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Survey Report
AI in Claims Thought Leadership

Everyone is talking about Artificial Intelligence (AI). But what does it actually mean for compensators? How is it impacting the insurance claims process, now and in the future? With the rapid rise of technologies like Generative AI - and now the emerging shift towards Agentive AI – and the continuing pace of change, the claims process could look dramatically different in just five years. The Strategic Advisory team within DAC Beachcroft’s claims division (CSG), which provides insights and advice on a broad range of nascent issues and innovations impacting general insurers, has set about finding out the answers to these questions.

AI is a hot topic just now, as we all know, but there's a lot of confusion as to what it actually is. In entering any meaningful discourse about AI, it's important to establish common ground so everyone is clear what is meant.

Introduction

Our Mission

Our aim in conducting this research is to assist our clients in understanding any emerging themes — and the extent to which there are divergences in opinion regarding current and future use cases — to help inform strategic thinking in the months and years ahead.

1

Qualitative Interviews

In collaboration with Insurance Day, we conducted a series of qualitative one-to-one interviews with a diverse group of compensator organisations from across the claims market.

2

Survey Validation

We then tested the common themes emerging from these interviews with a wider group through an online survey.

DACB Strategic Advisory Team.

This report provides plenty of food for thought. We hope you find it informative, and that it helps to advance the conversation within your own organisation.We extend our sincere thanks to all those who have contributed to this study, be that via interview, completion of the online survey, or by engaging with the outputs

Peter Allchorne

Strategic Advisor

Michael McCabe

Senior Consultant

Joanna Folan

Research Director

Trust is the Gateway to Realising AI's Potential

The incredible opportunities that AI offers us will only be fully realised if there is public trust.This trust will come if governments and organisations uphold ethical principles like

by the Right Honourable Sir Robert Buckland, KBE, KC

Former Lord Chancellor and Secretary of State for Justice, and now member of DACB's Policy Unit

Explore AI’s Broad Impact

AI’s significance reaches beyond insurance and into every sector.

This report, prepared by colleagues at DAC Beachcroft, is fascinating reading for anyone who is interested in the impact of machine learning, not just in the insurance industry, but more widely too.

Sir Robert Buckland, KBE, KC Former Lord Chancellor and Secretary of State for Justice

Foreword

AI’s Role in Shaping the Future of Claims

What we have produced is a review of the claims market's current and planned use of AI, looking thematically at the impact of new technologies on important stakeholders in the process, such as colleagues and – most importantly – customers.

Drive Process Efficiency

Enhance Job Satisfaction

Improve Customer Journeys

How is the Insurance Industry Adapting to AI?

In-depth Research Initiated

The authors of this report have conducted extensive research into how AI is reshaping one of the UK’s key service sectors — the insurance industry.They examined how organisations are transitioning to new ways of working due to AI's influence.

01

Interview-Driven Insights

Their insights are built upon detailed one-to-one interviews with various insurance providers. This qualitative approach gives first-hand, grounded perspectives from the heart of the industry.

02

Clear Benefits to Customers

Findings suggest a strong shift towards efficiency, productivity, and accuracy in operations. New models and workflows enabled by AI are transforming risk assessment and fraud prevention.

03

Clear Benefits to Customers

The implications are far-reaching. Customers stand to gain from better service, quicker resolution, and improved claim handling — all through the adoption of well-governed AI in the claims process.

04

Our Mission

There was unanimous support for human interaction, however, given the often emotional and stressful circumstances in which claims are made.

