Professional Documents
Culture Documents
Insurance V1
Insurance V1
Safe Harbor
© Satyam 2008
This document includes statements which may constitute forward-looking statements made pursuant to the
safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Although Satyam believes
that the expectations contained in such forward- looking statements are reasonable, it can give no
assurance that such expectations will prove correct. These statements may involve risks and uncertainties
that could cause actual results to differ materially from the expected results. Such risks include, but are not
limited to, the risk factors described in Satyam’s Registration Statement on Form F-3 and in other reports
and periodic filings made from time to time with the Securities and Exchange Commission.
Any and all content contained within this document is the property of Satyam Computer Services Ltd.
No portion of any content contained herein may be copied, circulated, quoted or reproduced outside of
the Organization without the express permission of Satyam for any purpose whatsoever.
© Satyam 2008 2
Insurance BPO Enablers
Value Proposition
Horizontal Services
SMARTTM
Satyam BPO – Key Metrics
Discovery Approach
Typical End Operating Model
Case Studies
Claims Management
Scope of the Project
© Satyam 2008 3
Human Capital
Leadership
Information Security
Quality Control
Governance Model
Opportunity to Operate Model
Satyam Overview
Life Insurance
Satyam – Integrated Insurance
Practice
© Satyam 2008 4
Insurance BPO Enablers
© Satyam 2008 5
Satyam BPO Value Proposition – Commitment
© Satyam 2008 6
Horizontal Services
HR outsourcing
Payroll processing, benefits administration, HR help
desk, Employee record maintenance
Knowledge services
Actuarial studies, Research & analytics, Advisory
services, Data management services
© Satyam 2008 7
SMARTTM
Organizational Management
People Steady
Scoping Due SMART
eSCM
S M A R T
Activities
Tool kits developed for effective and structured deployment across every stage
Governance Structure
Risk Management
End-to-End
Activities
• A value scorecard outlining key performance indicators that identify and monitor risk, and
client service levels End-to-End Activities
Program Management Office
• A central program management entity that coordinates the activities of key stakeholders
© Satyam 2008 8
Satyam BPO – Key Metrics
• 24 customers (including
Highlights 9 Fortune 500 customers)
© Satyam 2008 9
Discovery Approach
• Objective is to • Probing potential • Assessing each • Using rating scores • Sharing Discovery
identify processes client's processes & process on certain in identifying results with the
which can be systems with certain per established processes to be client
outsourced / off per established criteria's & assigning outsourced / off- • High level solution
shored by potential questions and data an “amenable to shored & providing
client & develop a gathering to arrive offshore” rating risk mitigation plan • High level transition
high level solution, at “As is” Process plan
• Identify process • High level “As Is” &
transition & cost maps • High level cost case
similarities across “To Be" process
case locations and also map for processes
identify processes to be outsourced /
that are not similar off - shored
Low
• Identify processes and FTEs which can be served
from an offshore location Offshore- Wave 2 Offshore- Wave 1
• Phased transition approach with a view to minimize
risks Risk
• High level to be process maps and cost case
Retain Retain
• Potential transformation opportunities in these areas High
Low High
Fit
© Satyam 2008 10
Typical End Operating Model
Commercial Insurance – Sample: New Business Underwriting Support Workflow
Broker Start
Broker
Send the
submission
documents
Receive the
Review the
submission by Sends back to Decline the Underwriting
1 submission No
email, post or Offshore submission Process
documents
fax
Yes
Yes
Informs
Onshore
Identify
Onshore
Scans the
documents if hard
Sample Quality
copy Forward
Check is done
documents to
offshore
No
Offshore
Offshore
No
© Satyam 2008 11
Case Study : US Health Insurance Major
© Satyam 2008 12
Case Study : Policy Administration
Process Overview Key Business Needs
• First time insurance policy enrollments of the • Meet volume seasonality and adhere to service
employees standards
• Processing of change requests from the • Increase customer satisfaction
policyholders such as change of marital status, • Reduce policy servicing costs to stay competitive
change in coverage etc. with premium pricing
• Processing of cheques received from group for
the premiums due from them
• Processing of Loss of Coverage (LOC) - which
means employee or spouse losing coverage
either by termination of employment or divorce
• Productivity Increase of almost 95% per • Saved more than 14 % of total contract value
FTE/hour in last 4 years of the engagement through increase in productivity
• Consistently quality standards was achieved at • This was achieved through smart queue
over 98% accuracy level management, exhaustive training for new hires
• Turn around time was consistently maintained and frequent refresher trainings
less than 48 hours which is less than the
required SLA
© Satyam 2008 13
Case Study : Warranty Claims Processing
Company Overview Business Problems
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Case Study : Fortune 100 US Insurance Company
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Claims Management : Process Improvements & Innovation – 1 / 2
Key Business Needs
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Claims Management : Process Improvements & Innovation – 2 / 2
Knowledge Transfer Hiring Training Steady State
