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Mälardalen  University  

School  of  sustainable  development  of  Society  and  Technology   Bachelor  thesis  in  Business  Administration  (15  ECTS-­‐Credits)   Spring  Term  2010  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Aronda

“Black Box”:

Bridging the gap of mistrust

in insurance Relationships –

a study of Damage adjustment

as a critical episode

 

Authors: William Kumassah

Mevludin mujcinovic

Group: 2083

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We would like to take this opportunity to thank the respondents of our study for their time and consideration, who’s input proved invaluable in our research. We would also like to thank Cecilia Lindh, our tutor, who gave us a chance to prove ourselves when, seemingly, nobody else would.

Most of all, we would like to thank our parents for their support and encouragement throughout our education.

Thank you all…

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Subject: Bachelor  thesis  in  Business  Administration    (FEA300)    

Authors: William  Kumassah  

            Mevludin  Mujcinovic  

Tutor: Cecilia  Lindh

Title: The   Aronda   “Black   Box”:   Bridging   the   gap   of   mistrust   in   insurance  relationships  –  a  study  of  Damage  adjustment  as  a   critical  episode  

 

Problem: The  nature  of  insurances,  and  indeed  the  customer-­‐provider  

relationship   in   insurance   services,   lends   itself   to   distinctive   characteristics.   These   characteristics   have   particular   implications   on   overall   perceived   service   and   relationship   quality,   and   thus   customer   retention.   The   arguably   singular   characteristic   of   mutual   mistrust   prevalent   in   insurance   service   relationships,   is   a   source   for   costs   and   lost   profitability  for  insurance  companies  in  Sweden.  Bridging  the   “gap   of   mistrust”,   potentially   offered   by   a   seemingly   simple   service,  could  entail  significant  benefits  for  both  parties  in  an   insurance  service  relationship.  

Research Questions: Does   the   Aronda   Service   have   the   potential   to   improve   a   damage  adjustment  process  in  a  provider-­‐customer  insurance   service  relationship?  

• Can  a  more  effective  damage  adjustment  process  improve   an   insurance   service   relation   between   provider   and   customer?  

 

• To   what   extent   do   the   providers   perceive   that   the   damage   adjustment   process   is   critical   to   a   customer’s   stay   or   switch   decisions   in   an   insurance   service   relationship?      

Purpose: The  aim  of  the  thesis  is  two-­‐fold:    

 

1. The   aim   is   to   investigate   and   describe   the   impact   of   the   damage   adjustment   process   in   customer   relationships   between   the   privately   insured   and   property   insurance   companies  in  Sweden      

 

2. And   to   assess,   the   potential   of   the   Aronda   Service   to   improve   customer   relations   for   insurance   companies   by   improving  (in  terms  of  customer  satisfaction)  the  damage   adjustment  process.      

 

Methodology: A  qualitative  method  with  deductive  reasoning  was  used.  The   highly   contextual   nature   of   customer-­‐provider   relationships   was  deemed,  for  the  purpose  of  the  study,  best  suited  using  a   qualitative  method.  Data  collection  comprised  of  interviewing   several   professionals   pertaining   to   the   field   of   property   insurance  and  damage  adjustment,  academic  literature,  peer-­‐ reviewed  articles,  and  Ph.D.  Dissertations.      

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Theoretical Approach: The  theoretical  approach  is  based  on  consolidation  of  widely   used   theories   in   the   field   of   service   and   relationship   in   the   “Critical   episode   on   insurance   relationships”   perspective,   presented   by   Mikael   Gidhagen,   Senior   lecturer   at   Uppsala   University,   Sweden.   Although   the   perspective   is   originally   created  for  B2B  relationships,  proved  great  applicability  and   relevance.  

Empirical foundation: The  empirical  foundation  consisted  of  a  number  of  interviews   with   respondents   with   extensive   corporate   and   private   insurance   industry   experience.   The   secondary   empirical   information   was   gathered   from   governmental,   consumer   services,   and   industry   regulatory   bodies’   websites   and   publications.

Keywords: Service   and   Relationship   management   and   marketing,  

relationship  quality,  critical  incidents,  damage  adjustment,           customer  satisfaction,  customer  retention,  insurance  service  

relationship,   perceived   quality,   service   encounters,       perceived  quality,  private  insurances  

Conclusion: The   uncovered   prominent   issues   in   insurance   relationships   between   private   individuals   and   property   insurance   service   providers  can  at  the  very  least  be  aided,  if  not  solved,  to  the   benefit  of  both  parties  by  the  proposed  digital  version  of  the   Aronda  “Black  Box”.   As   the  importance   of  documentation  in   more  cases  of  insurance  claims  than  not  are  paramount,  and   by   decreasing   the   coverage   knowledge   gap   of   customers,   facilitating   a   matching   of   service   expectations   and   actual   service   delivery,   customer   satisfaction   can   be   more   readily   achievable  for  insurance  provider.  A  readily  achievable  level   of   customer   satisfaction,   in   turn,   means   probably   prolonged   customer  retention,  and  ultimately  higher  profitability  for  the   insurance  companies.  As  “it  cost  more  to  attract  a  customer,   than  it  does  to  keep  one.”    

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Table of Contents

1. Introduction & Background

1

 

1.1   Background 2  

1.1.1 The Idea of Insurances 2  

1.1.2 The Swedish property insurance market and industry: a brief

overview 2  

1.2 Case Company Background 3  

1.2.1Bridging the gap of mistrust 3  

1.2.2 The Aronda Service: The Digital Version 4  

1.2.3 The Need for Partnership 5

1.3 Problem statement 5   1.4 Research Questions 5   1.5 Purpose 6   1.6 Limitations 6   1.7 Contribution 6  

2. Literature Study

7

 

