Insurance Fraud Detection Market Size - By Component (Solution, Service), By Fraud (Claims Fraud, Identity Fraud, Payment Fraud, Application Fraud), By Deployment Mode (On-premises, Cloud), By Organization Size, By End Use & Forecast, 2024 - 2032

Insurance Fraud Detection Market Size

Insurance Fraud Detection Market size was valued at USD 4.2 billion in 2023 and is estimated to grow at a CAGR of over 25% between 2024 and 2032. The market is growing rapidly with advancements in Artificial Intelligence (AI), Machine Learning (ML), and big data analytics. Real-time monitoring, predictive analytics, and collaboration between insurers and technology providers are propelling the market growth. The focus is on proactive measures to combat increasingly sophisticated fraudulent activities across diverse insurance sectors.
 

For instance, in October 2023, the Équité Association launched ÉQ Insights, an advanced insurance crime detection platform aimed at combating insurance fraud and crime across Canada. This state-of-the-art platform harnesses cutting-edge analytics to detect fraudulent activities more proficiently, thereby bolstering the industry's capabilities in fraud analysis. ÉQ Insights empowers insurers to counter fraud with greater efficiency through features such as enhanced network link analysis, intelligence-driven fraud alerts, and comprehensive reporting.
 

The surge in digital transactions within the insurance sector has become a significant driver for fraud detection solutions. The volume and complexity of digital transactions are increasing as more insurance processes including policy issuance, claims processing, and premium payments are made online, providing ample opportunities for fraudulent activities. This necessitates robust fraud detection mechanisms capable of analyzing vast amounts of digital data in real time to identify anomalies and suspicious patterns. The rising volume of digital transactions emphasizes the importance of advanced technologies and strategies in mitigating fraud risks across the insurance industry.
 

Substantial initial investments required for integrating advanced technology into the existing insurance systems pose a considerable challenge for stakeholders. Implementing sophisticated fraud detection solutions often involves significant costs related to acquiring software licenses, deploying hardware infrastructure, and hiring skilled personnel for implementation & maintenance. These upfront expenses can deter some insurers, particularly smaller firms with limited financial resources, from investing in comprehensive fraud detection solutions. The high initial investment costs may also hinder the wide adoption of effective fraud detection solutions, leaving insurers vulnerable to fraudulent activities and financial losses.

Insurance Fraud Detection Market Trends

Insurers are increasingly taking initiatives to enhance fraud detection capabilities. Collaborative efforts among industry players allow for the pooling of data resources, enabling more comprehensive analysis and identification of fraudulent patterns across a wider spectrum of insurance transactions and policyholders. For instance, in March 2024, Verisk, a prominent data analytics and technology provider, unveiled two partnerships with insurance technology firms, FRISS and Globlue Technologies, to enhance its fraud detection capabilities.
 

FRISS and Globlue Technologies will seamlessly integrate with Verisk's ClaimSearch platform, housing the globe's largest Property and Casualty (P&C) claims database, comprising over 1.7 billion claims. This integration will streamline advanced fraud scrutiny and detection, encompassing intricate scoring and triaging to enhance decision-making processes.
 

The adoption of blockchain technology is gaining momentum in the insurance fraud detection market. Blockchain's decentralized and immutable ledger offers enhanced security and transparency, making it well-suited for verifying the authenticity of insurance transactions and preventing fraud. Insurers can streamline claims processing, reduce fraudulent activities, and enhance trust among stakeholders in the insurance ecosystem by leveraging blockchain for data authentication and smart contracts.
 

Insurance Fraud Detection Market Analysis

Based on component, the market is divided into solution and service. The solution segment accounted for a market share of around 70% in 2023. The growth in software solutions for insurance fraud detection involves the development of modular and customizable platforms. These solutions offer flexibility for insurers to tailor fraud detection capabilities to their specific needs and adapt to evolving fraud schemes. Modular platforms also enable seamless integration with existing systems, optimizing efficiency and effectiveness in fraud prevention.
 

For instance, in March 2024, IDVerse introduced FraudHub, a novel product geared toward bolstering businesses' fraud intelligence and preventing fraudulent activities efficiently. FraudHub delivers extensive insights into fraud patterns across user populations, preemptively identifying and halting fraud attempts before they inflict financial and reputational harm. This innovative solution incorporates cutting-edge technology to swiftly pinpoint user behavior trends indicative of potential fraud, enabling proactive fraud detection to mitigate financial losses and operational expenses.
 

Based on deployment mode, the insurance fraud detection market is categorized into on-premises and cloud. The cloud segment accounted for a market share of 72% in 2023. Cloud deployment models are gaining traction in the market, offering scalability, agility, and cost-effectiveness. Insurers are increasingly leveraging cloud-based solutions to access advanced fraud detection capabilities without the need for extensive infrastructure investments. Cloud deployments also facilitate real-time data processing and analysis, enhancing fraud detection efficiency.
 

