USD 7.3 billion
Report ID:
SQMIG40M2004 |
Region:
Global |
Published Date: May, 2025
Pages:
191
|Tables:
84
|Figures:
68
Global Insurance Fraud Detection Market size was valued at USD 7.3 billion in 2023 and is poised to grow from USD 8.91 billion in 2024 to USD 44.03 billion by 2032, growing at a CAGR of 22.1% during the forecast period (2025-2032).
There is a sufficient increase in the global market, which is driven by the increasing frequency of increasing digitalization in the insurance sector and the increasing frequency of fraud. In 2024, the solutions segment dominated the market with an income share of 64.7%, which is responsible for using fraud detection software that helps the insurance companies recognize, prevent and respond to fraudulent activities. In addition, the rival model led the market, as businesses prefer internal scam detection solutions for real-time risk reduction.
Insurance companies benefit from artificial intelligence (AI), Machine Learning (ML) and Big Data Analytics to increase the accuracy of the detection of fraud and reduce misleading alerts. These technologies allow insurance companies to detect complex fraudulent patterns that often ignore traditional methods.
Increasing number of scams, such as identity theft, false accidents and inflated requirements, are motivated to invest in solutions to detect advanced fraud. The US Ministry of Justice estimates that insurance fraud costs more than $40 billion annually, highlighting the immediate need for strong strategies for the prevention of fraud.
Furthermore, insurance companies are increasingly shifting their focus towards digital platforms to introduce new products, strengthen consumer relationships, and expand their share of client financial portfolios, leading to an enhanced implementation of advanced threat solutions. To prevent threats presented by advanced technology tools used during fraudulent activities, multiple organizations and agencies have started embracing innovative fraud detection solutions and robust systems equipped with cutting-edge technology.
In addition, companies are also adopting focused training initiatives to increase awareness regarding deceptive practices recently used during fraud. However, training for managers and staff requires assistance from improved security systems and threat detection technologies, which is expected to develop growth for this industry during the forecast period.
How is AI Transforming the Insurance Fraud Detection Market?
Artificial Intelligence (AI) is revolutionizing the insurance fraud detection market by enhancing the speed, accuracy, and efficiency of identifying fraudulent activities. Traditional fraud detection methods, which rely on manual reviews and rule-based systems, often struggle to keep up with the evolving tactics of fraudsters. AI-driven solutions, powered by machine learning, natural language processing (NLP), and predictive analytics, are significantly improving fraud detection capabilities. One of the key advancements in 2024 is the growing use of generative AI to detect fraudulent claims. For instance, State Farm announced the deployment of an AI-powered fraud detection system that analyzes claim patterns and detects anomalies in real-time. By leveraging deep learning algorithms, the system can assess large datasets, recognize subtle fraud indicators, and flag suspicious activities before payouts occur.
Market snapshot - 2025-2032
Global Market Size
USD 7.3 billion
Largest Segment
Solutions
Fastest Growth
Services
Growth Rate
22.1% CAGR
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Global Insurance Fraud Detection Market is segmented by Component, Solution, Service, Application Area, Deployment Mode, Organization Size and region. Based on Component, the market is segmented into Solutions and Services. Based on Solution, the market is segmented into Fraud Analytics, Authentication, Governance, Risk, and Compliance and Others. Based on Service, the market is segmented into Professional Services and Managed Services. Based on Application Area, the market is segmented into Claims Fraud, Identity Theft, Payment Fraud and Billing Fraud and Money Laundering. Based on Deployment Mode, the market is segmented into Cloud and On-Premises. Based on Organization Size, the market is segmented into Small and Medium-Sized Enterprises and Large Enterprises. Based on region, the market is segmented into North America, Europe, Asia Pacific, Latin America and Middle East & Africa.
The rise of digital transformation in the insurance sector has brought both opportunities and challenges, with fraud detection emerging as a critical concern. Traditional fraud detection methods are no longer sufficient to combat the increasingly sophisticated tactics used by fraudsters. To address this, a new wave of innovative startups is leveraging advanced technologies such as Artificial Intelligence (AI), machine learning, blockchain, and behavioral analytics to enhance fraud detection and risk assessment.
Nect (Founded in 2017, Germany): Nect focuses on secure digital identity verification using AI and biometric technology, ensuring that only legitimate customers can access insurance services. For example, in 2024, Nect introduced AI-powered voice recognition for remote identity verification, enabling insurers to prevent identity fraud during policy sign-ups and claims processing. This feature has enhanced security in digital insurance services by eliminating unauthorized access.
Skopenow (Founded in 2016, U.S.): Skopenow specializes in open-source intelligence (OSINT), analyzing public and social media data to uncover fraudulent insurance claims. For example, in 2024, Skopenow’s AI platform was adopted by multiple auto insurance companies to analyze social media activity and identify fraudulent accident claims. By scanning for discrepancies in claimants' online posts and reported accidents, the system flagged fraudulent cases, saving insurers millions in payouts.
