Innovation and digital transformation
"As we harness the power of innovation and advanced technology, we must remain focused in our approach to selecting the solutions and partners that truly enhance our industry and serve customers."
In this interview, Lisa Balboa, Head of Hannover Re's Life & Health Digital Business Accelerator, explores the transformative impact of innovation and digital transformation on the life and health insurance industry. She discusses how evolving technologies and the opportunities presented by insurtechs are reshaping underwriting, risk assessment, and claims management processes. Emphasising the importance of a thoughtful partnership approach, she highlights how collaboration can effectively navigate the complexities of this rapidly changing landscape and drive value for both insurers and policyholders.
What role does innovation play in life and health insurance?
Innovation is crucial in life and health insurance, enabling the industry to evolve in line with changing customer needs and technological advances in an ever-changing world. For example, as people live longer, ageing populations face increasingly complex health challenges. Chronic conditions are becoming more prevalent and people are spending more years of their lives in ill health.[1][2] Fortunately, advances in medical treatments and health technologies, particularly for conditions such as cancer and cardiovascular disease, are helping to manage these needs effectively. Insurance products are adapting to provide customers with access to cutting-edge treatments that meet specific needs. In addition, new technologies, particularly AI, are driving efficiencies in underwriting, claims, and distribution, allowing insurers to improve the customer experience through faster, more streamlined processes.
How is digital transformation reshaping the insurance landscape?
Digital transformation is fundamentally reshaping the distribution experience in life and health insurance, particularly through the rise of digitally-enabled channels that appeal to the next generation of insurance customers. With over half of the global population now owning a smartphone,[3] insurers can engage with customers digitally, shifting from the traditional model of life insurance as a one-off purchase with minimal interaction until a claim event, to a more dynamic approach that fosters ongoing relationships. Advisor-enabled digital tools, such as smart-matching algorithms, are facilitating more efficient and effective connections between agents and customers. This allows for more proactive customer support whereby life stage triggers prompt reviews of insurance policies in line with people's evolving health, protection, and financial needs. As we enter the era of Generative AI, we can expect to see more advanced analytics being leveraged for customer micro-segmentation. This will help to achieve more personalised communications and greater customisation of insurance policies and services.
What impact does insurtech have?
Insurtech is impacting traditional life and health insurance in several ways. First, new insurtech entrants have established themselves as full-stack providers, offering customers an end-to-end digital experience across all stages of the insurance value chain. While these insurtechs can compete with traditional insurers, they often focus on specific demographics, such as lower and middle income consumers or Gen Z. In addition, the insurtech industry has seen a rise in companies acting as value chain enablers, helping traditional insurers to modernise specific aspects of their business, such as distribution, underwriting, customer engagement and claims. This collaboration allows traditional insurers to leverage innovative technologies developed by insurtechs to enhance the services that they provide to their customers.
Lisa, who leads our London-based global Life & Health Digital Business Accelerator, joined Hannover Re in 2021 from the primary insurance sector.
A Chartered Actuary Fellow of the Institute and Faculty of Actuaries, Lisa is passionate about championing customer-focused innovation across life and health insurance.
"Digital transformation is fundamentally reshaping the distribution experience in life and health insurance, particularly through the rise of digitally-enabled channels that appeal to the next generation of insurance customers."
In what ways can technology improve underwriting, risk assessment and claims management processes?
Technology offers significant opportunities to improve underwriting, risk assessment and claims management in life and health insurance. The increasing availability of digital health data from electronic health records can be integrated via APIs, streamlining the underwriting process and minimising the need for extensive medical testing. This also allows for more detailed assessments of impaired lives, creating tailored product opportunities for those with chronic conditions. In addition, the next generation of health apps can improve claims management by using smartphone cameras to assess the risk of conditions such as cardiovascular disease and type II diabetes, as well as facilitating the early detection of conditions such as skin cancer. This proactive approach to health management benefits customers by providing accelerated access to treatment and helps insurers by reducing the frequency and severity of claims.
What challenges do insurers face when it comes to new technologies?
Insurers face several challenges when integrating new technologies. Data protection and regulatory compliance are paramount. Clear customer communication is essential, particularly when explaining how new products, health apps and customers' health data will be used. In addition, where digital health apps support customers to live healthier and longer, rather than being used for underwriting, a clear explanation to the customers in this regard can build-up consumer trust. As advanced analytics become more mainstream, maintaining centralised data to provide a comprehensive lifetime view of the customer will be critical to developing sustainably priced insurance products that can adapt to consumers' evolving health and financial needs. It's also important to be aware of the growing threat of fraud, especially with the emergence of Generative AI. This requires insurers to deploy more advanced AI systems. One example is systems that can detect fraudulent documents such as hospital bills or death certificates that may have been digitally altered by customers or health providers prior to submission.
