Transform Your Business With Operational Decision Automation

Decisioning Applications Bring The Value Of Operational Decisions To Light

Businesses face the imperative to transform business from analog to digital due to intense competition for increasingly demanding and digitally connected customers. The imperative to transform has ushered in a new era of decisioning applications in which every operational decision an organization makes can be considered a business asset. New applications inform and advance customer experience and drive operational actions in real time through automation. These applications are at the forefront of the effort to streamline operations and help organizations take the right action at the right time near-instantaneously.

Achieve Digital Goals With Automated Operational Decision Making

Automating decision life cycles allows firms to manage the fast changes required in increasingly digitized business processes. Automation of operational decisions is crucial to meeting digital goals: More than three-quarters of decision makers say it is important to their digital strategy —and close to half say it is very important.

« The Share of Decisions that are Automated will Increase Markedly in two Years »

The importance of automated operational decision making to digital strategy will lead to a sharp increase of automation in the near term. Today, about one-third of respondents say they have the majority of their operational decisions fully or partially automated. In two years, that group will double.

Use Cases For Automated Decisions Span The Customer Lifecycle But Current Focus Is On Early Stages

To improve the operational aspects of customer experience —and to reap the business benefits that come with delighting customers — firms align automated decision use cases to the customer lifecycle. At least some firms have expanded their share of automated operational decision making to include touchpoints across the customer lifecycle, from the discover phase all the way to the engage phase. However, our survey found that the majority have yet to implement automated decisions as fully in later stages.

Top Challenges Will Intensify With Rapid Expansion Of New Decisioning Tools

Firms are experiencing middling success with current decision automation tools. Only 22% are very satisfied with their decisioning software today. Misgivings with today’s tools include inability to integrate with current systems or platforms, high cost, and lack of consistency across channels and processes.

The growth of real-time automation use cases and the number of technologies brought on to handle them will exacerbate existing challenges with complexity and cost.

Decision Makers Recognize High Value In Decisioning Platforms That Work In Real Time

Decision makers face significant implementation and cost challenges on their path to automated operational decisions. As a result, getting the greatest business value for the power of their automation tools is top of mind.

« Eighty-one percent of Decision Makers say a Platform with Real-Time Decision-to-Action Cycles would be Valuable or Very Valuable to Achieving Digital Transformation Goals. »

With better, targeted decisions based on real-time analytics, companies have the potential to acquire better customers, improve the operations that serve them, and retain them longer.

decision automatization

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How to seize the Open Banking opportunity

What is Open Banking and why does it matter?

The UK has long been recognised as a global leader in banking. The industry plays a critical role domestically, enabling the day-to-day flow of money and management of risk that are essential for individuals and businesses.

It is also the most internationally competitive industry in the UK, providing the greatest trade surplus of any exporting industry. The UK has a mature and sophisticated banking market with leading Banks, FinTechs and Regulators. However, with fundamental technological, demographic, societal and political changes underway, the industry needs to transform itself in order to effectively serve society and remain globally relevant.

The industry faces a number of challenges. These include the fact that banking still suffers from a poor reputation and relatively low levels of trust when compared to other industries. Many of the incumbents are still struggling to modernise their IT platforms and to embrace digital in a way that fundamentally changes the cost base and the way customers are served.

There are also growing service gaps in the industry, with 16m people trapped in the finance advice gap. In the face of these challenges, Open Banking provides an opportunity to

  • open up the banking industry,
  • ignite innovation to tackle some of these issues
  • and radically enhance the public’s interaction and experience with the financial services industry.

A wave of new challenger banks have entered the market with these opportunities at the heart of their propositions. However, increased competition is no longer the only objective of Open Banking.

Open Banking regulation has evolved from the original intent

The UK started introducing an Open Banking Standard in 2016 to make the banking sector work harder for the benefit of consumers. The implementation of the standard was guided by recommendations from the Open Banking Working Group, made up of banks and industry groups and co-chaired by the Open Data Institute and Barclays. It had a focus on how data could be used to “help people to transact, save, borrow, lend and
invest their money”. The standard’s framework sets out how to develop a set of standards, tools, techniques and processes that will stimulate competition and innovation in the country’s financial sector.