2.0.1 Prelude: Characteristics of relationship marketing 7  

2.0.2 Prelude II: Using a business-to-business framework in a

business-to-customer setting 7  

2.1 Theoretical Framework: An Overview 8  

2.2 Part I – Understanding Services 9  

2.2.1 What is a Service? 9  

2.2.2 The Intangibility of Services 9  

2.2.3 Service Encounters and Service Quality 10  

2.2.4 Service quality and Service expectations 10  

2.2.5 Relationship Quality: A Dynamic Perspective of Service Quality 11  

2.3 Part II - Understanding Insurances 11  

2.3.1 What is insurance? 11  

2.3.2 The intangibility of Insurance services 11  

2.3.3 The Insurance Service Paradox 12  

2.3.4 Insurances as Distinctive Services – A Comparison 13  

2.3.5 Another Actor – The Damage adjuster 14  

2.4 Part III - Understanding Critical Episodes 14  

2.4.1 What is an Episode? – An interpretation of Episodes 14  

2.4.3 What is a Critical Episode? 15  

2.5 Part IV - A Critical Episode Perspective: the Insurance

Relationship 15  

2.5.1 Damage Adjustment Process: as Critical Episode 15  

2.5.2 A Blueprint: The insurance relationship, the “stay or switch”

model 16  

2.5.3 The Insurance Service quality model 17  

3. Method

19

 

3.1 Outline of study 19  

3.2 Choice of subject 20  

3.3 Research Method: Qualitative 20  

3.4 Deductive reasoning 21  

3.5 Data Collection 21  

3.5.1Primary Data – Why not survey the customers? 21  

3.5.2 Interviews 22  

3.5.3 Secondary Data 24  

3.6 Why these questions? 24  

3.7 Criticism of Sources 26  

3.8 Validity 27  

3.8.1 Why Gidhagen? 27  

3.9 Reliability 28  

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4. Empirical Evaluation

29

 

4.1Part I - Empirical Data: Secondary Sources 29  

4.1.1 The Damage adjustment and Claim Settlement process in

Practice – A simple rendition 29  

4.1.3 Insurance frauds 31  

4.1.4 Swedish quality index – A measure of customer perceived service

quality 31  

4.2 Part II – EMPIRICAL DATA: Primary Sources 33  

4.2.1 FINDINGS – The Interviews 33  

5.

 

Analysis

38

 

5.1 Why documentation is important 38  

5.2 The Damage adjustment is critical, but not decisive 38  

5.3 provider view of the criticality of damage adjustment 39  

5.4 The Aronda service – Bridging the Gap of Mistrust 40  

6. Conclusion

43

 

7. References

1

 

Appendices

5

 

Appendix A: Company Market Share - Property and liability

insurance Market 5  

Appendix B: Glossary of insurance terms 6  

Appendix C: Interviews 7  

interview with Henrik Persson: founder of Aronda AB 7  

Interview with Top Management Representative: Dina Försäkringar 9  

Interview with sales representative: LÄNSFÖRSÄKRINGAR 14  

Interview with Independent damage consultant 16  

APPENDIX D: Customer perceived quality in insurances 20  

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1. Introduction & Background

In   contemporary   business,   competition   has   hardened   and   the   struggle   for   attaining   and   sustaining   market   share   is   becoming   increasingly   intense.   As   a   consequence,   the   customer   orientation   towards   strategizing   has   taken   a   more   central   role   in   today’s   organizations   (Gidhagen   &   Thunman,   1998).   Customer   retention   is   a   goal   most   companies   strive   towards   as   it   “costs   less   to   retain   existing  customers  than  to  attract  new  customers”  (Stone  &  Woodcock,  1995,  p.   95).  Recognizing  the  substantial  impact  of  customer  retention  (Peck  et.  Al,  2004,   p.   46),   in   increasing   numbers,   organizations   are   employing   elements   of   relationship  marketing.  Evidence  to  this  effect  can  be  observed  in  the  extent  to   which   companies   employ   member   cards,   loyalty   cards,   and   discounts   offered   with  repeat  purchase.    

 

In   Sweden   the   property   insurance   industry   is,   in   part,   represented   by   102   national  property  insurance  national  companies,  with  the  five  largest  companies   accounting   for   a   combined   market   share   of   83.6%   (försäkringsförbundet,   2008b).   The   industry   structure   is   indicative   of   intense   competition,   as   it   is   mainly  comprised  of  a  few  large  companies  (Porter,  2008,  p.  144)  Thus,  making   the  issue  of  customer  satisfaction  and  retention,  all  the  more  central.    

 

Studies   have   shown   that   customers   of   insurance   companies   place   substantial   emphasis   on   claims   handling,   also   known   as,   a   damage   adjustment   process,   when  forming  their  opinion  of  their  respective  insurance  companies  (Hörnell  &   Hjelm,   1994   p.   62)   Additionally,   “the   speed   at   which   claims   are   settled   shows   a  

high   correlation...with   favorable   customer   opinion...”   (Hörnell   &   Hjelm,   1994   p.  

62).  “Customer  opinion”  (hereafter  perceived  service/relationship  quality)  is  of   central  importance  in  a  customer-­‐provider  relationship  as,  seen  from  a  critical   perspective,   each   “…encounter   moment…”   (to   which   the   damage   adjustment   process  and  related  encounters  is  no  exception)  can  potentially  “…significantly  

influence  the  future  development  of  the  relationship”  (Gidhagen  2002,  p.  21).                      

 

Property  insurance  is,  in  its  tangible  form,  a  contract  between  a  customer  and   provider,   under   which   the   provider   takes   upon   the   risk   of   potential   loss   or   damage  the  customer  may  suffer,  to  his  property,  in  exchange  for  a  fee,  called  a   premium.  Provided  that  the  customer  can  prove  the  suffered  loss  or  damage,  the   provider   is   contractually   bound   to   reimburse   the   customer,   according   to   the   stipulations   of   said   contract   (Försäkringsförbundet   2005a).   Basically,   when   suffering   a   of   loss   or   damage   to   property,   customer   call   his   or   her   insurance   company   notifying   this   to   the   provider,   thus   making   a   claim,   and   initiating   a   damage  adjustment  process.  A  damage  adjustment  in  property  insurance,  in  the   context   of   this   thesis,   is:   the   service   episode,   or   process,   by   which   through   the  

evidentiary  provision  in,  predominately,  the  form  of  documentation,  a  suffered  loss   or   damage   to   insured   property   under   contractually   predetermined   conditions,   is   assessed,  valued,  and  reimbursed.  It  is  the  implications  of  a  satisfactory  perceived  

damage   adjustment,   on   customer   retention   in   a   provider   –   customer   relationship,  in  private  property  insurance  service  companies  in  Sweden,  that  is   the  topic  and  focus  of  this  thesis.  

