Insurance Industry Arms with AI to Outpace Scams

1

The Insurance Council of Australia (ICA) reports the insurance industry is burdened by an estimated $400 million in undetected fraudulent claims in 2023. Such costs inevitably burden consumers through higher premiums and collateral economic impacts.

A report from the US National Insurance Crime Bureau cited a staggering $9.2 billion in inflated disaster claims paid out in 2022 due to scams. ICA has reacted by empowering a specialist fraud prevention team under the leadership of former cybercrime detective Andrew Gill to crack down on organised scam operations.

The rising concern is the technological sophistication scammers employ. A new phenomenon known as “shallowfake” scams, highlighted in a recent Allianz warning, shows fraudsters manipulating images using simple tools like Photoshop to simulate damages, complicating genuine claim approval processes.

Diving deeper, the advent of generative artificial intelligence (GenAI) could complicate issues further. From augmenting photographs to creating realistic phishing attacks, GenAI is proving to be a powerful tool for bad actors. As Shift Technology's head of global partnerships, Drew Whitmore explained, fraudulent claims are reported 58% more often by scammers. “The severity of those claims is over eight times more than the standard,” he noted, demonstrating the intensity of the threat.

Social media platforms are not exempt from misuse, with fraudsters mining public information to craft credible yet deceitful claims. Abhi Bhola from EXL expressed that the era of easy access AI is contributing to diverse fraudulent approaches, warning, “Better AI, which is easily available, is fueling the threat.”

Fortunately, artificial intelligence offers a defense mechanism for insurers. By processing and analyzing vast datasets in real time, AI helps insurers promptly detect abnormalities and nefarious activities before they intensify. Collaborations such as the one between EXL and Shift Technology aim to enhance the precision of fraud detection across the sector.

Preserving the integrity of the insurance ecosystem requires proactive cultural transformations, according to Whitmore, If insurers cannot do that, leveraging any advanced technology will not help. He emphasises the necessity of moving from a reactive stance to forecasting and preemptive action.

The industry anticipates more regulatory cooperation in data-sharing strategies to foster effective anti-fraud measures. As Whitmore emphasized: that Fraudsters are sharing their information, and the industry needs a framework to do this, too.

By harnessing AI and building supportive industry partnerships, insurance companies can expect to mitigate fraudulent losses, protect their consumers’ interests, and uphold their role as trustworthy societal figures, thereby exemplifying positive conduct within their communities.

Published:Thursday, 17th Oct 2024
Source: Paige Estritori

Share this news item:

Insurance News

Insurance Industry Arms with AI to Outpace Scams 17 Oct 2024: Paige Estritori In an evolving battle against growing fraud, the insurance sector is turning to advanced technology as a solution. Despite the continuous advancements in fraud prevention, the creativity of scammers puts pressure on insurers to leverage smarter resources. - read more

Insurance Challenges Loom for Property Owners with Faulty Infrastructure 15 Oct 2024: Paige Estritori In a troubling situation affecting many Western Australian families, defective plumbing is creating significant financial and emotional distress, as insurers increasingly shy away from covering homes plagued by repeated water leaks. - read more

Broker Not Accountable for Passing on Insurer's Instructions 11 Oct 2024: Paige Estritori An Australian homeowner's effort to hold his insurance broker responsible for allegedly misleading him about coverage for emergency tree removal has been dismissed by regulatory authorities. The incident unfolded following a storm that impaired trees on the insured premises. - read more

Insurers Propel Forward in Global Sustainability Rankings 10 Oct 2024: Paige Estritori In a remarkable evolution within the finance sector, insurance companies demonstrate a growing commitment to sustainability, outperforming many global industries, according to Capgemini's latest analysis. - read more

Innovative Fee Protection for Schools: A New Safety Net 08 Oct 2024: Paige Estritori 360 Underwriting Solutions has marked a significant stride in financial resilience for educational institutions by launching a novel insurance product designed specifically for independent schools. This new solution addresses a critical gap by safeguarding schools from potential financial disruptions caused by unpaid fees. - read more