Insurance Fraud Detection

Global Insurance Fraud Detection Market to Reach US$43.0 Billion by 2030

The global market for Insurance Fraud Detection estimated at US$12.7 Billion in the year 2024, is expected to reach US$43.0 Billion by 2030, growing at a CAGR of 22.5% over the analysis period 2024-2030. Fraud Analytics, one of the segments analyzed in the report, is expected to record a 23.0% CAGR and reach US$11.8 Billion by the end of the analysis period. Growth in the Authentication segment is estimated at 21.5% CAGR over the analysis period.

The U.S. Market is Estimated at US$3.7 Billion While China is Forecast to Grow at 21.8% CAGR

The Insurance Fraud Detection market in the U.S. is estimated at US$3.7 Billion in the year 2024. China, the world`s second largest economy, is forecast to reach a projected market size of US$6.6 Billion by the year 2030 trailing a CAGR of 21.8% over the analysis period 2024-2030. Among the other noteworthy geographic markets are Japan and Canada, each forecast to grow at a CAGR of 20.0% and 18.9% respectively over the analysis period. Within Europe, Germany is forecast to grow at approximately 15.4% CAGR.

Global Insurance Fraud Detection Market - Key Trends and Drivers Summarized

Why Is Insurance Fraud Detection Critical for Industry Sustainability?

Insurance fraud detection is an increasingly vital aspect of the insurance industry, designed to identify and prevent fraudulent claims that lead to substantial financial losses. Fraudulent activities in insurance cover a wide range of areas, including false claims, inflated damages, staged accidents, and identity theft. The cost of these fraudulent claims is staggering, impacting not only insurers but also honest policyholders through increased premiums. Advanced fraud detection systems help insurers mitigate these losses by employing sophisticated algorithms, machine learning, and data analytics to detect patterns of fraudulent behavior. Insurance fraud detection is particularly crucial in high-risk areas like health, auto, and property insurance, where fraud is most prevalent.

How Are Technological Advancements Shaping the Insurance Fraud Detection Market?

Technological advancements are revolutionizing the insurance fraud detection market by making systems smarter, faster, and more accurate. Artificial intelligence (AI) and machine learning algorithms are playing a significant role in identifying complex fraud patterns that are difficult to detect through traditional methods. These technologies analyze vast amounts of data, including historical claim records, social media activity, and even behavioral analytics, to flag suspicious claims for further investigation. Additionally, blockchain technology is emerging as a tool for creating transparent, immutable records, which can help prevent identity theft and improve the verification process in insurance transactions. With AI-driven predictive analytics, insurers can now take a proactive approach to fraud prevention, identifying high-risk claims before they are processed.

How Do Market Segments Define the Growth of the Insurance Fraud Detection Market?

Deployment types include on-premises and cloud-based solutions, with cloud-based systems gaining popularity due to their scalability, lower cost, and ease of implementation. Components of fraud detection systems include software, services, and platforms, with software solutions such as AI-powered analytics and rule-based engines leading the market. End-users range from health insurance companies and life insurance firms to property and casualty insurers, with health insurance companies being the largest users due to the high frequency of fraudulent claims in the sector. Geographically, North America dominates the market, driven by stringent regulations and the rapid adoption of advanced technologies, while regions like Asia-Pacific are experiencing significant growth due to rising fraud cases and digitalization.

What Factors Are Driving the Growth in the Insurance Fraud Detection Market?

The growth in the insurance fraud detection market is driven by several factors, including the rising incidences of fraud, technological advancements, and increasing regulatory requirements. As fraud becomes more sophisticated, insurers are adopting advanced detection technologies to stay ahead of fraudsters. The growing volume of digital transactions in the insurance sector is also increasing the need for robust fraud detection solutions. Additionally, government regulations aimed at reducing fraud and protecting policyholders are pushing insurance companies to invest in better fraud detection systems. The integration of AI, machine learning, and blockchain technologies is further propelling market growth by offering more accurate and efficient ways to detect and prevent fraudulent activities.

SCOPE OF STUDY:

The report analyzes the Insurance Fraud Detection market in terms of units by the following Segments, and Geographic Regions/Countries:

Segments:
Solutions & Services (Fraud Analytics, Authentication, Governance, Risk & Compliance, Other Solutions, Services); Organization Size (Large Enterprises, SMEs)

Geographic Regions/Countries:
World; United States; Canada; Japan; China; Europe (France; Germany; Italy; United Kingdom; and Rest of Europe); Asia-Pacific; Rest of World.

Select Competitors (Total 36 Featured) -

• ACI Worldwide, Inc.
• BAE Systems, PLC
• Bridgei2i Analytics Solutions
• Datawalk, Inc.
• DXC Technology Co.
• Experian PLC
• Fair Isaac Corp.
• Fiserv, Inc.
• FRISS
• IBM Corp.
• Infogix, Inc.
• Kount, Inc.
• LexisNexis Risk Solutions, Inc.
• NCR Corp.
• Oracle Corp.
• SAP SE
• SAS Institute, Inc.
• Scorto, Inc.
• TransUnion, LLC
• Wipro, Ltd.

AI INTEGRATIONS
We`re transforming market and competitive intelligence with validated expert content and AI tools.

Instead of following the general norm of querying LLMs and Industry-specific SLMs, we built repositories of content curated from domain experts worldwide including video transcripts, blogs, search engines research, and massive amounts of enterprise, product/service, and market data.

TARIFF IMPACT FACTOR
Our new release incorporates impact of tariffs on geographical markets as we predict a shift in competitiveness of companies based on HQ country, manufacturing base, exports and imports (finished goods and OEM). This intricate and multifaceted market reality will impact competitors by increasing the Cost of Goods Sold (COGS), reducing profitability, reconfiguring supply chains, amongst other micro and macro market dynamics.

Please note: Reports are sold as single-site single-user licenses. Electronic versions require 24-48 hours as each copy is customized to the client with digital controls and custom watermarks. The Publisher uses digital controls protecting against copying and printing is restricted to one full copy to be used at the same location.

The latest version of Adobe Acrobat Reader is required to view the report. Upon ordering an electronic version, the Publisher will provide a link to download the purchased report.

Prior to fulfillment of an order, the client will be required to sign a document detailing the purchase terms for a publication from this publisher. Show more