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1.1 Background

In  this  section  the  basic  ideas  of  insurances,  an  overview  of  the  Swedish  property  insurance  industry   and   market,   and   a   comprehensive   rendition   of   the   case   company,   Aronda   AB   is   presented.   The  

information   presented   about   the   case   company   is   extensively   used   in   the   empirical   evaluation,   presented   in   the   proceeding   “analysis”   section   in   the   thesis,   in   order   to   purposefully  address  the  prescribed  research  questions.    

1.1.1 The Idea of Insurances

 The   underlying   idea   with   insurances   is   that   although   people   are   constantly   at   risk,   the   chance   of   an   incident   occurring   is   limited   to   a   few   within   a   specified   time   period   or   at   once.   As   such,   the   insured   can   be   compensated   with   a   monetary   amount   exceeding   the   paid-­‐in   premiums.   Premiums   refer   to   the   monetary   fee   paid-­‐in   on   a   regular   basis   to   insurance   companies.   The   price   of   insurance  i.e.  the  premium  is  deduced  from  an  assessment  of  the  amount  of  risk   the  insured  object  or  person  is  under.  The  higher  assessed  risk,  the  higher  the   subsequent   premium.   It   is   these   premiums   that   are   used   to   compensate   the   insured  in  the  event  of  the  actualization  of  a  contingency.  The  ability  to  insure   against   a   risk   lies   in   the   ability   of   the   risk   to   be   defined   and   attributed   a   monetary  value.  A  prerequisite  for  this  is  the  availability  of  the  same  information   for  the  insurance  provider  and  the  insured.  (Försäkringsförbundet,  2005a)    

1.1.2 The Swedish property insurance market and

industry: a brief overview

The   Swedish   property   insurance   industry   consisting   of   102   national   property   and   liability   companies   is   as,   indicated   in   figure   1,   dominated   by   five   large   companies.   The   five   largest   companies1,   compared   to   the   remaining   97   companies,   hold   an   83.6   percent   majority   market   share   of   total   industry   received   premiums.   The   number   of   reported   losses   or   damages   for   2008   by  

privately   insured   individuals   amounted   to   569’424   claims  

(Försäkringsförbundet,   2008b).   The   insurance   industry   in   Sweden   employs   approximately   19   000   people,   with   17   000   employed   by   insurance   companies   directly.   The   remaining   2000   are   employed   by   insurance   brokerages,   independent   damage   adjustment   companies,   and   other   related   businesses   (Försäkringsförbundet,  2005b).                                                                                                                                                   1  See  appendix  C  

Figure  1:  Market  share  division  of  total   property   insurance   market   received   premiums  

The  figure  represents  the  market  share  of   the   total   industry   premiums   paid   in   by   customers,  which  the  five  largest  property   insurance   companies   have   in   comparison   to   the   remaining   97   property   insurance   companies  in  Sweden.      

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Some   4.5   million   households   and   580’000   recreational   homes   represent   the   customer   base   of   Swedish   private   property   and   liability   insurance   services   (Försäkringsförbundet,  2005b).      

1.2 Case Company Background

Aronda  AB  was  founded  in  Sweden,  1996  as  a  private  limited  company  by  Henrik   Persson   as   sole   owner   and   current,   only   employee   of   the   organization.  Having   experienced   a   damage   adjustment   and   claim   settlement   process   on   more   than   one  occasion,  the  unsatisfactory  perception  with  the  damage  adjustment  process,   led  to  his  creation  of  the  service.  Persson  believes  an  effective  way  to  facilitate   the  damage-­‐adjustment  process  in  insurance  claims  is  through  the  consolidation   of  appropriate  documentation.  The  service  is  intended  to  provide  people  with  a   source   where   all   valued   documentation   can   be   organized   and   stored.   Documentation,   such   as   receipts,   wills,   appraisal   documentation,   etc.   Although   other  applications  for  the  service  have  been  identified,  specifically,  the  service  is   to  provide  its  customers  with  affordable  assistance  in  property  insurance  claims   i.e.   the   damage   adjustment   process,   claim   settlement,   and   if   needed,   when   appealing.      

 

Today  the  service  comprises  of  providing  its  customers  with  a  pre-­‐printed  paper   booklet   serving   as   a   template   to   be   filled   out.   The   booklet   acts   as   a   means   to   facilitate  inventory  of  people’s  personal  belongings  and  is  given  to  the  customer   in   two   copies.   There   are   pre-­‐printed   guidelines   referred   to   as   “tips”   in   the   beginning  of  every  section,  such  as  “electronics”  and  “misc  objects”,  as  Persson   recognized   that   different   objects   require   different   forms   of   documentation   to   assert   value.   Hence   the   difference   between   a   TV   needing   a   serial   nr   and   an   inherited   painting   needing   appraisal   documentation   for   value   assertion.   After   the  booklet  is  filled  out,  a  copy  is  for  individual  safekeeping  and  the  other  copy  is   to  be  sent  back  to  Aronda  for  storage.  Once  sent  in  the  booklet  can  be  updated  by   sending   in   the   appropriate   information   needed   for   the   update   and   will   be   performed   by   company   for   a   small   fee.   The   booklet,   sent   for   storage,   can   be   retrieved   at   any   time   by   contacting   the   company   and   providing   an   assigned   password.  

1.2.1Bridging the gap of mistrust

Persson,  has  conceptualized  and  produced  a  simple  service  that,  he  feels,  could   (potentially)   either   partially   or   entirely   bridge   the   gap   between   service   expectations  and  actual  service  delivered  due  to  negative  connotations,  i.e.  “the   gap  of  mistrust”,  in  insurance  service  relationships.  Although  the  service  is  at  its   infancy,  with  what  can  be  described  as  substantial  product  development  before   marketability,  the  Aronda  service  is  felt  to  offer  potential  that  can  substantially   improve   a   seemingly   negative   relationship.   The   basic   idea   of   the   service   is   to   offer  a  platform  (and  potentially  aid)  for  consolidating  documents  (i.e.  photos,  receipts,   bills   of   ownership,   etc.)  to  provide  an  evidentiary  foundation  to  assist  and  possibly  

improve   the   quality   of   damage   adjustment   processes   in   terms   of   customer   satisfaction;  thus  customer  retention.  The  company  is  at  a  pivotal  junction  where   a   decision   needs   to   be   made   of   whether   to   reinvest   or   divest.   The   need   for   product   development   to   increase   marketability   is   a   fact   that   has   not   eluded   Henrik,   as   his   business   earnings   have   been   just   enough   to   keep   the   small  

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business  afloat.    