For the present, the focus of AI investment for insurers is firmly on back-office functions, rather than on the customer-facing part of their business. Fully automated claims processes were rarely envisaged by anyone, but the power of AI when it comes to summarising claims calls from customers, processing millions of documents and detecting fake images, videos or audio recordings, were seen as key priorities.Most fundamentally, the ability of AI to provide better structure to the wealth of data being generated by the insurance industry was recognised. The dangers of imperfect or historic data creating distortions and bias were also understood, and I was encouraged to learn that significant investments are being made in establishing ‘Data Academies’, to provide training in how to interpret output from Gen AI;

what to watch out for in reviewing that output; anticipating assumptions the AI might make when processing data whilst identifying patterns and trends; and watching out for bias that could creep in to the process and knowing how to deal with hallucinations.Against a backdrop of international regulatory uncertainty, tThis report represents a major contribution to the ongoing debate as to the role of AI in the claims process. and It should be essential reading for anyone serious about managing AI’s risks whilst maximising its enormous potential to provide greater efficiencies in a safe and ethical way.

A Sector Embracing Change - With Eyes Wide Open

It's not about being 'first' – it's about being smart with technology to be customers' 'first choice'.

Waqar Ahmed

Claims Chief Operating Officer, Aviva

Across both one-to-one interviews and survey responses, a clear picture emerges: the insurance industry is embracing the potential of Gen AI with enthusiasm, tempered by a thoughtful and measured approach. This is not an industry rushing blindly into the future - it is one recognising both the opportunities and responsibilities that come with technological change.

Industry Mindset

Thoughtful Adoption, Not Blind Hype

Across both one-to-one interviews and survey responses, a clear picture emerges: the insurance industry is embracing the potential of Gen AI with enthusiasm, tempered by a thoughtful and measured approach.This is not an industry rushing blindly into the future – it is one recognising both the opportunities and responsibilities that come with technological change.

Emerging Themes

Patterns from Survey & Interviews

The following section brings together the key themes from our one-to-one interviews and online survey responses. It reflects a blend of on-the-ground experience and strategic thinking from leaders across the sector—highlighting how insurers are balancing innovation with caution.

Deeper Dive

Access Full Interviews

You’ll find excerpts from the interviews included here – and you can also click through to the full interview transcripts for a deeper dive into each conversation. These narratives provide unique perspectives from executives shaping the future of AI in insurance.

Listen to Full Interview

The following section brings together the key themes from our research. You’ll find excerpts from the interviews included here and you can also click through to the full interviews for a deeper dive into each conversation.

Acknowledgements & Reflections

Across both one-to-one interviews and survey responses, a clear picture emerges: the insurance industry is embracing the potential of Gen AI with enthusiasm, tempered by a thoughtful and measured approach. This is not an industry rushing blindly into the future - it is one recognising both the opportunities and responsibilities that come with technological change.Some interviewees share their long-standing experience with AI - dating back nearly a decade in some cases.

No plans to explore Ai

Actively
Exploring Gen AI

72% Actively Exploring Gen AI
65% No plans to explore AI

Strategic Evolution With a Human Touch

Across the insurance industry, pilots and trials are being run to see what Generative AI has to offer in improving how claims are managed, how decisions are made, and customers experience the claims journey.
At AXA, the integration of both traditional and generative AI is a clear example of how insurers can evolve strategically while keeping the human touch central. Alexandra Price describes the journey.

AXA has been using traditional machine learning (ML) models for several years, with a particular focus on claims management across motor, property, and casualty lines. These models help claims handlers triage cases and recommend “next best actions,” supporting efficient and consistent decision-making from the start of a claim through to resolution. Importantly, this AI is used to augment human expertise—not replace it. We have no automated decision-making within our journey. The handler is always able to review the output and accept or reject those decisions.

Alexandra Price

AXA Insurance

Building on our traditional machine learning capabilities, we are now exploring how Generative AI can add further value—particularly in document analysis. For example, Gen AI can read and interpret medical reports or other claim-related documents to help detect early signs of complexity in a case, so it can be escalated up to our specialist team more speedily.

The company’s use of AI is both customer-facing and internal. In digital channels—like our Electronic Notification Of Loss (ENOL) platform - AI helps triage claims and suggest likely outcomes more speedily, such as whether a vehicle is repairable or whether it needs to be taken to salvage. Customers can then choose to proceed digitally or speak to a handler at any point.

