AI in Insurance: Comparing Traditional and Generative AI Approaches

Explore the differences between Traditional AI and Generative AI, their distinct uses and capabilities, and how they uniquely enhance insurance business functions.

Artificial Intelligence (AI) has been adding tremendous value to business processes across industries; it's a revolutionary technology that has proven to be a boon for enterprises, both in terms of elevating what is available and unlocking growth for new business models in the coming decades.

Machines are now empowered by AI to perform tasks that once required human intelligence—making decisions, recognizing patterns, and even having conversations. 

The impact of AI is indisputable.

In the insurance industry, AI has been nothing short of transformative. It has redefined how companies assess risks, engage with customers, and streamline their operations. 

No longer bound by traditional manpower-oriented limitations, insurers are leveraging AI to achieve efficiencies which were unheard of in the last decade. 

More recently, the realm of AI is now met with a fork in the road. Two distinct types have emerged: Traditional AI and Generative AI (Gen AI).

Each type is now enabling unique capabilities that cater to different needs and applications. While Traditional AI excels in analytical tasks, data-driven decision-making, predictions and prescriptions,  Generative AI has opened up a whole new world of creativity and personalization.

Let’s dive a bit deeper into these two types of AI, exploring their key features, capabilities, and the revolutionary changes they bring to the insurance industry. 

Traditional AI is here to stay and is now more focused.

Traditional AI is the early approach to artificial intelligence, where systems use predefined rules and algorithms to perform specific tasks, many of which revolve around minimization of the Loss Function. 

It excels in areas like prediction, data organization, and decision-making based on clear rules. 

Think of it as a smart assistant that follows a set of instructions to complete a task.

Key Features of Traditional AI:

  • Rules-Based Systems: Traditional AI relies on rules set by humans, where experts define explicit logic for the AI to follow.

    For example, a rules-based expert system can diagnose medical conditions by matching symptoms to predefined rules.

  • Supervised Learning: This involves training a model on a labeled dataset, where inputs are the features used for prediction, and outputs are the labels assigned based on those inputs.

    For instance, in email spam classification, the system uses specific details (inputs) to determine if an email is spam, producing an output like "spam" or "not spam."

  • Predictive Analytics: Predictive analytics uses historical data to forecast future events or trends by applying statistical methods.

    Consider a traditional AI system that analyzes past sales data to predict future sales trends, aiding in business planning.

These features show how traditional AI approaches problem-solving and decision-making, focusing on organized data and explicit rules. 

As AI evolved, these foundational techniques were enhanced with modern methods like deep learning, leading to advancements like Generative AI.

Alright, so what is the purpose of Generative AI? 

Generative AI represents a newer development in the field of AI, focusing on ‘generation’ of new content, data, or solutions based on the relationship between the request and the training data that can be leveraged. 

Processing and parsing data with natural language identifiers is a key focus of this domain.

Gen AI uses deep learning and neural networks to understand context, generate creative outputs, and automate complex tasks.

Key Features of Generative AI:

  • Unsupervised Learning: This involves training AI models using unstructured data without explicit labels, allowing the model to identify patterns and relationships independently.

    For example, a generative AI model can analyze customer behaviors to group similar customers without predefined categories, helping businesses identify different market segments.

  • Content Generation: Gen AI is capable of generating human-like text, images, videos, and even code.

  • Context Understanding: Generative AI can comprehend context and semantics, enabling more natural and meaningful interactions with users.

    For instance, AI-powered chatbots can understand the context of a conversation to provide relevant responses and maintain a natural flow, enhancing customer service experiences.

  • Neural Networks: Generative AI utilizes complex neural networks like Generative Adversarial Networks (GANs) and Transformers for content creation and problem-solving.

    GANs can generate realistic images of non-existent people or objects, which is useful in fields like marketing.

    The transformer architecture powers models like Bidirectional Encoder Representations from Transformers (BERT) and Generative Pre-Trained Transformer (GPT), enabling them to understand and generate human language with high accuracy.

