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What Are the Most Effective Ways to Insure and Mitigate Wildfire Risks?

March 2, 2020 • 8 min read.

Reducing future losses from wildfires requires communities to collaborate with insurers and policy makers, write Wharton’s Howard Kunreuther and Erin St. Peter in this opinion piece.

• Finance & Accounting
• Public Policy

Climate change has led to extreme wildfires in the past few years, devastating regions from California to Australia. These are some of the most expensive disasters to slam the insurance industry. To design an effective strategy for reducing future losses from wildfires, communities, insurers and policymakers must collaborate to find solutions, write Howard Kunreuther and Erin St. Peter in this opinion piece. Kunreuther is an emeritus professor of decision sciences and public policy at Wharton and co-director of the school’s Center for Risk Management and Decision Processes . St. Peter is a research analyst in Wharton’s real estate department and the risk center.

The extreme wildfires of the last several years, from California to Australia, have raised broad concerns about the future of wildfire risk management programs. Total damage and economic losses caused by California wildfires in the past three years are estimated to be $565 billion . The Camp Fire in November 2018 was the most destructive wildfire in California history, damaging or destroying more than 18,800 structures with total damage estimated at $16.5 billion. With $12.5 billion of these losses covered by insurance, it was the most expensive insured disaster that year. The threat of even more extensive wildfire losses due to climate change, as illustrated by NASA , highlights the need for homeowners and communities to invest in cost-effective mitigation measures.

Dealing with Interdependent Risks

Wildfire can be characterized as an interdependent risk. More specifically, the damage faced by homeowners depends not only on their own decision whether to invest in fire protection measures, but also on the risk reduction investments of their neighbors. An article in the Los Angeles Times characterizes this interdependency, noting: “Fires that spread from house to house generate a force of their own. Embers, broadcast by the wind, find dry leaves, igniting one structure then another, and the cycle is perpetuated block after block. Break that cycle and the fire quits, and destruction can be minimized.”

While surveys like this one in Archuleta County, Colo., have demonstrated that the behavior of others is not necessarily the primary barrier preventing individuals from adopting sufficient mitigation measures, it does influence the insurability and the affordability of wildfire. Since the risk of a homeowner depends in part on the mitigation actions of everyone in the area, insurers cannot typically offer property-level mitigation discounts on pricing. If an entire community invested in wildfire mitigation, however, that could be an input to lower insurance premiums.

Role of Communities

The Boulder County Wildfire Partners Mitigation Program provides a model for how to incorporate comprehensive mitigation measures into county-level building codes. It is funded by a $1.5 million grant from the Colorado Department of Natural Resources and a $1.125 million grant from the Federal Emergency Management Agency (FEMA), with additional support from Boulder County. Instead of only providing educational materials to homeowners, as is done in many communities, Wildfire Partners takes a more comprehensive approach. Homeowners are offered professional inspections and, if they complete certain recommended mitigation actions for their property, they receive a program certificate. Allstate and USAA accept this as proof of proper mitigation, and State Farm recognizes the certificate for renewal business. As highlighted in an article published by the Federal Reserve Bank of San Francisco, the program has been able to guarantee that participating homeowners are not denied private coverage despite residing in the wildfire urban interface (WUI).

Communities can also reduce the risks of wildfires by developing well-enforced building codes like those recommended by the Insurance Institute for Business and Home Safety . Headwaters Economics, through its Community Planning Assistance for Wildfire Program , offers free resources and funding on a competitive basis for communities to improve WUI land use planning. Additional examples of community approaches to wildfire risk reduction are provided below.

Montecito, Calif., requires homes to put screens over vents and replace siding and roofs with non-flammable materials to reduce the likelihood that embers will ignite a wildfire. The city changed certain building codes by requiring new driveways and access roads to be wide enough to accommodate emergency vehicles. The U.S. Fire Administration has posited that due to these mitigation measures, Montecito emerged with no fatalities, no injuries, and only seven homes lost in the Thomas Fire of December 2017. A case study on the effectiveness of the Montecito mitigation measures can be found here .

San Diego, Calif., developed brush clearance regulations that require residents in the WUI to clear vegetation within 100 feet of their homes, as California state law requires . They attempt to supplement state laws by adding enforcement mechanisms—mainly, if landowners don’t act, their land can be forcibly cleared and they are sent bills for the work. Regulations on defensible space, however, often fail to safeguard the intended properties without robust enforcement capacity or frequent inspection cycles, as highlighted in this recent article in the San Diego Union-Tribune .

Wildfire can be characterized as an interdependent risk.

The community-level programs described above depend on motivating property-level investments, and that poses challenges. Staffing limitations prevent San Diego from inspecting as many properties as they would like and enforcement can be costly. Furthermore, the dynamic nature of vegetation clearing can mean that once-compliant properties can quickly become prone to fires without continued maintenance. Programs that address structural components but not defensible space (or vice versa) can also be seen as insufficiently addressing wildfire risk.

