insurance-fraud-detection-market

Insurance Fraud Detection Market By Component (Solution, Services), By Deployment Mode (Cloud, On-Premise), By Application (Claims Fraud, Identity Theft, Payment Fraud And Billing Fraud, Money Laundering), By End-use Vertical (Automotive, Healthcare, It & Telecom, Energy & Utilities, Retail, Property & Real Estate, Others) - Growth, Share, Opportunities & Competitive Analysis, 2024 – 2032

19 Aug 2019 Format PDF icon PPT icon XLS icon Request Sample

Throughout the forecast period 2023-2031, analysts anticipate the global market for insurance fraud detection to demonstrate a CAGR of 15.21%. Because of the rapid adoption of insurance fraud detection technology among organizations in this region, North America is anticipated to hold the largest market size in thse detection of insurance fraud and is anticipated to hold the maximum market during the forecast period. The presence of a large number of insurance fraud detection solutions and service providers in this region is also expected to drive market growth during the forecast period. Additionally, the rise in threats and vulnerabilities, as well as government compliances, are expected to drive the market. While the Asia-Pacific region is expected to grow at the fastest CAGR during the forecast period, this is expected to be driven by increasing awareness about the benefits of insurance fraud detection solutions among small and medium enterprises as well as in large enterprises to prevent various types of fraud such as payment frauds, identity theft, claim fraud, and other types of fraud that drive the market growth.

The Expansion of cyberattacks, a large number of identities, and resulting financial losses drive the market for fraud detection services and solutions

The expansion of cyberattacks, the astronomical number of identities that businesses need to manage, and the considerable financial losses that have resulted from attacks on the insurance industry are all factors that are driving the growth of the market. For example, the Federal Bureau of Investigation reports that insurance fraud is the second most common type of white-collar crime in the United States and that it is responsible for losses totaling approximately $300 million annually.

The growing prevalence of the use of digitalization

The growing use of technologies within the Banking, financial services, and insurance (BFSI) sector, including artificial intelligence, machine learning, and blockchain, has led to enormous data security vulnerabilities. In addition, as this sector of the economy becomes increasingly digitalized, the demand for data protection in the BFSI security market is continuing to increase due to the prevalence of cyberattacks and thefts. Additionally, financial organizations such as banks, financial institutions, and other financing organizations are rapidly making the transition to digitalizing their business operations. This has led to a massive increase in the adoption and implementation of various security solutions and services.

Risk of data leak by third-party services

The BFSI industry makes use of various security solutions and services due to its susceptibility to external as well as internal security threats. On the other hand, BFSI security organizations are typically third-party service providers that offer security solutions to a number of clients and industry verticals all at the same time. In addition to this, it may make it difficult for businesses to manage the data coming from a number of different companies. As a consequence of this, issues in trusting security solutions and services, as well as the possibility of engaging third parties, both of which could result in the disclosure of sensitive data, restrict the expansion of the industry.

The Authentication Solution Sector Dominates theComponent Market

On the basis of the solutions that are offered, the market may be split up into different categories: authentication, fraud analytics, governance, risk, and compliance. In 2023, the authentication solution sector was responsible for the greatest share of the total market revenue. The manual processing of insurance fraud cases is no longer used by insurance companies. The development of new technologies, such as data analytics for the purpose of fraud detection, has emerged as one of the most important tools that companies use in order to manage the dangers and difficulties presented by the expanding fraud ecosystem. Combining data from a variety of sources allows for the development of very effective fraud detection capabilities. In addition, analytics has been of critical importance in the process of combining internal data with data from other parties, which has resulted in improved fraud detection capabilities. Through the utilization of strategies such as predictive modeling, the adoption of analytics has made fraud detection significantly more effective. As a result of this, the organization has been able to examine a variety of fraud instances, narrow down likely causes, and locate low-incidence fraud situations for the purpose of conducting a more extensive investigation.

On-Premises Deployments Dominate the Market by Deployment Mode, 2023 (US$ Million)

In 2023, the market was primarily driven by the on-premises deployment segment. The organization is able to find and flag potentially fraudulent activity in real-time with the assistance of the fraud detection tools that are installed on-premises. When it comes to recognizing dangerous tendencies, the providers are delivering either a rule-based approach or a predictive behavioral scoring model, or both. In spite of the existence of automated technologies, the organization still needs human participation in order to properly assess certain reports. On-premises solutions, as opposed to cloud-based services, are hence the primary method of reliance for businesses.

North America Remains as the Global Leader

In 2023, the North American region had the lion's share of the revenue pie, which was more than 42%. The expansion of the region has been bolstered by the presence of significant players such as ACI Worldwide, Inc., BAE Systems, and Fiserv, Inc., amongst others. Property, liability, and life annuities make up the three primary subsectors that make up the United States insurance industry within the North American region. The government of the United States of America has made it mandatory for its citizens to purchase health and life insurance. As a result, an enormous market was created for the insurance industry. As a consequence of this, it has created the possibility of opening the door to exploit vulnerabilities for the purpose of fraudulent operations such as claims processing. According to research that was carried out by the Federal Bureau of Investigation (FBI), the overall estimated cost of insurance fraud in the U.S. is anticipated to be more than USD 40 billion each year. This is anticipated to provide development prospects for the industry.