1.2.2 The Aronda Service: The Digital Version

Side   note:   Readers   should   bear   in   mind   that   the   exact   specifications   and   technicalities   of   the  

conceptualized   digital   version   are,   on   Henrik’s   request,   not   disclosed   because   of   propriety   concerns.    

 

Recognizing   that   the   service   as   it   in   its   current   state   has   limited   marketability,   Persson   has   conceptualized   improvements   entailing   product   development   towards   a   web-­‐based   platform.   The   platform,   is   to   open   a   communication   channel  between  the  insured  and  their  respective  property  insurance  companies,   in   a   readily   accessible   and   more   tangible   manner,”   so   that   the   customer   knows  

what   he   should   get,   and   the   company   what   they   their   customers   actually   have“  

(appendix   C).   The   attributes   of   the   new   service   Henrik   felt   comfortable   us   disclosing  entail:  

Customer Benefits:  

• A  more  accurate  insured  amount2,  as  a  calculated  total  value  of  all  material   possession  registered  in  the  system,  enables  the  customer  to  sign  a  contract   that  is  accurate  to  what  can  be  compensated.  Having  an  insured  amount  that   is   higher   than   the   calculated   total   value   results   in   a   higher   premium   than   necessary.   In   the   opposite   situation,   with   a   total   value   lower   the   insured   amount  can  entail  under-­‐compensation  suffering  a  loss.  

 

• A   more   comprehensive   understanding   of   coverage,   in   contrast   to   the   terms   &   conditions   stipulated   in   the   contract   received   when   signing   an   insurance,  for  the  insured  to  understand  how  much  compensation  he  or  she  is   entitled  

 

A,   relatively3   cheap,   consolidation   of   necessary   documentation   for   damage  

adjustment,  readily  accessible  and  organized,  entailing  simply  a,  more  or  less,   direct  transference  of  the  service  as  it  is  today  to  an  internet-­‐based  platform,   and  all  the  adherent  advantages  and  disadvantages  of  the  platform.    

 

Provider Benefits:  

• A  More  effective  handling  of  damage  adjustment  process,  in  terms  of  time   and  relevant  costs  related  to  asserting  ownership  and  value  of  claimed  loss  or   damage  by  the  insured  

 

• Possible   reduction   of   Insurance   frauds,   depending   on   the   acceptance   of   Persson’s   proposal   of   a   “specialized”   property   insurance   offering   by   the   provider,  based  on  the  service.  

 

• Another   Communication   Channel,   provided   that   the   insurance   companies   engage  in  a  partnership  with  Persson’s    

                                                                                                                2  See  appendix  B  

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1.2.3 The Need for Partnership

If  made,  the  choice  to  reinvest  is  accompanied  with  a  new  strategy  to  reduce  risk,   entailing  offering  the  service  to  consumers  either  through  or  from  referrals  from   insurance   companies;   and   the   development   of   a   “digital   version”   of   service.   However,   the   reinvestment   efforts   present   a   substantial   liability   (relative   to   personal  income  and  assets)  for  Mr.  Persson.    

 

It  is  out  of  this  necessity  that  the  purpose  of  this  thesis  stems.  The  topic  at  hand   is   based   on   the   (self-­‐)   perceived   unique   selling   point   of   Henrik’s   service.   From   which,  the  potential  of  the  service  to  improve  an  insurance  service  relationship  is   to   be   described,   investigated,   and   academically   assessed   from   a   theoretical   foundation  of  the  criticality  of  damage  adjustment  processes  to  said  relationship.    

1.3 Problem statement

Insurances,   being   classified   as   a   service,   are   as   such   inherently   intangible   (Zeithaml   et.   al,   2006,   p.   6;   Gidhagen,   2002,   p.   36).   Although   insurances   share   general  service  characteristics  such  intangibility  and  inseparability,  the  nature  of   insurances,   however,   lends   itself   to   distinction   from   other   services.   Michael   Gidhagen,   in   his   Ph.   D.   dissertation,   critical   business   episodes,   attributes   the   distinction  to  the  proposed  notion  of  “insurance  service  paradox”  (2002,  p.  58).   Basically,   the   insurance   service   paradox   stems   out   a   mutual   mistrust   between   parties.   On   behalf   of   the   insured   this   can   be   seen   in   the   interpretive   nature   of   insurance  policy  terms.  On  behalf  of  the  insurer,  by  the  evidentiary  requirement   imposed   (Bolding,   1983,   p.   9)   on   the   insured   and   the   assessment   process   undertaken   in   damage   adjustments.   The   paradox   lies   in   the   seemingly   positive   outcome  of  “safety”  for  the  insured  (Gidhagen  2002,  p.  56).  This  notion  will  be   more  thoroughly  discussed  at  a  later  stage  in  the  thesis.    

 

Having  introduced  the  “distinctive”  nature  of  the  insurance  service  relationship  as   being,  seemingly,  based  on  mistrust  in  conjunction  with  the  intense  contemporary   industry   competition;   further   attest   to   the   criticality   of   service   encounters   and   customer  satisfaction.  Damage  adjustment  as  the,  arguably,  most  tangible  element  of   insurance   services,   is   argued   to   bare   critical   importance   and   influence   on   the   provider-­‐customer   insurance   service   relationship.   Further   more,   it   is   argued   that   the  “criticality”  of  damage  adjustments  in  insurance  service  relationships  extends  to   bare   significant   influence   on   customer   retention   in   the   form   of   “stay   (with)   or   switch   (from   provider)   decisions”   by   customers   (Gidhagen,   2002).   The   arguably   singular   characteristic   of   mutual   mistrust   prevalent   in   insurance   service   relationships,  is  a  source  for  costs  and  lost  profitability  for  insurance  companies  in   Sweden.   Bridging   the   “gap   of   mistrust”,   potentially   offered   by   a   seemingly   simple   service,   could   entail   significant   benefits   for   both   parties   in   an   insurance   service   relationship.      