Evaluating the effectiveness of such programs can also be difficult given the numerous contributing factors to wildfire damages. For example, while Montecito’s pre-fire mitigation efforts very likely helped to reduce damages, the timing and path of the Thomas Fire allowed Montecito residents several days to evacuate, allowing Montecito to focus more fully on suppression activities when the fire arrived. Other fires may behave differently and not allow as much advanced warning. Despite these challenges, there is an important role for communities to continue to focus on wildfire risk reduction through well-enforced building codes at the state or local level, land use management approaches, and vegetation/fuel reduction strategies in the near future.

  Expecting individuals to effectively mitigate homes against wildfires requires community or state-level mitigation approaches due to interdependencies and the biases and simplified heuristics that define individuals’ decision-making. In this regard, researchers from the WiRē Research Team in Colorado have developed surveys and rapid inspection methods to elicit homeowners’ perceptions of wildfire risk and barriers to mitigation activities. They find that:

• Individuals tend to overestimate the amount of mitigation activity they have completed and underestimate mitigation undertaken by their neighbors.
• Homeowners Association (HOA) restrictions often conflict with best practices in vegetation clearing and other wildfire mitigation activities.
• Individuals are often unclear as to which mitigation measures they should invest in given budget constraints.

With respect to the insurance industry, California regulations hinder insurers’ ability to provide premium reductions on property for household-level mitigation measures. Allowing insurers to utilize catastrophe models and incorporate reinsurance costs into premium rates are a first step to rewarding homeowners who invest in mitigation measures with lower premiums. Doing so would allow forward-looking models that can incorporate a higher degree of property-level attributes, including mitigation measures, as explained in a recent Milliman white paper : “Because cat models are able to simulate expected losses for individual risks, given basic property attributes such as construction type and location, they can be used to create pricing and underwriting plans that can recognize mitigation measures. These plans represent an improvement upon those using wildfire risk-scoring models, which consider elements of wildfire risk at a particular geographic area, but stop short of considering the actual characteristics of the property or how the risk could be affected by a change in those characteristics.”

Questions for Future Research

  To design an effective strategy for reducing future losses from wildfires, we propose that communities, insurers and policymakers consider the following questions:

• What are the most pressing barriers to enacting wildfire mitigation measures across different geographies?
• What financial incentives (e.g., low interest loans and insurance premium reductions) could be most effective in convincing homeowners to invest in cost-effective protection measures?
• What land use regulations and well-enforced building codes are most effective for reducing future wildfire losses and encouraging insurers to offer premium discounts or increase the likelihood of insurability for mitigated homes?
• What additional data will insurers find sufficient to incorporate mitigation measures into pricing decisions? How can states and communities better track data that would assist in these endeavors?
• What roles can innovative risk transfer instruments play to complement homeowners insurance for protecting residents against wildfire losses?

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California’s Fire Insurance Crisis: Why it Happened and What Can Be Done To Fix It

Even as California’s wildfires grow more intense seemingly every year, insurers are cancelling policies for homeowners in the path of the fires.

California’s increasingly dangerous wildfire outbreak has led to another crisis, this one in fire insurance.   Jeff Turner / Wikimedia Commons   C.C. 2.0 Generic License -->

As the summer of 2021 turned to autumn, no fewer than 17 major wildfires burned in California, leaving more than 2.3 million acres scorched and destroying 3,289 homes and other buildings. As the victims of the state’s previous fires did, the owners of those homes would soon face a second crisis—how to rebuild their houses and their lives when faced with the combined obstacles of strict insurance company rules and local government red tape.

Those obstacles set off anger among Santa Cruz County homeowners who lost their houses in the 2020 CZU Lightning Complex Fire . Between Santa Cruz and San Mateo counties, that fire burned down 1,490 residential, commercial and other buildings, according to Cal Fire, damaging 140 others. At a Sept. 14 meeting of the Santa Cruz County Board of Supervisors, the property owners saw the board vote to remove one significant roadblock to rebuilding, only to replace it with what they saw as another.

A Fire Insurance Catch-22

Because insurance companies typically determine how much they will pay based on a homeowner’s costs incurred in rebuilding—costs that can be extremely difficult to determine—and they also impose deadlines for filing claims, wildfire victims are allowed only tight time limits on how long it takes them to rebuild. 

At the same time, Santa Cruz County requires homeowners to go through the same process as if they were building a new home from scratch. That includes contracting for costly and time-consuming “geologic evaluations,” that is, expert assessments of a property’s vulnerability to a wide range of natural calamities—not only wildfires.