For instance, in April 2024, Cognizant and FICO forged a partnership to aid banks in combating fraud through a cloud-based solution driven by AI and ML technologies. This collaboration is geared toward furnishing banks and payment providers with real-time fraud prevention capabilities, guaranteeing heightened precision in detecting and thwarting fraudulent transactions.
 

Europe dominated the global insurance fraud detection market with a major share of over 35% in 2023. In Europe’s key markets, such as France, Italy, the UK, and Germany, insurance fraud detection is witnessing significant growth propelled by stringent regulatory mandates and the increasing adoption of digital insurance processes. Insurers in these countries are investing in advanced fraud detection technologies, such as AI and ML, to enhance their capabilities in identifying and preventing fraudulent activities. Collaborative efforts between insurers and technology providers are driving innovation and development of region-specific fraud detection solutions tailored to Europe's diverse insurance landscape.
 

North America market is witnessing a surge in demand driven by stringent regulatory requirements and increasing instances of fraud. Insurers are investing in advanced technologies, such as AI, ML, and big data analytics, to combat the evolving fraud tactics. Additionally, collaborative efforts between insurance companies and technology providers are fostering innovation and the development of tailored solutions to address region-specific fraud challenges in North America’s diverse insurance landscape.
 

For instance, in October 2023, Shippo, a premier shipping platform for contemporary e-commerce, collaborated with Cover Genius, an insurtech company specializing in embedded protection, to introduce Shippo Total Protection. This advanced insurance solution caters to e-commerce merchants, delivering comprehensive global shipping coverage. It encompasses the full value of orders, shipping label expenses, return shipping for damaged parcels, and the costs associated with reshipping insured packages across North America, EMEA, and APAC.
 

In Asia Pacific, the insurance fraud detection market is experiencing robust growth due to the rapid digitization of insurance processes and the increasing prevalence of fraudulent activities. Insurers in countries, such as China, India, Japan, and Australia, are adopting advanced technologies, such as AI, ML, and blockchain, to strengthen their fraud detection capabilities. Collaborations between insurers and technology firms are leading to innovation and the development of tailored solutions to address the unique fraud challenges in the Asia Pacific market.
 

Insurance Fraud Detection Market Share

IBM & SAS in insurance fraud detection industry held a significant market share of over 25% in 2023. IBM Corporation is a leading player in the market, offering a range of solutions powered by AI, ML, and big data analytics. IBM provides insurers with robust fraud detection capabilities to mitigate risks effectively with its extensive expertise in data management and security. Additionally, IBM's global presence and partnerships with industry leaders position it as a formidable competitor in the market.
 

SAS Institute Inc., known for its advanced analytics and fraud detection solutions, is another key player in the insurance fraud detection industry. It offers a comprehensive suite of tools that enable insurers to detect and prevent fraudulent activities across various insurance sectors. SAS Institute Inc. delivers tailored solutions to meet the specific needs of insurers worldwide with a focus on innovation and a customer-centric approach.
 

Insurance Fraud Detection Market Companies

The major players operating in the insurance fraud detection industry are:

• Claims Fraud Detector
• DataVisor
• Experian
• FICO
• Fiserv
• FRISS
• IBM Corporation
• LexisNexis Risk Solutions
• MIBAR.ai
• SAS Institute Inc.
   

Insurance Fraud Detection Industry News

• In October 2023, the Insurance Fraud Bureau (IFB) and Shift Technology unveiled IFB Exploration, an AI counter-fraud solution tailored for UK insurers. By leveraging AI capabilities, IFB Exploration empowers the insurance industry to detect suspicious activities and organized fraud in real time.
   
• In June 2023, Verisk, a prominent data analytics firm, unveiled a novel cloud-based platform, ClaimSearch, in Israel to tackle insurance fraud. Developed in collaboration with the Israel Insurance Association and backed by governmental support, this system represents a concerted effort to combat fraudulent activities within the insurance sector.
   

The insurance fraud detection market research report includes in-depth coverage of the industry with estimates & forecast in terms of revenue ($Mn) from 2021 to 2032, for the following segments:

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Market, By Component

• Solution
  • Fraud Analytics
  • Authentication
  • Fraud Case Management
  • Others
• Service
  • Professional services
  • Managed services

Market, By Fraud

• Claims fraud
• Identity fraud
• Payment fraud
• Application fraud

Market, By Deployment Mode

• On-premises
• Cloud

Market, By Organization Size

• SMEs
• Large enterprises

Market, By End Use

• Insurance companies
• Third-party administrators
• Brokers/Agents

The above information is provided for the following regions and countries:

• North America
  • U.S.
  • Canada
• Europe
  • UK
  • Germany
  • Spain
  • France
  • Italy
  • Netherlands
  • Denmark
  • Sweden
  • Rest of Europe
• Asia Pacific
  • China
  • India
  • Japan
  • South Korea
  • Australia
  • Singapore
  • Rest of Asia Pacific 
• Latin America
  • Brazil
  • Mexico
  • Argentina
  • Colombia
  • Rest of Latin America
• MEA
  • South Africa
  • UAE
  • Saudi Arabia
  • Israel
  • Rest of MEA