データとAIの活用でリスク評価を強化： カスタマイズされた保険価格設定への道を開く

In the rapidly evolving insurance landscape, the integration of data analytics and artificial intelligence (AI) is revolutionizing the entire insurance value chain, including how insurers assess risk and personalize pricing and customer experiences. This transformation is not merely theoretical; it is already taking shape in the industry, especially in advanced markets such as some countries in the Asia-Pacific region. By analyzing vast amounts of data, insurers gain deeper insights into risk profiles, leading to improved segmentation, customized customer journeys, personalized pricing strategies, tailored product offerings, and enhanced customer communications.

For instance, some insurers have successfully implemented AI-driven solutions that enable them to analyze customer data in real-time, resulting in more accurate risk assessments and faster underwriting processes, as evidenced by use cases published previously by Celent as part of its annual Model Insurer Awards program. These innovative examples illustrate how the industry is leveraging these technologies to meet the evolving needs of customers.

This blog explores the critical role of data in risk assessment, the impact of AI on traditional models, the implications for personalized insurance offerings, and the challenges insurers face in adopting these technologies.

The Role of Data and AI in Risk Assessment and Pricing Models
Data has always been a cornerstone of insurance practices, but historically, insurers struggled to leverage its full potential due to technological limitations and the existence of data silos. However, insurers that have undergone a legacy system modernization process have gained access to advancements in technology that have dramatically changed this landscape, enabling them to break down these silos and utilize comprehensive datasets. The more information insurers have, the better their understanding of risk becomes. Enhanced risk knowledge translates into improved underwriting processes and a deeper understanding of customer needs, allowing for better product design and pricing strategies.

To achieve this, insurers must prioritize data acquisition from diverse sources, including wearables, IoT devices, social media, images, customer interactions, and more. Once collected, this data needs to be explored and structured effectively to allow the application of AI models to extract valuable insights. Therefore, the next step involves applying various algorithms to the data, ranging from basic linear regression to more complex ensemble learning techniques. These algorithms help categorize risks and predict outcomes, which is crucial for developing models that accurately assess risk and inform pricing strategies.

Generalized Linear Models (GLMs) have long been a staple in the insurance industry for risk assessment and pricing. However, the advent of AI and advanced data analytics is transforming how these models are utilized. AI techniques can capture complex, non-linear relationships in data that GLMs may miss, leading to more accurate predictions and better risk segmentation. Moreover, AI allows insurers to leverage vast amounts of unstructured data alongside structured data. This integration enhances the richness of the datasets used in modeling, leading to improved insights and more nuanced risk assessments.

AI-driven models can adapt and learn from new data in real-time, allowing insurers to update their risk assessments and pricing strategies more frequently than static GLMs. This agility is crucial in a rapidly changing risk environment. As insurers harness the power of AI and data analytics, they can focus on creating personalized customer journeys and pricing strategies that cater to individual needs.

Generations of Underwriting: A Journey Towards Personalization
The evolution of underwriting practices can be categorized into distinct generations, each marked by advancements in technology and data utilization. Traditional underwriting relied heavily on manual processes and limited data sources, often leading to generalized risk assessments. The introduction of behavioral economics and data treatment techniques allowed for more nuanced analyses, improving risk segmentation.

The integration of AI and machine learning marks a significant leap forward, enabling predictive analytics that automate low-risk cases and improve customer experiences by, for example, reducing the number of questions asked during the underwriting process. This streamlining results in faster policy issuance and enhanced customer satisfaction.

Today, the current frontier involves advanced analytical models and predictive capabilities that not only assess risk but also integrate seamlessly with an ecosystem of insurance partners and sales points, enabling real-time pricing adjustments based on individual customer profiles.

Barriers to Adoption: Legacy Core Insurance Systems
Despite significant advancements in data analytics and AI, many insurers are not yet ready to unlock their potential, as they continue to encounter challenges posed by legacy core insurance systems. These outdated systems can hinder the adoption of advanced technologies in several ways. Legacy systems often operate in isolation, creating data silos that prevent the seamless integration of information across departments. This fragmentation limits the ability to leverage comprehensive datasets for risk assessment and pricing.

Moreover, many legacy systems are rigid and not designed to accommodate new technologies or data sources. This inflexibility can slow down the implementation of AI and machine learning models, making it difficult for insurers to adapt to changing market conditions. Maintaining outdated systems can be costly and resource-intensive, diverting funds and attention away from innovation and modernization efforts. Additionally, organizational inertia and resistance to change can pose significant barriers, as employees accustomed to legacy systems may be hesitant to adopt new technologies.

Therefore, insurers facing these challenges need to carefully identify the modernization strategy that best aligns with their business goals to pave the way for obtaining the capabilities needed to overcome these challenges.

Conclusion and Recommendations
As the insurance industry stands at this pivotal moment, the need to leverage data for enhanced risk assessment is more critical than ever. Insurers must embrace advanced data strategies and AI technologies while addressing the challenges posed by legacy systems. By doing so, they can create tailored offerings that meet the evolving needs of their customers, paving the way for a more sustainable and profitable future.

To effectively navigate this transformative landscape, organizations should focus on aligning with new operational models and implementing flexible architectures and APIs that are future-proof. Cultivating the necessary skills and fostering a culture that embraces actuarial techniques and the evolution of modeling will be essential. Conducting holistic impact assessments and ensuring close collaboration with business and operational teams will further enhance the transition towards a more personalized and efficient insurance offering.

The good news is that insurers embarking on their journey to transform underwriting and pricing capabilities can lean on industry experts such as Celent to understand the latest technological capabilities and how they can be applied in the insurance industry, leveraging use cases from leading insurers across the globe. For example, Celent will publish in 2025 a report delving into much more detail on this topic, aiming to help insurers establish their strategies to achieve cutting-edge underwriting and actuarial capabilities based on the latest available technology and success cases in the industry.

In conclusion, the integration of data and AI in risk assessment is not just an option for insurers; it is a necessity for survival and growth in a competitive market. By drawing inspiration from successful use cases and engaging with experts in the field, insurers can position themselves at the forefront of this transformation, ready to meet the challenges and opportunities that lie ahead.