• Human capital framework allows talent entry in • Implementation of work flow and imaging systems
claims processing & mature into claim adjudication resulting in control, visibility and member
over time satisfaction
• Talent refresh & retention through periodic transfer • Introduction of tools improved throughput of claims
of resources across medical and dental claims processing thereby reducing cost per claim
businesses • Created an escalation desk manned by expert
• Opportunities for key talent to lead engagements in associates for managing complex adjudications
knowledge acquisition & transfer for new process within SLA
ramps
© Satyam 2008 17
Scope of the Project
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Benefits Delivered
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New Business (Census & Rating) Workflow
Start Receive
information from company in CD, the rating engine Negotiation with
communication Stop
prospect company fax, hardcopy U/W
from U/W
for inability to
quote
N
Insurance
Rating
© Satyam 2008 20
Medical Underwriting Workflow
Medical Underwriting Workflow
Insured fills up
Insured
Applications are
Insured
health application
mailed to the
Start where his/her
Insurer’s scanning
medical history is
department
captured
Company
InsuranceCompany
N Stop
Open scanned
Log in to a internet Data is entered System adjudicate
application’s
browser based into the the application and
image from the
auto adjudication adjudication provides the
client’s imaging
system system outcome
database
Satyam
Satyam
© Satyam 2008 21
Case study : Claims Management for a TPA
Dental, Medicare Supplementary and Vision Claims
Processing for a Large US Insurance Third Party Administrator (TPA)
• Increasing administrative costs in servicing its • Flexibility during high and low volume months
Clients • Reduced turn around time
• Fluctuating Turn Around Time for its Clients • Access to lower cost labor and thus significant
• Improve Customer Service cost reduction in processes
• Improved statistical accuracy improved to 99.2%
• Auto adjudication rate is significantly increased
© Satyam 2008 22
Insurance Service Offering
• Handle large • Choose the • Chase all • Delight end • Reduce cost
volumes right risk to renewals customers per claim
of risks fit the before the with timely • Introduce auto
• Streamlined organization renewal due responses adjudication
data appetite date • Create of engine and
management • Involve in • Engage in rule standardized leverage smart
better and based endorsements processing
intensive underwriting
underwriting for lesser
practices claims prone
accounts
Horizontal Services
• Finance and Accounting - Accounts payable / receivable, Financial accounting
• Customer contact center – Broker Services, FNOL, Customer acquisition and Servicing
activities
• Knowledge services – Actuarial studies, Research & analytics, Advisory services, Data
management services
© Satyam 2008 23
Human Capital
• Multi-channel, multi-location
sourcing and hiring
Recruitment • Competency based, rigorous and
multi-stage assessment process
across levels
Training
• Freshmen and lateral recruitment
(on-campus and off-campus)
Retention • Onsite and offshore recruitment
© Satyam 2008 24
Human Capital
© Satyam 2008 25
Human Capital
© Satyam 2008 26
Human Capital Management
Custom
Performance Dedicated
PRIYA tool & career
Internal Job based cash recruitment
Career progression
postings incentives and team for each
counseling plan for each
certificates engagement
agent
Performance
Mid-term Time lining Corporate
based Multi-tier
market career wide awards
horizontal screening of
corrections in progression for delivery
movement candidates
compensation milestones excellence
options
© Satyam 2008 27
Leadership
• Management retention –
Satyam BPO’s Extended ‘collective thinking’
Management Team
• Risk mitigated delivery platform
Accelerating
growth
© Satyam 2008 28
Leadership
© Satyam 2008 29
Information Security
Protecting Client IP
Clean
Desk
Policy
Access
Code of
Control
Ethics
Policy
Security
Policy
Data
Anti
Destruc-
Fraud
tion
Policy
Policy
© Satyam 2008 30
Quality Control
Quality focus
© Satyam 2008 31
Governance Model
Steering Committee
Engagement Delivery
Client
Leadership
BPO Delivery Process Delivery
Lead
Satyam –
Satyam BPO Program Team Leaders Quality Analysts
relationship Manager
management
© Satyam 2008 32
Opportunity to Operate Model
© Satyam 2008 33
Satyam Overview
1FY 2007-08
2As on March 31, 2008
© Satyam 2008 34
Life Insurance – Business Process Flow & Solutions
Product
Distribution Underwriting Issuance Billing Servicing Claims
Definition
Key Activities
• Actuarial & • Marketing & • Information • Completing • Collections • Responding • Verification
Financial Advertising Verification Documen- • Recon- to queries • Litigation
Calculations • Selling • Risk tation ciliations • Providing • Disbursements
• Marketing & – Direct Assessment • Compliance information
Positioning – Broker • Pricing with • Recording
regulations changes
Offshoring Solutions
• Actuarial • Portals • Rating engines • Document • AR / AP • Customer • Integrated claims
support • Illustrations • Underwriting creation administration relationship management
• Analytics tools support • CRM • Invoices management • FNOL
• Statistical • Customer • Medical • Contact • Dunning (CRM) • Claims registration
analysis tools service reviews center • Contact center • Claims scrutiny
• Peer bench • Sales force • Quote issue management management • Data analysis /
marking administration management • Document • Agency call fraud detection
• Industry and (SFA) • Document management centre systems
sectoral management • Litigation
analysis management.
