Gjensidige Forsikring logo

ML anti-fraud models and AI forgery detection (Gjensidige)

by Gjensidige Forsikring

Market unit: NO, DK

no ratings

Gjensidige uses machine-learning anti-fraud models in claims in Norway as part of an AI-supported fraud prevention operating model, which produced NOK 71 million in savings; compared with 2022 the number of controlled cases rose by 65% and the hit rate by 40% by 2024. An AI-based forgery detection tool, used in lead handling and by investigators, exposed an AI-generated fraudulent claim document for the first time. Rollout of the fraud models to Denmark is planned; in Denmark an AI tool for recourse assessment raised recourse claims by 9% in 2024.

Machine learning and predictive analyticsAnomaly detectionProperty insuranceMotor vehicle insurance
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AI capability and maturity

AI capability level

UnderstandGenerateReasonDecideActCollaborate

See more information and theoretical background

Business context

Value chain steps
Claims managementFraud detection and prevention
Insurance branches
Property insuranceMotor vehicle insurance
Application scope
Internal only
Country or market unit
NODK

Value and impact

Added value category
Cost reductionRisk reduction
Added value estimation

NOK 71m savings in Norway

Quality gain

Controlled cases +65%, hit rate +40% vs 2022

Technical details

AI category
Machine learning and predictive analyticsAnomaly detection

Compliance and governance

EU AI Act risk category
Minimal risk
EU AI Act role
Deployer
Relevant policies
EU Artificial Intelligence ActGeneral Data Protection Regulation

Community

Average rating

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