But why should they, the Santa Cruz County homeowners wanted to know, be required to get a whole new set of evaluations for hazards that have nothing to do with wildfires? In August, the supervisors said that they would consider that question, and at the September meeting they agreed to waive the non-fire geologic requirements. On one condition.

Homeowners, the supervisors decided, must also sign an official document attesting that the non-fire-related geologic surveys were not done—even though those surveys in most cases were completed when the original homes were built. So the homeowners were allowed to skip the geologic studies, but required to sabotage the value of their own property to do it.

The convoluted Catch-22 now imposed on those Santa Cruz County homeowners appears emblematic of the traumas inflicted on wildfire survivors, and other Californians who happen to live in vulnerable areas, by insurance companies. In a rising number of cases, homeowners are simply denied insurance altogether. In the year 2019, insurers dumped the policies of approximately 230,000 homeowners. That was a 31 percent rise in policy cancellations from 2018, the industry’s response to absorbing $25 billion in losses from fire claims in 2018 and 2017. The fire-plagued Sierra Nevada region was hit particularly hard by policy cancellations, suffering 37,287 there in 2019. 

State Bans Policy Cancellations, But For How Long?

With the massive Dixie Fire leading the pack, having burned for 70 days and nearing 1 million acres, on Sept. 20 the state’s insurance commissioner, Ricardo Lara, slapped insurance companies with a one-year moratorium on cancelled fire policies. The ban applied to portions of 22 Northern California counties in areas affected by the Dixie and Caldor Fires as well as numerous other, smaller wildfires. 

Just one month earlier, Lara banned policy cancellations in areas of Plumas, Lassen and Siskiyou counties that had been hit by wildfire. The two bans combined to save about 350,000 homeowners from potentially losing their wildfire insurance for at least until 2022. Just a year earlier, Lara laid down moratoriums granting temporary protection to 2.4 million homeowners in fire-affected regions.

The moratoriums all have expiration dates. After they run out, all of those homeowners are back to square one with their insurance companies. Lara’s edicts do not address the skyrocketing cost of wildfire insurance. The state must approve insurance rates, and in 2017 and 2018 insurance regulators gave the green light to more than a billion dollars’ worth of rate hikes.

A 2017 report by the state’s Department of Insurance said that some policyholders saw annual rates jump from $800 to as much as $5,000 from one year to the next. They were hit with the devastating price increases despite, in some cases, going to the trouble and expense of upgrading the fire-resistance of their homes, a process known as “fire hardening.”

Tough 2008 Building Code Proves Effective Against Fire Damage

The state itself requires that newly constructed homes live up to high levels of fire protection. In 2008, California adopted a new, tough building code, known as code 7A , that requires all new homes in Wildland-Urban Interface (WUI) zones—that is, areas where residential housing comes right up against forests and other highly flammable types of vegetation—include fire-resistant roofs, interior sprinklers, non-flammable materials in decks and other attached structures, heat-resistant windows and other measures designed at minimizing fire vulnerability. 

The new code worked. After the deadly 2018 Camp Fire swept through Paradise, Calif., an analysis by the McClatchy news organization found that of the affected homes built after 2008—homes required to meet the new code requirements— 51 percent survived the blaze . Only 18 percent of the pre-2008 homes made it through the fire, which was California’s most destructive , taking out more than 18,000 structures.

So the 2008 regulations proved effective. Of course, the problem is, there just aren’t that many houses that have been built since 2008, compared to the number that predate the new code. The McClatchy study found just 350 homes in Paradise built under the 2008 code, and 12,100 from the pre-2008 era. And 2008 was also the year that the national and global economy nearly collapsed, leading to a prolonged recession and pronounced slowdown in the construction of new homes. 

The result? The vast majority of California homes in wildfire-prone areas remain defenseless. That means, once the state’s moratoriums expire, many will also be without insurance—a double crisis for homeowners.

Solutions to Fire Insurance Crisis Hard To Come By

In November of 2020, the “ free market environmentalist ” Property and Environment Research Center published a paper calling on California to deregulate the fire insurance industry , blaming the “unintended consequences” of the state’s control over insurance rates for the industry’s heavy losses after recent wildfires—leading the companies to boot thousands of homeowners off their client rosters. The resulting higher rates will give homebuilders “an incentive to invest in home-hardening efforts and develop in less risky areas,” the paper’s authors argued.

But that argument assumes that companies would actually offer lower rates for “hardened” homes. Current evidence suggests that might not be the case.

To make at least some headway in bringing the crisis under control, the Department of Insurance, Cal Fire and several other state agencies said in February 2021 that they were developing a single set of standards for home fire hardening in an attempt to cajole insurance companies into selling policies in areas most open to fire damage. 

