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Insurance Fraud Detection Market Size, Share & Trends Analysis Report by Component, by Solutions, by Services (Professional Services, Managed Services), by Deployment, by Organization, by Region, and Segment Forecasts, 2019-2025

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  • 120 Pages
  • November 2019
  • Region: Global
  • Grand View Research
  • ID: 5648993
Description Jump to:
The global insurance fraud detection market size is expected to reach USD 9.7 billion by 2025, registering a CAGR of 13.7% over the forecast period. Detecting and preventing fraudulent activities is a global challenge for insurers. However, the emergence of advanced solutions such as the use of automated business rules, self-learning models, text mining, predictive analytics, image screening, network analysis, and device identification is expected to deliver actionable insights to improve claims processes. As a result, insurance organizations are adopting fraud detection solutions that not only recognize the genuine claims process but also reduce the number of false positives.

The prevention and detection of fraud capabilities are increasing with the growing awareness of perpetrators and sophisticated crimes. Global concerns about the ever-increasing cases of insurance frauds coupled with sophisticated organized crime, have signaled a need for coherent action by all insurance companies. As per a research conducted by the Federal Bureau of Investigation (FBI), the total estimated cost of insurance fraud in the U.S. is expected to be more than USD 40 billion per year. As a result, in the U.S., it has led to an increased premium of approximately USD 420 to 700 per year for the average earning family. Similarly, according to the Association of British Insurers in the U.K., insurer unearthed more than 113,000 fraudulent claims and 449,000 dishonest insurance applications, valued at USD 1.3 billion. Thus, to curb fraudulent claims coupled with the various stringent regulations set by the government, enterprises are expected to adopt these solutions in the near future. These solutions are
expected to enable an enterprise to identify fraudulent activities with higher speed and accuracy, thereby improving the consumer experience by realizing fast payouts.

In the insurance sector, fraudulent activities are primarily categorized as criminal and cultural. In criminal type, professional perpetrators habitually try to identify a weak system to attack. While in cultural type, a genuine claimant is opportunistic by exaggerating a claim. With the help of data analytics, insurance companies can analyze and detect the possibility of fraudulent activities. The user can enter data, and claim applications are automatically given a score to indicate the likelihood that scam has occurred. Thus, the use of predictive modeling can potentially produce a quantified score that helps a company to understand the propensity of a scam. Monitoring the arrived score through the use of advanced solutions is expected to show more accurate and effective results than that of traditional fraud detection methods. However, relying solely on technology for suspecting the fraudulent activities to be flagged is expected to be a key challenge for the insurers. Thus, to overcome such challenges, a.
nalysts are required to initiate immediate action and follow appropriate measures to help the company reduce losses.

Insurance Fraud Detection Market Report Highlights

  • Solutions segment held the leading market share in 2018 and is expected to continue leading over the forecast period.
  • Managed services segment is anticipated to exhibit the fastest CAGR of 15.6% over the forecast period.
  • Large enterprise segment dominated the market with highest revenue share in 2018.
  • The Asia Pacific region is anticipated to witness the fastest CAGR over the forecast period.


