claims_processing · finance · workflow
Shift Technology AI helps Assurant detect and mitigate insurance fraud in minutes instead of days
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.
How it works
Common implementation structure
How this type of workflow is generally built, generalized across documented cases — not tied to any one vendor's stack. Click any stage to read what happens there. Specific products that implement these stages appear in “Tools commonly seen” below.
Stage 1 · AI flags fraudulent claims
Shift's fraud detection AI identifies fraudulent claims and optimizes every time it does so to stay ahead of fraud trends.
Tools used
Shift Claims Fraud Detection
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.
Results
Volumeincrease to Assurant's case acceptance rate since 2018
Cost replacedin a matter of minutes what would take days for a team of analysts
Running since2018
Grounding & classification
Source type: vendor customer story
21 fields verified against source quotes.
anomaly detectionfraud detectioninsurance claimhuman review describedmetric backednamed customerproduction runtime claimedtools describedworkflow describedinsuranceaccuracy improvementthroughput increasetime savedvendor customer storyclaims processinghuman review queuemonitor detect alert