While insurers have blamed the lack of hardening standards for their reluctance to reinstate policies for homeowners who take the often-expensive fire-resistance measures, they have also said that even when homeowners take the necessary steps, they still can’t insure them. Why? 

They say that they simply do not know how much the hardening process is worth, in dollars and cents. No expert doubts that home hardening reduces the risk of fire damage. But by how much? The research is not yet there to say with any certainty. That makes it tough for insurers to adjust their rates accordingly. At least, that’s what the insurance industry has said.

What solutions remain? The most obvious is also perhaps the least desirable—stop building houses in fire-prone areas. A 2014 study published in the academic journal Land Use Policy estimated that by the year 2050, 650,000 new homes will go up in “areas currently designated as ‘very high’ wildfire severity zones.”

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Our claims expertise: 17 real life Gallagher client case studies and outcomes

16 august 2021.

Making a claim is when the value of your insurance is put to the test ‒ and as an insurance broker Gallagher goes the extra distance to ensure that you get the cover you paid for. These examples in our Claims Advocacy in Action: 17 Real Life Case Studies illustrate why The Gallagher Difference really does make a difference to claims outcomes.

The 17 claims case studies include

• 12 different types of insurance cover
• why the claim in the case was challenging and/or initially denied
• how we applied claims and policy expertise to seek improved claims decisions for our clients The Gallagher Difference of claims service in each case.

"These real life claims case studies demonstrate the depth of our expertise as insurance policy experts, the strength of our relationships with our insurance partners, our ability to translate complex claims into something clients can readily understand and engage with, and our determination and commitment to do the right thing for the client." Adam Squire, Head of Claims, Gallagher Australia

Download the report Claims Advocacy in Action: 17 Real Life Case Studies now.

The scope of these insurance claim case studies

From legal costs involved in a professional indemnity construction case to a fire that destroyed the prestigious home on a wine producer's estate, to an employee being wrongfully detained in an African country, these case studies represent the numerous difficulties that can arise from conditions surrounding a claimable loss: issues with causes, circumstances, required documentation and how the insured party responded to the situation.

The examples help illustrate how insurance cover works, the obstacles that can occur in individual cases or how interpretations can differ and, most importantly, how Gallagher advocates claims for our clients.

Classes of insurance cover represented include

• Commercial property
• Domestic insurance
• Construction
• Marine hull
• Financial lines
• Film and entertainment
• Corporate travel
• Insolvency.

These make interesting reading in their own right but they also show how a deep understanding of insurance cover can be absolutely pivotal to how claims are viewed by the insurers. That value coupled with our dedication to the Gallagher service ethic of putting our clients first is the basis for The Gallagher Difference.

Gallagher provides insurance, risk management and benefits consulting services for clients in response to both known and unknown risk exposures. When providing analysis and recommendations regarding potential insurance coverage, potential claims and/or operational strategy in response to national emergencies (including health crises), we do so from an insurance and/or risk management perspective, and offer broad information about risk mitigation, loss control strategy and potential claim exposures. We have prepared this commentary and other news alerts for general information purposes only and the material is not intended to be, nor should it be interpreted as, legal or client-specific risk management advice. General insurance descriptions contained herein do not include complete insurance policy definitions, terms and/or conditions, and should not be relied on for coverage interpretation. The information may not include current governmental or insurance developments, is provided without knowledge of the individual recipient's industry or specific business or coverage circumstances, and in no way reflects or promises to provide insurance coverage outcomes that only insurance carriers' control.

Gallagher publications may contain links to non-Gallagher websites that are created and controlled by other organisations. We claim no responsibility for the content of any linked website, or any link contained therein. The inclusion of any link does not imply endorsement by Gallagher, as we have no responsibility for information referenced in material owned and controlled by other parties. Gallagher strongly encourages you to review any separate terms of use and privacy policies governing use of these third party websites and resources.

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• Insurance Digital Transformation: Improving the Customer Experience

In this insurance digital transformation case study, our design thinking practice drives impactful results to the client's bottom line and customer experience.

JANUARY 29, 2018

As data analytics transform the global business community at a rapid pace, many opportunities exist for insurers to leverage information to grow their bottom line. All insurance companies are sitting on a wealth of information about their customers and operational processes. The biggest challenge insurers face with this data? There’s too much data to sort through, and it’s difficult and time consuming to translate information into actionable insights.

Making your data work harder – and more valuable -- is what the Sutherland Cloud Analytics platform is all about. It has positively impacted many companies on a global scale, combining the power of data analytics with artificial intelligence (AI) to drive insights to fuel decisions that boost your bottom line and customer experience.

Harnessing Big Data Drives Insights, Streamlines Processes

Guardian Group , an integrated financial services organization with a focus on life, health, property and casualty insurance, pensions and asset management, recently partnered with Sutherland to rapidly monetize its data assets to meet their business needs.