Owl.co (Founded in 2018, Canada): Owl.co uses AI and automation to streamline claims processing and detect fraudulent activities in real-time. For example: In 2024, Owl.co introduced an AI-driven claims monitoring tool that cross-references claimants' past claims history and external financial data to detect suspicious behavior. This innovation has helped life insurance companies reduce fraudulent disability claims by 30%.
As per global insurance fraud detection market analysis, the solutions segment dominated the insurance fraud detection market in 2024, accounting for a 64.7% revenue share. This growth is primarily fueled by the increasing adoption of fraud detection software, which enhances insurers' ability to identify and mitigate false claims, detect fraudulent activities, and respond swiftly to suspicious transactions. The ease of availability, seamless installation, and comprehensive training support provided by solution providers have further propelled the adoption of these technologies. Insurance companies are increasingly integrating authentication solutions to strengthen secure communication with customers. These solutions add an extra layer of security for verifying payments, modifying accounts, sending authentication messages, and ensuring customer consent for policy-related transactions.
The services segment is anticipated to witness the fastest CAGR over the forecast period. As fraudsters adopt increasingly sophisticated tactics such as manipulating data, creating fake beneficiary registrations, and skimming insurance premiums insurance companies are actively seeking end-to-end service offerings to combat these emerging threats. The demand for professional services, including consulting, training, support, and maintenance, is on the rise.
As per global insurance fraud detection market forecast, on-premises deployment dominated the market, securing the largest revenue share. Businesses rely on on-premises fraud detection solutions to identify and mitigate fraudulent risks in real-time. Vendors offer solutions incorporating rule-based systems, predictive behavioral scoring models, or a combination of to detect threat patterns effectively. For instance, FICO Falcon Fraud Manager 6.5.2 helps insurers protect sensitive customer data, enhance user experience, and prevent financial losses. However, while automated systems streamline fraud detection, manual intervention remains essential for analyzing complex reports within organizations. As a result, many insurance firms prefer on-premise solutions over cloud-based alternatives to maintain tighter control over their fraud prevention strategies.
As per global insurance fraud detection market outlook, cloud deployment is poised to register the fastest CAGR during the forecast period. As insurers increasingly embrace digital transformation, many are transitioning to a software-as-a-service (SaaS) based fraud detection model. Storing fraud-related data in the cloud offers greater flexibility, scalability, and operational efficiency. Additionally, cost-effective, easily deployable fraud detection solutions are expected to fuel market expansion in the coming years. Enhanced security features, coupled with advancements in cloud technology, are further accelerating cloud adoption in the fraud detection segment, making it a pivotal driver of future growth.
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North America dominated the market and stands as a leader in the global insurance fraud detection market, driven by its well-established insurance industry and early adoption of advanced technologies. The region benefits from strong regulatory frameworks, such as the National Association of Insurance Commissioners (NAIC) in the U.S. and the Canadian Anti-Fraud Centre (CAFC), which play critical roles in curbing fraudulent activities. The increasing number of insurance fraud cases, estimated to cost the U.S. industry over USD 40 billion annually, has pushed insurers to deploy artificial intelligence (AI), machine learning (ML), and predictive analytics to detect and prevent fraud.
The United States leads the North America insurance fraud detection market, accounting for approximately 82% of the region's market share in 2024. This dominance is attributed to a robust technological infrastructure and a proactive approach to combating insurance fraud. U.S. insurers have been early adopters of advanced fraud detection technologies, integrating artificial intelligence (AI) and machine learning to analyze vast datasets for identifying fraudulent patterns. The Federal Bureau of Investigation (FBI) actively collaborates with insurance companies to monitor and prevent fraudulent activities, enhancing the effectiveness of these technologies. Additionally, partnerships between insurance firms and technology companies have led to the development of customized solutions addressing specific fraud challenges within the diverse U.S. insurance market.
Canada is emerging as the fastest-growing market in North America, with a projected growth rate of approximately 28% during the period from 2025 to 2032. This growth is driven by the increasing digitalization of insurance processes and a heightened awareness of the need for advanced fraud detection solutions. Canadian insurers are investing in innovative technologies to enhance their fraud detection capabilities, particularly in the automotive and health insurance sectors. Organizations such as the Canadian Life and Health Insurance Association are promoting the adoption of advanced fraud detection technologies, further supporting market growth.
Asia-Pacific is anticipated to fastest growth during the forecast period. This regional development is driven by the rapidly growing insurance industry due to the growing middle-class population, as they invest for family security purposes which helps to drive insurance industries. Consequently, these operating insurers are making high investments in cutting-edge technologies designed to reduce occurrences of insurance fraud.
