The Root Problem
Insurance operates on manual processes built for a pre-digital world
Claims handlers review one claim at a time — unaware of the network of connected claims surrounding it. Underwriters price risk from surveys and intuition, missing signals only visible in aggregate. Fraud rings exploit the gap between what's visible per-claim and what's visible across the portfolio.
🔍 Fraud is organised — detection isn't
Organised fraud accounts for 80% of UK insurance fraud losses. Rings operate across multiple insurers, using shared loss adjusters, solicitors, and repair networks. Manual per-claim review cannot see the network. InsuranceOS does — detecting rings invisible to human reviewers.
⏱ Claims delays destroy customer trust
21-day average settlement drives poor NPS (3.1/5 industry average). 65% of claims are simple and could settle in hours — but sit in the same queue as complex cases. AI triage separates them in 60 seconds, enabling 4-hour straight-through processing.
📊 Underwriting misprices risk
Manual underwriting misses signals in satellite imagery, financial distress indicators, telematics, and network connections between risks. AI underwriting combines all sources — producing a 34% improvement in pricing accuracy and a 12-point combined ratio improvement.
⚖️ Subrogation money left uncollected
Recovery opportunities are consistently missed when adjusters are focused on settlement. Subrogation AI reviews every settled claim for third-party liability — capturing 72% of recoverable amounts vs 41% manual. For a mid-size insurer: £340K additional quarterly recovery.
📋 Regulatory burden is growing
FCA Consumer Duty, Solvency II, GDPR, Lloyd's reporting — the compliance burden grows every year. Manual compliance monitoring misses conduct risk until an FCA review finds it. InsuranceOS monitors every decision for fair customer outcomes continuously.
📈 Reserving is always a quarter behind
Quarterly actuarial reserve reviews mean reserve deficiencies develop for months before they're visible. Actuarial Intelligence monitors reserve adequacy daily — flagging emerging development trends before they become material problems.