AI in insurance: a focus on fairness – Earnix (2024)

At its core, fairness in machine learning means implementing algorithms that make decisions impartially, writesLuba Orlovsky, principal researcher at Earnix, a technology firm focused on data-driven pricing.

On March 21, 2024, the United Nations General Assembly adopted a significant resolution aimed at harnessing artificial intelligence (AI) for global benefit and accelerating progress towards sustainable development goals outlined in the 2030 Agenda.

The resolution, titled “Seizing the opportunities of safe, secure, and trustworthy artificial intelligence systems for sustainable development” was passed with an emphasis on the imperative of addressing racial discrimination worldwide.

This is just one example of the significant ongoing high-level discussions on leveraging technology for positive global impact, and how closely key decision-makers are following developments.

AI in insurance: a focus on fairness – Earnix (1)

We all have a responsibility, and as AI continues its meteoric rise across industries, its application in insurance has become a focal point of both innovation and scrutiny.

The fundamental challenge lies in harnessing the power of AI to optimise end-to-end insurer operations – including models – while upholding principles of fairness and equity.

Recognising this balance is critical, which is why the industry, and its technology providers must take proactive steps towards sustaining and safeguarding best practice around the ethical, fair and explainable application of AI in insurance.

With the increasing complexity of AI models and developing global regulatory concerns, insurers face challenges in managing AI transformations while remaining compliant with regulations such as the EU’s General Data Protection Regulation (GDPR), the Insurance Distribution Directive (IDD) in Europe, and Consumer Duty legislation in the UK.

As AI becomes further ingrained in the corporate fabric of global insurance, AI governance is essential for responsible and ethical AI development and deployment to maintain alignment with regulations as well as transparency and fairness in models.

Maintaining customer trust

It is vital that insurers can transparently explain AI decisions and comply with regulatory requirements to avoid potential legal consequences and maintain customer trust. It’s essential for insurers to prioritise AI governance to stay ahead of regulatory changes and leverage AI’s potential to deliver value to customers and their business.

Insurers collect vast amounts of data, including customer demographics, claims history, vehicle information, property details, and more. AI algorithms, such as machine learning models, are deployed to analyse this data to identify patterns and correlations that humans might overlook. By understanding these patterns, insurers can better predict the likelihood of a claim and adjust pricing accordingly.

AI is seen by many as a crucial tool to assess risk more accurately by considering a wider range of variables and factors. For example, in auto insurance, traditional risk factors might include age, driving history, vehicle make and model. AI algorithms can incorporate additional data points such as driving behaviour (captured through telematics devices), weather conditions, and even road infrastructure quality to provide a more nuanced risk assessment. AI enables insurers to adjust models dynamically in response to changing risk factors and market conditions.

Methods are evolving

This is why fairness in AI isn’t just a buzzword – it’s a moral imperative. As AI algorithms increasingly influence decisions in insurance, from risk assessment to pricing, the potential for bias and discrimination becomes a pressing concern. The insurance industry must commit to addressing these concerns head-on. What is needed is a compass guiding insurers towards ethical AI best practices.

At its core, fairness in machine learning (ML) means implementing algorithms that make decisions impartially, without prejudice towards sensitive and protected attributes such as gender, race, or age. This commitment to social responsibility extends beyond regulatory compliance – it’s about creating equal opportunities and outcomes for all individuals.

How to measure fairness?

Fairness in decision-making processes can be assessed across various dimensions, which can be applied methodically to models and decision-making algorithms. Demographic parity, for instance, emphasises the independence of decisions from sensitive attributes. Equal opportunity aims to achieve equal true positive rates among diverse groups, while predictive equality seeks to balance false positive rates across these groups.

Equalised odds integrates both equal opportunity and predictive equality to strive for parity in both true and false positive rates. Individual fairness, meanwhile, focusing on comparable individuals receiving similar predictions. Finally, calibration focuses on the accuracy of predicted probabilities across different groups, encompassing a comprehensive framework for assessing fairness in decision-making.

By offering a multifaceted approach to measuring fairness, including demographic parity, equal opportunity, and predictive equality, insurers can be empowered to prioritise and measure fairness in their AI models, and to have their models impartially assessed against best practice, from segmentation awareness to metric selection. This isn’t just about identifying disparities; it’s about taking actionable steps to address them.

In a competitive industry where pricing is paramount, ethical AI isn’t just a moral imperative – it’s a strategic advantage. Insurers who prioritise fairness in their AI models not only mitigate regulatory risks but also build trust with customers. As consumers demand more transparency and accountability from insurers, embracing ethical approaches empowers insurers to deliver on these expectations.