1.4 Research Questions

This  thesis  aims  to  answer  the  following  questions:  

 

Does  the  Aronda  service  have  the  potential  to  improve  a  damage  adjustment   process  in  a  provider-­‐customer  insurance  service  relationship?  

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• Can  a  more  effective4  damage  adjustment  process  improve  an  insurance   service  relationship  between  provider  and  customer?  

 

• To  what  extent  do  the  providers  perceive  that  the  damage  adjustment   process  is  critical  to  a  customer’s  stay  or  switch  decisions  in  an  insurance   service  relationship?  

 

To  answer  these  questions  we  will:  

 

• Apply   widely   used   and   accepted   theories   of   service   and   relationship   and   management  and  marketing  

• Investigate  and  scrutinize  the  Swedish  damage  adjustment  process  

• Assess   the   viability   of   the   Aronda   service’s   potential   as   a   service   to   be   offered   by   or   referred   to   by   insurance   companies,   based   on   the   contemporary  damage  adjustment  process  and  a  theoretical  foundation    

1.5 Purpose

The  aim  of  the  thesis  is  two-­‐fold:      

1. The   aim   is   to   investigate   and   describe   the   impact   of   the   damage   adjustment   process   in   customer   relationships   between   the   privately   insured  and  property  insurance  companies  in  Sweden    

 

2.  And   to   assess,   the   potential   of   the   Aronda   Service   to   improve   customer   relations   for   insurance   companies   by   improving   (in   terms   of   customer   satisfaction)  the  damage  adjustment  process.      

1.6 Limitations

The   thesis   is   limited   in   that   it   only   investigates   the   customer   relationship   between   Swedish   property   insurance   companies   and   their,   privately   insured,   customers   in   Sweden.   And   in   that   the   scope   of   the   empirical   investigation   is   confined  to  Sweden,  and  its  five  major  property  insurance  companies.    

1.7 Contribution

This  thesis  is  the  result  of  the  specific  situation  of  Aronda  AB.  The  contribution   of   the   thesis   is   limited   to   an   insurance   service   relationship,   as   it   has   specific   characteristics,   and   thereby   specific   implications   on   a   customer-­‐provider   relationship.  The  application  of  this  thesis,  however,  also  extends  to  those  whom   have   a   general   interest   in   relationship   marketing,   and   want   to   gain   a   deeper   understanding   of   the   topic   and,   specifically,   how   it   relates   to   the   insurance   industry.          

 

   

                                                                                                               

4  Effective,  is  a  reference  made  to  a  correspondence  between  service  expectations  and  actual  

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2. Literature Study

In   this   section   the   theoretical   framework   against   which   the   subsequent   collected   empirical   data   is   compared   and   contrasted,   is   presented.   The   literature   study   consists  of  four  parts,  with  the  first  three  “building”  upon  each  other,  leading  to  a   consolidated  perspective  in  the  final  part.  

2.0.1 Prelude: Characteristics of relationship

marketing

In  relationship  marketing,  focus  is  on  creating  superior  value  of  the  offering  in   cooperation  with  the  customer,  achieved  through  advantages  found  in  long-­‐term   relationships   (Gidhagen   2002,   p   .44).   Customer   retention,   in   contrast   to   customer   acquisition,   is   characteristic   of   relationship   marketing,   achieved   by   a   mutual   exchange   of   value   and   fulfillment   of   promises   (Grönroos,   2000,   p.   26).   Establishing   a   relationship,   according   to   Grönroos,   involves   making   promises.   Maintaining   a   relationship   is   based   on   the   fulfillment   of   made   promises,   and   enhancement  of  the  relationship  requires  a  making  and  keeping  of  a  new  set  of   promises,  on  behalf  of  both  parties.  (Grönroos,  2000,  p.  26)  

2.0.2 Prelude II: Using a business-to-business

framework in a business-to-customer setting

A   business-­‐to-­‐business   relationship   (B2B)   differs   from   a   business-­‐to-­‐customer   (B2C)  relationship,  as  it  is  usually  longer,  more  complex,  involving  more  people,   requires  more  service  encounters,  and  is  highly  individualized  (Gidhagen,  2002,   p.  59-­‐60;  Kotler  &  Keller,  2006,  p.  211-­‐212).  As  mentioned,  (see  2.7.1  and  2.8.1)   the   theoretical   framework   used   in   this   thesis   is   an   application   of   a   framework   created   for   business-­‐to-­‐business   relationships.   However,   in   the   context   of   insurances,   damage   adjustment,   critical   incidents,   and   for   reasons   previously   prescribed   (see   3.8.1   and   3.9.1),   these   differences   between   B2B   and   B2C   relationships  are  deemed  minor.    

 

The  relationship  between  private  individuals  and  an  insurance  provider,  we  feel,   encompasses   all   the   attributes   of   professional   services   in   B2B   relationship,   although  possibly  with  varying  extents  of  certain  characteristics.  That  is  to  say,  a   business   relationship   might   be   more   complex   (involving   more   people),   longer,   and  require  more  service  encounters.  However,  the  characteristic  “intangibility”,   for   instance,   we   feel,   is   reasonable   to   assume   is   just   as   high5   in   a   B2C   relationship.  Because  of  substantially  more  similarities  than  differences,  and  the   varying   extent   of   certain   characteristics,   which   is   contextual,   and   for   reasons   specified  (see  3.8.1  and  3.9.1),  the  presented  theoretical  framework  is  deemed   applicable  in  a  B2C  relationship.  

                                                                                                               

5  The   assumption   here   is   that   since   the   same   core   service   and   outcome   is   delivered   to   both  

business  and  private  individuals,  there  is  no  reason  to  conclude  that  one  is  more  intangible  than   the  other.  

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2.1 Theoretical Framework: An Overview

                                               

As  outlined  by  figure  2,  the  theoretical  framework  of  our  thesis  is  divided  into   four   parts.   The   three   foundational   parts,   namely,   “understanding   services,   “understanding  insurances”,  and  “critical  episodes”  together  form  the  base  upon   which   the   theory   “A   critical   Episode   perspective:   the   insurance   relationship”   rests.  Understanding  the  three  foundational  theoretical  aspects  are  essential  to   fully   grasping   the   implications   presented   by   the   top   theory,   as   it   encompasses   aspects  of  all  three  fields.    