Prior to engaging Sutherland, the leading insurer was challenged with disparate, unsynchronized databases and inconsistent data across their organization, and basic financial and operational reporting did not deliver valuable information for executive decision making. The time was right for Guardian Group to make agile adjustments to address changing customer expectations, market needs, and regulatory mandates.

Sutherland’s Cloud Analytics Platform and associated consulting established an ongoing big data capability to facilitate a culture of leveraging insights for business decisions. Thanks to Sutherland’s cloud-based solutions, Guardian Group saw an approximately 25 percent reduction in manual efforts and associated labor cost for some activities, 20 percent reduction in claims-related processing turnaround time, and 100 percent digitization of forms now available online.

An End-to-End Analytics Transformation

Core components of the data analytics solution for Guardian Group include:

Suspense Amount Management for cloud: AI-leveraged analytics that enables insurers to wade through complex data streams and meaningfully allocate premium suspense amounts to the right policies. It’s designed to optimize cash flows to improve loss ratios, combined ratios, and current ratio.

Operational Lapse Accounts Analytics to better understand agent performance and drive optimal account management processes.

Operational solutions to help drive efficiencies and automation in customer-facing and claims management processes.

Precise customer service and predictive modeling powered by analytics capable of turning customer and market behaviors into models.

Strategic customer, agent, and policy profitability analytics to assess emerging risks, identify new revenue sources and optimize enterprise-wide profitability.

Now is the time to leverage data analytics to your drive competitive advantage and positively transform processes throughout your insurance organization.

Reduce Risk. Gain Advantage. Improve Retention.

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Sutherland's scalable, customer-first approach helped leading insurer drive year-on-year sales improvement.

Top Supplemental Insurer Skyrockets Annual Revenue and Boosts Closing Rate by 30%

Discover how America’s most recognized brand in supplemental insurance supercharged cross-sells to 1.6 products per member with Sutherland.

Top US P&C Agency Enhances Their End-to-End Small Commercial Accounts Management

Discover how this insurer increased the profitability and growth of small accounts book of business by driving operational efficiency

World’s Largest Insurer for Classic Cars Takes a Digital-First Approach to Drive Best-in-Class Experiences

Learn how Sutherland digitally transformed the classic vehicle insurer’s operating model, helping achieve greater alignment with customers in a niche market.

Number 1 Small Commercial Insurer Re-Claims The U.S. Leaderboard With An Efficient Growth Roadmap

Learn how a major U.S. Property and Casualty insurer redefined their market-leading position through digital-powered efficiency.

Top P&C Commercial Specialty Insurer Achieves Over 40% Reduction in Operating Costs

Learn how a leading commercial specialty Property and Casualty (P&C) Insurer implemented a new digital business services model and drove end-to-end operations digitization.

Empowering a Leading Life & Annuity Insurer’s Journey to Scalability and Transformation: A Trusted Partnership of 15+ Years

Sutherland partnered with a Life & Annuities insurer to digitally transform policyholder services over a 15-year growth journey marked by multiple acquisitions

Empowering a Top 3 Small Commercial Insurer’s Journey: Powering Growth and Exceptional Customer Experience

Learn how a hyper growth small commercial insurer was able to scale, through a unique operating model solution and a set of digital accelerators, reducing the cost to serve and uplifting customer experience.

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How a Nordic insurance company automated claims processing

By automating unstructured data, a Nordic insurer increased its operational efficiency and improved customer experience.

• 1. Better question
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• How EY can help

The better the question

How do you leverage AI to streamline insurance claims?

An insurer harnessed AI to streamline operations and boost agent capabilities.

N avigating large volumes of unstructured insurance claims data is a substantial challenge for any insurance company looking to automate repetitive yet complex tasks across its operations. The integration of advanced technologies such as automation and artificial intelligence (AI) has become a pivotal driver for the exponential transformation of insurance organizations.

A leading insurance firm in the Nordics wanted to modernize its claims management process. The current workflow required manual processing of each claim request, a time-consuming series of repetitive tasks which had to be performed by its agents. Amplifying the complexity was unstructured data from various sources, requiring detailed examination and categorization. The spectrum of claims data was also broad and varied, originating from multiple sources such as bills, invoices, cash receipts from pharmacies and local clinics, and medical treatment diagnoses with supporting documents.

Each document required thorough analysis by the agents to extract necessary data that could then be categorized based on the relevance for claim processing. As a result, customer service efficiency suffered; the teams struggled to process claims swiftly due to the limited capabilities of existing technology infrastructure that was ill-equipped to facilitate end-to-end automation.

