Blog | Banking & Financial Services
13th December,   2024
Keshav is an enthusiastic technologist in the insurance domain with experience in digital transformation for large insurers. He has worked for clients spanning Life, Health, and P&C insurance players to MGAs and brokers. He focuses on simplifying insurance through technology, having worked on all value chain elements from product development to distribution to underwriting and claims transformation.
Anyone who has previously purchased insurance can narrate how tricky it was to fill out forms and understand the product features of their insurance provider. AI can transform the insurance industry, making it more efficient and customer centric. Near-instant claims processing and personalized policy offerings create a seamless experience for customers, agents, and insurers. These innovations are empowering insurers to shape the future of the industry. AI amplifies operational efficiencies and enhances customer experience for insurers by:
The above methods boost profit margins, allowing insurers to create innovative products with competitive premiums and differentiated experiences. Let us dive deep into a few emerging AI use cases in the insurance value chain.
Innovative product offerings
Standardized insurance policies are no longer a viable sales strategy with customers looking for tailored products. Insurers must build advanced risk assessment models, powered by vast data sets to ensure premiums align more with a customer’s risk profile. For instance, usage-based auto insurance will enable insurers to track a driver’s performance, adjusting rates based on factors like acceleration, braking, and speed.
A growing trend in insurance is shifting from simply protecting against losses to actively preventing them. This trend drives innovative product design that focuses on preventing losses before they happen, reducing the need for claim payouts. Life and health insurance carriers use fitness data points to incentivize the customer through discounts at renewal, thus promoting healthier lifestyle choices.
Reimagining claims processing
Insurance often feels unnecessary until one needs to claim since this is where one sees the value of the policy, and that’s why the claim serves as a moment of truth in insurance products. However, filing and resolving a claim can be slow and frustrating, with lots of back-and-forth between the customer, the insurer, and other parties like hospitals or repair shops. AI automates tasks, improves data analysis, and speeds up the claims process. Chatbots and virtual assistants are also available 24×7, guiding customers through claims with simple, human-like conversations instead of confusing forms. For example, Lemonade, a US Insurtech, set a world record by processing a claim in just two seconds. Telematics and IoT in vehicles allow automatic claim filing by instantly sending accident details to the insurer. Data analytics validates claims and estimates repair costs with incredible accuracy.
Fraudulent claims are an ongoing systemic challenge that costs billions annually, driving up premiums. AI systems analyze claims data to identify patterns often unnoticed by human adjusters, flagging potentially fraudulent claims. These advanced systems do more than recognize patterns—they can spot minor behavioral issues and inconsistencies in stories that humans might miss, like conflicting details in a claim or unusual actions. By catching fraud early, AI helps lower insurance costs and protects honest customers.
Transforming sales and servicing
AI transforms how businesses find and connect with customers throughout their entire lifecycle. Insurers must leverage intelligent chatbots to simplify customer journeys for customers and agents. These tools offer instant 24×7 help to customers in a natural conversational style for product recommendations, quotes, filling out proposal forms, and handling claims and renewal requests. AI makes work easier for brokers and agents by sorting leads, focusing on the best ones, and automating follow-ups. Agents can use AI-powered personal assistants to manage tasks and recommend deals to clients, creating a more efficient digital experience.
Navigating regulatory landscapes: AI as a compliance catalyst
AI helps ensure compliance and reduce risk in the heavily regulated insurance industry. AI models enable insurers to analyze data from policies, claims, and customer information to spot potential compliance issues, helping insurers avoid fines and protect their reputations. Additionally, AI handles regulatory reports, reducing mistakes and making compliance easier. Hence, compliance officers focus on strategic tasks like risk assessment and policy development.
The road ahead
Artificial intelligence is changing the insurance industry, offering new opportunities for efficiency, growth, and better customer experiences. By adopting AI, insurers can stay ahead of the competition. However, successfully adopting AI requires a strategic technology partner for thoughtful business planning, combined with an agile approach to engineering and implementation.
How can Brillio help?
Brillio’s Digital and AI studio partners with insurers to navigate this technology revolution. By combining industry expertise with innovative technological solutions, we help insurers unlock new opportunities in a fast-changing market and complex digital ecosystem.