Navigating the AI Arms Race in Claims

Overview

As artificial intelligence technology continues to evolve, claims professionals must adapt to the changing landscape in the fight against fraud.

While AI has been a useful tool for detecting and preventing fraudulent claims, it has also opened the door to new methods of deception, particularly through AI-generated content like deepfakes. This has made traditional fraud detection methods inadequate, forcing insurers to adopt new technologies even faster to stay ahead.

This episode of Between the Lines will explore how claims professionals can navigate this new frontier while remaining vigilant to traditional red flags of claims fraud.

Featured Guests  //

Host: Elizabeth Blosfield

Deputy Editor at

Carrier Management

Shane Riedman

President of Anti-fraud

Analytics at Verisk

Sam Krishnamurthy

Chief Technology Officer

at Turvi

What You Will Learn  //

• How AI in claims is contributing to evolving threats
• Which advanced detection tools are best to combat AI-generated fraud
• How adjusters can blend human instinct and AI tools to stay ahead
• What the responsibility is for insurers under current laws and regulations

Speaker Bios  //

Shane Riedman, Vice President and General Manager for Anti-Fraud Analytics
Shane A. Riedman is Verisk’s Vice President and General Manager for Anti-Fraud Analytics. Shane drives customer and shareholder value by delivering innovative and impactful claims solutions, including ClaimSearch, to the US market.

Shane joined the Claims Solutions team at Verisk in 2017 and brings more than 20 years of P&C claims experience. He transformed and modernized the largest P&C medical claims database in the US, brought foreign acquired assets to the US market, and reconfigured an organization to bring better focus on the client.

Before joining Verisk, Shane was Director of SIU at CNA Insurance and lead western expansion for one of the nation’s largest claims services firms. Shane has served as CLM Chapter President, and he speaks regularly at industry gatherings.

Shane holds a double BA in Sociology and Psychology from the University of Portland and a JD from Lewis & Clark Law School.

Sam Krishnamurthy, Chief Technology Officer at Turvi
Sam Krishnamurthy serves as CTO for Turvi, a technology solution and innovation partner for the insurance industry, with a suite of market-ready SaaS solutions that enhance efficiency, accuracy, and customer satisfaction in the P&C claims ecosystem. Sam has an overall 22+ years of I.T. experience and perform various roles in product/project management, functional/technical design, development, maintenance and led support in the Financial Services/Investment Banking and claims insurance industry.

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