Predictive analytics in insurance claims

Predictive analytics in insurance claims encompasses the use of statistical models, algorithms, and AI to analyze both historical and real-time claims data.

For insurers, the goal is to forecast likely outcomes—such as claims costs, fraud risk, and litigation potential—so they can take proactive steps. These tools provide insights that guide faster, fairer, and more cost-effective decisions.

Predictive analytics helps insurers improve the claims process across the insurance industry in several ways:

• Early risk identification: Claims flagged as high-risk can be prioritized for investigation, reducing the chance of costly errors or disputes.

• Efficient resource allocation: Adjusters and specialists can focus on the claims that need the most attention, helping close cases more quickly.

• Fraud detection: Unusual patterns in claims data can trigger alerts, helping insurers identify potential fraud sooner.

• Better customer experience: Faster, more accurate claims resolution builds trust and helps businesses recover quickly.

• Operational efficiency: Automating routine tasks and streamlining workflows allows adjusters to focus on complex cases.

• Trend analysis: Using historical data to spot recurring risks can inform stronger loss prevention strategies.

For business owners and risk managers, predictive analytics can mean faster claims resolutions, more transparency, and potentially lower insurance costs over time.

By enabling insurers to manage risks more effectively, predictive analytics strengthens the overall claims experience, helping your business get back on track sooner after a loss.

We continually invest in tools and technologies that help improve the claims experience for customers like you. Our use of predictive analytics supports fairer outcomes, faster resolutions, and better insights into emerging risks.

Combined with the expertise of our adjusters and claims professionals, these tools help us deliver on our promise to be there for your business when you need us most.

Explore more about how we support businesses throughout the claims process by visiting our Claims Center.