 

Understanding   that   insurances   are   services   entailing   issues   of   tangibility   and   thereby   having   significant   implications   on   customer   relationships   is   of   central   importance.   This   is   illustrated   by   the   central   position   of   the   respective   theoretical   framework   in   the   middle   of   the   triangle   base.   “Understanding   insurances”,   offer   readers   a   definition   as   to   what   insurance   actually   are   and,   amongst   other   things,   what   is   distinctive   about   insurance   services   and   the   consequent   paradoxes   that   arise.   In   “Understanding   Critical   episodes”,   critical   episodes  are  defined  and  describe  in  correlation  to  customer  relationships.  The   top   of   our   theoretical   framework   pyramid   presents   a   consolidation   of   all   preceding   theory   sections   into   one,   creating   essentially   the   backbone   upon   which  the  empirical  evaluation  is  done.        

A  Critical   Episode   perspective:   The  Insurance   Relationship   Understanding   Insurances   Understanding   Services   Understanding   critical   episodes  

Figure  2:  The  Pyramid  of  Understanding  -­‐  Theoretical  framework  

The   theoretical   framework   consists   of   four   parts,   represented   by   the   respective   triangles.   The   theoretical   aspects   taken   up   in   various   sections   represented   by   the   purple,   green,   and   blue   triangle,  serve  as  a  foundation  upon  which  the  main  perspective,  depicted  by  the  read  triangle,  is   built.  

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2.2 Part I – Understanding Services

The  following  offers  a  definition  and  description  of  nature,  characteristics  and  elements  of  services.  

2.2.1 What is a Service?

Arguably,  it  can  said  that  all  contemporary  businesses  offer  some  kind  of  service,   be  it  via  offering  instruction  manuals,  after  sales  support,  or  a  teller  at  the  bank   (Gidhagen,  2002,  p.  35;Zeithaml,  2006,  p.  10).  There  are  however,  variations  in   types  of  services  ranging  from  “…  an  interpersonally  delivered  service  involving  a  

complex   relationship,   to   a   service   more   like   a   commodity   with   a   tangible   core   product”  (Gidhagen,  2002,  p.  35).  An  example  of  the  prior  is,  the  topic  at  hand,  

insurances  and  an  example  of  the  latter  is  a  fast  food  restaurant.  It  is  in  part,  this   range,   which   makes   services   complex.   But   more   so,   it   is   predominately   the   adherent  intangibility  of  services  that  contributes  to  their  complexity  (Gidhagen,   2002,  p.  35).    

 

Services  can  simply  be  defined  as  “deeds,  processes,  and  performances”  (Zeithaml   et  al,  2006  p  4).  However,  a  more  comprehensive  definition  describes  services  as   being:  “…A  process  consisting  of  a  series  of  more  or  less  intangible  activities  that  

normally,   but   not   necessarily   always,   take   place   in   interactions   between   the   customer   and   service   employees   and/or   physical   resources   or   goods   and   or   systems   of   the   service   provider,   which   are   provided   as   solutions   to   customer   problems.”  (Grönroos,  2000,  p.  46)      

2.2.2 The Intangibility of Services

It   is   because   services   are   individually   perceived   and   intangible   that   they   commonly   are   expressed   in   abstract   terms   such   as   feeling,   trust,   security,   and   experience.  That  a  service  is  intangible  is  often  a  reference  made  to  the  difficulty   in  it  being  able  to  be  perceived  through  sight,  hearing,  taste,  or  smell  (Gidhagen,   2002,  p  36).  It  is  a  difficulty  in  sensory  evaluation  that  results  in  a  subsequent   difficulty   in   comprehension.   That   services   cannot   be   seen,   smelled,   heard,   or   tasted,   makes   them   understandably   difficulty   to   cognitively   define,   grasp,   and   formulate  (Donnelly  et.  al,  1985,  p.  52)  

 

The   nature   of   services   lends   itself   to   commonality   in   that   they   are   personally   (individually)   perceived,   in   other   words,   to   being   heterogeneous.   Despite   the   seemingly   heterogeneous   nature   of   services,   there   are   common   traits   to   be   found  (Zeithaml  et.  al,  2006,  p.  22-­‐24;  Gidhagen,  2002,  p.  36):  

 

1. The   customer   is   often   directly   and   actively   in   the   production   process  

(simultaneous  production  and  consumption)  

 

2. Services  are  more  or  less  intangible,  making  the  provided  solutions  difficult   for  the  seller  to  explain  and  for  the  buyer  to  evaluate,  both  pre-­‐and,  in  some   cases,  post  purchase  (intangibility)  

 

3. Many   non-­‐standardized   services   are   closely   linked   to   the   individuals   representing  the  service  provider  (inseparability)  

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4. Services  often  consist  of  a  subsystem  of  services,  where  quality  depends  on   how  the  customer  perceives  the  whole  service  entity  (heterogeneity)              

 

The  predominantly  heterogeneous  nature  of  services  makes  comparison  based   on  previous  experience  difficult.  As  a  result  any  customer  evaluation  of  a  service   such   as   financial   advice   or   financial   product   recommendations,   must   be   based   on  trust  in  the  financial  adviser  (McKechnie,  1992,  p.  5).    

2.2.3 Service Encounters and Service Quality

Expectations,  due  the  difficulty  in  comparison  with  past  experience,  previously   mentioned,   serve   as   a   predetermined   standard   against   which   customers   compare   a   service   experience.   In   the   absence   of   immediate   tangible   evidence,   there   is   a   possibility   that   the   service   delivery   process   itself   and   its   price   level   form   the   base   of   customer   expectations,   rather   than   the   actual   core   service.   (Gidhagen,  2002,  p.  38).  In  service  production,  customers’  actively  participate  in   the   production   process,   and   thereby   have   a   possibility   of   influencing   both   productivity   and   quality.   This   interaction   means   that   the   value   of   relationship   outcome   is   based   on   the   contributions   of   both   service   provider   and   customer   (Ennew  &  Binks,  1996,  p.  12).  