It is predicted that the regional market in the Asia Pacific will record the highest CAGR of 18.67% during the forecast period of 2024 to 2032. To combat the widespread problem of insurance fraud in the area, local businesses have begun implementing cutting-edge technological solutions in an effort to take preventative action. In addition, an increase in expenditure on improved techniques for claims management as well as improved claims processing is predicted to be a driving force behind regional growth. This is done to assure client happiness and retention. It is anticipated that an increase in the understanding of fraud prevention techniques would lead to an increase in the demand for fraud prevention solutions.

Market to Remain Fragmented During the Forecast Period

The presence of numerous individual and comprehensive insurance fraud detection solutions providers that are active across the globe has resulted in a market that is extremely fragmented. Key players in this market segment include Accenture, ACI Worldwide, Inc., SAS Institute Inc., IBM Corporation, Fiserv, Inc., SAP SE, Experian Plc, BAE Systems, LexisNexis, Kount, FRISS, FICO, and others some of the most important companies in this market. The growth of small and medium firms offering individualized solutions contributes to the industry's other distinguishing feature, which is an intense rivalry. In addition, it is anticipated that suppliers of fraud detection as a service would boost market competitiveness as a result of the comprehensive and cost-effective product offers that they provide. As the number of instances of fraudulent activities continues to pose a problem for the insurance sector, fraud detection companies are anticipated to grab the opportunity presented by the changing ecosystem. It is predicted that the suppliers would offer sophisticated solutions that cater to particular issues, making it possible for an insurer to have a comprehensive fraud detection procedure.

Historical & Forecast Period

This study report represents analysis of each segment from 2022 to 2032 considering 2023 as the base year. Compounded Annual Growth Rate (CAGR) for each of the respective segments estimated for the forecast period of 2024 to 2032.

The current report comprises of quantitative market estimations for each micro market for every geographical region and qualitative market analysis such as micro and macro environment analysis, market trends, competitive intelligence, segment analysis, porters five force model, top winning strategies, top investment markets, emerging trends and technological analysis, case studies, strategic conclusions and recommendations and other key market insights.

Research Methodology

The complete research study was conducted in three phases, namely: secondary research, primary research, and expert panel review. key data point that enables the estimation of Insurance Fraud Detection market are as follows:

  • Research and development budgets of manufacturers and government spending
  • Revenues of key companies in the market segment
  • Number of end users and consumption volume, price and value.
  • Geographical revenues generate by countries considered in the report
  • Micro and macro environment factors that are currently influencing the Insurance Fraud Detection market and their expected impact during the forecast period.

Market forecast was performed through proprietary software that analyzes various qualitative and quantitative factors. Growth rate and CAGR were estimated through intensive secondary and primary research. Data triangulation across various data points provides accuracy across various analyzed market segments in the report. Application of both top down and bottom-up approach for validation of market estimation assures logical, methodical and mathematical consistency of the quantitative data.

ATTRIBUTE DETAILS
Research Period  2022-2032
Base Year 2023
Forecast Period  2024-2032
Historical Year  2022
Unit  USD Million
Segmentation
Component
  • Solution
    •     Fraud Analytics
    •     Authentication
    •     Governance, Risk and Compliance
    •     Others
  • Services

Deployment Mode
  • Cloud
  • On-premise

Application
  • Claims Fraud
  • Identity Theft
  • Payment Fraud and Billing Fraud
  • Money Laundering

End-use Vertical
  • Automotive
  • Banking, Financial Services & Insurance (BFSI)
  • Healthcare
  • IT & Telecom
  • Energy & Utilities
  • Retail
  • Property & Real Estate
  • Others (Manufacturing, etc.)

 Region Segment (2022-2032; US$ Million)

  • North America
    • U.S.
    • Canada
    • Rest of North America
  • UK and European Union
    • UK
    • Germany
    • Spain
    • Italy
    • France
    • Rest of Europe
  • Asia Pacific
    • China
    • Japan
    • India
    • Australia
    • South Korea
    • Rest of Asia Pacific
  • Latin America
    • Brazil
    • Mexico
    • Rest of Latin America
  • Middle East and Africa
    • GCC
    • Africa
    • Rest of Middle East and Africa

Key questions answered in this report

  • What are the key micro and macro environmental factors that are impacting the growth of Insurance Fraud Detection market?
  • What are the key investment pockets with respect to product segments and geographies currently and during the forecast period?
  • Estimated forecast and market projections up to 2032.
  • Which segment accounts for the fastest CAGR during the forecast period?
  • Which market segment holds a larger market share and why?
  • Are low and middle-income economies investing in the Insurance Fraud Detection market?
  • Which is the largest regional market for Insurance Fraud Detection market?
  • What are the market trends and dynamics in emerging markets such as Asia Pacific, Latin America, and Middle East & Africa?
  • Which are the key trends driving Insurance Fraud Detection market growth?
  • Who are the key competitors and what are their key strategies to enhance their market presence in the Insurance Fraud Detection market worldwide?
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