Top 10 Questions to Ask an Embedded Insurance Provider

July 03, 2025
www.TyClark.consulting
Quick Answer

Ask potential embedded insurance providers about regulatory compliance, API reliability (99.9%+ uptime), claims processing timelines, data security certifications (SOC 2 Type II), customization options, pricing models, implementation support, analytics capabilities, scaling support, and reference customers to ensure successful partnership selection.

Top 10 Questions to Ask an Embedded Insurance Provider

Essential Due Diligence for Embedded Insurance Partnerships

Selecting the right embedded insurance provider is crucial for successful implementation and long-term partnership success. These ten critical questions will help you evaluate potential partners and make an informed decision.

Q1: What is your regulatory compliance status?

Why this matters: Insurance regulations vary by jurisdiction, and working with improperly licensed providers can result in legal issues and customer protection problems.

What to look for: Valid insurance licenses, regulatory oversight documentation, and compliance with local insurance laws in your target markets.

Q2: How robust is your API infrastructure?

Key considerations:

  • API uptime and reliability statistics (aim for 99.9%+)
  • Response time performance metrics
  • Rate limiting and scalability capabilities
  • Sandbox environment availability for testing
  • Documentation quality and developer resources

Q3: What is your claims processing timeline and success rate?

Critical metrics to evaluate:

  • Average claim processing time
  • Claim approval rate by coverage type
  • Customer satisfaction scores for claims experience
  • Digital vs. manual claim processing capabilities
  • Appeals process and resolution procedures

Q4: How do you handle data security and privacy?

Essential security requirements:

  • SOC 2 Type II compliance certification
  • GDPR and CCPA compliance for applicable jurisdictions
  • Data encryption standards (at rest and in transit)
  • Regular security audits and penetration testing
  • Incident response procedures and notification protocols

Q5: What customization options are available?

Customization scope assessment:

  • User interface and branding flexibility
  • Coverage terms and pricing adjustments
  • Underwriting criteria modifications
  • Integration with existing business logic
  • Custom reporting and analytics capabilities

Q6: What is your pricing structure and commission model?

Financial considerations:

  • Commission rates by product type
  • Implementation and integration fees
  • Ongoing platform or subscription costs
  • Transaction-based pricing models
  • Revenue sharing arrangements

Q7: How do you support implementation and ongoing operations?

Support evaluation criteria:

  • Dedicated technical integration support
  • Implementation timeline and milestones
  • Training programs for your team
  • 24/7 technical support availability
  • Account management and relationship support

Q8: What analytics and reporting capabilities do you provide?

Data and insights requirements:

  • Real-time performance dashboards
  • Conversion rate and uptake analytics
  • Claims ratio and profitability reporting
  • Customer behavior and journey insights
  • Custom report generation capabilities

Q9: How do you handle scaling and geographic expansion?

Growth support assessment:

  • Multi-market licensing and compliance
  • Currency and localization support
  • Volume-based pricing adjustments
  • International claims processing capabilities
  • Regional regulatory expertise

Q10: What is your track record and reference customers?

Validation requirements:

  • Case studies from similar industry implementations
  • Reference customer contacts and testimonials
  • Performance metrics from existing partnerships
  • Company financial stability and backing
  • Industry certifications and awards

Evaluating Responses

Create a scoring matrix for each provider based on their responses to these questions. Weight the factors according to your business priorities - technical capabilities might be more important for API integrations, while support quality could be crucial for white-label solutions.

Red Flags to Watch For

  • Vague answers about regulatory compliance
  • Unwillingness to provide reference customers
  • Lack of transparent pricing information
  • Poor API documentation or sandbox access
  • No clear data security certifications
About the Author
www.TyClark.consulting

Ty Clark is an Embedded insurance expert with extensive experience in risk management, technology integration, and industry innovation.