How can life and health insurers leverage data for better decision-making?
Technology is opening up new data opportunities for life and health insurers to improve decision-making. For example, optical character recognition (OCR) transforms unstructured data, such as medical records, into structured information, allowing medical underwriters and claims assessors to process cases more efficiently. Insurers with large portfolios can use machine learning to analyse their data and gain more granular insights into the likelihood of customers buying new products, lapsing or claiming on insurance. Insurers, including smaller ones that do not have large amounts of their own internal data, can benefit from access to large population datasets with high granularity. This data can complement morbidity and mortality modelling as part of the product design process. Ultimately, these data-driven insights enable insurers to manage risk effectively while balancing individual risk-based pricing with risk pooling, fostering a sustainable insurance industry.
What are some innovative product offerings emerging in the life and health space?
One emerging trend is innovative life and health insurance products that focus on holistic health and wellness, helping customers manage disease risk throughout their lives. These offerings can work directly through smartphones or existing wearables, eliminating the need for specific devices. There is also a growing emphasis on mental health support, with apps designed to help users manage issues such as sleep and stress. Some of these apps also offer triage assessments that direct individuals to virtual or face-to-face mental health care when needed. Another trend we're seeing is the emergence of products that incorporate genetics for ongoing customer health management. These tests are offered to customers as a value-added benefit after underwriting. Leading providers of these services combine predictive genetic testing for conditions such as cancer and cardiovascular disease with blood testing and lifestyle tracking. For example, for customers at high genetic risk of cardiovascular problems with blood tests indicating poor cardiovascular health, health coaching can help them to make diet and lifestyle changes to reduce their future risk of disease.
Lisa's interest in healthcare, technology, and actuarial science brought her to Hannover Re, where she combines technical skills with a focus on people development in a collaborative team that drives innovative solutions to catalyse positive change in the insurance industry.
When she's not working at Hannover Re, Lisa finds creative inspiration in reflective sports like swimming and pilates. She also enjoys learning Spanish to make the most of the time she spends with her husband's family in Spain.
"The innovations in life and health insurance are impacting the lives of people every day, and the ongoing evolution of technology and medical advancements presents numerous opportunities."
How do you see the future of life and health insurance evolving with digital and medical advancements?
The future of life and health insurance is set for transformation as digital and medical advances converge. For example, precision cancer treatments, which are not readily available through public healthcare systems in some countries, can be supported by insurance policies that provide lump sum or indemnity coverage for necessary treatments. Digital platforms will help individuals manage their cancer risk through lifestyle modifications and navigate access to genetic testing. In future, this innovative approach may also expand to other conditions such as cardiovascular disease and dementia. Additionally, the increasing availability of medical data will enhance underwriting and claims processes, significantly reducing the need for manual review. Automation tools such as claims rules engines will streamline submissions, mirroring advances in underwriting. Overall, these innovations promise a more efficient and customer-centric experience in life and health insurance.
Thank you for your insights. This field sounds not only fascinating but also incredibly impactful …
It truly is! The innovations in life and health insurance are impacting the lives of people every day, and the ongoing evolution of technology and medical advancements presents numerous opportunities. As we harness the power of innovation and advanced technology, we must remain focused in our approach to selecting the solutions that truly enhance our industry and serve customers. Hannover Re plays a vital role by partnering with insurers to navigate these complexities and embed innovative solutions. I am proud to be part of this journey at Hannover Re, where our collaborative approach not only mitigates risks but also unlocks new opportunities for delivering meaningful value to policyholders. The transformation in this space is both exciting and promising for the future.

Lisa Balboa Head of Life & Health Digital Business Accelerator Tel.: +44 20 3206-1837 Mail: lisa.balboa@hannover-re.com

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References
- Karthika M, Abraham J, Kodali P, Mathews E: Emerging Trends of Chronic Diseases and Their Care Among Older Persons Globally, in: Handbook of Aging, Health and Public Policy, 2023; 1-24.
- Coe E, Dewhurst M, Hartenstein L, Hextall A, Latkovic T. Adding years to life and life to years. 29 March 2022. Available from: https://www.mckinsey.com/mhi/our-insights/adding-years-to-life-and-life-to-years (viewed on 14 November 2024).
- GSMA. Smartphone owners are now the global majority, New GSMA report reveals. 11 October 2023. Available from: https://www.gsma.com/newsroom/press-release/smartphone-owners-are-now-the-global-majority-new-gsma-report-reveals/ (viewed on 11 November 2024).
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