Top 6 Transformative Use Cases of Generative AI in the Insurance Industry

The insurance sector is undergoing a rapid transformation thanks to generative AI, which is opening up new possibilities for productivity, customisation, and creativity. Precedence Research’s analysis projects that the global insurance AI industry would grow to around $80 billion by 2032, mostly due to insurance firms’ growing use of AI. 

The insurance industry has been somewhat sluggish to adopt process transformation and reorganise established procedures. Nonetheless, insurers have a tremendous opportunity to use data, automation, and cutting-edge technology by using generative AI, which will allow them to introduce more creative product offers and improve consumer experiences. 

Here’s an overview of a few well-known USA businesses and entrepreneurs that are leading the way in generative AI application in the insurance sector:

1. Claims Processing

Company: Shift Technology provides AI-powered solutions for insurance decision-making, trusted by leading insurers globally.  

Use Case:  Large data collections are analysed by generative AI models to produce new text, picture, and multimedia content. A proprietary “insurance knowledge layer,” which incorporates data related to the insurance business and information particular to individual insurers, improves Shift’s LLMs. As a result, insurers may profit from generative AI without having to make significant additional expenditures. Enabled by Shift’s Generative AI Service Architecture, these features improve consistency, accuracy, and speed of document processing. Built with Microsoft Azure OpenAI Service for Insurance, they provide scalability, security, and dependability at an enterprise level.

Founders:  Jeremy Jawish, Eric Sibony, and David Durrleman.

2.  Underwriting 

Company:  Sixfold is an InsurTech startup focused on using generative AI to tackle complex challenges in the insurance industry, particularly in underwriting.  

Use Case:  Underwriting, with its manual and labor-intensive processes, presents a “front-door problem” since it requires human-level pattern recognition to evaluate complicated risks. Earlier AI initiatives that used a “black box” approach failed because they required too much data and produced inconsistent results. Using generative AI, The Sixfold Assistant speeds up the process of evaluating and rating submissions for underwriters, improving capacity, accuracy, and decision traceability. Sixfold launches with BTIS, a commercial insurance provider for the building sector, increasing BTIS’s competitiveness by accelerating underwriting speed and accuracy. In order to change the $100 billion commercial property and liability and life insurance markets, Sixfold has partnered with BuildZoom to provide contractor and property data.

Founders:  Brian Moseley, Jane Tran, Alex Schmelkin

3.  Customer Service 

Company:  Lemonade is a digital insurance company that uses AI and behavioral economics to offer renters and homeowners insurance.   

Use Case:  Lemonade, an insurtech company, has transformed insurance claims by utilising cutting-edge AI and machine intelligence. A ground-breaking accomplishment is the company’s patented technology, which can resolve disputes in under two seconds. Their chatbot, AI Jim, evaluates claims quickly, verifies policy terms, applies anti-fraud algorithms, and makes payouts practically immediately. At the moment, Lemonade uses AI to handle up to 50% of its claims, greatly increasing productivity and client happiness. 

Founders:  Daniel Schreiber and Shai Wininger.

4.  Fraud Detection 

Company:  Health Harbor automates insurance billing for healthcare clinics, saving significant time and improving efficiency.  

Use Case: Compared to typical outsourced human solutions, Health Harbour’s generative AI revolutionises benefits verification for healthcare clinics by seamlessly integrating with EHR and RCM systems, saving clinics up to 40 hours of calls each week. Compared to rivals, Health Harbour’s AI provides a 24-hour turnaround, which is a substantial speed increase. It can connect with a wider variety of payers, such as Seledent, who does not have digital benefit retrieval. Furthermore, the AI eliminates variance between individuals and guarantees that all procedures are carefully followed, offering dependable and consistent performance. 

Founders:  Nathan Amin and Alan Liu.

5.  Risk Assessment 

Company:  Snorkel AI provides a platform for data-centric AI model development, focusing on making AI accessible and customizable for insurance use cases.  

Use Case:  Snorkel AI’s generative AI improves risk assessment by analyzing demographic data and creating simulations to predict potential claims, helping insurers make informed decisions about coverage and pricing. The insurance business will benefit from sophisticated machine learning and generative AI thanks to a partnership between QBE Ventures and Snorkel AI. The goal of this collaboration is to offer straightforward and reasonably priced methods for producing hundreds or even thousands of explainable specialised models that are customised for certain datasets and application cases. Their goal is to quickly convert enormous volumes of data and institutional knowledge into AI solutions that improve the results of underwriting and claims processing. 

Founders: Alex Ratner and more.

6.  Document Extraction and Classification

Company:  Appian is a software company that specializes in automating business processes, including those in the insurance industry.

Use Case:  Appian leverages generative AI to automate the laborious process of policy document analysis, while AI Copilot offers real-time support. This facilitates the creation of customised insurance plans by effectively collecting and categorising pertinent data.Appian’s AI solutions automate document extraction and categorization, which is essential for creating accurate and customised insurance policies. They also seek to raise client happiness, streamline end-to-end procedures, and increase productivity.

Founder:  Matt Calkins

These companies are leveraging generative AI to transform various aspects of the insurance industry, from claims processing and underwriting to customer service and fraud detection, showcasing the diverse applications and potential of this technology.