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Table of Contents

Chapter 1 Methodology and Scope
1.1 Market Segmentation and Scope
1.2 Market Definition
1.3 Methodology
1.4 Information Procurement
1.4.1 Purchased Database
1.4.2 Internal database
1.4.3 Secondary sources & third-party perspectives
1.4.4 Primary Research
1.5 Information Analysis
1.5.1 Data Analysis Model
1.6 Market Formulation & Data Visualization
1.7 Data Validation & Publishing
1.8 List of Abbreviations
Chapter 2 Executive Summary
2.1 Market Snapshot
2.2 Market Outlook
2.2.1 Global insurance fraud detection market, 2015 - 2025 (USD Million)
2.2.2 Global insurance fraud detection market by region, 2015 - 2025 (USD Million)
2.3 Segment Outlook
2.3.1 Global insurance fraud detection market by component, 2015 - 2025 (USD Million)
2.3.2 Global insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
2.3.3 Global insurance fraud detection market, by services, 2015 - 2025 (USD Million)
2.3.4 Global insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
2.3.5 Global insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
Chapter 3 Insurance Fraud Detection Market Variables, Trends & Scope
3.1 Market Lineage Outlook
3.1.1 Related/Ancillary market outlook
3.1.1.1 Cyber security
3.1.1.2 Enterprise governance, risk, and compliance
3.2 Penetration and Growth Prospect Mapping
3.3 Industry Value Chain Analysis
3.4 Market Dynamics
3.4.1 Market Driver Analysis
3.4.1.1 Increasing efforts to reduce fraud cases
3.4.1.2 Growth of advanced analytics to identify threat patterns
3.4.2 Market Challenge Analysis
3.4.2.1 Delayed alert mechanism in addressing frauds at a preliminary stage
3.5 Insurance Fraud Detection Market Analysis Tools
3.5.1 Industry Analysis - Porters
3.5.2 PEST Analysis
Chapter 4 Competitive & Vendor Landscape
4.1 Major Deals and Strategic Alliances Outlook
4.2 Key Company Ranking Analysis, 2018
Chapter 5 Insurance Fraud Detection Market: Component Estimates and Trend Analysis
5.1 Insurance Fraud Detection Market: Component Movement Analysis
5.1.1 Solutions, 2015 - 2025 (USD Million)
5.1.2 Services, 2015 - 2025 (USD Million)
Chapter 6 Insurance Fraud Detection Market: Solutions Estimates and Trend Analysis
6.1 Insurance Fraud Detection Market: Solutions Movement Analysis
6.1.1 Fraud analytics, 2015 - 2025 (USD Million)
6.1.2 Authentication, 2015 - 2025 (USD Million)
6.1.3 GRC, 2015 - 2025 (USD Million)
Chapter 7 Insurance Fraud Detection Market: Services Estimates and Trend Analysis
7.1 Insurance Fraud Detection Market: Services Movement Analysis
7.1.1 Professional services, 2015 - 2025 (USD Million)
7.1.2 Managed services, 2015 - 2025 (USD Million)
Chapter 8 Insurance Fraud Detection Market: Deployment Estimates and Trend Analysis
8.1 Insurance Fraud Detection Market: Deployment Movement Analysis
8.1.1 Cloud, 2015 - 2025 (USD Million)
8.1.2 On-Premise, 2015 - 2025 (USD Million)
Chapter 9 Insurance Fraud Detection Market: Organization Estimates and Trend Analysis
9.1 Insurance Fraud Detection Market: Organization Movement Analysis
9.1.1 SMB, 2015 - 2025 (USD Million)
9.1.2 Large enterprise, 2015 - 2025 (USD Million)
Chapter 10 Insurance Fraud Detection Market: Regional Estimates and Trend Analysis
10.1 Insurance Fraud Detection Market: Regional Movement Analysis
10.2 North America
10.2.1 North America insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.2.2 North America insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.2.3 North America insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.2.4 North America insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.2.5 North America insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.2.6 U.S.
10.2.7 U.S. insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.2.8 U.S. insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.2.9 U.S. insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.2.10 U.S. insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.2.11 U.S. insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.2.12 Canada
10.2.13 Canada insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.2.14 Canada insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.2.15 Canada insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.2.16 Canada insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.2.17 Canada insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.3 Europe
10.3.1 Europe insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.3.2 Europe insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.3.3 Europe insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.3.4 Europe insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.3.5 Europe insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.3.6 U.K.
10.3.7 U.K. insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.3.8 U.K. insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.3.9 U.K. insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.3.10 U.K. insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.3.11 U.K. insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.3.12 Germany
10.3.13 Germany insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.3.14 Germany insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.3.15 Germany insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.3.16 Germany insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.3.17 Germany insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.4 Asia Pacific
10.4.1 Asia Pacific insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.4.2 Asia Pacific insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.4.3 Asia Pacific insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.4.4 Asia Pacific insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.4.5 Asia Pacific insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.4.6 China
