INSURANCE
Detect the Fraud Your Claims Team Cannot See
Insurance fraud exceeds $80 billion annually worldwide, with 10-15% of all claims containing some element of fraud. Zynoviq surfaces organized fraud rings, inflated claims, and staged incidents that manual review and rule-based systems consistently miss.
The Challenge
$80B+ in Annual Insurance Fraud
Insurers face a compounding crisis: rising claims fraud, tightening regulatory requirements under IFRS 17 and Solvency II, deteriorating underwriting accuracy, and accelerating policyholder churn.
Claims Fraud
Organized fraud rings, staged accidents, inflated medical claims, and phantom billing schemes exploit siloed data and manual review processes across P&C, health, and life lines.
10-15% of all claims contain some element of fraud
Underwriting Inaccuracy
Adverse selection, inadequate risk segmentation, and stale actuarial models lead to unprofitable portfolios and reserve inadequacy that surfaces quarters too late.
5-8% combined ratio improvement available with better risk selection
IFRS 17 & Solvency II
New accounting standards demand granular contract grouping, building block approach measurement, and continuous disclosure that legacy systems were never designed to produce.
$15-50M average IFRS 17 implementation cost per insurer
Policyholder Retention
Policy lapse rates above 15% erode customer lifetime value. Traditional retention models miss behavioral churn signals and fail to intervene at the right moment.
5x more expensive to acquire than retain a policyholder
The Solution
Intelligence Across the Entire Insurance Value Chain
Zynoviq analyzes claim narratives, medical records, repair estimates, and network connections to detect fraud while optimizing underwriting and ensuring regulatory compliance.
Claims Fraud Detection
Analyzes claim narratives, medical records, repair estimates, provider networks, and claimant behavior to detect organized rings and opportunistic fraud with explainable evidence for SIU investigators.
Underwriting Intelligence
Predictive risk scoring with explainable factors, portfolio-level optimization, real-time pricing recommendations, and automated triage for straight-through processing of low-risk applications.
IFRS 17 Compliance Engine
Automated contract grouping, building block approach calculations, variable fee approach modeling, and pre-built disclosure templates for Solvency II and NAIC requirements.
Retention Analytics
Behavioral signals, policy usage patterns, competitive pricing intelligence, and life-event triggers predict at-risk policyholders and recommend optimal retention interventions.
Compliance & Security
IFRS 17 • Solvency II • NAIC • SOC 2 Type II • ISO 27001 • On-Premise Deployment
Protect Your Insurance Portfolio
Leading insurers use Zynoviq to detect 55% more fraud while reducing investigation costs. See the impact on your loss ratio.