The ROI of Modernizing Policy Administration Systems

Marcin Nowak
January 2, 2025

Your insurance company loses $15.5 million annually just from customer churn. That's not a random number – it's the harsh reality for mid-sized insurers using outdated systems. Between 24% and 31% of customers leave their insurers each year. Not because they found better prices, but because old policy administration systems make simple tasks frustratingly complex.

The numbers tell a clear story. Traditional systems drain millions through manual processes, compliance penalties, and lost opportunities. Outdated technology is a handbrake of progress in the rapidly changing market. But there's something more interesting happening in the industry. Forward-thinking companies are completely transforming their operations with modern policy administration systems. They're cutting processing times from days to minutes and watching their customer satisfaction scores climb. How? Modernizing policy administration systems.

Do you want to know what ROI can modernization provide? Read on.

Why Upgrade Policy Admin Systems

Legacy systems with outdated tech and cumbersome processes are a major roadblock to gaining competitive edge and following market trends. These systems lead to increased operational costs and decreased customer satisfaction due to inefficiencies.

Modern policy admin systems have seamless data integration, which is key to making data driven decisions. This integration not only simplifies operations but also claims management, so insurers can process claims faster and more accurately. The result is less manual processes and operational costs, huge cost savings.

And modern systems are designed to adapt to emerging technologies, so insurers can stay ahead of the curve. By upgrading their policy admin systems, insurance companies can enhance operational efficiency, customer satisfaction and be positioned for long term success.

Traditional policy administration systems challenges

Here are the primary challenges faced with traditional policy administration systems:

  • Technical Challenges
    • Outdated systems, programming languages and architectures 
    • Limited integration capabilities with modern technologies
    • Difficulty in maintaining system security
    • Poor scalability during peak processing periods
    • Complex, hard-coded business rules
  • Operational Issues
    • Manual data entry requirements
    • Slow policy issuance and modification processes
    • Duplicate data entry across multiple systems
    • High error rates in policy processing
    • Limited access to real-time policy information.
  • Cost-Related Problems
    • High maintenance costs for legacy systems
    • Expensive specialized IT staff requirements
    • Resource-intensive compliance updates
    • Increased operational costs due to manual processes
    • Lost revenue from delayed product launches
  • Business Limitations:
    • Inability to quickly launch new products
    • Difficulty in adapting to regulatory changes
    • Limited support for multiple distribution channels
    • Poor customer self-service capabilities
    • Restricted reporting and analytics functions
  • Data Management Issues:
    • Fragmented data across multiple systems
    • Inconsistent data quality
    • Limited data accessibility
    • Poor disaster recovery capabilities
    • Difficulty in maintaining data security standards
  • Customer Service Constraints:
    • Slow response times to customer inquiries
    • Limited policy modification options
    • Poor visibility into policy status
    • Inconsistent customer experience
    • Lack of digital engagement options.

The Reality of Legacy Policy Admin Systems

Insurers running outdated policy admin systems are facing operational bottlenecks. Manual data entry is causing 3-5 day delays for standard policy changes. Staff are spending hours reconciling information across disconnected databases. 

System maintenance is eating up 60-70% of IT budgets and security patches are getting scarce for aging infrastructure. Integrating core processes across multiple systems is creating data silos and inconsistent user experiences, making efficiency and productivity even harder.

These old systems prevent insurers from launching new products quickly. When market opportunities arise, development cycles are 6–12 months longer than they need to be. Customer service reps have fragmented views of policy info, so resolution times are longer and policyholders are frustrated.

How Much Legacy Systems Really Cost?