10.4.7 China insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.4.8 China insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.4.9 China insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.4.10 China insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.4.11 China insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.4.12 India
10.4.13 India insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.4.14 India insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.4.15 India insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.4.16 India insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.4.17 India insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.4.18 Japan
10.4.19 Japan insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.4.20 Japan insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.4.21 Japan insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.4.22 Japan insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.4.23 Japan insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.5 Latin America
10.5.1 Latin America insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.5.2 Latin America insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.5.3 Latin America insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.5.4 Latin America insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.5.5 Latin America insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.5.6 Brazil
10.5.7 Brazil insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.5.8 Brazil insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.5.9 Brazil insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.5.10 Brazil insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.5.11 Brazil insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
10.5.12 Mexico
10.5.13 Mexico insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.5.14 Mexico insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.5.15 Mexico insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.5.16 Mexico insurance fraud detection ML market, by deployment, 2015 - 2025 (USD Million)
10.5.17 Mexico insurance fraud detection ML market, by organization, 2015 - 2025 (USD Million)
10.6 Middle East & Africa
10.6.1 MEA insurance fraud detection market, by component, 2015 - 2025 (USD Million)
10.6.2 MEA insurance fraud detection market, by solutions, 2015 - 2025 (USD Million)
10.6.3 MEA insurance fraud detection market, by services, 2015 - 2025 (USD Million)
10.6.4 MEA insurance fraud detection market, by deployment, 2015 - 2025 (USD Million)
10.6.5 MEA insurance fraud detection market, by organization, 2015 - 2025 (USD Million)
Chapter 11 Competitive Landscape
11.1 ACI Worldwide, Inc.
11.1.1 Company overview
11.1.2 Financial performance
11.1.3 Product benchmarking
11.1.4 Strategic initiatives
11.2 BAE Systems
11.2.1 Company overview
11.2.2 Financial performance
11.2.3 Product benchmarking
11.2.4 Strategic initiatives
11.3 Experian plc
11.3.1 Company overview
11.3.2 Financial performance
11.3.3 Product benchmarking
11.3.4 Strategic initiatives
11.4 Fiserv, Inc.
11.4.1 Company overview
11.4.2 Financial performance
11.4.3 Product benchmarking
11.4.4 Strategic initiatives
11.5 Fair Isaac Corporation
11.5.1 Company overview
11.5.2 Financial performance
11.5.3 Product benchmarking
11.5.4 Strategic initiatives
11.6 IBM Corporation
11.6.1 Company overview
11.6.2 Financial performance
11.6.3 Product benchmarking
11.7 SAP SE
11.7.1 Company overview
11.7.2 Financial performance
11.7.3 Product Benchmarking
11.8 SAS Institute Inc.
11.8.1 Company overview
11.8.2 Financial performance
11.8.3 Product benchmarking
11.8.4 Strategic initiatives
11.9 Software AG
11.9.1 Company overview
11.9.2 Financial performance
11.9.3 Product benchmarking
List of Tables
Table 1 List of Abbreviation
Table 2 Global insurance fraud detection market, 2015-2025 (USD Million)
Table 3 Global insurance fraud detection market by region, 2015-2025 (USD Million)
Table 4 Global insurance fraud detection market by component, 2015-2025 (USD Million)
Table 5 Global insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 6 Global insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 7 Global insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 8 Global insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 9 Global solutions market by region, 2015-2025 (USD Million)
Table 10 Global services market by region, 2015-2025 (USD Million)
Table 11 Global fraud analytics market by region, 2015-2025 (USD Million)
Table 12 Global authentication market by region, 2015-2025 (USD Million)
Table 13 Global GRC market by region, 2015-2025 (USD Million)
Table 14 Global professional services market by region, 2015-2025 (USD Million)
Table 15 Global managed services market by region, 2015-2025 (USD Million)
Table 16 Global cloud market by region, 2015-2025 (USD Million)
Table 17 Global on-premise market by region, 2015-2025 (USD Million)
Table 18 Global SMB market by region, 2015-2025 (USD Million)
Table 19 Global large enterprise market by region, 2015-2025 (USD Million)