Behind the scenes, AI models work silently, flagging potentially complex claims or summarising customer calls to save time. But the customer still interacts with a human. Ultimately, it’s the handler speaking with the customer, backed by AI-generated insights that give them more confidence in those interactions.

Successfully integrating AI into claims management isn’t just about the technology. A large part of the exercise is about bringing the people in the business with you – classic change management. In the early days of the programme – we are now five years in - there was understandable hesitancy from staff about what AI might mean for their roles. However, we have been careful to take a collaborative, transparent approach. Training and support are embedded into AI rollouts, and feedback loops ensure ongoing refinement. Crucially, AI projects are developed with the business teams, not handed down to them.

Our handlers now say AI gives them more time to focus on the parts of the job that require their expertise and human skill-sets, with much of the boring admin taken away – so they have more time to focus on handling complex conversations, providing empathetic support and making decisions. All aspects of the of the job that really benefit from the human touch.

The AI program is delivering results for our business, and for our customers, on multiple fronts: it is enabling us to make faster decisions - customers benefit from quicker resolutions, such as knowing immediately where their vehicle will be sent for collection, ie whether repair or salvage; it is also greatly improving our operational efficiency, as handlers can manage cases more quickly and effectively with AI support; we also see the benefits of enhanced oversight, because AI acts as a second line of defence, spotting things a human might miss. All in all AI is facilitating better outcomes – decisions are more consistent and accurate when handlers are supported by AI, which ultimately reduces our indemnity costs and shortens claim cycle times for customers.

AI also has an important part to play in risk management: we are exploring what GenAI can do in terms of analysing complex data sets, eg of historic claims, and suggesting risk mitigation strategies to help reduce potential future losses.

It also has a role in fraud detection. AXA uses AI models to assign risk scores to claims, helping specialist teams prioritise investigations. We are also exploring document and voice analysis to detect fraud more effectively.

As for ethics, AXA has built a governance framework to ensure every AI project is developed responsibly. This includes early engagement with data protection and compliance teams, as well as built-in bias testing and monitoring.

While AXA is open to exploring automated decision-making in the future, our current approach is firmly rooted in maintaining a “human in the loop.” The AI may make a prediction - but the final call remains with the claims handler. There is real value in that human-AI collaboration. We are not building AI in isolation. We are building it with our people, for our people because we believe that is how you get the best outcomes for customers - and for the business.

SCROLL DOWN

Balancing Pace with Prudence

​

A recurring theme was the challenge of getting the pace of change right.  As Waqar Ahmed puts it, “the pace of technological change is moving faster than the pace of comprehension, let alone adoption”. Simon Hammond of NHS Resolution talks about the challenge of bringing staff with you on the change journey.  The key, he believes, is “making sure everyone is on the same page in terms of realistic expectations.  Some of course may be fearful of the machines taking over from the humans”, he says.  “Others, however, will be at the other end of the spectrum, wanting AI immediately and perhaps not appreciating the need for a thoughtfully paced approach and reflection around the guard rails that might be needed, the regulatory issues that sit around it, nor the potential for unintended consequences.  And there’s a whole range that falls between these two ends of the spectrum…. The key is to get everyone to buy in to the appropriate pace of change, as well as the change itself.”

When we put this to the wider group, 75% of respondents said their colleagues are either positive or neutral about AI entering their workflows, but the internal appetite for speed is mixed: between 50–60% report hesitancy around trusting outputs or concerns about job displacement, but at the same time, more than 40% of respondents express colleagues and staff’s impatience, wanting transformation to happen faster than their organisations are currently planning. 

When we put this to the wider group, 75% of respondents said their colleagues are either positive or neutral about AI entering their workflows, but the internal appetite for speed is mixed: between 50–60% report hesitancy around trusting outputs or concerns about job displacement, but at the same time, more than 40% of respondents express colleagues and staff’s impatience, wanting transformation to happen faster than their organisations are currently planning.