A transformative approach was necessary. The insurance company engaged with EY teams to analyze its existing tech infrastructure and business needs. The goal was to develop an AI-based solution that could streamline their claims management process, automate routine tasks, and free up their agents to concentrate on building stronger customer relationships. By placing humans at the center of this AI-powered transformation, the company sought to augment the agents' capabilities, enhancing their performance and job satisfaction.

This strategy extended beyond a technological upgrade. It was about empowering their people, preparing them for a future where they can collaborate effectively with AI to drive impactful results. This initiative aimed to set the stage for the insurer's expansion into new markets, with their AI-powered claims management solution acting as a catalyst.

The better the answer

Transforming insurance claims with human-centric AI

An EY solution that transforms the insurer’s data process by converging business insights, domain knowledge and AI.

Transforming the insurer's traditional work environment required a robust, AI-powered solution. Manual handling of claim reimbursements involved laborious tasks like opening individual images and PDF scans, analyzing files, and uploading relevant documents to their systems. EY teams stepped in with EY Fabric Document Intelligence, an AI-powered product, to streamline this process.

Developed by EY wavespace™ Madrid and now integrated into EY Fabric, EY Fabric Document Intelligence is a technology that converts semi-structured and unstructured documents into actionable structured data. Built on machine learning and the Python programming language, the tool is hosted on an EY-secured cloud environment. It was scaled and customized to meet the insurer's specific requirements during the project.

The process was simple yet transformative. Agents uploaded the scanned copies to EY Fabric Document Intelligence, which began image cleansing by detecting relevant data. This involved removing image backgrounds, correcting document rotation and reducing noise to enhance the quality of scanned files. The product then performed preprocessing, document analysis and layout analysis. Using optical character recognition (OCR) and natural language processing (NLP), unstructured data was converted and classified. Finally, the structured data was transferred to the insurer's core claims system.

The product processes more documents over time, the system improves and has the potential to provide continuing value and insights for the insurer. Our team provided a solution that did more than just digitize and organize unstructured data. It combined EY business insights and industry knowledge within a strategic technology ecosystem to help modernize the insurer's operations. EY professionals offered comprehensive services, including solution design, system integration, data science, project management and cloud computing knowledge, with a human-centric approach.

Teams from Sweden, Denmark, Spain, the US and the UK collaborated to integrate EY Fabric Document Intelligence with the insurer's legacy system. They helped the insurer understand that AI, when guided by human insight, serves as a powerful enabler to expedite work.

The better the world works

Unlocking exponential transformation through AI-driven modernization

The EY team’s AI solution is driving accelerated claim processing, deepened customer relationships, and an enterprise-wide modernization.

The insurance firm now benefits from near real-time processing of claim documents. Since the solution's implementation, a remarkable 70% of the documents fed into the system are correctly extracted and interpreted. This crucial upgrade not only expedites decision-making but also allows agents to concentrate their efforts on enhancing customer interactions. Agents have more time to spend with their customers in providing personalized advice. This shift toward more meaningful engagements cultivates stronger relationships, maintaining trust and driving additional business value. The solution is designed in a way that it gives the required control of the automation and AI technologies to the insurance firm. The data is entered into the system and the output is driven through a controlled set of confidence levels avoiding blackbox implementation of AI. As the client was closely involved in all decision-making, they have sufficient transparency to the solution.

The AI solution has also been instrumental in facilitating the insurer's global expansion goals. The operational efficiency and customer service enhancements resulting from the implementation are sparking curiosity in other areas of the organization. The insurer is now actively exploring further modernization opportunities, recognizing the long-term business value of aligning with the right technology.

The EY-tailored solution has not only streamlined the insurer's processes but also served as a catalyst for reimagining their entire enterprise. The implementation has demonstrated how advanced AI can fuel exponential transformation in the industry, augment human capabilities, and create significant value. With EY and the insurer collaborating to place humans at the center of this AI transformation, the result is a long-term solution that empowers individuals and drives meaningful impact across the organization.

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Cases cited for the legal proposition you have searched for.

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...where mischief arises from fire in fire insurance cases and from perils of the sea in maritime insurance , and the natural and almost inevitable consequence of that mischief is to create further...conduct of the Insurance Companies after the fire had been extinguished. Mr. Inverarity has before us attempted to show that what his client wants to do before the arbitrators is to prove that this...the case, because the deterioration of machinery from neglect on the part of the Insurance Companies to take care of it is not an inevitable or direct consequence of the mischief by fire . It is only...

...occurs:“Where the contract to insure or issue a policy of fire insurance does not specify the terms and conditions of the policy, it is a general Rule that the parties will be presumed to have contempla...the Rule of the Sun Fire Office (1889) 14 AC 98 and the Hartford Fire Insurance Company AIR (1956) SC 1288 cases . The assurers were, therefore, within their rights...Dhulian Murshidabad being desirous to effect an insurance from loss by fire , for Rs 51,000 on the following Property viz.:One Pucca built and roofed bldg. (C.J...