  1. IT Maintenance Costs:
    • Insurers spend approximately 70% of their IT budgets on maintaining legacy systems.
    • For mid-sized insurance firms with an annual IT budget of $10 million, this could translate to $7 million per year spent on legacy system maintenance.
  2. Manual Data Entry and Error Correction:
    • The average cost of a single point of data entry is estimated at $4.78.
    • Assuming an insurance company processes 1 million data points annually, the cost of manual data entry alone could be $4.78 million per year.
    • Error correction follows the 1-10-100 rule: $1 to verify, $10 to correct, and $100 if the error leads to further issues.
    • If 5% of data entries contain errors (50,000 errors), and half of these are caught early while half lead to further issues, the cost could be: (25,000 x $10) + (25,000 x $100) = $2.75 million per year in error correction costs.
  3. Compliance Issues:
    • The IRS has announced that penalties under the ACA for noncompliance will see increases in 2024. Specifically, the 4980H(a) penalty will rise to $2,970 annually per employee, up from $2,880 in 2023. The 4980H(b) penalty will increase to $4,460 per year per employee, compared to $4,320 previously. These penalties apply to Applicable Large Employers (ALEs) that fail to provide minimum essential coverage to at least 95% of their full-time employees and dependents.
    • In Florida, the Office of Insurance Regulation (OIR) has issued fines up to $100,000 per violation, with a total cap of $500,000 for multiple violations. In the third quarter of 2024 alone, OIR imposed fines on 20 insurers for various compliance failures.
    • For a mid-sized insurer, compliance-related fines could range from $500,000 to $2 million annually, depending on the severity and frequency of violations.
  4. Operational Inefficiencies:
    • Poor data quality can cost carriers 15-25% of their total revenue.
    • For an insurance company with annual revenue of $500 million, this could represent $75-125 million in lost revenue or additional costs.
  5. Delayed Product Launches:
    • A six-month delay in product launch can result in a loss of 33% of after-tax profit.
    • For a company with an annual profit of $50 million, this could mean a loss of $16.5 million for each significantly delayed product launch.
  6. Customer Churn Due to Poor Service:
    • While difficult to quantify precisely, the cost of acquiring new customers is generally higher than retaining existing ones.
    • If poor service leads to a 5% increase in customer churn, and the cost to acquire a new customer is $500, for a company with 100,000 customers, this could result in additional costs of $2.5 million per year.
    • Estimates point out that the churn rate in insurance companies ranges between 24% and 31%, which means 24,000-31,000 customers at average customer acquisition cost: $500 = Annual cost of replacing churned customers: $12-15.5 million.
  7. Opportunity Costs:
    • Legacy systems often prevent insurers from quickly adapting to market changes or implementing new technologies.
    • While hard to quantify, this could result in millions of dollars in lost opportunities annually.

Total Estimated Costs:

  • Minimum: ~$122.5 million.
  • Maximum: ~$173.5 million per year.

So, assuming that you decided to keep his money with modernizing PAS – what ROI does it provide? Let's break it down.

Legacy System Annual Costs:

  • IT Maintenance: $7 million
  • Manual Processing: $7.53 million
  • Compliance Fines: $1.25 million
  • Operational Inefficiencies: $100 million
  • Product Launch Delays: $16.5 million
  • Customer Churn (24-31%): $12-15.5 million 
  • Total Annual Legacy Costs: $144.28 - 147.78 million

Modern PAS Investment: 

Initial Costs:

  • System Implementation: $200,000 - $600,000
  • Customization and Integration: ~$400,000
  • Training and Change Management: ~$200,000 Total Initial Investment: $800,000 - $1.2 million

Annual Costs:

  • Maintenance (based on $766,000 per $1M system): ~$900,000
  • Cloud/Software Licensing: $117,000 ($42,000 + $75,000 per $10M GWP) 
  • Total Annual Costs: ~$1.02 million.

ROI Calculation

First Year ROI:

  • Total Legacy Costs: $144.28M
  • Modern PAS Costs: $2.22M (Initial + Annual)
  • Potential Savings: $142.06M
  • ROI = (Savings - Investment)/Investment × 100
  • ROI = ($142.06M - $2.22M)/$2.22M × 100 = 6,297%

Operational Improvements:

  • 20-60% reduction in operational costs
  • Reduced customer churn through improved service
  • Faster product launches
  • Automated compliance management
  • Reduced manual processing errors

Long-term Benefits (15-year projection):

  • Legacy System 15-year Cost: $2.16B (annual costs × 15)
  • Modern PAS 15-year Cost: $16.3M ($1.2M + $1.02M × 15)
  • Total 15-year Savings: $2.14B

This analysis shows that despite the substantial initial investment, modern PAS systems offer exceptional ROI through dramatic reduction in operational costs, improved efficiency, and reduced customer churn. The investment typically pays for itself within the first year of implementation.

