10 Use Cases for Artificial Intelligence (AI) in Insurance (2024)

First and foremost, you need artificial intelligence to process large amounts of data. When we talk about an economic niche such as insurance, it becomes even more relevant. Many companies are actively testing or piloting AI-based solutions to solve their business problems, and the most innovative companies have already implemented them.

Insurance providers are currently implementing AI technologies to help them select the optimal insurance options based on clients’ “digital profiles”. They help evaluate potential risks, send personalized messages to customers, and perform many other essential tasks.

Customers are supporting insurance companies in their innovation efforts by making it more convenient to interact with them. This article provides examples of how AI can be used in the insurance industry that many of you may find interesting.

Personalized Insurance Policy Pricing

Customized pricing is offered by AI systems that evaluate individual risk profiles based on a variety of factors. It has been said that this helps to attract a wider range of customers and improve risk management.

Example:
Metromile’s pay-per-mile insurance model uses AI to assess driving behavior, adjusting premiums accordingly.

Pay-per-mile insurance customizes your rate based on your driving habits. If you drive less, you should pay less.

Risk Assessment and Underwriting

Risk factors are accurately assessed and outcomes are predicted by AI algorithms processing large datasets. Consequently, it leads to better pricing strategies.

Example:

Swiss Re uses AI for detailed life insurance risk assessments, streamlining the underwriting process. Swiss Re uses AI for detailed life insurance risk assessments.

Customer Service Chatbots

For instance, there could be intelligent chatbots offering 24-hour support services for customer inquiries and enabling them to manage their policies and claims online. To this end, there will be higher customer satisfaction levels while lowering the operational costs significantly.

10 Use Cases for Artificial Intelligence (AI) in Insurance (1)

For instance, in health insurance, bots help patients determine the necessary healthcare specialists based on symptoms and learn about the service format that will suit customers best, be it a video call, face-to-face appointment at the clinic, calling a doctor to your place of residence, or bringing an ambulance.

Example:

Geico’s virtual assistant Kate (mobile’s AI-enabled chatbot) helps customers with policy questions and updates anytime.

Automated Claims Processing

Claims data can be interpreted, policy details verified or payout decisions made through AI-based solutions that employ natural language processing and machine learning. The swift processing allows customers to be more satisfied and ensures they remain committed to insurance companies even as they reduce administrative costs.

Example:

Lemonade’s AI, Jim, reviews claims and cross-references them against policy details, often settling claims in mere seconds.

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Fraud Detection and Prevention

Fraud activity such as anomalies in claims data can be detected by AI algorithms. By doing this, millions of dollars can be saved from fraud cases; hence trust is maintained while financial health is upheld.

Example:

One of America’s largest insurance firms, Allstate uses AI tools to scrutinize claims for irregular patterns, successfully identifying fraudulent claims.

Claims Damage Assessment

Computer vision algorithms analyze images and videos for quick and accurate damage assessment in claims. This approach accelerates the claims process, improves accuracy, and enhances customer satisfaction.

If the necessary data is missing in the provided documents, the robot automatically contacts the customers by email and requests the missing information. This approach saves employees time because there is no need to waste time on clarifying phone calls to customers.

Example:

ICICI Lombard utilizes AI for quick assessment of motor insurance claims, using photos and videos of the damage.

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Business Process Automation

AI automation handles routine tasks in insurance like data entry, compliance checks, report generation etc., which cuts human resources for complex tasks reducing errors hence cost effective.

Example:

Zurich Insurance has automated many of its data processing tasks, enhancing operational efficiency.

Read more: “Insurer Zurich experiments with ChatGPT for claims and data mining”.

10 Use Cases for Artificial Intelligence (AI) in Insurance (3)

Predictive Analytics

AI uses past data to forecast future trends, from customer behavior to claim probabilities. It enables better strategic planning and financial management.

AI can quickly and efficiently analyze large volumes of data to identify current trends and consumer needs, considering customer behavior patterns and external factors.

Example:

AXA insurance provider leverages predictive analytics to anticipate claims trends and manage their reserves more efficiently.

Modern Technology Implementation is not a Matter of Desire But a Necessity

Modern technologies and software solutions in insurance are necessary components for the development of companies working in this niche. Artificial Intelligence stands out in this regard, as it is not yet widely used, and many business sectors are just beginning to realize its practical potential.

