Operational Risk Management in Insurance Companies
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1 Operational Risk Management in Insurance Companies John Thirlwell Director, Operational Risk Research Forum City & Financial, London, 2 November 2004
2 The context: What does operational risk really mean? Regulatory expectations The operational risk framework
3 The regulatory definition -a reminder Operational risk [has been described as (SYSC 3A.1.1G)][refers to (PRU G)] the risk of loss resulting from inadequate or failed internal processes, people and systems or from external events. Basel II repeats this, with provisos for legal risk, strategic risk and reputational risk. CP190, CP195 and CP04/7 were silent.
4 What do you mean by operational risk? Issues of definition Legal risk. Includes regulatory fines. Strategic and business risk. Reputational risk. Almost always a consequence of events caused by other risk types, but OR is probably the main source. Takes years/decades to build and moments to lose. What is your firm s definition?
5 Risk identification and classification Sources for classification: Basel II FSA: PSB, Policy Statements, CPs, Arrow framework Lloyd s British Bankers Association ABI (to come?)
6 Scope of operational risk (1) Internal fraud unauthorised activity; theft (assets/ip), embezzlement, fraud, insider trading (not on firm s account) External fraud theft and fraud; systems security Employment practices and workplace safety employee relations; safe environment; discrimination Damage to physical assets including natural disasters Business disruption and system failure hardware, software, telecom, utility outage
7 Scope of operational risk (2) Clients, products & business practices product suitability (incl. KYC); fiduciary breaches; privacy breaches; lender liability; improper trade/market practices; money laundering insider trading (firm's account); product defects; model flaws; disputes over advisory activities; exceeding client exposure limits Execution, delivery & process management transaction capture, execution and maintenance; data entry; delivery failure; collateral management failure; monitoring and reporting (incl. external); documentation failures; customer/client account management; trade counterparties disputes, non-performance; vendors and suppliers outsourcing and disputes [Full details available from BIS ( and/or BBA ( websites]
8 Operational risk systems and controls (SYSC3A3) Should cover, amongst other things: Employees IT and manual systems Direct and indirect losses arising from OR Tangible, immediate, quantifiable and intangible, delayed, difficult to quantify (e.g. reputational damage) Outsourcing risks External events
9 More SYSC headings all operational risk People Employee responsibilities Processes and systems Internal documentation External documentation IT systems Information security Geographical location External events and other changes Expected changes Unexpected changes and business continuity management Outsourcing Insurance
10 Examples of OR for stress and scenario tests (PRU2.3.31G) Fraud Pension under-funding Technology Reputation risk Marketing and distribution risks Legal risks HR management; strikes; resourcing of key functions; adequacy of resources
11 A few they forgot from CP 04/7 Adequacy of policies and procedures risk of non-application Internal audit Business continuity / disaster recovery Political interference; taxation; confiscation of assets
12 What is different about operational risk? Often difficult to identify from management information and reporting systems: P&L explicit, e.g. fraud P&L implicit, e.g. OR amounts mixed with other expenses such as consultancy fees (indirect losses); OR in trading or credit losses Not in P&L lost future revenues; project failure or delay A lot of OR events are hidden Much of OR is difficult to identify and assess because it s a soft risk which goes beyond transactions or process, especially the loss events which really bite. Much of OR is difficult to control - people and external events (e.g. fire, flood, pestilence, business environment) It is risk-based, rather than control-based compare and contrast Sarbanes-Oxley.
13 Regulatory expectations - ECR, ICAs and flying pigs ECR minimum risk-based capital requirement (cf Basel Basic and Standardised formulaic approaches) ECR the heroic assumption: a BBB rating...[which equates to] a 99.5% confidence level that a firm will survive for a one-year period. NB no similar explicit assumption in CP195 or CP04/7, but We envisage that, for intervention purposes, ICG will be set taking into consideration capital consistent with a 99.5% confidence level over a one year period... (PS 04/16 5.3, and similar in PRU )
14 Confidence level Cf. Basel II, Advanced Measurement Approach: comparable to that of the internal ratings-based approach for credit risk (i.e. comparable to a one year holding period and a 99.9% confidence interval) [but note 669 (f)] Was 2001 a year in a 100? How confident are we with insurance risk to 100, 200 year time horizons, especially where data is sparse and/or heterogeneous? 4 x Florida windstorms = 500 year event Institute of Actuaries GIRO report Quantifying operational risk in general insurance companies (March 2004) statistical curve-fitting; probability distribution; EVT; stochastic differential equations; Bayesian networks; expert (fuzzy logic etc). Causal modelling probably the answer but a lot of work to do.