Customer Data

Customer data is the most valuable asset for insurance companies, it provides critical data insights to inform decision-making and improve customer satisfaction. But legacy systems fail to utilize this data effectively and miss opportunities and revenue. A McKinsey report indicates that while insurers have access to vast amounts of data, many have been slow to monetize this asset effectively.

Modern policy admin systems have advanced analytics capabilities, so insurers can gain deep insights into customer behavior and preferences. This data is key to better claims management, as it allows for more accurate risk assessments and faster claims processing. And by using customer data, insurers can reduce manual processes and improve operational efficiency.

By using customer data, insurers can improve customer satisfaction and increase revenue and stay ahead of the competition. Modern systems have the tools to unlock the full power of customer data and turn it into business growth.

Operational Efficiency Through Automation

Modern policy admin platforms change daily operations. Underwriters get pre validated application data with automated risk scoring. Claims adjusters have access to full policy info and coverage verification in seconds. Finance teams get reports in minutes, not days. Data driven decision-making improves claims prediction and underwriting risk modeling, product offerings and pricing strategies.

The automation benefits extend to:

  • Document Generation: Templates fill with current policy data 
  • Premium Calculations: Rating engines handle complex scenarios instantly 
  • Policy Changes: Straight through processing for standard changes 
  • Regulatory Reporting: Automated data extraction and formatting.

Teams can focus on value added work instead of manual data entry and reconciliation. The accuracy also reduces costly errors and rework.

You need to keep in mind that manual entry, mundane tasks, routine causes burnout and churn. The burnout rate among insurance professionals is around 39%. Estimates suggest that workplace burnout leads to additional healthcare costs ranging from $125 billion to $190 billion annually across U.S. businesses. 

Hiring new employees can cost between 10% to 30% of an employee's annual salary. The average cost per hire is approximately $4,700. Training new hires can account for 10% to 20% of their salary during their initial months. Employers typically spend around $103 per hour on training. 

The turnover rate in the insurance industry is reported to be between 12% and 15%, significantly impacting operational costs due to the need for constant recruitment and training.

Meeting Customer Expectations with Flexible Systems and Customer Data

Modern policy admin systems can adapt to changing customer needs. Insurers that excel in customer experience outperform their competitors in total shareholder return (TSR). 

New products can launch faster with configurable rule engines. Digital interfaces give customers direct access to policy info and self-service options. Upgrading core systems enables product customization and integration with preferred payment methods.

The flexibility allows:

  • Product customization for different market segments
  • Integration with preferred payment methods
  • Multi channel policy access and management
  • Personalized communication preferences.

This enables insurers to retain existing customers and attract new ones through better service. The platform scales as policy volumes grow without needing proportional staff growth.

Decerto’s Policy Administration System – Get in Touch

Decerto’s Policy Administration System delivers key benefits to insurance operations with modern technology solutions. Automated policy processing reduces costs and real-time underwriting gets decisions made in days, not weeks.

Insurance companies get immediate relief from maintenance burdens with our cloud based infrastructure that scales with growth. Intelligent automation eliminates manual data entry errors and routine tasks so staff can focus on value added activities. It is also streamlining processes, making them faster, and more manageable for the customer.

For customers, the platform offers instant policy changes and self-service options that increases satisfaction rates. Built in compliance controls prevent regulatory penalties, and comprehensive audit trails simplify reporting. 

Our solution adapts to market demands with quick product launch and flexible configuration. Multi-currency and multi-language support enables geographic expansion and seamless integration with existing systems. 

Advanced security protocols ensure data protection, and real-time reporting gives you actionable insights to make better decisions. Companies using Decerto’s system see significant improvements in operational efficiency, customer retention and insurance business agility – all leading to sustained competitive advantage in the insurance market.

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