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The premium leakage challenge

Premium leakage – the deliberate misrepresentation by applicants and policyholders to reduce their premium – costs insurers an estimated $50 billion USD annually. While insurers understand the value in pursuing premium leakage, there are challenges with historic approaches.

  • Manual investigations significantly slow the underwriting process and may dissuade new policyholders.
  • Determining which applications to flag may lead to significant missed opportunities when higher impact opportunities are prioritized in order to keep the majority of applications moving quickly.
  • Traditional rules-based solutions can be slow and inaccurate, flagging anomalies that don't necessarily indicate premium leakage, and wasting Underwriter time an effort.

Case Study: Leading European auto insurer reduces premium leakage with AI-based underwriting

The Head of Innovation at one of Shift’s European P&C clients recently began a review across their business to identify applications for Shift’s AI decisioning capabilities. In order to address the challenges of premium leakage and inefficient investigations, the insurer ran a proof of concept with Shift’s Underwriting Risk Detection. 

Case Summary

The challenges included:

  • Missed premium risk from legacy underwriting process
  • Inefficient manual investigation

Shift's implementation included three key features:

  • AI decisioning built for underwriting
  • Expanded detection to discover a broader scope of suspicious activity
  • Workflow integration, including automated alerts with 100% explainable context

Key results in the first 5 months:

  • 3x the expected relevant policy risk alerts
  • $1M USD in annual projected underwriting risk mitigation
  • 100+ identified risky policies missed in prior investigation