Tamas Kramer Applications Sales Executive, Policy Automation, Central & Eastern Europe

Transcription

1 <Insert Picture Here> POLICY AUTOMATION Net Benefits of Business Rules Automation Tamas Kramer Applications Sales Executive, Policy Automation, Central & Eastern Europe April, 2011

2 The following is intended to outline our general product direction. It is intended for information purposes only, and may not be incorporated into any contract. It is not a commitment to deliver any material, code, or functionality, and should not be relied upon in making purchasing decisions. The development, release, and timing of any features or functionality described for Oracle s products remains at the sole discretion of Oracle. 2

3 Why Policy Automation? Robert Tartaglia, global COO of Allianz Global Corporate and Specialty based out of London, part of the German Allianz insurance group, explains that if an organization is not doing well in this area, you are at best inefficient, you are likely ineffective, and you don t know if the policy has brought value. One of the biggest challenges is how to balance running the business with changing the business. Typically, companies don t say you must change policy but can make less money while doing so. Robert Tartaglia Chief Operating Officer Allianz Global Corporate & Specialty 3

4 What is policy? Policy can be interpreted as: A company/public body s interpretation of their legislative obligations Rules created by the company/public body which are allowed under legislation and drive how the company/public body function 4

5 What does Oracle Policy Automation do? An engine for making complex decisions and calculations based on a set of rules Users create their rules in their natural language using Microsoft Word Microsoft Excel Microsoft Visio The rules are kept separate from any application code - Easier to test and maintain - The rules look like the source documents 5

6 Policy Automation: Mission & History Customers include the world s largest government agencies and global 1,000 financial services, insurance and commercial customers Mission is to Optimize Enterprise Policy Automation (EPA) Consistently recognized as a leader by industry analysts Customers and revenue from across North America, EMEA, Asia-Pacific, and Australia Patented technology automates legislation and policy using natural language rather than programming language, with multiple languages already supported Designed for rapid creation of industry content that can be easily configured for an organization's unique requirements Standard, pre-built integrations with leading enterprise application vendors 20 years as a proven EPA leader Government agencies use Haley to serve tens of millions of citizens Tier 1 commercial banks use Haley to serve millions of customers Global insurers use Haley to automate tens of thousands of daily claims transactions Dynamic self-service applications and high-volume enterprise automation based on complex policy and legislation 6

7 Policy Automation Customers Government Internal Revenue Service (US) Govt of British Columbia (Canada) Montana DMV (US) HM Revenue & Customs (UK) Home Office (UK) Ministry of Defence (UK) Dept Trade and Industry (UK) Dept of Social Security (Sweden) Westchester County (US) ICF Road Home (US) 50+ Local Councils (UK) Small Business Service (UK) Dept of Statistics (Netherlands) Dept of Defence (Australia) Dept of Veterans Affairs (Australia) Dept of Immigration (Australia) NSW Government (Australia) Financial Services and Insurance American Fidelity (US) Countrywide (US) Credit Suisse (Switzerland) UBS (Switzerland) BUPA (UK, Ireland) NASD (US) United Healthcare (US) HealthMarkets (US) American International Assurance (US) Farm Bureau Financial Services (US) Other British American Tobacco (UK) Motosport (US) Cisco (US) Intel (US) AT&T (US) Toyota Motor Corp (US) 7

8 Policy Automation Value Proposition Business users create the content Business people write rules in Natural Language and therefore no cost or risk associated with translation by IT Manage rules with business tools like Microsoft Word, Excel, Visio reduces training requirement and allows for agility with updates Policy Isomorphism providing confidence in and visibility of rules Unique tools check rules & show implications In-built simulation and scenario modelling gives capacity to analyse and test policy and rule outcomes Detailed determination reporting documents how conclusions were reached for audit purposes Automated and interactive rule testing to ensure that deployments give correct results Quick, high performance deployment Fully SOA-enabled out-of-the-box providing low cost flexibility Integrated with Siebel High performance inference engine with Temporal Reasoning architecture 8

9 The Resulting Key Benefits Optimization Assessment Modelling Policy Documents Deployment Enforcement Dramatically improves time-to-market for changes to policies and rules Simplifies development and maintenance Ensures accuracy and consistency in complex decisions and determinations Reduces the burden on IT resources Assesses the impact of changes in policy on customers and citizens through what if scenarios Provides full audit-trail capability 9

10 7 Unique Product Differentiators 10

11 Key Enabler: Policy Isomorphism (Patented) The Source Legislation or Policy Copy, Paste, Markup Executable Document in Natural Language that Business users can understand and modify 11 11

12 Key Enabler: Dynamic interactive interviews Questions automatically created from source document without need for any programming Asks least number of questions in most logical order to finalize a determination 12 12

