THE IMPLICATIONS OF INSURANCE FRAUD
According to insurance magazine l'Argus de l'Assurance, in 2014 fraud represented
For L'olivier, a direct insurer created in 2011, it was important to reinforce its plan to fight against fraud by establishing a dedicated unit: "Shift will help us in building out our capabilities. Their solution improves our ability to detect fraud by reducing the number of irrelevant cases, at the same time as it enhances our ability to prove fraud by providing administrators with avenues of investigation, enabling us to avoid payment of fraudulent claims," explains
THE FIGHT AGAINST FRAUD: A VEHICLE FOR FAIRNESS AMONGST CUSTOMERS
The question of the insurance premium lies at the heart of the approach: "Fraud systematically increases the price of all insurance policies, forcing all policyholders to bear the costs of the behavior of a few fraudsters. At L'olivier, we are convinced that every policyholder should pay 'a fair price.' Fighting actively against fraud is a way of re-establishing fairness for our policyholders, something that is a central value in the culture of L'olivier. Shift will help us to carry on offering the lowest price," asserts
Further, thanks to Shift's Force solution, administrators know whether or not a claim contains elements of fraud in near real time. The algorithms and scenarios for detection offered by Shift speed up the time it takes to process the fraud investigation.
"We are extremely proud of the collaboration between Shift and L'olivier, and of being able to fully commit to the values upheld by L'olivier. The implications of fighting against insurance fraud go far beyond the issue of the savings made by the insurer. First and foremost, it is a matter of customer experience and satisfaction. It is all about putting the policyholder at the center of the insurer's concerns," explains
THE INSURER'S EXPERTISE COUPLED WITH THE AI OF THE SHIFT SOLUTION
L'olivier's professional teams are already working closely with Shift's data scientists in numerous workshops: it is the combination of the insurer's expertise and Shift's data processing capacity that makes the Force model unique. As well as the insurer's data (claims data, contracts, survey reports, among others), Shift recovers and analyzes external information such as meteorological data, satellite images or even web data. These data increase the appraisal abilities of the AI model, thanks to the creation and balancing of new variables, allowing potential fraud to be reported in a very precise manner. "Shift is also capable of analyzing unstructured data, such as photos, invoices or experts' reports, and of using Natural Language Processing methods to extract structured information which is useful for fraud detection,"
THE NEXT STEPS
After an initial calibration phase of the Shift solution in terms of the claims portfolio and data of L'olivier, by the end of this year the insurer will be able to automatically receive alerts for potentially fraudulent claims on a daily basis, sent directly via an intuitive, user friendly interface. But Shift's support doesn't end there: a data scientist dedicated to L'olivier is continuously engaged in improving the scenarios released in order to make them even more relevant.
ABOUT L'OLIVIER ASSURANCE AUTO
L'olivier - assurance auto belongs to one of the leading online insurance companies on the European market. Launched in
This company, which is reminiscent of a start-up, is built on an integrated ecosystem (sales service, claims and customer service based 100% in
ABOUT ADMIRAL GROUP
Admiral is an insurance company established in 1993 in the
ABOUT SHIFT TECHNOLOGY
Shift Technology delivers the only AI-native fraud detection and claims automation solutions built specifically for the global insurance industry. Our SaaS solutions identify individual and network fraud with double the accuracy of competing offerings, and provide contextual guidance to help insurers achieve faster, more accurate claim resolutions. Shift has analyzed hundreds of millions of claims to date, and was named by CB Insights to the 2018 Global AI Top 100. For more information please visit www.shift-technology.com.
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SOURCE Shift Technology