging technologies to enhance the overall patient experience. The correlation is clear: Healthcare firms that have successfully embarked on digital transformation journeys have witnessed a significant increase in the adoption of AI and automation capabilities, highlighting the urgency and importance of this transition.

Digital transformation use cases for healthcare firms

According to the study, 88% of healthcare organizations are looking to improve customer experience—a top driver for digital transformation efforts. However, 69% have yet to witness customer impact, and 64% face poor CX due to process inefficiencies. The reasons for low CX are siloed processes and limited AI adoption. For example, AI can be used to automate appointment scheduling, thus reducing wait times and improving patient satisfaction.

Below are a few digital transformation use cases that drive CX, operational visibility, and efficiency.

The way ahead: Accelerate digital efforts with a platform-based strategy

72% of healthcare decision-makers believe that embracing a platform-based strategy that unifies and orchestrates business and technology will drive business growth, enhance customer delight, and unlock efficiencies at scale. Furthermore, 75% are looking to leverage data insights to help build a connected ecosystem across the organization internally and externally to:

Given the current priority for healthcare providers and vendors to adopt a human-centered technology approach that supports patients and workers, there is an urgent need to embrace an AI-driven, platform-based approach. This approach not only aligns with the industry’s current focus but also paves the way for future advancements.