While the UK was developing Open Banking, the European Parliament adopted the revised payment services directive (PSD2) to make it easier, faster, and less expensive for customers to pay for goods and services, by promoting innovation (especially by third-party providers). PSD2 acknowledges the rise of payment-related FinTechs and aims to create a level playing field for all payment service providers while ensuring enhanced security and strong customer protection. PSD2 requires all payment account providers across the EU to provide third-party access.

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While this does not require an open standard, PSD2 does provide the legal framework within which the Open Banking standard in the UK and future efforts at creating other national Open Banking standards in Europe will have to operate. The common theme within these initiatives is the recognition that individual customers have the right to provide third parties with access to their financial data. This is usually done in the name of

  • increased competition,
  • accelerating technology development of new products and services,
  • reducing fraud
  • and bringing more people into a financially inclusive environment.

Although the initial objectives of the Open Banking standards were to increase competition in banking and increase current account switching, the intent is continuingly evolving with a broader focus on areas including:

  • reduced overdraft fees,
  • improved customer service,
  • greater control of data
  • and increased financial inclusion.

Whilst there is little argument that the UK leads the way in Open Banking, it is by no means doing so alone. Many other countries are looking carefully at the UK experience to understand how a local implementation might benefit from some of the issues experienced during the UK’s preparation and ‘soft launch’ in January 2018. There are many informal networks around the world, which link regulators, FinTechs and banks to facilitate the sharing of information from one market to another. Countries around the world are at various stages of maturity in implementing Open Banking. The UK leads as the only country to have legislated and built a development framework to support the regulations, enabling it to be advanced in bringing new products and services to market as a result. However, a number of other countries are progressing rapidly towards their own development of Open Banking. In a second group sit the EU, Australia and Mexico, which have taken significant steps in legislation and implementation. Canada, Hong Kong, India, Japan, New Zealand, Singapore, and the US are all making progress in preparing their respective markets for Open Banking initiatives.

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One danger in any international shift in thinking, such as Open Banking, is that technology overtakes the original intention. The ‘core technology’ here is open APIs and they feature in all the international programmes, even when an explicit ‘Open Banking’ label is not applied. In a post-PSD2 environment, the primary responsibility for security risks will lie with payment service providers. Vulnerability to data security breaches may increase in line with the number of partners interacting via the APIs.

The new EU General Data Protection Regulation (GDPR) requires protecting customer data privacy as well as capturing and evidencing customer consent, with potentially steep penalties for breaches. Payment service providers must therefore ensure that comprehensive security measures are in place to protect the confidentiality and integrity of customers’ security credentials, assets and data.

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Overcome Digital Transformation Distress

Digital has become one of the most over-loaded words in the English language, meaning very different things in different contexts. Insurers have been digital since the first policy was recorded on magnetic drum or tape in the 1960s. Oddly enough, insurers now lag considerably behind other industries in their digital maturity and stage of adoption.

Why insurers lag in digital strategy

So many factors go into understanding why insurers trail in developing and implementing a modern digital strategy. At this point, most insurers have developed a digital footprint and deliver varying levels of engagement with their customers and partners, including some direct access to policy information and service. The transactional nature of some Personal and Commercial (P&C) lines make this process more straightforward. However, for Life, Accident and Health (LA&H) carriers, especially those providing Group Employee Benefits, it’s a more complex problem with additional parties involved and customization of product and service at the plan level, requiring more detailed policy information and flexibility requirements in service options. Combined with the legacy technology platforms most carriers still employ, this makes direct self-service options more difficult to implement requiring more manual intervention which ultimately erodes customer satisfaction. Ironically, the prevalent underlying key stumbling block to implementing a next generation digital strategy is insurers’ digital legacy.

Digital Transformation Distress

According to McKinsey, Insurtechs are focusing more on P&C than LA&H but there is significant activity in distribution and new business-related activities, which falls squarely in the digital arena. In a recent multi-country study by Couchbase across multiple industries including insurance,

  • 64% of respondents say if they can’t keep up with digital innovation they will go out of business or be absorbed;
  • 95% say digital transformation seems an insurmountable task and
  • 83% felt they would face being fired if such a project failed.

Despite the challenges, LA&H insurers are putting more comprehensive digital strategies into place and technology vendors servicing this market must think beyond providing basic digital engagement capabilities to supporting a more complete vision of digitally-enabled business.

