Claims processing · Production

Shift Technology AI helps Assurant detect and mitigate insurance fraud in minutes instead of days

The problem

Assurant sought to leverage AI to detect complex and evolving fraud schemes and integrate internal and external data sources, recognizing that AI-powered fraud detection would become invaluable to insurance.

Workflow diagram · grounded in source
1
AI flags fraudulent claims
ai_action
“AI fraud detection: Optimizing every time it identifies a fraudulent claim to stay ahead of fraud trends”
2
Fraud alert with full context
output
“Clear context: Full details on fraud alerts to accelerate Assurant's investigations”
3
SIU investigates with custom software
human_review
“Workflow integration: Customized investigation software to match Assurant's SIU needs”
4
AI model refinement on fraud schemes
feedback_loop
“Shift has worked closely with Assurant to refine its AI models in a way that fits their business objectives. In particular, Shift helped Assurant deal with evolving fraud schemes involving specialty vehicles, extreme weather, and multi-c…”
Reported outcome

Shift's AI processes fraud checks in minutes versus days for analysts, Assurant's case acceptance rate increased since 2018, and the SIU team mitigated significantly more fraud over the four-year partnership.

Reported metrics
Fraud detection speedin a matter of minutes what would take days for a team of analysts
Fraud mitigationsignificantly more fraud
Case acceptance rateincrease to Assurant's case acceptance rate since 2018
Reported stack
Shift Claims Fraud Detection
Source
https://www.shift-technology.com/resources/case-studies/assurants-focus-on-innovation-increases-stopped-fraud
Read source ↗

Frequently asked questions

What did this team achieve with this AI workflow?

Shift's AI processes fraud checks in minutes versus days for analysts, Assurant's case acceptance rate increased since 2018, and the SIU team mitigated significantly more fraud over the four-year partnership.

What tools did this team use?

Shift Claims Fraud Detection.

What results were reported?

Fraud detection speed: in a matter of minutes what would take days for a team of analysts; Fraud mitigation: significantly more fraud; Case acceptance rate: increase to Assurant's case acceptance rate since 2018 (source-reported, not independently verified).

How is this claims processing AI workflow structured?

AI flags fraudulent claims → Fraud alert with full context → SIU investigates with custom software → AI model refinement on fraud schemes.

Related claims processing cases