Shubham Naidu, Tech Lead at iorta, says, “Generative AI is changing the game with its ability to create new content and understand context. It uses advanced neural networks to generate human-like text, images, and more, making interactions more natural and allowing us to tackle complex problems in innovative ways.”

Traditional AI in the Insurance Industry

Traditional AI has advanced the insurance industry by providing a wide range of applications that enhance operational efficiency, risk assessment, and customer service, based on a defined rule set.

  • Risk Assessment and Underwriting: Traditional AI is essential for assessing risks and underwriting insurance policies.

    Insurers use historical data to analyze patterns and predict potential risks associated with a particular policyholder.

    By leveraging supervised learning algorithms, insurance companies make informed decisions about policy pricing, coverage limits, and eligibility criteria.

  • Claims Processing: Claims processing can be time-consuming and prone to errors.

    Traditional AI streamlines this process by automating data extraction from documents, verifying claims against policy details, and flagging potential fraudulent claims, reducing processing times and minimizing errors.

  • Fraud Detection: Fraudulent claims cost the insurance industry a significant amount annually.

    Traditional AI models can identify suspicious patterns and anomalies in claims data, helping insurers detect and prevent fraud.

    Rule-based systems flag inconsistencies, while machine learning algorithms continuously improve fraud detection accuracy by learning from past instances.

  • Customer Service: AI-powered chatbots and virtual assistants are common in the insurance industry, providing customers with quick and accurate responses to their inquiries.

    Traditional AI enables insurers to automate routine customer interactions, such as policy inquiries, billing queries, and coverage information, improving customer satisfaction and reducing the workload on customer service teams.

Generative AI in the Insurance Industry

Generative AI brings a new dimension to the insurance industry by enabling innovative solutions and enhancing customer engagement.

  • Personalized Customer Experiences: Generative AI allows insurers to offer personalized experiences to policyholders.

    By analyzing customer data, preferences, and behavior patterns, AI systems generate tailored policy recommendations, customized marketing campaigns, and personalized communication, enhancing customer satisfaction and retention.

  • Content Generation: Creating content for marketing, customer education, and policy documentation is labor-intensive for insurers.

    Generative AI automates content creation, generating engaging articles, videos, and infographics that resonate with customers, saving time and ensuring consistency in messaging.

  • Chatbots and Virtual Agents: While traditional AI powers basic chatbots, Generative AI takes virtual assistants to the next level.

    These AI-driven agents engage in more natural and complex conversations with customers, addressing inquiries, providing policy recommendations, and assisting with claims processing.

    The ability to understand context and semantics improves the overall customer experience.

  • Risk Modeling and Simulation: Generative AI is transforming risk modeling and simulation in the insurance industry.

    By simulating various scenarios and analyzing potential outcomes, insurers gain insights into emerging risks and adapt their strategies accordingly.

    This capability is particularly valuable in assessing complex risks, such as natural disasters and cyber threats.

  • Document Automation: Generative AI can automate the generation of policy documents, contracts, and reports.

    By understanding the context and structure of these documents, AI systems create accurate and compliant content, reducing the administrative burden on insurers and ensuring consistency in documentation.

Now, there are a few key issues with both traditional AI and Generative AI which enterprises and its process leaders have to plan to mitigate before they launch solutions for both internal and customer facing processes. But, that’s a topic for another day.

Nonetheless, as the AI space continues to advance, the possibilities for transforming the insurance landscape are limitless. Insurers who embrace these cutting-edge technologies will lead the charge in meeting the ever-evolving demands of policyholders in this rapidly changing digital age. 

Lastly, choosing the right partners with the necessary domain experience to build the required guardrails is equally important.

HIMANSHU GUPTA
divider
Founder & Chief Operating Officer (COO)
iorta technology solutions pvt. ltd.
Himanshu Gupta leads Digital Transformation and Product Operations at Iorta Technology Solutions. With over a decade of experience in the Insurance and Lending industries, He is dedicated to creating user-friendly, scalable fintech products. Himanshu aims to positively impact a billion lives by 2035 through innovative solutions.