Digital Enagement and Flexibility

Leading SaaS core insurance system providers believe insurance business leaders need a platform that can provide a level of digital engagement and service equal to their customers’ expectations for all service providers. To enable this, there must be an underlying OpenCore system that can ensure accurate, open and flexible product development, deployment and service to serve a rapidly changing market.

  • Digital Engagement is a critical element of a complete strategy and the most visible. In the Group and Employee Benefits market, there are multiple stakeholders in the value chain with differing roles and digital engagement should be role-based, whether it is transactional or purely informational.
  • Flexibility is required within the business model. The chain of carrier(s), brokers, benefit administration companies (ben admin), enrollment vendors, employers, and employees must provide rapid and accurate straight through processing and be flexible enough to change out any given player in the chain, based on the deal.

Legacy systems are proving inadequate

The traditional approach to support these two key needs of the value chain is

  • either to provide an end-to-end portal solution driven from the core system architecture
  • or a standardized data feed interface between the core system and the next link in the value chain.

The problem with these two approaches is that they are inadequate. Why?

The first approach of end-to-end portal solution is not feasible given current and future insurance market directions around multi-carrier plans and value-added services from benefit admin providers. The standardized data feed interface can work but invariably leads to a great deal of custom IT interface work, even when employing industry standards like the emerging LIMRA-backed Workplace Benefits standard. This proves especially difficult when there are broad systems of engagement in play from companies like Salesforce.com that are used in call centers and broad community portals.

An Engagement Model that Works

Leading insurance technology vendors are proving that OpenCore is the best approach applying a role-based scenario to defining digital engagement requirements for the core system. This tactic provides a layered architecture to suit those roles and the engagement path needed for the particular customer. The way that might evolve could include a large carrier that uses a system of engagement for their customer service reps (CSR) and works with a broker, enrollment vendor and larger employer in the following scenarios:

  • The insurance specialist who installs and manages the details of a case works directly with the core system interface, designed for experts.
  • The CSR who works for the carrier and answers basic questions about the case for the employer or employee and who interacts with the system of engagement, which is tied to the core system in real-time via an app written by the core system vendor specifically for that platform.
  • The broker who does case and member inquiries and updates through a broker portal provided by the carrier with role-based access into the core system.
  • The enrollment vendor uses industry standard real time APIs and batch file transfers to exchange data directly with the carrier’s core system. The larger employer exchanges transactions through API or data feed to the HCM system and has direct access to the carrier’s core system through a role-based portal designed for the exchange process.
  • The employee has access to the employers Human Capital Management (HCM) employee portal and the option to go directly to the carrier for deeper interactions such as claims or absences, or portability issues. The interaction with the carrier is via portal, mobile, voice or SMS depending on the employee’s preference or circumstance.

Insurance technology companies that provide a layered digital engagement architecture, with core systems capabilities supporting role-based APIs sets that support both digital engagement applications and are available for customers and partner DIY projects, enables the insurer to achieve the most flexible, stable and modern digital experience.

OpenCore

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Les besoins verticaux définissent la marche à suivre pour les transformations de produits numériques et les stratégies

Les initiatives de transformation numérique se déroulent différemment selon les secteurs verticaux et les entreprises, en fonction des besoins métiers en jeu. Lorsque les entreprises subissent des transformations numériques, elles se concentrent souvent sur

  • les processus informatiques,
  • les ventes et le marketing

avant le développement des produits. Cependant, ce rapport expliquera aux DSI et aux directeurs de la technologie comment les entreprises de différents secteurs verticaux utilisent l’organisation produits comme catalyseur de leur transformation numérique, et comment cette décision améliore leurs relations avec les clients.

Principales conclusions

Les sociétés de produits physiques se concentrent sur l’IoT

Pour les organisations produits physiques, l’étape évidente vers une entreprise numérique consiste souvent à connecter des produits et des actifs. Il s’agit d’une tâche complexe qui nécessite

  • une infrastructure technologique intégrée,
  • une grande compétence dans la connectivité et l’Internet des objets (IoT),
  • ainsi qu’une logique claire sur la façon dont les produits connectés répondront aux besoins de leurs clients.

