Zurich Seguros (España) logo

Zurich Seguros ZFinder AI Fraud Detection

Verification pending

by Zurich Seguros (España) · Primary insurer

Market unit: ES

no ratings

ZFinder is an ML fraud-detection model developed in-house at Zurich Seguros (Spain, a unit of the Swiss-domiciled Zurich Group): big-data pattern recognition across thousands of similar claims plus self-learning algorithms. Launched June 2018 for household insurance; it doubled automatic fraud detection, and in 76% of the cases investigated an expert assessment was unnecessary.

Machine learning and predictive analyticsAnomaly detectionProperty insurance

No free views left this month

AI capability and maturity

AI capability level

UnderstandGenerateReasonDecideActCollaborate

Capability Maturity Score (CMS)

4 / 6

Business Adoption Score (BAS)

4 / 6

AI Development Index (ADI)

16 / 36

See more information and theoretical background

Business context

Value chain steps
Fraud detection and preventionClaims management
Insurance branches
Property insurance
Application scope
Internal only
Country or market unit
ES

Technical details

AI category
Machine learning and predictive analyticsAnomaly detection

Metadata

Development type
Scaled application

Community

Average rating

0.0 · no ratings

Comments

Log in to join the discussion.

No comments yet. Be the first to comment.

Related solutions

Baloise logo
Baloise Fraud Shield

by Baloise

Switzerland, Belgium

Anomaly detection platform that scores claims for fraud likelihood using network analysis and behavioural patterns, flagging suspicious cases for special investigation.

Anomaly detectionMachine learning and predictive analyticsMotor vehicle insuranceProperty insurance+1
DecideAI Development Index (ADI) 15/36
no ratings0320
Zurich Insurance logo
FraudOps

by Zurich Insurance

FraudOps is a fraud case management and investigation software used by Zurich Insurance. It focuses on the investigation layer, offering structured referral intake, triage, and full case lifecycle management with SLA tracking. The solution integrates with detection platforms like FRISS to manage and process fraud alerts efficiently.

Robotic process automationProperty insuranceMotor vehicle insurance+1
no ratings01127

Allianz has deployed the Nemo platform, a coordinated system of seven specialised AI agents, to handle food spoilage claims from customer photographs through to settlement. The platform automates various tasks such as verifying storm data, checking policy coverage, assessing fraud risk, executing payments, and logging decisions for regulatory compliance, with a human reviewer authorizing the final payout. This deployment illustrates Allianz's advanced use of AI in claims management, reducing manual intervention and improving efficiency.

Generative AIMachine learning and predictive analyticsProperty insurance
no ratings01127