Table 20 North America insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 21 North America insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 22 North America insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 23 North America insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 24 North America insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 25 U.S. insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 26 U.S. insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 27 U.S. insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 28 U.S. insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 29 U.S. insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 30 Canada insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 31 Canada insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 32 Canada insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 33 Canada insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 34 Canada insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 35 Europe insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 36 Europe insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 37 Europe insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 38 Europe insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 39 Europe insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 40 U.K. insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 41 U.K. insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 42 U.K. insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 43 U.K. insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 44 U.K. insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 45 Germany insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 46 Germany insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 47 Germany insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 48 Germany insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 49 Germany insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 50 Asia Pacific insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 51 Asia Pacific insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 52 Asia Pacific insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 53 Asia Pacific insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 54 Asia Pacific insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 55 China insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 56 China insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 57 China insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 58 China insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 59 China insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 60 India insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 61 India insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 62 India insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 63 India insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 64 India insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 65 Japan insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 66 Japan insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 67 Japan insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 68 Japan insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 69 Japan insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 70 Latin America insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 71 Latin America insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 72 Latin America insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 73 Latin America insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 74 Latin America insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 75 Brazil insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 76 Brazil insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 77 Brazil insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 78 Brazil insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 79 Brazil insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 80 Mexico insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 81 Mexico insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 82 Mexico insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 83 Mexico insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 84 Mexico insurance fraud detection market, by organization, 2015-2025 (USD Million)
Table 85 MEA insurance fraud detection market, by component, 2015-2025 (USD Million)
Table 86 MEA insurance fraud detection market, by solutions, 2015-2025 (USD Million)
Table 87 MEA insurance fraud detection market, by services, 2015-2025 (USD Million)
Table 88 MEA insurance fraud detection market, by deployment, 2015-2025 (USD Million)
Table 89 MEA insurance fraud detection market, by organization, 2015-2025 (USD Million)
List of Figures
FIG. 1 Insurance fraud detection market segmentation
Fig. 2 Methodology
Fig. 3 Primary Research Pattern
Fig. 4 Information analysis
Fig. 5 Data Analysis Model
Fig. 6 Data Validation & Publishing
Fig. 7 Insurance Fraud Detection: Market Snapshot
Fig. 8 Cyber security: Regional outlook
Fig. 9 Insurance fraud detection market: Penetration & growth prospect mapping
Fig. 10 Insurance fraud detection market: Value chain analysis
Fig. 11 Insurance fraud detection market: Driver impact analysis
Fig. 12 Insurance fraud detection market: Challenge impact analysis
Fig. 13 Insurance fraud detection market: Porter’s five forces analysis
Fig. 14 Insurance fraud detection market: PEST analysis
Fig. 15 Insurance fraud detection market: Component segment analysis
Fig. 16 Insurance fraud detection market: Solutions segment analysis
Fig. 17 Insurance fraud detection market: Services segment analysis
Fig. 18 Insurance fraud detection market: Deployment segment analysis
Fig. 19 Insurance fraud detection market: Organization segment analysis
Fig. 20 Insurance fraud detection market: Regional segment analysis

Companies Mentioned

  • ACI Worldwide, Inc.
  • BAE Systems
  • Experian plc
  • Fiserv, Inc.
  • Fair Isaac Corporation
  • IBM Corporation
  • SAP SE
  • SAS Institute Inc.
  • Software AG

Methodology

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