• Disbursements
© Satyam 2008 35
Satyam – Integrated Insurance Practice
Leading provider of
Over 2,200 associates Solutions comprehensive solutions and
contributing to the entire based on services for the P&C, Life and
gamut of IVC domain and Healthcare Insurance practice
technical
expertise
(consulting)
© Satyam 2008 36
Global Presence
Locations with Significant Onsite Presence
Americas Germany Malaysia Hungary Singapore Japan China Australia UK India Egypt
• Parsippany • Munich • Kualalumpur • Budapest • Singapore • Tokyo • Beijing • Geelong • Basingstoke • Bangalore • Cairo
• Atlanta • Wiesbaden • Dalian • Melbourne • Bhubaneswar
• Chicago • Guangzhou • Sydney • Chennai
• Santa Clara • Nanjing • Hyderabad
• Hartford • Shanghai • Mumbai
• Cleveland • Gurgaon
• Mississauga – Canada • Pune
• Sao Paolo – Brazil 32 Global Solution centers, 63 Nationalities • Vishakapatnam
© Satyam 2008 37
Insurance BPO Experience
End to End Claims Management Policy Enrolment and Administration
• Operations started on April 2003 with 21 FTEs. Currently • Saved more than 14 % of total contract value through
8 processes (3 Voice and 5 increase in productivity.
Non Voice) – 420+ FTEs • This was achieved through smart queue management,
• 9% increase in claim auto adjudication via accurate claims exhaustive training for new hires and frequent refresher
processing trainings
• 21% of 4 year contract value saved in claims processing • Reader
via process improvements and innovations
• Implementation of work flow and imaging systems
resulting in control, visibility and member satisfaction
Large US mutual life and Health Company Large US mutual life and Health Company
• Improved the Average Handle Time (AHT) from 217 • Reduction in Turn around time, high quality standards
seconds to 195 seconds. resulting in increased dealer satisfaction.
• Implementing Help Queues internally, loading all tool • Well-documented processes, operating manuals &
details into a local portal. business rules for passing claims (vs. judgmental before)
• Knowledge difference of Tier 1/ Tier 2 lead to redesigning • Factory defect analysis identifying the source of defect &
of training modules for new training program. suggesting preventive measures
Large US mutual life and Health Company Fortune 100 Industrial Equipment manufacturer
New Business and Renewal Rating and Census Dental and Vision Claims Management
• Saved more than 7% of TCV in Medical Underwriting • Flexibility to ramp up or down during high and low volume
Support Process months
• Improved responses from customers which helped • Improved Statistical Accuracy improved to 99.2%
generate accurate rates • Auto Adjudication rate is significantly increased
• Custom training modules developed and improvised
© Satyam 2008 38
Discovery Phase: Risk / Fit Framework
To evaluate ‘Offshoreability’ of processes Offshore: Immediate Opportunity
Offshore: Build Comfort
• Off-shoring fit parameters Retain
– Interaction with other Offshore: Re-engineer for better fit
personnel
– Ease of knowledge transfer High
– Degree of digitization
– High level or niche skills or
experience required for the
process
– Stability of the process Build comfort
– Scale of the process or
activity Risk
• Risk parameters
– Financial risks Re-engineer
– Client risks
– Time criticality
– Regulatory risks Low
Low High
Fit
© Satyam 2008 39
Thank you
satyam.com
© Satyam 2008 40