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Chapter 1: Introduction 1.1 Research Background The insurance and financial services industry is flourishing due to advancement and revolution of emerging technologies. It has directly provided new opportunities within financial markets to create values for business organisations. It has directly helped insurance sector to improve their processmanagement,whereasithashelpedfinancialcompaniestoachievecompetitive advantagewithincompetitivemarkets.Theseadvancedtechnologiesarecontinuously developing which are helping to make the business processes more accurate and precise. These technologies are making businesses more intelligent, whereas it is boosting their technical abilities to innovate their internal processes(Riikkinen et al., 2018). This study mainly focuses to identify the key drivers linked with demand of new technology within the insurance sector. Artificial intelligence is an example of emerging technology which is being increasingly used in financial sector enabling the companies to make their processes smarter and robust. There are many advantages of AI for insurance industry such as creation of business models, expansion of insurability, improvement of efficiency, cost reduction, better engagement with customers, controlling the price risks, and measuring performance(hall, 2019). In today’s world where most of the processes are digitalised, insurance customers are not very satisfied with this experience. Insurers are lagging behind in using AI to use its full potential to get benefits of better operations and creating value to their business (Deloitte, 2017) However, the industry has started to invest in AI to yield the benefits of this technology in their business. The main insurance business areas that can be benefited from AI are sales and marketing, risk, and operations (Shroff, 2019). According to Keefer (2019), speed of claim settlement has always been a priority of insurance companies to retain customer satisfaction. It is very important for an insurance organisation, whether is it small or large to be efficient in all aspects of claims management. However, many insurancecompanieshaveconsideredtechnologicaladvancementtoimprovetheirclaim managementprocess.Theartificialintelligenceandmachinelearningremainedthemost
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prominent technologies which have helped all types of industries. Yet, it is still required to evaluate how artificial intelligence helps in improving the claim management process by insurance companies. 1.2 Research problem Due to technological advancement, business organisations are mainly relying on the advanced technologies to improve their operations, performance, and day to day tasks. The key reason behind relying on machines is linked with limitations involved with human handling the operations. The operations managed by human involve high risks, whereas they are considered as slower and costly. The advanced technologies can directly helps to improve the operations in alltypesofindustries(Chummun,2018).However,therehavebeenlimitedresearches conductedtoidentifywhichspecifictechnologicaladvancementissuitableforspecific companies. The selection of advanced technology mainly depends on different factors such as nature of operations, geographical location, market orientation, and perceived usefulness of technology (Dirican, 2015). Similarly, artificial intelligence has completely revolutionised the operations of all types of industries (Kumar et al., 2019). Majority of researchers have focused on importance and benefits of AI for service sector industry such as travel and tourism, disruptive industry, health care, and others (Wisskirchen et al., 2017). The concept of AI is still developing for specific types of industries such as insurance, banking, and other industries. The adoption rate of AI remained lower within these types of industries due to complexities involved with AI. The concept of AI for claim management is particularly new for most of insurance companies (Mohapatra and Tiwari, 2009). The key reason is that AI adoption requires high investment, whereas only big insurance companies can afford the AI technologies. This is the reason that researchers have less focused on evaluating the benefits of AI for claim management process. Moreover, there is limitationofresearchwhichmainlyfocusesonhowAIcanexpeditethewholeclaim management process (Kumar et al., 2019).
1.3 Aim and Objectives The aim of this research is to analyse value of artificial intelligence in achieving improved claims management process in insurance sector. The scope will include but not restricted to responses and engagements of UK insurance sector in general in claims management process in specific. The objectives will include: To identify key factors of successful claims management process in insurance Critically explore the potential of Artificial Intelligence in insurance specifically in claims management process. Barriers and challenges to implement Artificial intelligence in Claims management process by comparing the theoretical potential to its actual potential To make recommendation to overcome those challenges and how it improves the Claims Management Process 1.4Methodology: Interview and documentary methods is used to collect qualitative data. Direct conversation with participantstogatherdatafromindividualsareinterviews(KeithFrancisPunch,2014). Documents can be all sorts of forms of physical or written or visual data that collect from secondary data sources or primary sources(Moen and Middelthon, 2015).Primary data is collected through interviews and secondary and primary data is collected through documentary approach of data collection related to AI and its implication in claims management. Semi structured interviews is conducted with open ended questions listed. Questions can be asked in any order depending upon participant’s response. The interview data was collected from five respondents from three key insurance companies. This helped the researcher to collect and then critically analyse the opinions of insurance professionals about Artificial Intelligence and its impact on claims management. The main participants were from claims department. Also, all participants have sufficient knowledge about artificial intelligence and its implications within claim management process.
1.5Structure of dissertation There are five chapters in this dissertation to achieve the above discussed research objectives. Introduction:This chapter explains the overview of research and problem statement. The key emphasis is made to explain how interview methodology is adopted to achieve the planned research aim and objectives. Literature review:This chapter explains the importance of claim management process for insurance sector. The key emphasis is made to analyse the key opportunities and challenges involved with artificial intelligence within insurance sector. Methodology:This chapter adopts Saunders research onion model to explain the key components considered with selection of research methodology. It also explains how interview methodology was adopted along with research philosophy, approach, and choice. Analysis:This chapter presents and analyse the data collected from asymmetric email interview. It also explains how thematic coded analysis can be adopted to analyse the collected data from interviews. There were ten themes generated from the data collected from respondents of interview. Conclusion:Thischapterconcludesthewholedissertation,whereaskey recommendations are provided to explain how AI can improve claim management process of insurance companies.