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Product Management Root Cause Analysis Question: Investigating increased claims processing time for tech E&O policies
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Nextsprints

Updated Jan 22, 2025

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Why has Coalition's claims processing time for technology errors & omissions policies increased by 30% in the last month?

Data Analysis Problem-Solving Process Optimization Insurance Technology Cybersecurity
Data Analysis Root Cause Analysis System Optimization Insurtech Claims Processing

Introduction

The recent 30% increase in claims processing time for Coalition's technology errors & omissions policies is a critical issue that demands immediate attention. This analysis will systematically identify, validate, and address the root cause while considering both short-term and long-term implications for our product and customers.

Framework overview

This analysis follows a structured approach covering issue identification, hypothesis generation, validation, and solution development.

Step 1

Clarifying Questions (3 minutes)

  • Looking at the timing, I'm thinking there might be a recent change in our claims processing system. Has there been any significant update or modification to our claims processing workflow in the last 1-2 months?

Why it matters: System changes often lead to unexpected performance issues. Expected answer: Yes, there was a recent update to streamline the process. Impact on approach: If confirmed, we'd focus on post-update system performance and potential bugs.

  • Considering the specificity of the increase, I'm wondering about our data accuracy. Can you confirm that our measurement methodology for claims processing time has remained consistent over the past few months?

Why it matters: Ensures we're comparing apples to apples in our analysis. Expected answer: The methodology has not changed. Impact on approach: If changed, we'd need to reassess our baseline metrics.

  • Given the nature of tech E&O policies, I'm curious about claim complexity. Have we seen any shift in the types or complexity of claims being filed recently?

Why it matters: More complex claims naturally take longer to process. Expected answer: There's been a slight increase in complexity. Impact on approach: If confirmed, we'd need to analyze our capacity to handle complex claims.

  • Thinking about external factors, has there been any significant change in regulatory requirements or legal landscape affecting tech E&O policies in the last month?

Why it matters: Regulatory changes can significantly impact processing times. Expected answer: No major regulatory changes. Impact on approach: If there were changes, we'd need to assess our compliance processes.

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