 

The  service  exchange  process  can  be  thought  of  as  consisting  of  two  aspects:  The   service  encounter,  defined  as  “the  period  of  time  when  buyer  and  seller  meet  and  

engage   in   behaviors   and   activities   intended   to   lead   to   the   development   of   a   relationship  (Bejou,  Edvardsson  &  Rakowski,  1996,  p.  36)”  and  service  delivery.  

Each   relationship   situation   is   unique.   As   such,   the   customer’s   perception   of   service   encounters   is   crucial   for   the   evaluation   of   the   overall   service   quality,   thereby,  the  future  development  of  the  relationship  (Bitner,  Booms  &  Tereault,   1990,  p.  72)  

 

Each  service  encounter,  also  known  as  “moment  of  truth”  provides  the  customer   with  a  “snapshot”  of  the  service  provider’s  level  of  quality.  The  accumulation  of   perceptions   from   service   encounters   contributes   to   a   customers’   overall   satisfaction  with  the  quality  and  disposition  to  use  the  providers’  service  in  the   future.  Service  encounters,  therefore,  offer  an  opportunity  for  service  providers   to  display  the  quality  of  his  or  her  service  to  the  customer  (Grönroos,  1990:42).   As   such,   provider-­‐customer   interactions   have   a   substantial   impact   on   a   customer’s  future  loyalty  and  buying  behavior  (Grönroos,  1990;  Arantola,  2002).    

2.2.4 Service quality and Service expectations

Service  quality  is,  simply  put,  a  comparison  made  by  customers,  comparing  the   predetermined  expectations  of  the  service  and  the  actual  service  performance.  It   is  important  that  both  parties  perceive  value,  as  any  relationship  not  perceived   as  mutually  beneficial  is  probably  terminated  (Hougaard  &  Bjerre,  2002,  p.  171).     A  more  comprehensive  definition  of  service  quality  defines  it  as:  “…a  cognitive  

judgment   of   service   performance,   created   in   the   interaction   between   the   service   provider  and  the  customer,  and  reflecting  the  delivered  service’s  compliance  with   the  customers’  requirements  and  expectations”  (Gidhagen,  2002,  p.  40).    

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Service  expectations  constitute  a  standard  from  which  comparative  judgment  is   made.  When  the  service  performance  exceeds  this  subjective  and  predetermined   standard,   it   can   be   considered   to   result   in   customer   satisfaction,   while   the   opposite  can  be  considered  to  yield  customer  dissatisfaction.  (Gidhagen,  2002,  p.   41).      

2.2.5 Relationship Quality: A Dynamic Perspective of

Service Quality

In   contrast   to   a   static   view   of   service   quality,   relationship   quality   is   a   concept   that   considers   service   quality   to   be   involving   “continuous   conscious   or  

unconscious   re-­‐evaluation   of   the   relationship   based   on   previous   experience”  

(Gidhagen,  2002,  p.  42).  As  such,  in  contrast  to  being  subject  to  a  static  standard   or  measure,  providing  a  more  dynamic  perspective  to  service  quality.  From  this   perspective,  the  roles  of  separate  interactions  and  episodes  are  seen  in  relation   to  the  overall  perceived  quality,  with  relationship  quality  being  defined  as  “the  

customer’s   cognitive   evaluation   of   the   service   in   a   dynamic   perspective”   and  

perceived  relationship  quality  as  “…a  cognitive  judgment  of  a  service,  seen  in  the  

customer’s   perspective,   involving   continuous   re-­‐evaluations   based   on,   for   example,   previous   service   experience   and   provided   information”   (Liljander   &  

Strandvik,  1995,  p.  142;  Gidhagen,  2002,  p.  42)    

2.3 Part II - Understanding Insurances

The  following  offers  a  definition  and  description  of  nature,  characteristics  and  elements  of   insurance  services,  and  the  accompanying  “insurance  service  paradox”  

2.3.1 What is insurance?

Insurances   are   classified   as   professional   and   financial   services.   Professional   services  have  the  characteristics  as  prescribed  in  table  2.  Financial  services  refer   to  “services  provided  by  the  finance  industry,  which  encompasses  a  broad  range  of  

organizations,   insurance   companies   included,   that   deal   with   the   management   of   money”  (Wikipedia,  n.d.)  

 

 “The  function  of  insurances  is  to,  through  the  usage  of  various  scientific  calculation   models,  profitably  provide  an  economic  contingency  to  the  collective  of  insured,  by   the   division   of   risk”   (Försäkringsförbundet,   2005a).   Basically,   insurances   divide  

the  risk  of  non-­‐regular  occurring  events  amongst  a  significant  amount  of  people.    

2.3.2 The intangibility of Insurance services

Insurances,   being   services,   are   inherently   intangible.   Intangible   to   the   extent,   that   the   only   tangible   evidence   of   the   service   is   a   signed   contract   (Gidhagen,   2002,   p.   55).   However,   the   lack   of   physical   evidence   of   the   service,   does   not   diminish  the  importance  of  intangibles,  but  increases  them.  As  in  the  absence  of   physical  evidence,  the  service  delivery  process  itself  forms  the  base  of  customer   expectations.   That   being   said,   the   intangibility   of   insurances   makes   non-­‐ contractual   elements   of   the   insurance   offering   increasingly   important.   Non-­‐ contractual   elements   can   be   considered   consisting   of   pre-­‐sale   services,   policy-­‐ period   services,   and   claims   services   (Meidan,   1996,   p.43).   Gidhagen   argues,   without   diminishing   the   importance   of   additional   services   in   insurances,   that   Meidan’s   rendition   is   too   simple   and   as   such   should   encompass   the   damage  

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adjustment   process   in   the   policy-­‐period.   Furthermore,   it   is   argued   that   an   insurance  service  does  not  actually  prove  its  value,  i.e.  made  tangible,  unless  the   customer   suffers   a   loss.   As,   prior   to   a   loss   (initiating   a   damage   adjustment   process)  the  customer  is,  technically  paying  for  the  (highly)  intangible  service  of   risk  reduction  and  spreading  of  risk.  (Gidhagen,  2002,  p.  56)  

 

Signing  an  insurance  policy  can,  simply,  be  considered  as  customers’  adhering  to   a  human  fundamental  need  of  “safety”  identified  in  Maslow’s  hierarchy  of  needs   (Kotler   &   Keller,   2006,   p.   185).   A   rendition   of   safety   needs   by   Gummesson   (1999,  p.  24)  encompasses  aspects  such  as  honesty,  trust,  reliability,  promises,   and   reduction   of   uncertainty   and   risk.   While   other   authors   (Liljander   &   Strandvik,  1997;  Alford  &  Sherrell,  1996)  consider  an  emotional  response  as  the   response   to   a   core   service   delivered,   Gidhagen   (2002,   p.   57)   asserts   that   “the   feeling  of  security  (the  emotion)  is  not  only  essential  to  service  satisfaction,  but   comprises   in   itself   the   actual   service   provided   during   a   large   part   of   the   insurance  relationship.”  

