Digital Strategy

Case Study: Transforming Member and Client Experience at a Leading Insurer

Background

A leading insurer embarked on a strategic journey with CLQ to enhance its service model for members and clients within their Engagement business unit. The initiative sought to address key challenges, align digital engagement strategies, and improve client retention through seamless customer experiences. The project culminated in the development of CLQ Experience Blueprints, a strategic framework to guide business-level decision-making for enhanced engagement and retailisation.

Our journey

  • The leading insurer and CLQ adopted a design thinking-led approach to deeply understand client experiences, identify challenges, and co-create solutions. The process followed four key phases:

    1. Discovery & Research

    • Conducted ethnographic and qualitative research through interviews with over 68 participants, including members, clients, advisors, and employees.

    • Gathered external trends and industry best practices to gain an outside-in perspective on the market.

    • Performed internal analysis, mapping employee and client journeys to uncover friction points in interactions.

    2. Insights & Strategy Formulation

    • Identified macro and micro trends affecting insurance and employee benefits (e.g., demographic shifts, digital disruption, and changing consumer behaviours).

    • Created customer personas and behavioural archetypes based on data-driven segmentation.

    • Defined customer experience dimensions (Personal, Coherent, Engaging, Distinctive) to guide experience design.

    3. Blueprint Development

    • Designed high-value customer journeys, such as:

      • Member onboarding and engagement

      • Claims processing (e.g., death, withdrawal, disability)

      • Employer and advisor interactions

      • Retailisation and retention mechanisms.

    • Mapped touchpoints, actions, channels, pain points, and opportunities for each journey.

    4. Implementation & Testing

    • Developed an omnichannel platform with digital tools for enhanced engagement.

    • Integrated self-service functionalities to streamline transactions and reduce operational inefficiencies.

    Piloted the implementation with strategic enablers such as real-time data analytics, automation, and AI-driven personalisation.

  • Through extensive research and stakeholder engagement, key problem areas were identified:

    1. Fragmented Customer Journey

    • Members and employers faced multiple disjointed systems, making information retrieval and transaction execution cumbersome.

    • Lack of real-time data visibility, causing inefficiencies in claims processing and contribution allocations.

    2. Lack of Engagement & Trust

    • Members were disengaged from their financial wellness journey, viewing pension fund contributions as a deduction rather than an investment.

    • Poor communication from advisors and call centres led to frustration, particularly for claims and onboarding processes.

    3. Operational Inefficiencies

    • High dependency on manual interventions created backlogs and errors in member servicing.

    • Siloed teams and disparate systems reduced operational agility and real-time decision-making.

    4. Digital Limitations

    • Limited self-service functionalities, causing high call centre volumes.

    • Inconsistent digital experience across employer portals, HR systems, and direct member touchpoints.

  • Several insights emerged from the research, guiding the transformation strategy:

    1. The Need for an Omnichannel Experience

    • An integrated system architecture was required to provide a single view of members and clients, ensuring seamless engagement across multiple platforms.

    • Self-service digital tools needed to be intuitive, accessible, and capable of handling complex transactions (e.g., claims, fund allocations, advisory interactions).

    2. Personalisation & Data-Driven Decision Making

    • Customer insights and AI-driven personalisation were critical to engagement and retention.

    • Behavioral nudges could drive proactive financial decisions (e.g., alerts on contribution shortfalls or investment opportunities).

    3. Driving Operational Excellence through Automation

    • Lean and agile methodologies were needed to improve service delivery efficiency.

    • AI and automation in claims processing and onboarding could eliminate bottlenecks, improving turnaround times.

    4. Reframing Customer Perception

    • The positioning of employee benefits needed a shift from “forced deductions” to “investment in financial security.”

    • Financial literacy and advisory services needed enhancement to empower members in making informed decisions.

  • The collaboration between CLQ and the organisation led to tangible business and customer experience improvements:

    1. Experience Blueprint Development

    • Created ten high-value customer journeys covering onboarding, transactions, claims, and advisory services.

    • Designed a track-and-measure framework to quantify the return on experience.

    2. Strategic Digital Transformation

    • Omnichannel integration for a seamless client experience across HR platforms, employer portals, and self-service applications.

    • Chatbot and AI-driven advisory services to assist members with decision-making in real-time.

    3. Improved Operational Efficiencies

    • Automation of core processes, reducing processing times for contributions, claims, and advisory requests.

    • AI-driven workflows to optimise response times and enhance personalisation.

    4. Enhanced Member Engagement & Retailisation

    • Personalised financial wellness recommendations based on real-time data insights.

    • Improved digital onboarding leading to increased portal registrations and usage.

    • Higher customer lifetime value through proactive contribution engagement and advisory upselling.

    5. Business-Level Strategic Decision Making

    • The Final DEC Experience Blueprints served as a roadmap for executive leadership to align customer experience with business growth objectives.

    • Provided data-backed insights to increase customer retention and expand market share.

Conclusion

The Experience Blueprints represent a paradigm shift in how the organisation services its members and clients. By leveraging design thinking, digital transformation, and AI-driven automation, the initiative has paved the way for an agile, customer-centric business model.

This case study underscores the power of human-centered design and technology integration in driving business growth, operational excellence, and long-term customer loyalty.

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