The insurance industry’s relationship between claims and underwriting often resembles two parallel tracks—both integral to the journey, yet rarely intersecting. While underwriting defines the risk and claims handle the reality, the truth is that no one hopes for these tracks to cross. But when they inevitably do—because in insurance, it’s more a matter of “when” than “if”—the ability to align these functions early on is key to streamlining a challenging situation.
Underwriting and claims have distinct roles: one prices the risk, the other evaluates the loss. Yet, their goals are inherently intertwined. By acknowledging and planning for their intersection—however uncomfortable it may seem—insurers can preempt communication gaps. Defining responsibility and processes upfront ensures that when claims arise, the customer experience is seamless, efficient, and fair.
In an industry where the unexpected is expected, fostering collaboration between underwriting and claims isn’t just good practice—it’s essential to delivering better outcomes for both insurers and policyholders.
The Benefits of Collaboration
Breaking down silos between claims and underwriting allows for knowledge sharing that benefits both teams. Underwriters gain valuable insights from claims data, improving their ability to price policies more accurately. Similarly, claims teams benefit from a clearer understanding of underwriting decisions, enabling faster and more informed claims processing.
Collaboration can also improve customer trust and satisfaction. Policyholders expect seamless service and cohesive teamwork to ensure consistent communication and decision-making, reducing friction during sensitive moments like claims processing.
Navigating the Risks
While collaboration between claims and underwriting offers many advantages, it is equally critical to maintain clear and objective boundaries. These two functions serve different purposes and have distinct interests—insurers aim to manage risk and profitability, while policyholders expect fair claim resolutions. Recognizing and respecting these differences ensures that each side can operate impartially without undue influence from the other.
Organizations must adopt an arms-length approach to mitigate such scenarios, ensuring both functions can collaborate effectively on shared goals—such as improving accuracy, efficiency, and customer outcomes—while maintaining independence in their decision-making processes.
By delineating responsibilities and fostering impartiality, insurers can strike the right balance between collaboration and separation, ensuring their actions reflect fairness and accountability to all stakeholders.
The Way Forward
De-siloing claims and underwriting requires intentional effort, including:
- Cross-departmental training to build mutual understanding.
- Shared platforms for data exchange.
- Regular communication through joint meetings or task forces.
Fostering collaboration between claims and underwriting isn’t just about breaking down barriers; it’s about building bridges that balance teamwork and accountability. By doing so, insurers can deliver better results for their organizations and policyholders alike.
At Arete, we work closely with our underwriting teams to build a culture of collaboration, efficiency, and integrity. Our system is designed to support this approach, ensuring seamless workflows and improved decision-making. Want to see how our model fosters better alignment between underwriting and claims? Contact us today for a demonstration of how our approach can enhance your processes.