2.3.3 The Insurance Service Paradox

Prior   to   a   loss,   the   (customer)   perceived   service   can   be   considered   to   be   the   intangible   feeling   of   security.   However,   after   suffering   a   loss,   the   insurance   service   enters   a   new   dimension,   namely   the   damage   adjustment   and   claim   settlement  process.  This  according  to  Gidhagen  (2002,  p.  57)  is  indicative  that  a   customer  perceived  insurance  service  has  two  components.  Namely:  

 

1. A  feeling  of  security  –  the  feeling  of  emotional  and/or  economic  security,   as  managed  by  the  insurance  provider  during  a  relationship  free  of  losses    

2. The   damage   adjustment   and   claim   settlement   process   –   the   service   process   delivered   when   a   loss   has   occurred,   constituting   the   more   tangible   part   of   the   service.   More   tangible,   as   it   results   in   some   form   of   compensation  to  the  insured,  according  to  promises  made.    

 

Insurance   services   are   particular   in   that   the   insurer-­‐insured   relationship   is   entered  with  what  can  be  described  as  “generic  mutual  mistrust”.  This  Gidhagen   (2002)   attributes,   to   a   traditional   view   of   the   institutionalization   and   bureaucracy  of  the  insurance  system,  where  the  “small  print”  in  policy  contracts   is  considered  very  likely  to  be  used  against  the  insured  in  case  of  loss,  as  a  way  to   avoid  payouts  of  compensation.  While  from  the  insurance  provider’s  perspective,   it   is   the   risk   that   the   insured,   in   instances   of   loss,   may   attempt   to   be   over-­‐ compensated   by   providing   false   or   deceitful   information   that   is   the   source   of   mistrust.  That  is  why,  in  cases  of  loss,  the  insurance  company  are  compelled  to   investigate   the   matters,   prior   to   accepting   any   claims.   It   is   this   situation   that   Gidhagen,  defines  as  an  “insurance  service  paradox”.  (Gidhagen,  2002,  p.  58)      

The  paradox  lies  in  that,  despite  the  generally  negative  undertone  of  insurance   services,   something   positive   is   created.   For   the   insured   it   is   the   basic   human   need  of  “safety”  and  for  the  insurance  provider,  compensation  for  assumed  risks   in   the   form   of   premiums.   Another,   distinct   aspect   of   insurance   services,   is   the   fact   that   both   provider   and   customer   would   rather   see   non-­‐delivery   of   the  

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complete   service.   In   other   words,   the   customer   would   preferably   not   sustain   a   loss,   and   the   insurance   provider   would   rather   not   have   to   compensate   the   insured  for  a  sustained  loss.  (Gidhagen,  2002,  p.  58)        

 

They  way  in  which  the  insurance  provider  manages  the  relationship  both  during   mundane   loss-­‐free   situations,   and   the   damage   adjustment   process   can   be   considered   to   have   significant   influence   on   the   customer’s   overall   service   perception.   Thereby,   also   influencing   the   decision   to   maintain   or   end   the   relationship.   These   paradoxes   “accentuate   the   significance   of   the   insurance  

representative’s   role   as   the   service   provider’s   relationship   manager”.   (Gidhagen,  

2002,  pg.  58)  

2.3.4 Insurances as Distinctive Services – A

Comparison

Insurance  services,  being  professional  services,  are  characterized  by  a  high  level   of   intangibility   and   complexity,   making   them   difficult   for   customers   to   comprehend.   Professional   services   are   also   often,   highly   individualized   and   usually   entail   elements   of   a   long-­‐term   perspective   “where   the   services   are  

delivered  during  a  continuous  stream  of  encounters”.  This  mixture  of  qualities  and  

characteristics,   of   professional   services   means   that   customer   perceived   reliability   and   perceived   trustworthiness   of   the   relationship   manager   (usually   the   provider   representative)   is   of   outmost   importance,   as   it   greatly   influences   the   relationship.     (Gidhagen,   2002,   p.   60)     As   previously   mentioned,   insurance   services   entail   characteristics   that   are   distinctive   from   other   services.   These   characteristics  or  the  subsequent  paradoxes  due  to  the  nature  of  insurances,  also   distinguishes   insurance   services   from,   more   specifically,   other   professional   services   as   well.     The   distinction   between   insurance   services   and   other   professional  service  are  presented  in  table  1,  and  2.  

   

Professional  Services    

Highly  Complex   Highly  Intangible  

Highly  dependent  on  credence  qualities   Highly  individualized  

Often  difficult  for  the  customer  to  fully  comprehend   Customers  often  unsophisticated  about  the  service   Long-­‐term  in  nature  

Delivered  during  a  continuous  stream  of  service  encounters  

The  relationship  manager  is  essential  for  the  creation  of  trust  in  the  provider    

Table  1:  Professional  services  (Gidhagen,  2002,  p.  60)                                                                          

The  table  presents  various    general  characteristics  of  professional  services  

           

Figure

Figure	
  2:	
  The	
  Pyramid	
  of	
  Understanding	
  -­‐	
  Theoretical	
  framework	
  
Figure	
  3:	
  A	
  Blueprint	
  of	
  an	
  insurance	
   relationship	
  –	
  Customer	
  perspective	
   (Gidhagen,	
  2002,	
  p.	
  62)	
  	
  	
  
Figure	
  4:	
  The	
  Insurance	
  Service	
  Quality	
  Model	
   (Gidhagen,	
  2002,	
  p.	
  63)	
  	
  	
  
Figure	
  5:	
  Outline	
  of	
  Study	
  
+3

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