..., p. 953) the following occurs : "Where the contract to insure or issue a policy of fire insurance does not specify the terms and conditions of the policy, it is a general rule that the parties will be presumed t.... Dhulian Murshidabad being desirous to effect an Insurance from loss by Fire , for Rs. 51,000 on the following Property viz. : One Pucca built and roofed bldg. (C. J. Vizandah...policy as and when it did. The learned Judge pointed out that the condition was a usual provision in a policy of fire insurance and an assurer cancelling the policy under that condition, need give no...

...mischief arises from fire in fire insurance cases and from perils of the sea in maritime insurance and the natural and almost inevitable consequence of that mischief is to create further mischievous...conduct of the Insurance Companies after the fire had been extinguished. Mr. Inverarity has before us attempted to show that what his client wants to do before the arbitrators is to prove that this latter...case, because the deterioration of machinery from neglect on the part of the Insurance Companies to take care of it is not an inevitable or direct consequence of the mischief by fire , It is only where...

...Yadav v. Oriental Fire & General Insurance Co. (1989) 4 SCC 128 while Mr Puri, learned counsel appearing for the contesting respondent-claimants, pitched his faith strongly on the earlier decision...indicate two distinct lines of cases . The first line of cases consists of fact situations wherein the insured are alleged to have committed breach of the condition of insurance policy, which required them...unlicensed drivers for being driven by the latter and which get involved in vehicular accidents by the driving of such unlicensed drivers. In such cases the insurance company cannot get benefit of the...

...trading receipt, then the sum. that is expended in that insurance is an allowable deduction. In the Gliksten Case the company were carrying on a timber merchant's trade. They had a policy of fire ... insurance . A fire took place, and the wood which they would have sold in the market was burned. The result was they were reimbursed the value of the timber by the insurance company. The timber was turned...into money, not by an ordinary sale in the market, but by the action of the fire and 'the payment of the insurance , and it was held that the money, which was now in the pockets of the timber...

...Machiavellian on Fire Insurance Law, in cases of reinsurance, representation made by the assured for the original insurance , and forming the basis of the original policy, may in turn be made the basis of the...-Barry's Fire Insurance , there is a passage to which Mr. Venkatarama Iyer drew our attention—“In order to render the reinsurance liable under a facultative reinsurance the liability of...reinsurance issued, by the respondent. The appellant a fire insurer and a limited company, had a branch in Colombo. A merchant in Colombo by name, Liyanage, insured with the appellant his electrical and...

...of Marine Insurance till 1907 when the Marine Insurance Act came into force. The general principles of the law of fire insurance in England are mostly derived from cases relating to marina ...This is a suit to recover a sum of Rs. 71,000 on a contract of fire insurance on certain cotton bales which were destroyed by fire at Lasoor on 23-4-1952.2. The plaintiff is...are an insurance company incorporated in New Zealand and have a branch office in Bombay. The parties were known to one another as the textile mills at Gadag were insured against risk of fire with the...

...short), which partially allowed the consumer complaint directing the Insurance Company to pay Rs. 6,57,55,155/- for a fire insurance claim with 9% interest from claim denial date within 8 weeks, or.../- to New India Assurance for safeguarding the custom bonded goods and for covering the risk against fire , etc.5. During the pendency of the insurance policies, on...14.03.2018, a fire broke out at the insured warehouse. The respondent then informed the Insurance Company and the Custom authorities about the same. The Insurance Company appointed M/s. J.C. Bhansali and Co...

...Chaudhuri, J.:— This is a suit instituted by the plaintiff company for the recovery of the sum of Rs. 9,333-5-1 for damages to their premises by fire . The proposal for insurance was made...assured had any information of the likelihood of a fire , when they applied for insurance . I do not think that there is any doubt whatsoever that they had such information at the time and believed that a... fire was likely. There is overwhelming evidence that before the date of their application for insurance their engineer, Mr. Meyer, had been informed by different persons that there was a strong...

...licence for such a purpose. 5. In j. C. Thompson v. Equity fire insurance company (1910 appeal cases 592) their lordships had to construe the precise signification of...the words "stored or kept". That was a case where thompson the owner of a building had insured against fire with the equity fire insurance co. The building was burnt down and the question was whether...the policy was avoided by the reason of the presence on the premises at the time of the fire of a small quantity of gasoline. The statutory condition which the insurance company relied on was that the...

...waive their right to demand immediate payment of the premium, and more especially in cases where a proposal is made in respect of a fire insurance policy. It is not always necessary that such a formal...every case a contract for insurance will not be binding unless the premium or a part thereof is paid. No such assumption can be made. There are cases in which it is open to the insurance company to...agreement should be entered into to constitute a valid contract of fire insurance . Where the insurance company on the receipt of a proposal for insurance issue a risk note covering the risk, that fact...

