A featured contribution from Leadership Perspectives, a curated forum for insurance leaders, nominated by our subscribers and vetted by the Insurance Business Review Editorial Board.

GNP Brokerage USA LLC

Jack Kahn, ARM, Director of Claims and Risk Management

Bridging the Gap Between Risk Strategy and Execution

Jack Kahn

Jack Kahn

Risk management has never been more complex in theory or harder to implement in practice. Across organizations of all sizes, the current challenge is not a lack of awareness about risk, but rather the large gap between strategy and execution.

Much of my leadership approach in claims and risk management has been shaped within complex health care environments. Regardless of the category, claims are not just abstract events, they are usually the result of operational decisions, patient outcomes, clinical workflows, HR procedures and employee training. This showed me a critical point. Effective risk management is not a siloed function. An organization requires alignment across clinical, legal, operational and executive teams. Without a clearly defined chain of personnel responsible for implementation, even the most well designed risk management program will fail in practice.

One of the challenges faced today by many organizations is truly understanding risk in a rapidly evolving legal and tech landscape. AI and telematics have been incredible tools in transforming how risk is identified and quantified. However, understanding risk is just the beginning. The larger issue is implementation. Many organizations invest in identifying best practices, analytics, tools and external risk management support, but are failing to implement these into daily operations and have meaningful change.

In my experience, the issue comes down to accountability. Leadership must prioritize structure and ownership. Successful risk program requires a defined chain of responsibility from the top down. Each layer of the organization must understand what is expected and ensure they take ownership of what is required from them. There must be clear procedures, measurable benchmarks and consistent communication. At the same time, there must be enough flexibility to be able to refine an approach as conditions change.

Another important decision that organizations are constantly making is balancing risk mitigation with business priorities. Growth inherently involves exposure. Whether it's through expansion or innovation, the key is to make informed tradeoffs and integrate risk considerations into business decisions, rather than treat risk management as an annoying compliance requirement.

A successful risk program requires a defined chain of responsibility from the top down. Each layer of the organization must understand what is expected and ensure they take ownership of what is required from them.

Looking ahead, the main trend that is shaping the future of claims and risk management is the use of artificial intelligence. AI and advanced analytics are enabling better predictive approaches which allows organizations to identify patterns to implement change earlier. However, we are at the edge of AI transitioning from a data/intelligence tool, to also being an implementation tool that can use empowered autonomous agents to implement specific changes in an organization.

Changes in the legal landscape also plays a significant role as well. Take the recent change in NY. Enactment of the AVOID act has reshaped civil litigation by eliminating the traditional flexibility of third-party practice. Defendants are now generally required to file third party actions within 90 days of serving their answer, and failure to meet this deadline can result in dismissal of the third-party claim. This is a massive risk for subrogation opportunities.

For professionals looking to build a career in risk management and insurance, technical knowledge of risk transfer is essential but is no longer sufficient. The most effective brokers and risk managers develop a deep understanding of the organizations they serve. This means going beyond policies and claims and engaging with operations, finance and business strategy. The broker and risk manager role is increasingly resembling a fractional chief operating officer role.

Even with the incredible advancements in artificial intelligence and autonomous agents, Risk management will not be defined by the sophistication of its tools, rather by the effectiveness of its implementation. People will be key. Organizations that establish clear ownership at every level will be best positioned to navigate an increasingly complex risk environment.

The articles from these contributors are based on their personal expertise and viewpoints, and do not necessarily reflect the opinions of their employers or affiliated organizations.