With regulations such as GDPR and IDD in Europe, and state and federal scrutiny in the US, insurers are increasingly in the spotlight over their AI practices. The industry requires tools to navigate these regulatory complexities, aiming to achieve fairness compliance while driving innovation, and the tech sector needs to step up to provide them.

Ultimately, fairness in AI isn’t just a moral imperative, it’s a strategic advantage. Insurers who prioritise fairness not only mitigate regulatory risks but also build trust with customers in an increasingly transparent and accountable market. At Earnix, we are taking proactive steps towards achieving this balance with an experimental module to showcase our commitment to creating a future where AI empowers, rather than discriminates. As the insurance industry embraces AI, ethical considerations must remain at the forefront.

AI in insurance: a focus on fairness – Earnix (2024)

FAQs

How is AI used in the insurance industry? ›

As AI is able to execute complex analyses and computations at a speed impossible for humans, it generates faster insights. AI has the potential to affect the insurance industry in multiple ways. It is currently used in claims processing, underwriting, fraud detection and customer service.

What is fairness in AI system? ›

Fairness in AI is a critical topic that has received a lot of attention in both academic and industry circles. At its core, fairness in AI refers to the absence of bias or discrimination in AI systems, which can be challenging to achieve due to the different types of bias that can arise in these systems.

How can generative AI be used in the insurance industry? ›

Insurers can use Gen AI for insurance claims processing. It can automatically extract and process data from various user-supporting documents (claim forms, medical records, and receipts). This minimizes the need for inputting data manually, thereby reducing the errors.

Will AI replace insurance agents? ›

Rather than replacing insurance agents outright, AI is poised to complement and enhance their roles, enabling them to deliver more personalized and value-added services to clients in an evolving digital landscape.

What are some ethical issues raised by Generative AI in the insurance sector? ›

Bias And Discrimination

Generative models mirror the data they're fed. Consequently, if they're trained on biased datasets, they will inadvertently perpetuate those biases. AI that inadvertently perpetuates or even exaggerates societal biases can draw public ire, legal repercussions and brand damage.

How AI plays a pivotal role in life insurance space? ›

AI's predictive analytics work as a game-changer in fraud detection or effective insurance risk management. Insurers use artificial intelligence and ML algorithms to identify unusual patterns and anomalies in claims and policy data, enabling early detection of fraudulent activities.

What is the downside of generative AI? ›

One of the foremost challenges related to generative AI is the handling of sensitive data. As generative models rely on data to generate new content, there is a risk of this data including sensitive or proprietary information.

How AI is used in policy making? ›

One key use case is in data analysis and prediction. By analyzing large volumes of data, generative AI can identify patterns, trends, and correlations that may not be immediately apparent to human analysts. This can help government agencies make more informed decisions and develop effective policies.

How do GANs improve AI models in insurance? ›

Accelerating Claims Assessment and Processing

Furthermore, Generative Adversarial Networks (GANs) can synthesize additional simulated claims data, aiding in training machine learning models, especially when real samples are sparse.

What job is most likely to be replaced by AI? ›

The Most Vulnerable and Impacted Professions

Roles focused on data analysis, bookkeeping, basic financial reporting and repetitive administrative tasks are highly susceptible to automation. Jobs involving rote processes, scheduling and basic customer service are increasingly handled by AI.

What job is being replaced due to AI? ›

How Will AI Affect Jobs - How many jobs will AI replace by 2030. Artificial intelligence (AI) could replace the equivalent of 300 million full-time jobs, a report by investment bank Goldman Sachs says. It could replace a quarter of work tasks in the US and Europe but may also mean new jobs and a productivity boom.

Will claims adjusters be replaced by AI? ›

Essentially, this means we're not replacing people with technology to perform inspections and file claims. Instead, adjusters can use AI in insurance claims to help them work faster and safer. AI also removes manual tasks through automation, increases consistency across claim data, and decreases costs.

What is AI coverage in insurance? ›

An additional insured is a person or organization not automatically included as an insured under an insurance policy who is included or added as an insured under the policy at the request of the named insured.

What are the application of AI in banking and insurance? ›

AI enables financial institutions to conduct detailed analyses of spending categories, providing valuable insights into consumer behavior and market trends. By leveraging machine learning algorithms, banks can analyze transaction data to identify patterns, trends, and anomalies in spending behavior.

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