Kosten durch unentdeckten Versicherungsbetrug
Definition
Manual processes in Fraud Detection and SIU Investigation fail to detect anomalies, resulting in paid fraudulent claims estimated at 1 in 10 property and casualty claims across Europe.
Key Findings
- Financial Impact: €56 billion across Europe; 10% of claims fraudulent (1 in 10 P&C claims)
- Frequency: Per claim processing cycle
- Root Cause: Manual review limitations vs. AI anomaly detection
Why This Matters
This pain point represents a significant opportunity for B2B solutions targeting Insurance Carriers.
Affected Stakeholders
SIU Investigators, Claims Handlers, Fraud Analysts
Deep Analysis (Premium)
Financial Impact
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Current Workarounds
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Kapazitätsverluste durch manuelle Betrugsuntersuchungen
Betrugskosten durch unzureichende Erkennung
Fehlentscheidungen bei Rückstellungsanpassung
Prämieneinnahmen-Unterschätzung durch Auditfehler
Kapazitätsverluste durch manuelle Schadensbearbeitung
Kosten durch Ablehnungen und Nachbearbeitung
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