....3. On 4-12-1987 the appellant took out a Fire Policy C with the National Insurance Company, Respondent 1 in this appeal (subject-matter of OP No. 248 of 1997), in the account of Indian Bank...there was no response. Ultimately, on 21-3-1996 the Insurance Company replied to the legal notice, denying the factum of fire and refused to issue the “claim form” on the ground that the claim had become...Respondent 2 Bank was equally responsible to make a claim for the loss covered under the policy on account of the fire and as a matter of fact, it did lodge a claim with the Insurance Company as far back as...

...out;“Although the subject-matter may, in fact, have been destroyed by fire at the date of effecting the insurance , the contract may, nevertheless, in some cases be valid, and operate to...Chagla, C.J:—A rather interesting question relating to fire insurance arises on this appeal. The plaintiff insured colours and chemicals which were stored in a godown in...finding is that neither the plaintiff nor the insurance company knew on June 18, that the goods had been destroyed on June 16 by fire . The contention urged by Mr. Seervai before us is that looking to the...

...in these words: Bearing in mind as I have said that the object of a fire insurance is to insure against fire and that it is common knowledge that in many cases it is difficult, if not...Lord Justice Luxmoore:- On 13th November 1936, the appellant entered into a contract of insurance against loss or damage by fire with the respondent company in respect of...existed. It is stated in Welford and Otter Barry's Fire Insurance 3rd Edition, at page 64 that: The phrase 'civil commotion' is used to indicate a stage between a riot and civil war...

...1. This is a suit for recovery of Rs. 54,007/5/6 on a Policy of Fire Insurance on ??? of damage caused by fire to goods insured under that policy. The plaintiff carries on business as...and Rs. 10,000/- for the hosiery goods.3. On 17-6-1932 a further insurance against loss and damage by fire was effected in respect of his said business with Calcutta Divisional Office of...in respect of the said insurance . It was stipulated in the said Interim Note that the property of the plaintiff was thereby held insured against damage by fire , subject to the usual conditions of the...

...the date of fire accident.8. Since there was inordinate delay in settling the lawful claim under the fire insurance policy, the appellant preferred an original complaint...stock in the fire incident is illegal and shatters the confidence and trust of the people on the very purpose of insurance . It is further submitted that the National Commission despite upholding the...was bona fide and the fire was accidental had assessed the loss at Rs 1.70 crores, but the Insurance Company has repudiated the claim on frivolous ground, that too after a period of three years from the...

...completed policy of fire insurance dated March 15, 1951 and bearing No. 26625, and an unstamped letter of cover dated November 5, 1951, in respect of the same kind of insurance , issued by the respondent.... The letter of cover which bore the description ‘Interim Protection Note' provided that the appellant “Proposing to effect insurance against fire ... and having agreed to pay ... Tariff Premium thereon... Insurance is declined”. The fire on which the claim is based, occurred on the night of November 5, 1951 or during the early hours of the morning of the next day. It is not in dispute that the appellant...

...the usual fire insurance policies and similar clauses have come up for judicial consideration in a long list of cases . Mr. S. Roy referred me to some of these cases . It is enough if I refer to only...of the indemnification within the stipulated period and there seems to be a good deal of sense in it, particularly in the case of fire insurance or insurance against accident where the liability to the extent of the damage ...1. This is a suit on a policy of fire insurance . The plaintiff is a transport agent for forwarding goods by air and is a lessee of two godowns situate at premises Nos. 119 and 121, Motor...

...United India Fire & General Insurance Company v. Kalyani . 1983 A.C.J 29 Ker. contended that it was not open to...Supreme Court case British India General Insurance Co. v. Capt. Itbar Singh . 1958-1965 A.C.J 1 S.C. We’ also noted several cases of various High Courts following the...Supreme Court decision. In the light of United India Fire & General Insurance Co. v. Kalyani the respondents' objection is well-founded...

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In one case, there was a fire in “Show Squeese Line” and the insured had taken the coverage for the material damage as well as the LOP. All the machines installed in the plant were imported machines, but very old. After the fire, the insured had replaced/ repaired the plant and machinery with locally available parts and repairers which helps to reduce the loss on account of LOP, since it will take more time to import the original parts from abroad. Thereafter they have appointed some insurance consultants to comply the requirements relating to material damage claim and they obtained the repair/replacement estimates from the imported machines original supplier and Claimsd the loss on market value basis. The underwriters however confirmed that the policy was on RIV basis, however it was not written on the policy face. But they confirmed that the Sum Insured was taken on increased sum insured on RIV basis and in the previous years also the policy was on RIV basis. The insured had tried to exaggerate the claim by claiming loss on market value basis for imported machines

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