Why Insurers Feed Members' Data to AI Models
Information Age
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Details
- Date Published
- 4 June 2025
- Priority Score
- 3
- Australian
- Yes
- Created
- 5 June 2025, 06:18 pm
Description
QBE, IAG, Resolution Life processing claims with AI.
Summary
The article examines how Australian insurers like QBE, IAG, and Suncorp are integrating AI models into their operations to process claims and personalise customer services. Significant privacy concerns arise as insurers update policies to inform customers about data usage in AI systems, without detailing the specific data types involved. The Australian Securities and Investment Commission is already involved in legal action against IAG for potentially misleading algorithmic practices indicating a growing need for regulatory oversight on AI implementations in the insurance sector. This piece contributes to the discourse on AI safety by highlighting the use of AI in consumer data risks and underscores the importance of governance in protecting privacy and preventing misuse.
Body
Why insurers feed members’ data to AI modelsQBE, IAG, Resolution Life processing claims with AI.By Jeremy Nadel on Jun 05 2025 12:37 PMPrint articleSuncorp says it uses aerial photos to pre-populate quotes. Photo: ShutterstockAustralian insurers have been busy adding clauses to their privacy policies to inform customers their data has been fed to AI models.In late March, NobleOak added a disclosure in its privacy policy that its AI models “ingest personal information”, joining Australian Unity, Rest, HESTA, Pet Circle, Resolution Life Australasia and the local branch of AXA XL, which made similar updates to their policies between now and late last year.The policies do not list the types of personal information that the AI models process or are trained on, and provide no specific use-cases; except for general insurer QBE Australia, which cites “machine learning tools used to detect the risk that a claim may be denied” as an example.Several other insurers that have not added AI-related disclosures to their privacy statements have still detailed how they have piloted and deployed AI across backend operations and customer-facing services, largely to make them less time-consuming and more personalised respectively.Suncorp toldInformation Agethat it has “deployed hundreds of AI models” and cited examples across “sales and service, claims and supply chain management”.Insurance Australia Group(IAG),QBE AustraliaandMLC Life Insurance, which declined to comment, andResolution Life Australasia, which did not reply, have all built AI tools for high-stakes tasks like partially automating claims assessment.AI – in combination with access to non-traditional and more granular data feeds like aerial imagery, daily transactions and smart cars – is also enabling the sector to move from traditional risk pooling to assessing consumers and pricing products at a more individual-level.AI-enabled pricing“Actuarial models for risk, cost and demand modelling” are among the insurance sector’s “most common uses” for AI, according to a report the Australian Securities and Investment Commission released in October.The watchdog hassaid “AI-related issues arise” in its current court case against IAGover itsallegedly misleading use of “an algorithmto determine a customer’s likelihood of agreeing to renew” their policy so that it could charge those more likely to renew higher premiums and vice versa.QBE Australia made references to “the progressive roll-out of our underwriting AI Co-pilots” at itsAGM last monthbut declined requests to elaborate on them.Suncorp’s EGM of AI transformation Priyanka Paranagama toldInformation Agethat “geospatial images of Australian homes combined with sophisticated AI” has been used “to simplify the quote process for customers, by shaving 50 percent of property questions needed to purchase home insurance.”Non-traditional data feedsParanagama said that Suncorp’s AI solution for automating quotes was achieved “using aerial imagery to pre-populate information, like roof material and property features such as having a swimming pool or solar panels.”Insurers are harnessing other non-traditional data sources to make pricing more automated and personalised, including IAG-owned NRMA, which lets car insurance membersopt-in to a feature that collects their “location data”, and indicators of how safely they drive like “acceleration, braking, turning, speeding and mobile device use.”Life insurer MetLife Australia's project manager Kate Kerr hasused the example of using “productivity” and “absenteeism”to make predictions about health and referred to “coming together with the health industry, having it assess the way you exercise, where you go, how much you travel, how much you drive.“This will all feed into a model where we can price risk according to the individual."Woolworths’ Everyday Rewards card users who also purchase the supermarket’s car insurance, underwritten by Hollard Insurance, can get “a reduced premium”if they are predicted to be safe driversbased on “products purchased, price paid, time and location of shops”.Claims processing and assessing with AIMLC Life Insurance uses an assistive “dynamic triage model”, trained on customer data like “file notes” and “phone calls”, that “can figuratively tap the claim handler on the shoulder when a claim’s status changes” or if they have “missed a critical piece of information.”In 2017, AIA Group reported using IBM’s Watson AI platform to achieve a "40 per cent reduction in turnaround times and over 99 percent accuracy on claims eligibility processing in Australia.”Two years later, AIA Australia trialled another machine learning systemthat uses “comparative claims data to help speed up and streamline the claims process, comparing newly submitted claims against a bank of 60,000 historic claims.”However, the company would not comment on whether either system was currently in use.Jeremy NadelJeremy Nadel is a Melbourne-based freelancer whose work has been featured inThe Guardian, The Saturday PaperandCrikey.He was most recently a staff reporter forITnewsandCRNreporting on the tech channel and enterprise IT. In 2023, he was awarded Best New Journalist at the Australian IT Journalism Awards. For story tips, you can email Jeremy at[email protected].Tags:aiinsurersaustraliaquotesprivacy