Rise of AI-enabled fraud

Claims handler survey

Cameron Roberts
clock • 2 min read

Claims automation firm, Sprout.ai, has released research showing that artificial intelligence (AI)-influenced insurance claims fraud is on the rise.

The report, which surveyed 200 UK claims handlers, indicated that 19% of respondents thought that up to one in four claims now involve fake supporting documents that were influenced by AI and digital tools. It also showed that 65% of insurance claims handlers had seen an uptick in fraudulent claims since 2021. Of those asked, 64% suspected AI had been used to create or alter claims documents in 5-10% of all cases. Health claims were targeted in the report, health and dental insurance claims both were suspected of being targeted by AI fraud. The common occurrences for health insuran...

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