International life and pensions insurer
PEP Intelligence Embedded into Underwriting and Claims Controls
Long policy horizons meant PEP status could change mid-relationship. The insurer needed monitoring that respected proportionality while meeting local conduct rules.
Key results
- ✓Automated re-screening tied to premium holidays, lump-sum top-ups, and beneficiary updates
- ✓Clear audit trail linking underwriting decisions to PEP tier and documentation pack
- ✓Reduced manual Google-style searches by analysts through structured media categories
Challenge: lifecycle events, not one-off checks
Traditional onboarding-only screening missed mid-life events that materially changed risk—especially for high-net-worth segments and cross-border beneficiaries.
Underwriters needed concise narratives, not raw watchlist dumps, to integrate with actuarial judgement.
Approach: event-driven compliance
The insurer defined 14 trigger events that re-initiated screening and, where appropriate, source-of-wealth refresh. PrimeGuardia PEP and adverse media feeds fed a case template with mandatory fields per tier.
Senior approval workflows mirrored banking norms for foreign PEPs while respecting insurance-specific distribution channels.
Outcome: defensible proportionality
Supervisory dialogue improved because files contained explicit rationale for continued coverage versus offboarding.
Customer communications became more consistent, reducing complaints tied to unexplained delays.