AI
AI
Insurance industry.
Provide examples of how AI is used in Canadian Banking industry and its implications for
Banking in Canada, although now largely digital in operation, continues to involve many human-
based processes. The following are some examples of how AI is being used in the industry to
mitigate against the potential for human error, increase security and efficiencies, and adapt to
Financial services institutions are developing AI models that are capable of analyzing large
amounts of data to identify market trends, prioritize risks and monitor them accordingly. These
AI models are used to detect specific patterns and correlations in the data collected, which can
in turn be used identify new sales opportunities or assist with revenue forecasting, stock price
Fraud Detection
Financial services institutions have traditionally relied on “know your customer” (“KYC”)
against fraud. With the increase in fraud-related crimes and consistently changing fraud
patterns, financial services organizations and regulators are applying AI to existing fraud-
detection systems, to identify data anomalies, patterns and suspicious relationships between
individuals and entities that previously went undetected. By looking at customer behaviours
and patterns instead of specific rules, proactive AI-based systems represent a significant
Chatbots
Chatbots are one of the most commonly used applications of AI across industries and have
been embraced by many financial services organizations. Chatbots can take different forms,
most frequently serving as a “virtual assistant”, are available 24/7, and can handle many
standard banking tasks and inquiries that previously necessitated person-to-person interaction.
To the extent that chatbots collect personal information or provide financial advice, their
Many financial services institutions continue to rely on credit scores, credit history, customer
creditworthy. However, these credit reporting systems often miss real-world transaction history
and other information that impacts creditworthiness. As a result, financial services institutions
have implemented AI-based systems to help make more informed, safer and profitable loan
and credit decisions. In addition to working off of available data, AI-based loan decision systems
and ML algorithms can look at behaviors, patterns and other data to predict the probability of
Robo-Advisers
analyzing data shared by the customer, as well as their financial history. Based on this data and
(including with regard to specific account options, asset holdings and balancing options).
Capable of quickly analyzing current and historical market trends, AI and ML are now being
Better Outcomes
It’s important to note that a majority of the price consumers pay when enrolling in health
insurance goes into risk prediction and risk management. By using AI to create a system that
can create more accurate risk models and predict which individuals need specific types of care,
health insurance providers can spend more money on their beneficiaries and less on those
processes
Challenges
It's also important to mention the challenges that come with this technology. AI uses data to
generate insights. It is difficult to use AI in the insurance purchasing process because access to
data to generate these insights is hard to come by. To sell someone insurance, you need to
know the details of their life, health, family, scheduled surgeries, etc., to inform the best
recommendation for insurance and budget. On the phone you can talk through these needs,
but a machine can’t access that information from a consumer directly. There will always be
tension between asking questions, slowing down the process and crunching the numbers
versus getting that data from other sources and piecing it together on the consumer's behalf.A
lot of companies are still trying to figure out how to organize data in a way that can be
consumed; this is a challenge right now as we are still in early adoption. How can consumers
trust that a machine made the right choice for them? How can it save time and narrow down
Discuss implications for consumers and insurance companies for AI’s penetration in
underwriting, claims processing, and customer service activities for the insurance business
For Digitizing world, we need fast and cost-effective product innovation such as on-demand
insurance, micro insurance, and usage-based insurance. Accompanying these new products
with incentives and programs to encourage adoption. For this we need real-time input and
analysis of different types of data from sensors or other data transmission devices using AI
models which are capable of unlocking value from data in real-time. Thus we will help insurers
to speed up their processes, and bring new and innovative products and services to market
faster.
Ex - British motor insurer Admiral is using Facebook Messenger to predict driving behavior. The
insurer recently partnered with Vodafone to provide the underlying telematics services.
Currently AI is having only a small impact on insurance, but it will pick up pace across the
To overcome slow insurance procedures especially in property and casualty, in 2017, insurers
engagement/servicing (Chatbots). Virtual assistant can assist customers with Doubts, Purchases
& Transactions in natural language. Robo-advice (Chatbots) has potential in low-middle wealth
segment & youth because of low pricing, understanding of consumer behavior & optimum
advice. Also this can be used to offer beyond-insurance‘ coverage and value added services
like data-enabled healthy lifestyle, fitness & driving habit advice using IoT & AI.
Ex - AIG achieved an investment boost of $244bn in its retirement units, LV= (a UK-based
retirement mutual insurer) invested £10m in the robo-advisor Wealth Wizards in 2017 and
launched a robo-Para planner, tool that provides retirement advice in less than two hours
making investment advice process easier. Department of Labor‘s Fiduciary Rule in the US,
imposed a sales compensation model restructure resulting in some financial advisors pulling
back encouraging adoption of robo-advice. South African insurtech Vitality, offers wearables
including Fitbit watch with health insurance policy and a fitness program that includes a 50%
discount on gym membership and uses customer health data to effectively provide advice on a
customer‘s lifestyle.
Automating and improving the claims process
Major pain point i.e. untimely processing and customer dissatisfaction in claim processing
again can have helping hand as AI. It can be used to provide better communication through
intelligent automation. We can extract predictions for claims based on information available,
assign complex claims to experienced adjusters, track claims leakage from audit process (via
Ex - In 2017, AI was used for triaging claims based on the assessment of images. After viewing
images of vehicle damage, AI Approval makes an assessment within seconds, reviewing and
authorizing Repair estimates, ensuring reliability and speed throughout the claims process.
In Property and casualty insurance industry, fraudulent claims continue to be a sore point. AI
has the capability of detecting anomalies in insurance claims by suggesting fraud based on
patterns of claims, customer interaction and behavior. ML can be optimal to identify those that
Cyber Insurance is growing field with coverage type going up by 36% in 2016 (Aon). AI can have
huge implementation in this sector from predicting risk more accurately than actuary to
understanding the new vulnerabilities in the system infrastructure and processes. Cyber
security startups can help insurers to underwrite cyber policies by offering cyber liability rating.
This will increase Cyber Insurance penetration while bolstering insurers‘ capabilities in this
remit.
Ex - BitSight builds cyber risk model based on multi-sourced data with breaches and
vulnerabilities in the system infrastructure and processes. BitSight monitors user behavior. In
2018 Cisco, Apple, Allianz, and Aon teamed up to develop more sophisticated cybersecurity
Motor Insurance for AVs (Autonomous Vehicles) predicted 60% drop due to increased safety,
automation, alerts, and crash avoidance systems (KPMG). Now instead of vehicles software
failure, manufacturing defects, and cyber risks will be insured further leveraging AI for risk
prevention. How massive data current statistical models can‘t work so we need to introduce