15 What do regulators want? Capital Risk management Regulatory compliance
16 Regulatory expectations of capital - ICA, ICG et al Identify the major sources of risk Consider the extent to which capital is an appropriate mitigant for the risks identified and assess the amount and quality of capital required. Stress tests; scenario analyses; aggregation; confidence level. ICGuidance and Pillar 2/Arrow. NB for banks, Pillar 2 can only be additive.
17 ICAs and operational risk Data limitations and lack of high powered analysis tools acknowledged, so limitations to quantitative analysis. Combination of quantitative and qualitative tools accepted. But management must make a judgement of capital adequacy. A firm may consider that investigation of operational weaknesses and corrective action is a better response than holding capital and may consider that a certain degree of risk is within its pre-defined risk tolerance. (Draft PRU G)
18 Regulatory expectations of risk management - cf banks Board and senior management involved in oversight of the OR framework An OR system that is conceptually sound and implemented with integrity Sufficient resources in major business lines, control and audit areas Policies documented OR management function codify policies and procedures; design and implement OR assessment and reporting (to unit, senior management, Board) Systematically track internal loss data Validation and independent review
19 The operational risk framework Risk identification and classification generic or business based? Risk assessment Internal and external loss data Scenario analysis (Control) risk self-assessment Key Risk Indicators Risk appetite and tolerance
20 Internal loss event data some health warnings and issues Completeness most loss data of any interest does not flow from the General Ledger. It has to be manually identified and reported, whatever threshold is chosen. Its completeness cannot be audited. Consistency common understanding of the loss categories Near misses (happened, but something prevented the loss being realised), profits etc What s so interesting about losses? Causes are what matter. But losses validate self-assessment, KRIs, stress tests etc
21 External loss data more health warnings External data pools health warnings The pool must have a common purpose, e.g. benchmarking; raw data; causal; modelling; informing scenario analysis Completeness different internal structures, reporting thresholds, exclusions (e.g. legal, insurance settlements) Control cultures Scaling a spurious accuracy Validation Pooled versus public data (e.g. Aon, Willis, FitchRisk) The use of external data provide information, rather than data enhance OR management rather than measure severe losses External data is in the realm of scenario analysis - Roger Cole, Chairman Basel Risk Management Group, Nice, 22 June 2004
22 (Control) risk self-assessment Identification of risks and their assessment of frequency/severity through questionnaires, workshops etc, i.e. bottom-up Assessment should be validated by peers, audit, risk management etc Involves some degree of scoring - from traffic lights (or H,M,L, but should be 4 minimum) to larger number of grades and mathematical extrapolation Gross (assuming controls fail) and net (assuming they work) May lead to overall assess risk assessment but will filter into league table of highest risks for management action. Validated by loss event data (internal and external)
23 Key risk indicators KRIs provide leading indicators Again should be bottom-up, for knowledge and buy-in they should be meaningful drivers of risk, based on experience and involve the expert assessment of business areas. Whenever possible should be capable of being measured quantitatively and open to verification some classics: staff turnover; errors; downtime; training objectives achieved but can be softer: staff satisfaction; external views e.g. headhunters Reported to management/board and tested against triggers, i.e. against a target range, which will be amber, so that better = green, and worse = red = ACTION
24 Risk appetite and risk tolerance Quantitative or qualitative? Should be about management first, not measurement. Relationship to WTL? % of capital resources? Zero? Front page of the Sun Cf KRIs is there an appropriate escalation process?
25 Operational risk culture An OR culture is what you get after a successful implementation of a framework, where everybody in the organisation is aware about operational risk, and manages it. OR management tools should be part of the business lines lives. OR should be part of any business decision in providing a basis for risk assessment, including changes in strategy, new products/classes, re-engineering. An OR culture should create shareholder value through loss reduction increased revenues and lower regulatory capital. Senior management buy-in is critical.
26 The biggest obstacles Lack of data volume and quality Scale of project Difficulty in modelling OR Lack of awareness among staff; lack of communication Lack of senior management support
27 Thank you, and good luck! John Thirlwell Tel:
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