Countries like China and India are heavily investing in AI-powered fraud detection tools to combat fake claims, identity theft, and premium fraud. The Insurance Regulatory and Development Authority of India (IRDAI) has mandated stricter fraud prevention measures, leading to a surge in machine learning-powered fraud detection models. Meanwhile, China is leveraging blockchain-based fraud detection tools to ensure transparency in claims processing.
China leads the Asia Pacific market, demonstrating a strong market presence through its extensive insurance sector and rapid technological advancement. Chinese insurers are actively implementing advanced fraud detection technologies, particularly in addressing challenges in the life and non-life insurance segments. The country's emphasis on digital transformation and regulatory compliance has further propelled the adoption of these technologies.
India is the fastest-growing market in the Asia Pacific region, driven by rapid digitalization in the insurance sector and an increasing focus on fraud prevention. The Insurance Regulatory and Development Authority of India (IRDAI) has taken a proactive stance, promoting the implementation of advanced technologies and regulatory initiatives to combat fraud. The industry's shift towards digital fraud investigations is creating new opportunities for market growth, positioning India as a key player in the region's insurance fraud detection landscape.
Europe is witnessing an increasing demand for fraud detection solutions due to rising insurance fraud cases and strict regulatory policies. The General Data Protection Regulation (GDPR) and other EU laws ensure that fraud detection solutions comply with data protection regulations, making AI-powered fraud detection tools more sophisticated and ethical.
The region has seen a surge in the adoption of AI-powered automation, predictive analytics, and behavioral biometrics to detect fraudulent claims and fake identities. Insurance companies in Germany and France are leading the adoption of AI-driven fraud detection platforms, using deep learning techniques to analyze vast amounts of structured and unstructured data.
Germany stands as the largest market in Europe, commanding approximately 31% of the regional market share in 2024. German insurers are increasingly investing in advanced fraud detection solutions to address the growing number of insurance policies and rising premium costs. The presence of major insurance companies focusing on implementing robust fraud detection mechanisms has established Germany as a key market for solution providers.
France is the fastest-growing market in Europe, with a projected growth rate of approximately 28% during the period from 2025 to 2032. French insurers are actively adopting advanced fraud detection technologies, focusing on artificial intelligence and machine learning solutions to address emerging fraud challenges, particularly those arising through social media channels. The Agency for Fight Against Insurance Fraud (ALFA) plays a crucial role in driving market growth through initiatives aimed at combating fraudulent activities.
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Growing Adoption of AI and Machine Learning in Fraud Detection
Rising Cases of Insurance Fraud Leading to Increased Demand for Advanced Solutions
High Implementation Costs of Fraud Detection Solutions
Data Privacy and Regulatory Compliance Challenges
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The insurance fraud detection market is highly competitive, with key players focusing on technological advancements, strategic partnerships, and acquisitions to strengthen their market position. Strategic collaborations are shaping the competitive landscape, with major players partnering with insurance firms, cybersecurity companies, and financial institutions to expand their market reach. For example, in 2024, IBM partnered with a leading European insurance provider to integrate AI-driven fraud detection solutions, enhancing the insurer’s ability to detect suspicious claims with greater accuracy. Additionally, companies like FICO are leveraging cloud-based fraud detection models, enabling insurers to scale their fraud prevention capabilities efficiently.
SkyQuest’s ABIRAW (Advanced Business Intelligence, Research & Analysis Wing) is our Business Information Services team that Collects, Collates, Correlates, and Analyses the Data collected by means of Primary Exploratory Research backed by robust Secondary Desk research.
As per SkyQuest analysis, the market is growing rapidly with progress in artificial intelligence (AI), Machine Learning (ML) and Big Data Analytics. Increase in digital transactions in the insurance sector has become an important driver for the address for the detection of fraud. The amount and complexity of digital transactions increase as multiple insurance procedures including issuance policy, claim processing and premium payment, are made online, which provides enough opportunities for fraudulent activities. Distributing advanced fraud detection systems involves significant investments in software, hardware and integration services. Many small and medium sized insurance companies can fight to bear these solutions due to high advance costs and ongoing maintenance expenses. In addition, continuous updates and system improvements combine financial load, limiting the adoption widely.