Les sociétés de services construisent des plates-formes numériques orientées client

Les entreprises du secteur des services basculeront vers le commerce numérique grâce à des plateformes numériques axées sur la clientèle. Ces projets doivent être

  • faciles à utiliser,
  • évolutifs
  • et intégrés aux partenaires de l’écosystème

afin de créer de la valeur pour les clients.

Diapositive1

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Taking Digital Regulatory Reporting from Concept to Reality

In its Digital Regulatory Reporting (DRR) project, the U.K. Financial Conduct Authority (FCA), in conjunction with the Bank of England, has invited financial institutions to explore ways to work smarter on these activities by delegating much of the hard work to technology. Success in the endeavour, as the FCA put it, “opens up the possibility of a model driven and machine readable regulatory environment that could transform and fundamentally change how the financial services industry understands, interprets and then reports regulatory information.

Part of the project’s work program was a twoweek “TechSprint,” held in November 2017, that was intended to test the feasibility of fully automated regulatory reporting with straightthrough processing of regulatory submissions. Among the anticipated benefits, accruing to financial institutions and regulators alike, are

  • greater accuracy in data submissions
  • and reduced time, cost and overall effort in generating them.

The TechSprint demonstrated that DRR could be accomplished under such controlled testing conditions and provided a proof of concept. Since then the program has held an extended pilot, as well as industry-led roundtable discussions bringing industry experts together, to try to determine whether and how DRR could be scaled up and put into practice in the real world.

The chief aim of the roundtables is to go over issues – legal, technological and regulatory – that could facilitate or impede the introduction of DRR. Participants in the latest and final one, held in London in June and hosted by Wolters Kluwer, seemed intent on contemplating the limitations of the concept: attempting to identify what a system might be able to do by acknowledging what it most likely will not be able to do.

One thorny matter that was highlighted involves a potential conflict between DRR, which participants generally agreed would be most effective following hard and fast rules – ideally by using a standardized model encompassing many supervisory frameworks employed across multiple jurisdictions – and the principles-based supervisory architecture that has evolved since the global financial crisis. If a substantial portion of the reporting process is handed over to machines, will management judgment be forced to take a back seat in matters of risk management, compliance and overall governance? Put another way, how compatible would DRR be with postcrisis supervisory architecture if interpretation of regulations by bankers is deemed a feature of the latter and a bug of the former?

Diapositive1

Click here to access Wolters Kluwers detailed analysis

 

Accelerated evolution – M&A, transformation and innovation in the insurance industry

Strong appetite for deal activity

Today’s insurers know that maintaining the ‘status quo’ is not a recipe for sustainable growth. They feel the pressure of disruption in the market from

  • new competitors,
  • new technologies,
  • new customer demands
  • and new sources of capital.

They feel the pain of

  • continued low interest rates,
  • volatility in underwriting losses
  • and pressure on profitability,

as investment portfolio yields continue to decline.

Organic growth has been challenging across most of the mature insurance markets. Consider this: Since the start of this decade to 2016, global gross domestic product (GDP) increased by more than 20 percent. Yet the global premium market grew by just 9 percent over the same period. Insurers recognize that things must change if they want to maintain or grow their market share.

“In an era of anticipated disruption of legacy business and operating models, global insurance executives realize that their strategy cannot be about pursuing growth for growth’s sake. When it comes to growth strategy, more of the same is not necessarily the best answer. What may have been a core business in the past may not be in the future,” notes Ram Menon, KPMG’s Global Insurance Deal Advisory Leader.

Today’s insurance leaders are taking a more strategic view of the value of M&A. According to a recent global survey of 115 insurance CEOs conducted by KPMG International, more than 60 percent of insurers now see disruption as more of an opportunity for growth than a threat. And they are using their capital and their M&A capabilities to maximize those opportunities — often by strategically deploying capital towards emerging technology as a competitive advantage to

  • engage customers,
  • generate cash flows
  • and enhance enterprise value.

