Cologne: 28.–29.05.2024 #insureNXT

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insureNXT Innovators Award

Top 3 - Standalone Insurance Pioneer

Automated document verification in the benefits process of health and property insurers

Automated document verification in the benefits process of health and property insurers

Insurers submit documents as evidence in the claims process to prove losses and claims for reimbursement. Currently, companies have to trust that these are genuine proofs. This is being exploited by fraudsters using AI image generators and easy access to Photoshop and the like. The steady increase in dark processing rates opens up this flank even further. This is why ICO-LUX has developed "ICO.Fraud", the most comprehensive solution for fully automated document verification on the European market to date. This compares characteristics such as fonts, line spacing, metadata and content features with the typical characteristics of the respective document author. This allows suspicious documents to be filtered out, while unsuspicious documents can be processed in the dark and regulated in a timely manner. Thanks to the data protection-compliant "metadata exchange", smaller insurers now also benefit from the solution, where previously there were not enough comparison documents to reliably check all billers. In the private health insurance market, the savings potential is around 0.5% of the reimbursement amounts, whereby the ROI from the introduction of ICO.Fraud has so far been achieved for all customers within the first 12 months. In cooperation with one of the largest property insurers in Germany, the fraud regulations are currently being adapted for the property sector, so there is no long-term experience of detection rates yet.

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troy_genius - Finance Experience with GenAI

troy_genius - Finance Experience with GenAI

troy_genius solves customer enquiries - automatically, in seconds, hyper-personalised, data protection-compliant, end-to-end integrated and in any language! Email is the most popular and important channel for inbound customer communication. Processing enquiries quickly is a major challenge for insurance companies, who are often chasing a backlog. Customer service resources are scarce, using standard responses is a negative and multilingual communication adds complexity. troy_genius provides the solution! Incoming customer emails are answered automatically within seconds - taking into account the rules and values of an insurance company and in a more personalised way than an agent would have been able to. In other words, greater efficiency and resource savings combined with better quality and highly personalised communication! How does troy_genius work? Incoming emails are first pseudonymised in accordance with data protection regulations by replacing personal data with placeholders. Protected in this way, the message is sent to an LLM, where the language and intention of the customer are recognised. On this basis, troy_genius formulates a highly personalised response in the customer's language and simultaneously triggers the next steps in the core system. The customer enquiry is not only processed, it is completely resolved! troy_genius is the end of standard answers and backlogs in customer service and the beginning of Finance Experience with GenAI in customer service!

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Detecting fake claim images and preventing insurance fraud with VAARHAFT

Detecting fake claim images and preventing insurance fraud with VAARHAFT

Publicly accessible AIs are getting better every day at generating and manipulating digital images. Fake claim images can now be produced in a matter of seconds without specific software skills. Therefore, we can no longer trust claim images blindly, the entry barrier for image-based insurance fraud is falling dramatically. We've developed a novel AI-tool called the 'Fraud Scanner'. Our software checks the credibility of digital claim images in a matter of seconds and detects image-based fraud reliably. We protect you against AI-generated and (AI-)edited claim images as well as cross-insurance image duplicates and claim images taken from the internet. We localize the edited parts of an image and do a basic meta data analysis as well. As an API our analysis can be easily integrated in your existing processes. Nevertheless, a (white label) web platform is also available for you.

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