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Industry · Insurance & mutuals

Insurance & mutuals

Under the CIMA regime, profitability rests on three levers: risk selection, claims control and provision quality. All three depend on the same raw material — clean, queryable data.

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Your challenges

Claims

Detection of abnormal files, repeat claims, organised networks.

Pricing

Segmentation by line and channel, variance tracking.

CIMA reporting

Technical statements, solvency margins, provisions.

Distribution

Brokers, agents, bancassurance: performance and quality.

Use cases we deploy

  • Fraud-pattern detection on claims files (dates, third parties, garages, repetitions) with an explanation for each alert.
  • Claims analysis by line, agency and channel, plus tariff-impact simulation.
  • Assisted production of CIMA technical statements, with automatic reconciliation of technical accounts.
  • Underwriting assistant: pricing rules and exclusions in natural language, with clause citations.
Typical pilot scope: 2 use cases (claims and reporting), 20–40 users, 10–14 weeks.

Compliance and governance

Policyholder data access segregated by role, health-data anonymisation, complete audit trail on CIMA statement production.

Indicators we track

Settlement time · suspicious-file detection rate · loss ratio · CIMA statement closing time.

Every claim on this page refers to a verifiable source: regulators, annual reports, specialised business press. No figure is put forward without a source — the same rule we apply to our deliverables.

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