The good news is that — for the most part — capital and surplus levels are at record highs across life, non-life and reinsurance markets. And most insurers plan to tap into that capital to make deals. In fact, our survey suggests that close to three-quarters of insurers expect to conduct an acquisition and two-thirds expect to seek partnership opportunities over the next 3 years. Eighty-one percent say they will conduct up to three acquisitions or partnerships in the same period. More than 70 percent said they are hoping their deals will help transform their organization in some way. As a top priority,

  • 37 percent hope to transform their business models,
  • 24 percent want to transform their operating models,
  • and 10 percent are looking to acquire new innovation capabilities and emerging technologies

through their acquisitions.

“Insurers increasingly recognize their days of operating business-as-usual numbered. And it’s not small changes market going to be undoing — big ones,” says Thomas Gross with KPMG Germany. Auto insurers, for example, looking at rapid adoption of mobility models and wondering how they add value when car manufacturers or leasers own relationship customer.”

On their path to transformation, insurance companies expect to strategically deploy capital against a range of specific inorganic growth opportunities:

  • transforming their business models for sustainable growth;
  • modernizing their operating models for profitable growth;
  • enhancing customer engagement;
  • and gaining access to innovation and emerging technologies.

“The top factor that will drive insurance acquisitions will be the need for emerging technologies. Insurance companies are all looking at how to put their operations on digital platforms in order to save time and resources both for the company and the customers,” notes the Head of Finance at a China-based property and casualty (P&C) insurer. At the same time, a significant number of insurers also hope to rebalance their portfolio of businesses. Many plan to evaluate whether they should fix or exit businesses that are struggling to achieve returns in excess of their longterm capital rates. This should allow them to remain focused on transforming businesses they consider core for the future while freeing up additional capital for reinvestment into new lines of business and technology capabilities.

As the director of finance at a UK-based non-life insurer notes, “Units that are consistently performing poorly will be segregated to further analyze their positions and whether or not they still fit in the company’s planned structure. We discourage force-fitting any product or company unless it has great potential for generating revenue. If it does not, we look for suitable buyers for the business.”

Our data indicates, insurance executives expect to exit non-core businesses, enter new markets and gain access to new technology infrastructure and operating capabilities via M&A and partnerships, as a way to further diversify their global risks and earnings profile.

Looking beyond the borders

Our survey suggests that the majority of insurers will be involved in some sort of non-domestic deal: 68 percent say they expect to conduct a cross-border acquisition, partnership or divestiture over the next 3 years. Just 32 percent say their top priority will be on domestic activity.

“Over a period of 3 years, we expect to see a lot of M&A transactions overseas. We are looking to expand into regions that are new for us and with acquisitions, you can get going without having to set up a base from scratch or encounter a lot of unforeseen risks,” notes the senior VP for M&A at a global insurance brokerage firm. Perhaps not surprisingly, our data suggests that insurers expect to see the most activity in North America — the US in particular. Given that the US is still the largest insurance market in the world with around 30 percent of the global premium market share, many insurers see the US as a source of steady market growth and relative premium stability.

“The volume of M&A in North America will increase the most in the coming years. With the new tax reforms, insurance companies will pay lower taxes — these new regulations will provide insurers opportunities to grow. Companies from other markets will also want to take advantage of the lower tax rate and will look for ways to expand into the US market,” suggested the CFO at a Bermuda-based reinsurer. Changes to US tax laws will certainly create significant disruption and opportunity for insurers both onshore and offshore. “The reduction in the corporate tax rate to 21 percent makes US assets much more compelling,” notes Philip Jacobs, leader of the Insurance Tax practice with KPMG in the US. “The lower US tax rate has also eliminated some of the offshore tax advantage; the large Bermuda players may still be operating with relatively low effective rates, but the tax differential between operating in the US versus Bermuda has narrowed.”

Latin America, however, expects relatively lower levels of deal activity. “It’s a sellers’ market in Latin America,” notes David Bunce, Senior Client Partner with KPMG in Brazil. “Lots of international insurers want to get into certain Latin American markets, but nobody is really ready to sell.”

At the other end of the spectrum — and the other side of the world — Asia-Pacific is widely viewed as a region of massive growth potential and innovation. China has already become the world’s second largest insurance market (with around 10 percent of
global premium market share) and premiums have more than doubled since 2010. Singapore and Hong Kong have long been key centers of insurance innovation growth.

