Insurance Reinvented with AI-Powered Automation in Claims and Underwriting

03.27.25 By

The insurance industry faces a perfect storm of challenges. Claims cycle times are dragging, repair costs are soaring, and fraudulent claims are rising—eroding profitability at an alarming rate. On top of that, customers are becoming increasingly frustrated with slow, impersonal services, leading to declining retention rates. Traditional approaches simply aren’t cutting it anymore.

The numbers paint a stark reality:

  • A 112% personal auto combined ratio means insurers are paying out $1.12 in claims and expenses for every $1 in premium earned, resulting in significant losses.
  • Homeowners’ insurance losses from natural disasters have exceeded $100 billion for two consecutive years.

AI-powered automation is no longer experimental—it’s becoming the backbone of modern insurance operations. However, with IT budgets growing by only 3.7% in 2025, insurers must strategically prioritize AI and automation initiatives to maximize efficiency and ROI.

This blog explores how AI and automation offer insurers a roadmap to drive profitability and reduce inefficiencies. But where should insurers start? One of the biggest opportunities lies in claims processing, a historically slow, manual, and resource-intensive function. By leveraging AI and automation, insurers can turn claims into a competitive advantage. Let’s see how:

AI-Powered Claims Processing Reducing Costs and Delays

Claims processing has long been a pain point for P&C insurers—bogged down by manual data handling, prolonged decision cycles, and errors that drive up costs and frustrate customers. Traditional models are proving unsustainable, with claims-related inefficiencies costing insurers billions annually. AI is now turning this challenge into an opportunity. According to Gartner, 49% of insurers have already deployed AI for claims processing. AI-powered automation, intelligent document processing (IDP), and predictive analytics are making claims handling faster, more accurate, and cost-efficient.

With zero-touch claims processing, AI can now handle everything from First Notice of Loss (FNOL) to settlement with minimal human intervention. Early adopters report that AI-powered claims automation has reduced processing times by up to 40%. The future of claims processing is no longer about incremental improvements. Insurers that embrace AI are seeing faster settlements, lower costs, and higher customer retention, proving that AI-powered automation is the new necessity.

Faster, more accurate claims processing is just one side of the equation. To truly optimize profitability and risk management, insurers must also rethink how they assess and price risk. That’s where AI-driven predictive analytics transforms underwriting, making it more precise, dynamic, and efficient.

AI-Driven Underwriting That Moves at Market Speed

Underwriting is the bedrock of P&C insurance, but legacy methods—reliant on static models, manual processes, and outdated risk assessment techniques—are struggling to keep pace with today’s market demands. Rising claim severity, regulatory pressures, and evolving customer expectations require a shift from intuition-based underwriting to AI-driven precision.

According to Gartner, 50% of insurance enterprises have already deployed AI for underwriting. AI-driven models not only accelerate policy issuance but also improve pricing strategies and customer satisfaction.

Here’s how AI is reshaping underwriting:

How AI is Reshaping Underwriting

With 70% of digital underwriting cases now receiving instant decisions and automated underwriting adoption growing rapidly, AI is proving to be a game-changer. Stronger underwriting means better risk selection, but the job isn’t done once a policy is issued. Fraudsters are getting smarter, and unchecked risks can erode profitability. To stay ahead, insurers need AI not only for underwriting, but also for detecting fraud, preventing losses, and managing risk with precision.

AI, Defeating Insurance Fraud Before It Strikes

Insurance fraud isn’t just a growing problem—it’s an industry-wide crisis, costing insurers billions annually and driving up premiums for policyholders. Traditional fraud detection methods relying on manual review and rule-based systems are proving inadequate as fraudsters adopt more sophisticated tactics. The increasing frequency of fraudulent claims is forcing insurers to move beyond reactive detection and adopt AI-powered, proactive prevention strategies.

The numbers paint a stark reality:

  • Fraud accounts for 10-20% of incurred losses in the insurance industry, making it one of the biggest costs drivers.
  • AI-driven fraud detection is one of the fastest-growing AI applications in insurance, representing more than 18% of all AI use cases.
  • – Gartner

How AI Is Transforming Fraud Prevention

  • Anomaly Detection & Machine Learning: AI models analyze large datasets to identify unusual claim patterns, flagging high-risk cases before payouts occur.
  • IoT & Telematics for Real-Time Validation: Devices like vehicle telematics and home sensors provide real-time data, and cross-verifying claim details to prevent fraudulent submissions​.
  • Visual Intelligence & Automated Damage Assessment: AI-powered image recognition tools assess damage claims with forensic precision, minimizing fraudulent overstatements.
  • Intelligent Document Processing (IDP) & Natural Language Processing (NLP): AI scans policyholder documents and automatically detects inconsistencies and fraudulent alterations.

AI isn’t just a shield against fraud—it’s also a powerful tool for building stronger customer relationships. While it protects insurers from losses, it also unlocks new ways to personalize interactions, anticipate customer needs, and deliver seamless experiences. Let’s dive into how AI is transforming marketing and customer engagement in insurance.

