AI-Driven Communication Strategies in Insurance Crisis Management: Enhancing Claims Processing and Fraud Detection
DOI:
https://doi.org/10.63278/jicrcr.vi.3077Abstract
Insurance companies face unprecedented challenges during crises such as natural disasters and global events, which trigger a surge in insurance claims and require swift, effective communication with stakeholders. This paper explores how artificial intelligence (AI) can transform crisis communication strategies in the insurance industry, with a focus on accelerating claims processing and enhancing fraud detection. A qualitative research approach is employed, including a comprehensive literature review and analysis of industry case studies. The findings indicate that AI-driven tools – from chatbots and intelligent claim triage systems to machine learning fraud detectors – enable insurers to process claims faster, communicate more effectively with policyholders, and identify fraudulent activities with greater accuracy. For example, AI chatbots have been adopted by nearly half of insurers worldwide to handle customer service and claims inquiries, and machine learning algorithms can scan claims data and imagery in real time to flag anomalies. Two case studies illustrate these benefits: an Insurtech firm that settled claims in seconds via an AI-powered bot, and a global reinsurer that used AI-driven damage assessments to expedite disaster response. Ethical considerations of these technologies – including data privacy, algorithmic bias, transparency, and regulatory compliance – are discussed to ensure responsible implementation. The study concludes that AI-driven communication and decision-support systems hold significant potential to strengthen insurance crisis management by improving operational efficiency and stakeholder trust, although human oversight and ethical frameworks remain critical for sustainable adoption.