Asia-Pacific was identified as the geographic region where insurers would most likely seek partnership opportunities. “As insurers seek to expand outside of their traditional distribution networks in Asia, digital partnerships are emerging as a fairly quick way to tap into new customer segments without significant upfront capital investment,” adds Joan Wong with KPMG China. “A digital partnership could unlock significant new growth, which would tip the balance for those making a ‘go or grow’ decision about their businesses.”

The director of investment at a Korea-based international insurer agrees. “Asia has become one of the biggest markets for insurers, and the region’s growing population along with changes in capital regulations will give insurers the backing they need to grow. In China alone we have seen a major increase in the number of companies seeking out new ventures in the insurance sector.”

While the majority of our respondents say they are looking across their borders for growth, those in Asia-Pacific are much more likely to be focused on domestic acquisitions instead. “Most of the markets in Asia are still fairly domestically oriented and there is still significant fragmentation and inefficiency that could be eliminated,” adds Stephen Bates with KPMG in Singapore. “Given the growth potential across the region, it’s not surprising that Asian insurers are thinking about taking advantage of opportunities at home before investing further into foreign markets.”

Somewhat tellingly, insurers expect most of the divestiture activity to originate from Western Europe. As the head of finance and investments at a large French insurer argues, “The persistent compression in global interest rates continues to be a challenge for the insurance industry, and many companies in Europe are aiming to divest in part to cope with this. When you add in the factors of changing regulation and customer demographics, it means that insurance business models have evolved and companies are reshaping themselves accordingly.”

“Insurers in Europe are very interested in diversifying their risk and see adjacent markets as an opportunity to do just that,” notes Giuseppe Rossano Latorre, Head of Corporate Finance at KPMG in Italy. “There are a number of life insurers that are looking at the asset management business, for example, as a potential growth opportunity in the future.”

Our data indicates that in the Life sector, acquisitions will likely focus on finding lower-risk, higher-growth, higher-return assets, particularly around capital-light retirement, investment management and group benefits businesses. However, greater levels of activity should be expected in the Nonlife sector, driven by a growing appetite for more profitable specialty risks and commercial risks, with a preference for commercial risk in the small- and medium-sized enterprise (SME) sector.

What this survey makes clear is that global insurance companies recognize they now have a window of opportunity to strategically allocate their capital across the globe towards achieving and accelerating their transformation strategy.

MandA_Innovation

Click here to access KPMG’s detailed study

The automation journey: types and benefits

Intelligent automation is set to transform our lives. For business services, it promises huge gains, including lower costs along with better market insight into customer experiences.

As a result, many organizations are already using basic robotic process automation (RPA) to carry out simple, rules-based tasks to become more productive.

To realize intelligent automation benefits faster, many organizations want to accelerate the automation journey. In our experience, seeking this goal requires planning that should follow four principles:

  1. Business led; technology enabled
  2. Start small, execute well and scale up rapidly
  3. Develop an internal automation capability to sustain progress
  4. Use RPA to achieve greater productivity and as a stepping stone for enhanced process and cognitive automation that can lead to transformational change

The next step is to introduce more sophisticated intelligent automation classes that have the potential to lead to transformational change.
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Rethinking Automation Myths

Misconceptions about intelligent automation can delay the automation journey or dilute potential benefits. Following are five common myths along with our views on the truth.

  • “ Implementing a bot will significantly improve productivity.” – Yes, but boosting productivity is often more complex than expected. For example, implementing a new process and managing change simultaneously can dilute savings.
  • “We need to transform our processes before adding RPA. »– Ideally yes, but you can incorporate process transformation into your RPA journey, either before or after automation. RPA is another lever that can be combined with more traditional transformation tools.
  • “We can deploy our first bot quickly.” – The pilot can take longer than expected. This is because you need to build the right infrastructure, capabilities and sponsorship. The cost per bot will decrease significantly as you scale up and accelerate your execution speed.
  • “We need to build lots of bots.” – Don’t get mesmerized by volume. Utilization per bot is a better measure for understanding automation effectiveness and efficiency.
  • “We can move straight to cognitive solutions.” – Evaluate your needs and capabilities. While some organizations begin with small cognitive pilots, RPA can also be a stepping stone in your automation journey.

See the bigger picture – Implementing intelligent automation is more than just technological change. It affects components across your operating model.

KPMG3

Click here to access KPMG’s discussion paper