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AI is rewriting the rules of the insurance industry
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人工智能(AI)正在深刻变革保险业,从风险评估到客户服务,无所不及。尽管许多保险公司已涉足AI,但真正实现盈利的却不多。成功的关键在于将AI融入业务的各个环节。AI在加速理赔流程、提升核保效率、改善客户体验和打击欺诈方面展现出巨大潜力。低代码平台推动了创新,而公司领导者清晰的愿景、文化变革和员工培训是AI成功的关键。未来,AI有望为保险业带来万亿美元的价值。

🤖 **加速理赔流程:** AI显著提升理赔效率。例如,Lemonade公司通过AI在3秒内解决了超过三分之一的索赔,而一家美国旅游保险公司将理赔处理时间从数周缩短到几分钟,自动化程度达到57%。

📊 **提升核保效率:** AI助力核保人分析海量数据,包括遥测数据和信用评分,从而更准确地评估风险。例如,Zurich公司使用现代化平台构建风险管理工具,使其评估准确性提高了90%。

💬 **改善客户体验:** AI驱动的聊天机器人提供7x24小时支持,个性化服务如续保提醒和定制产品推荐,增强客户忠诚度。此外,AI还能识别欺诈行为,从而保护客户和企业。

💡 **低代码平台赋能创新:** 新兴的低代码平台加速了保险公司开发和推出新应用和服务。这些平台使普通业务用户也能构建所需工具,从而推动创新,同时确保安全性和合规性。

📈 **AI驱动的业务变革:** 采用AI的企业看到了显著的业务改善,例如客户保留率提高14%,净推荐值(Net Promoter Scores)上升48%。AI市场预计到2034年将超过140亿美元,并可能为保险业每年增加1.1万亿美元的价值。

Despite its traditionally risk-averse nature, the insurance industry is being fundamentally reshaped by AI.

AI has already become vital for the insurance industry, touching everything from complex risk calculations to the way insurers talk to their customers. However, while nearly eight out of ten companies are dipping their toes in the AI water, a similar number admit it hasn’t actually made them any more money.

Such figures reveal a simple truth: just buying the fancy new tech isn’t enough. The real winners will be the ones who figure out how to weave it into the very fabric of who they are and everything they do.

You can see the most dramatic changes right at the heart of the business: handling claims. That mountain of paperwork and endless phone calls, a process that could drag on for weeks, is finally being bulldozed by AI.

A deployment by New York-based insurer Lemonade back in 2021 resulted in settling over a third of its claims in just three seconds, with no human input. Or look at a major US travel insurer that handles 400,000 claims a year; it went from a completely manual system to one that was 57% automated, cutting down processing times from weeks to just minutes.

However, this isn’t just about moving faster; it’s about getting it right. AI can slash the kind of costly human errors that lead to claims leakage in the insurance industry by as much as 30%. The knock-on effect is a huge productivity leap, with adjusters able to handle 40-50% more cases. This frees up the real experts to stop being paper-pushers and start focusing on the tricky cases where a human touch and genuine empathy make all the difference.

It’s a similar story for the underwriters, the people who calculate the risks. AI is giving them superpowers, letting them analyse colossal amounts of data from all sorts of places – like telematics or credit scores – that a person could never sift through alone. It can even draft an initial risk report with incredible accuracy by looking at past data and policies in the blink of an eye.

In practice, this helps create pricing that is fairer and more accurately reflects a person’s unique situation. Zurich, for example, used a modern platform to build a risk management tool that made their assessments 90% more accurate.

Suddenly, underwriting isn’t about looking in the rearview mirror anymore—it’s a living, breathing process that can adapt on the fly to new, complex threats like cyberattacks or the effects of climate change.

But this isn’t just about back-office wizardry. When deployed in the insurance industry, AI is completely changing the conversation between insurers and the people they serve. It’s allowing a move away from simply reacting to problems to proactively helping customers.

AI chatbots can offer 24/7 support, getting smarter with every question they answer. This lets the human team focus on the more difficult conversations. The real game-changer, though, is making things personal. 

By understanding a customer’s policy and behaviour, AI can gently nudge them with a renewal reminder or suggest a product that actually fits their life, like usage-based car insurance. It’s about showing customers you actually get them, which builds the kind of loyalty that’s been so hard to come by in an industry where over 30% of claimants feel dissatisfied, and 60% blame slow settlements.

This protective instinct also helps the whole system. AI is a brilliant fraud detective for the insurance industry and beyond, spotting weird patterns in data that a person would miss, and has the potential to cut fraud-related losses by up to 40%. It keeps everyone honest and protects the business and its customers.

What’s pouring fuel on this fire of change? A new breed of low-code platforms. They are the accelerators, letting insurers build and launch new apps and services much faster than before. In a world where customer tastes and rules can change overnight, that kind of speed is everything.

The best part of such tools is they democratise access and put the power to innovate into more hands. They allow regular business users – or ‘citizen developers’ – to build the tools they need without having to be coding geniuses. These platforms often come with strong security and controls, meaning this newfound speed doesn’t have to mean sacrificing safety or compliance, which is non-negotiable for an industry like insurance.

When you step back and look at the big picture, it’s clear that getting on board with AI isn’t just a tech project; it’s a make-or-break business strategy. Those who jumped in early are already pulling away from the pack, seeing things like a 14% jump in customer retention and a 48% rise in Net Promoter Scores. 

The market for this technology is set to explode to over $14 billion dollars by 2034, and some believe AI could add $1.1 trillion in value to the industry every year. But the biggest roadblocks aren’t about the technology itself; they’re about people and old habits.

Data, especially in an industry like insurance, is often stuck in old systems which stops AI from seeing the whole picture. To get past this, you need more than clever software. You need leaders with a clear vision, a willingness to change the company culture, and a commitment to training their people.

The winners in this new era won’t be the ones tinkering with AI in a corner—they’ll be the ones who lead from the top, with a clear plan to make it a part of their DNA. This will require an understanding that it’s not just about doing old things better, but about finding entirely new ways to bring value and build trust.

Learn more about how AI is rewriting the rules of the insurance industry at the upcoming webinar “From Complexity to Clarity: AI + Agility Layer for Intelligent Insurance” on July 16, 2025, at 7PM BST / 2PM ET. Industry experts from Appian and EXL will share real-world examples and practical insights into how leading carriers are implementing these technologies. Registration is available at the webinar link.

Featured speakers include:

See also: UK and Singapore form alliance to guide AI in finance

The post AI is rewriting the rules of the insurance industry appeared first on AI News.

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