Report Metric | Details |
---|---|
Market size value in 2023 | USD 7.3 billion |
Market size value in 2032 | USD 44.03 billion |
Growth Rate | 22.1% |
Base year | 2024 |
Forecast period | 2025-2032 |
Forecast Unit (Value) | USD Billion |
Segments covered |
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Regions covered | North America (US, Canada), Europe (Germany, France, United Kingdom, Italy, Spain, Rest of Europe), Asia Pacific (China, India, Japan, Rest of Asia-Pacific), Latin America (Brazil, Rest of Latin America), Middle East & Africa (South Africa, GCC Countries, Rest of MEA) |
Companies covered |
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Customization scope | Free report customization with purchase. Customization includes:-
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Table Of Content
Executive Summary
Market overview
Parent Market Analysis
Market overview
Market size
KEY MARKET INSIGHTS
COVID IMPACT
MARKET DYNAMICS & OUTLOOK
Market Size by Region
KEY COMPANY PROFILES
Methodology
For the Insurance Fraud Detection Market, our research methodology involved a mixture of primary and secondary data sources. Key steps involved in the research process are listed below:
1. Information Procurement: This stage involved the procurement of Market data or related information via primary and secondary sources. The various secondary sources used included various company websites, annual reports, trade databases, and paid databases such as Hoover's, Bloomberg Business, Factiva, and Avention. Our team did 45 primary interactions Globally which included several stakeholders such as manufacturers, customers, key opinion leaders, etc. Overall, information procurement was one of the most extensive stages in our research process.
2. Information Analysis: This step involved triangulation of data through bottom-up and top-down approaches to estimate and validate the total size and future estimate of the Insurance Fraud Detection Market.
3. Report Formulation: The final step entailed the placement of data points in appropriate Market spaces in an attempt to deduce viable conclusions.
4. Validation & Publishing: Validation is the most important step in the process. Validation & re-validation via an intricately designed process helped us finalize data points to be used for final calculations. The final Market estimates and forecasts were then aligned and sent to our panel of industry experts for validation of data. Once the validation was done the report was sent to our Quality Assurance team to ensure adherence to style guides, consistency & design.
Analyst Support
Customization Options
With the given market data, our dedicated team of analysts can offer you the following customization options are available for the Insurance Fraud Detection Market:
Product Analysis: Product matrix, which offers a detailed comparison of the product portfolio of companies.
Regional Analysis: Further analysis of the Insurance Fraud Detection Market for additional countries.
Competitive Analysis: Detailed analysis and profiling of additional Market players & comparative analysis of competitive products.
Go to Market Strategy: Find the high-growth channels to invest your marketing efforts and increase your customer base.
Innovation Mapping: Identify racial solutions and innovation, connected to deep ecosystems of innovators, start-ups, academics, and strategic partners.
Category Intelligence: Customized intelligence that is relevant to their supply Markets will enable them to make smarter sourcing decisions and improve their category management.
Public Company Transcript Analysis: To improve the investment performance by generating new alpha and making better-informed decisions.
Social Media Listening: To analyze the conversations and trends happening not just around your brand, but around your industry as a whole, and use those insights to make better Marketing decisions.
Global Insurance Fraud Detection Market size was valued at USD 4.61 Billion in 2023 and is poised to grow from USD 5.68 Billion in 2024 to USD 30.14 Billion by 2032, growing at a CAGR of 23.2% in the forecast period (2025-2032).
The insurance fraud detection market is highly competitive, with key players focusing on technological advancements, strategic partnerships, and acquisitions to strengthen their market position. Strategic collaborations are shaping the competitive landscape, with major players partnering with insurance firms, cybersecurity companies, and financial institutions to expand their market reach. For example, in 2024, IBM partnered with a leading European insurance provider to integrate AI-driven fraud detection solutions, enhancing the insurer’s ability to detect suspicious claims with greater accuracy. Additionally, companies like FICO are leveraging cloud-based fraud detection models, enabling insurers to scale their fraud prevention capabilities efficiently. 'ComplyAdvantage', 'Featurespace', 'Feedzai', 'Sardine', 'Hawk:AI', 'FICO', 'BAE Systems', 'Quantexa', 'SAP', 'IBM', 'SAS Institute', 'Mastercard'
The increasing use of artificial intelligence (AI) and machine learning (ML) in insurance fraud detection is significantly driving market growth. These technologies enable insurers to analyze vast amounts of data, identify suspicious activities in real time, and reduce false positives, improving overall fraud prevention efficiency. For instance, machine learning algorithms continuously evolve by learning from historical fraud cases, improving their accuracy in detecting suspicious claims while reducing false positives. AI-driven predictive analytics also help insurers assess the risk level of claims before processing them, reducing financial losses.
Increased Integration of Blockchain for Fraud Prevention: Blockchain technology is gaining traction in the insurance industry as a powerful tool for fraud prevention. The decentralized and tamper-proof nature of blockchain ensures data integrity and transparency, making it highly effective in detecting fraudulent activities and preventing claim manipulation. By recording claims and policy transactions on a blockchain ledger, insurers can create an immutable audit trail that eliminates data discrepancies and unauthorized modifications.
What Makes North America the Leader in the Global Insurance Fraud Detection Market?
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Report ID: SQMIG40M2004
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