AI-Driven Customer Engagement Shifting Insurance to People-Centric

Insurance is no longer just about policies and premiums—it’s about relationships. Customers today expect insurers to understand their unique needs, communicate proactively, and offer seamless, hyper-personalized experiences across channels. Yet, many insurers struggle with fragmented customer data, generic messaging, and sluggish response times.

AI is changing that. According to Gartner, 93% of insurance CIOs prioritize customer experience as a critical outcome of their digital investments. Here’s how they are doing it:

AI-Driven Customer Engagement Shifting Insurance to People-Centric

Insurers that leverage AI for customer personalization are seeing significant improvements in retention, engagement, and revenue growth. According to Gartner, insurers that invest in AI-driven personalization see a 25% improvement in customer retention and cross-sell opportunities.

AI-powered personalization is changing how insurers connect with customers—but what if AI could do more than just predict needs? Generative AI is taking insurance to the next level, not just automating processes but reimagining them. Let’s dive into how Generative AI is reshaping P&C insurance.

Smarter Insurance Starts Here – GAI in Action

Generative AI (GAI) is no longer a futuristic concept—it’s a transformational force reshaping the insurance landscape. GAI unlocks new possibilities, from automating claims to creating innovative insurance products tailored to emerging risks.

The 2024 Gartner CIO study revealed that GAI adoption in the industry stands at 6%, with an additional 33% expected to implement it by year-end.

With 89% of insurance CIOs increasing investments in GAI for 2025, it has become the fastest-growing technology in the industry.

Real-World Applications of Generative AI in P&C Insurance

Generative AI isn’t just another tech upgrade; here’s how it’s making a real impact in P&C insurance.

  1. Claims Processing Automation

    GAI automates document generation, such as subrogation packages, demand letters, and loss assessments, significantly reducing adjuster workloads and processing times. A leading European insurer reported a 14x increase in productivity across claims management using GAI, accelerating settlements and reducing costs.

  2. AI-Powered Customer Service

    Unlike conventional AI chatbots, GAI-powered virtual assistants can handle complex policy inquiries, claims disputes, and multilingual interactions with near-human efficiency. This leads to higher customer satisfaction, faster resolutions, and lower operational costs.

  3. Next-Gen Underwriting & Risk Assessment

    GAI enables insurers to analyze emerging risks in real time using behavioral analytics, telematics, and external data sources. This results in more precise underwriting, dynamic pricing adjustments, and faster policy issuance, reducing underwriting timelines by up to 70%.

  4. Product Innovation & Market Differentiation

    With the power to process vast datasets and identify trends, GAI supports the creation of innovative insurance products—such as parametric insurance for climate-related risks or customized policies for gig workers.

As GAI adoption accelerates, its role in P&C insurance will expand, reshaping how insurers operate, interact with customers, and drive profitability. To turn AI potential into real business impact, insurers need a game plan. Here’s how to build a smart, strategic approach to AI implementation.

Navigating AI Implementation for Maximum ROI

Successfully embedding AI in P&C insurance requires careful planning and prioritization. Here’s how to get started:

Navigating AI Implementation for Maximum ROI

Having a strategy is great, but the real impact comes from putting AI to work. Insurers already using AI in claims, underwriting, and fraud detection are seeing faster processes, lower costs, and happier customers. Meanwhile, those still in the planning phase risk falling behind. The industry isn’t waiting—why should you?

The AI Wave in Insurance is Here, and It’s Only Getting Bigger

AI and automation are no longer futuristic—they’re the present and future of P&C insurance. The industry is moving beyond traditional models, leveraging AI to accelerate claims, refine risk assessment, enhance fraud detection, and transform customer engagement. With generative AI adoption growing by 38% in just one year and 91% of insurers planning to implement AI-driven solutions by 2026, the question isn’t whether AI will reshape insurance—it’s how quickly you can capitalize on it.

Insurers that act now will gain operational agility, cost efficiency, and customer loyalty, while those who hesitate risk falling behind.

Take your first step toward the future. Explore how our expert solutions can help you harness the power of AI for sustainable growth — contact us today.

References:

www.forrester.com/report/the-future-of-insurance/RES131950?ref_search=0_1742455762343

www.forrester.com/report/predictions-2025-insurance/RES181572?ref_search=0_1742455762343

www.gartner.com/en/documents/5409263

www.gartner.com/en/documents/5641791

www.gartner.com/en/documents/5770715


By

Business Development Manager

Kathy Kelleher brings over a decade of experience in the insurance industry to her role at Bridgenext. As a digital realization specialist, she combines her deep understanding of insurance operations with cutting-edge technology solutions to help insurers innovate with intention. Kathy’s mission is to empower insurers to deliver exceptional customer experiences through strategic digital solutions, bridging the gap between transformation and realization.

LinkedIn – Kathy Kelleher
Email – Kathy.kelleher@bridgenext.com



Topics: AI and ML, Automation, Customer Experience (CX), Customer Loyalty, Data & Analytics, Digital Marketing, Digital Realization, Digital Strategy, Digital Transformation, Gen AI, Innovation, Marketing Automation, Marketing Strategy, Personalization, Salesforce Agentforce

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