Claims

Claims is a unique function, dealing on a one-to-one basis with customers to fulfil the terms of the contract. How this is handled by insurers can through up some of the most significant ethical risks within insurance.
46 posts
Claims
What the 3 Most Read Articles in 2023 Tell Us public
Claims 2 min read

What the 3 Most Read Articles in 2023 Tell Us

Three articles I wrote in 2023 grabbed the attention of readers. Out of the 76 articles I wrote last year covering a wide range of topics, the interest in these three stands out. I put this into context and look at what they say about insurers’ interests looking forward.…
Duncan Minty
Duncan Minty
A Legal Spotlight Turns on Discrimination in Claims public
Claims 4 min read

A Legal Spotlight Turns on Discrimination in Claims

Insurers using algorithms in claims and fraud decisions should now prepare for much greater scrutiny of how such systems are designed and used. A legal challenge in the US alleging discrimination has in part passed a key legal milestone. I weigh up the ramifications of what could be a landmark case.…
Duncan Minty
Duncan Minty
The Industrialisation of Claims Denials public
Claims 4 min read

The Industrialisation of Claims Denials

Lemonade made the news recently when it claimed a new record for settling a claim in 2 seconds. Unfortunately, campaigners are reporting that another insurer has built a system that rejects claims in under 2 seconds. Insurers need to think about claims automation more carefully than at present.…
Duncan Minty
Duncan Minty
Claims – Nine Ethical Red Flags that Need Attention public
Claims 8 min read

Claims – Nine Ethical Red Flags that Need Attention

For the last 5 years, I’ve viewed claims as the function that is generating the most ethical risk for a typical UK insurer. It has not been in the limelight, but it has been using decision systems in ways that raise significant questions. Here are nine practices that are red flags.…
Duncan Minty
Duncan Minty
Our Digital Footprint – a Pandora’s Box of Data? public
Data Ethics 7 min read

Our Digital Footprint – a Pandora’s Box of Data?

I gave a keynote speech at a claims and fraud conference this week, on whether insurers’ exploitation of our digital footprint could turn into a Pandora’s box. Insurers see these new lines of insight as creating competitive advantage, but could they instead cause real problems?…
Duncan Minty
Duncan Minty
Data used to back Discrimination Claim against US Insurer public
Discrimination 4 min read

Data used to back Discrimination Claim against US Insurer

A lawsuit recently filed in a US court shows how consumers are using data to support legal cases of discrimination against insurers in claims and counter fraud. One aim of the plaintiff is to achieve class-action status, so widening its impact considerably. The implications would be significant.…
Duncan Minty
Duncan Minty
These claims practices are indefensible public
Claims 6 min read

These claims practices are indefensible

The FCA has warned insurers not to undervalue total loss settlements, with a particular emphasis put on motor claims. And their warning makes specific mention of not incentivising staff to engage in potentially harmful claims settlement practices. I analyse the implications for claims people.…
Duncan Minty
Duncan Minty
Ethics, Claims and the Cost of Living Crisis public
Claims 7 min read

Ethics, Claims and the Cost of Living Crisis

The cost of living crisis will have impacts across insurance. At the forefront will be claims, with increased settlements and concerns around fraud. Many insurers will turn to the digital tools widely used now in claims decisions. Yet in doing so, what ethical risks might they stir up?…
Duncan Minty
Duncan Minty
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