Zurich Insurance has partnered with Quantexa, a UK-based AI and data analytics company specialising in Decision Intelligence, to improve real-time claims detection and decision-making across Zurich’s insurance operations.
The partnership aims to strengthen Zurich’s ability to identify unusual patterns in claims quickly and accurately.
By integrating Quantexa’s Decision Intelligence platform, Zurich seeks to expand its analytical capabilities across multiple lines of business, helping claims handlers make better-informed decisions using AI-driven insights.
Zurich has been operating real-time claims detection for the past three years, identifying the equivalent of £260,000 worth of suspicious claims daily in 2024.
The collaboration with Quantexa will allow the insurer to highlight connections across a larger range of variables and across the wider insurance industry, improving operational efficiency and customer outcomes.
Quantexa’s Decision Intelligence (DI) platform analyses multiple data sources, including the CUE (Claims and Underwriting Exchange) database, instantly cross-checking claim details with other insurers.
It connects automatically with industry intelligence, reducing manual checks and speeding up the review process.
The platform also incorporates open-source corporate information such as Companies House records, giving a deeper AI-driven analysis.
Under the new system, claims handlers input claim details as usual. The DI platform identifies relevant data points including individuals, addresses, associated businesses, and solicitors connected to the claim.
It produces dynamic visualisations showing related claims, policies, and potential warning signals.
A guidance rating and risk scenarios indicate the likelihood of issues, helping handlers decide whether to escalate claims for further review. Genuine claims are processed faster, ensuring efficiency for honest customers.
Scott Clayton, Head of Claims Fraud at Zurich, said, “The technology and techniques used by fraudsters are always evolving and so are our efforts to stay ahead of them. The adoption of Quantexa means we can detect fraud more effectively than ever, enabling us to take steps to protect our commercial and public sector customers from fabricated and exaggerated claims being made against them. Equally, we always want to protect our honest customers which this enables us to do. Importantly, the real-time nature of the platform means we can reinforce our defences against fraudsters without holding up processes for genuine claimants.”
Dan Higgins, Chief Product Officer at Quantexa, said, “Effective fraud prevention depends on insurers being able to build up a detailed picture of their customers and all the ways they interact with the industry. Our platform pulls together data which was previously siloed and scattered to give a comprehensive 360-degree view of each claim. We’re delighted to be working with Zurich to put our technology into action in the UK insurance sector for the first time, helping reduce losses from fraud while also increasing the efficiency of other processes.”
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