Looking back at the past year, it is no surprise that the insurance industry is in a state of transition.

Advancements in technology, ever-changing rules and regulations, fluctuating demographics and economic pressures have forced organizations to be flexible, adapting to changes both foreseeable and unpredictable.

KPMG's 2013 Industry Outlook Survey, which recorded the responses of 101 senior executives at U.S.-based insurance companies, examines how the industry is handling the constant fluctuations.

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