13 Key Enabler: Determination Reporting Positive and Negative statements automatically created to explain determination Can be used to build the content for a letter of advice or audit Natural language engine provides personalization and pronoun substitution 13 13

14 Key enabler: Temporal Reasoning Efficiently handle changes in: (Patent Pending) Eligibility, e.g. a change in minimum age, which takes affect on a certain date Rates, e.g. quarterly increase of a benefit rate Customer circumstances, e.g. number of children, marital status Benefits of the Oracle Policy Modeling approach to temporal reasoning: Accurate calculation of payments even when notification is retrospective Expressing time-based logic is simple and concise Optimal performance, without forgoing transparency or decision audits Annual rate increase Claimant is married New child Annual rate increase Pay rise New eligibility rules come into effect Annual rate increase New child 14

15 Key Enabler: Business User Regression Testing Clearly define and communicate expected behavior for complex scenarios Ensure that between policy versions only expected differences occur Instantly run 100s or 1000s of test cases, and drill into report results 15

16 Key Enabler: Policy Visualization Quickly find dependencies across sections, and claimant data Clearly identify base data needed for decision making purposes Find orphaned sections of legislation, and identify unused data items 16

17 Key Enabler: Outstanding Performance Patented high-speed Linear Inferencing algorithm Faster than Rete which is widely used within BRE industry Better exploits modern CPU architectures More space efficient (stateless) Well suited to batch/transactional processing scenarios Results of benchmarking: Over 1 million premise evaluations/sec Using dual CPU Sun Fire 280R Oracle Web Determinations on 8 CPU Sun server Average response time (secs) # concurrent users 17

18 Key Enabler: Multi Lingual capability Easily add new verbs as needed Model rules in your native language in Word or Excel Integrate natural language questions into any application 18

19 Automatic Language Parsing Available for English, French, German, Spanish, Dutch, Swedish, Danish, Italian, Turkish* * Italian beta version 19

20 Insurance-specific Business Rules With Oracle Policy Automation and Modeling for Insurance, insurers can manage business rules for the following industry-specific processes: Eligibility determination Rating and underwriting and enrolments Product configuration Automatic claim adjudication Complex benefit calculations Medical bill review Fraud detection Subrogation detection Benefits explanation Business process management Regulatory compliance Pre-authorization 20

21 Why OPA for Finance? Improves/Automates Credit check Accelerates product development Support of sales/consultancy, precise and coherent pre-calculation schemes Focus on the front-office Manage risk: fraud, subrogation detection Accelerates business processes Regulatory compliance Automated deployment of multiple sales/customer care channels 21

22 Example Outcomes with Oracle Policy Automation Improved Agility and Customer Service with Reduced IT Project Costs Lower IT Project Costs Higher Quality Area Without OPA With OPA Net Benefit % Benefit Business Rule Capture 200 days 20 days 180 days 90% Logic Updates 90 days 3 days 87 days 97% Call Center Training 60 days 5 days 55 days 95% Business Logic Implem. $1M* $200K* 800K* 80% Processing days / case % Call Center calls / case % Error Rate / 1000 cases % Appeal Rate / 100 cases % Improved Agility Improved Customer Service Source: OPA customer interviews *Relative expenditure figures based on customer side-by-side study vs. other implementation techniques 22

23 Summary: The Policy Automation Difference Handling business logic that requires: Modelling complex legislation, policy, regulation in a portable Microsoft Office Document Temporal logic or data changes Frequent rule changes or updates Business rules managed in English or other languages While delivering: Explanations for how decisions were reached Interactive decision guidance Compatibility, integration and high performance Incomparable rule authoring lifecycle productivity Strong testing and maintainability 23

24 <Insert Picture Here> POLICY AUTOMATION Backups

25 DEMONSTRATION: Oracle Policy Modeling and Automation Previously branded as Haley Office Rules Oracle Policy Automation CRM, Portal Oracle Web Determinations Oracle Policy Automation Connector for Siebel Oracle Policy Modeling Oracle Determinations Server (SOA) Oracle Determinations Engine Middleware / Native Web Services / Java /.NET Oracle Policy Automation Connector for SAP JCo HR, ERP Other Database 25

26 One of 5 leaders in Business Rules Haley has leading solutions for business analysts across all verticals Source: Forrester, The Forrester Wave : Business Rules Platforms, Q2 2008, April 8,

27 But unique in Determinations Haley s eligibility determinations technology is recognized as unique as well as being a leader Source: Forrester, The Forrester Wave : Business Rules Platforms, Q2 2008, April 8,

28 Questions Tamas Kramer applications sales executive 28

29 29