Page 43 - The Insurance Times August 2025
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Fraud Detection                                      premiums, and automated onboarding using facial recogni-
                                                              tion or Aadhaar verification are making insurance more
         Insurance fraud poses a perennial challenge in India's large
         and diverse market, costing billions annually. Indian insur-  accessible than ever.
         ers are deploying AI-based fraud detection systems that flag  Initiatives like the PMFBY (crop insurance) and Ayushman
         anomalies using behavioral patterns to reduce fraudulent  Bharat (health insurance) have benefited from AI-enabled plat-
         payouts. AI combats this issue by analyzing vast datasets  forms for faster claim processing and beneficiary identification.
         using machine learning algorithms to detect anomalies in-
         dicative of fraudulent activity. By processing historical claims The Rise of AI-Driven Insurtechs
         data, policyholder behavior, and external information, AI  Indiafs vibrant insurtech ecosystem is catalyzing change.
         identifies red flags often overlooked by human investigators.  Startups are leveraging AI to:
         This reduces fraudulent claims, safeguards profitability, and  Design usage-based motor insurance
         optimizes resource allocation.
                                                                 Launch instant travel and flight delay coverage
         Conversational AI and Self-Service                      Enable bite-sized insurance via UPI and digital wallets
         Conversational AI is fundamentally transforming the Indian  Collaborations between traditional insurers and insurtechs
         insurance industry, revolutionizing how providers interact  are accelerating digital transformation across the board.
         with customers, manage claims, and automate underwrit-  While the insurtech ecosystem continues to grow, KGiSL is
         ing. Powered by NLP, AI virtual assistants offer 24/7 avail-  among the first AI-powered players in the market. Its solu-
         ability with near-human-like support.
                                                              tion, Marvel.ai, is a trailblazer in transforming insurance
         A key application is in customer service, where AI-powered  operations.
         chatbots handle basic inquiries, freeing human agents to
         focus on complex issues. This significantly boosts efficiency,  KGiSL's Marvel.ai
         crucial for India's vast customer base.              Marvel.ai enhances fraud detection, streamlines claims
                                                              management, and elevates customer experiences. It is more
         With rising smartphone penetration, insurers are deploying  than just an AI platform; it is a catalyst for innovation.
         AI chatbots and voice assistants in regional languages. These  Marvel.ai automates and augments business operations,
         tools help answer policy questions, guide claim submissions,  transforming data into actionable insights through machine
         and offer product recommendations. Such initiatives democ-  learning algorithms.
         ratize access to insurance, especially in Tier 2 and Tier 3
         cities, reducing reliance on traditional agents. Ultimately,  This generative AI platform drives efficiency and fosters in-
         conversational AI is making insurance more accessible and  formed decision-making, enabling insurers to stay ahead of
         efficient for millions across India.                 the curve while delivering superior customer experiences.

         Predictive Analytics for Customer Reten-             What's Next?
                                                              As India moves towards Insurance 2.0, we can expect:
         tion                                                    Hyper-personalized policies powered by Generative AI
         In the Indian insurance sector, predictive analytics is trans-
                                                                 Autonomous claims settlement via Agentic AI bots
         forming customer retention through a proactive approach.
         By analyzing churn signals, lifestyle shifts, and interaction  Voice-enabled rural servicing in local dialects
         history, insurers can anticipate customer needs.        AI-powered ESG and climate risk modeling for agricul-
                                                                 ture and catastrophe insurance
         This allows them to send timely renewal reminders and of-
         fer customized cross-sell and upsell products. Furthermore,  Final Thoughts
         real-time risk mitigation suggestions can be provided, en-
                                                              AI is no longer a gnice-to-haveh but a critical enabler in
         hancing customer safety and trust. Ultimately, this sophisti-
                                                              India's insurance journey.from urban policyholders to farm-
         cated use of AI significantly increases customer stickiness  ers in remote villages. With regulatory support, growing
         and boosts lifetime value.
                                                              digital literacy, and a tech-savvy young population, India is
         Building Financial Inclusion                         poised to lead the way in AI-powered insurance innovation.
         AI is instrumental in bridging the protection gap for rural  The future of insurance in India isn't just digital.it's intelli-
         and low-income populations. Microinsurance, usage-based  gent.

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