If you want to gain a competitive advantage, it would be better to become the first to apply AI than to wait for all the other players in the market to do so. Eventually, everyone will benefit from digitalization in the insurance business: insurance providers can save resources, and their customers can receive favorable offers and high-quality tailor-made services.

Let our experience help you realize the potential of AI solutions for your business. We are ready to be your trusted technology partner. Contact us and tell us more about your needs!

Andrii Sydoruk CEO, Managing Partner at SmartTek Solutions

10 Use Cases for Artificial Intelligence (AI) in Insurance (2024)

FAQs

What is a common use of AI in the insurance industry? ›

Artificial intelligence (AI) plays a key role in insurance scam detection by detecting false claims. As a result, insurers can achieve an efficient and effective claims management system. Insurance AI algorithms can analyze huge amounts of data rapidly to find patterns and spot anomalies that don't fit the patterns.

How is AI useful in healthcare insurance? ›

AI is increasingly being used by health insurers to automate a host of functions, including processing prior authorization (PA) requests, managing other plan utilization management techniques, and adjudicating claims.

How is AI used in life insurance? ›

Risk Assessment and Underwriting

Risk factors are accurately assessed and outcomes are predicted by AI algorithms processing large datasets. Consequently, it leads to better pricing strategies. Example: Swiss Re uses AI for detailed life insurance risk assessments, streamlining the underwriting process.

How can Gen AI be used in insurance? ›

Generative AI can automate the generation of insurance quotes, policies, and associated documentation. It can create quotes, policy documents, invoices, and certificates based on predefined templates and customer information, reducing manual administrative tasks. Customer support and engagement.

How many insurance companies are using AI? ›

In surveys conducted by the National Association of Insurance Commissioners (NAIC) in 2022 and 2023, 88 percent of auto insurance companies reported that they use or plan to explore the use of AI in their operations, compared to 70 percent of home insurers and 58 percent of life insurance companies.

What is the most common use of AI in healthcare? ›

AI in Healthcare Applications
  • Improving medical diagnosis.
  • Speeding up drug discovery.
  • Transforming patient experience.
  • Managing healthcare data.
  • Performing robotic surgery.

How does AI contribute to underwriting in insurance? ›

AI Bias in the Underwriting Process. AI can bring more precision to actuarial models and underwriting, allowing insurers to provide tailored coverage to their client base and bolster risk management.

How do health insurers use AI to streamline operations? ›

In claims processing, AI can automate adjudication, reducing processing time and errors while identifying potential fraud. Machine learning algorithms can predict which procedures will likely be approved or denied for utilization management, streamlining the prior authorization process.

How AI is bringing the insurance industry into the future? ›

AI's ability to support personalisation of products and services could lead to the wider use of emerging products such as 'highly dynamic, usage-based insurance (UBI)'. This is where premiums adapt constantly to changing conditions, and billing operates on an 'as-you-go' basis.

How is AI used in insurance pricing? ›

This disruptive technology is reshaping the way insurance pricing is approached. Instead of relying solely on historical data and statistical models, dynamic pricing AI models harness the power of real-time information and sophisticated algorithms to revolutionize the pricing process.

What are the application of AI in banking and insurance? ›

AI algorithms can analyze vast amounts of data in real time, identifying suspicious activities and potential fraud patterns. This proactive approach helps prevent financial losses and protects both customers and institutions.

How is AI used in health insurance? ›

Health insurance companies increasingly use artificial intelligence (AI) and machine learning (ML; a branch of AI) tools—often developed, trained, and tested with real-world data—to accelerate claims, coverage, and prior authorization decisions.

Which one is a key benefit of using generative AI in insurance? ›

Generative AI automates routine insurance tasks, enhancing efficiency and accuracy. It streamlines policy renewals and application processing, reducing manual workload. GAI integration accelerates document handling and data entry processes. It minimizes errors in administrative work, ensuring reliable operations.

Will insurance be replaced by AI? ›

Rather than replacing insurance agents outright, AI is poised to complement and enhance their roles, enabling them to deliver more personalized and value-added services to clients in an evolving digital landscape.

What are some tasks that traditional AI is commonly used for in the insurance sector? ›

Improved risk assessment: AI algorithms can analyze vast amounts of data, including non-traditional data sources, and assess risks. You can train AI for insurance on your demographic data. The adoption of artificial intelligence in insurance results in better pricing models and underwriting processes.

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