Fighting Policy Fraud with Governance, Not Just Tech

We all love a bit of fraud tech, don’t we? AI-driven quote manipulation alerts. SIRA referrals. Smart pricing engines that tweak based on IP address and keystroke behaviour.

But here’s the truth: none of it works without proper governance.

You can throw as much machine learning at the problem as you want if the humans behind it aren’t joined up, you’ll just end up shifting fraud from one department to another.

Most policy fraud isn’t clever. It’s persistent. And it’s usually enabled by gaps:

• No consistent rules between quote and bind

• No feedback loop between claims and pricing

• No consequence management when fraud is caught

Also, let’s not ignore the culture bit. Front-line teams often know what looks dodgy but if nobody’s listening, or if everyone's target is quote volume, those signals get lost.

What works? A fraud strategy that’s holistic. That connects pricing, onboarding, claims and governance. That has teeth, but also makes sense commercially.

Governance might not be glamorous. But it’s what actually protects your bottom line.

The views expressed in this article are those of WHO2 Global Ltd and do not constitute professional advice. All content is for informational purposes only.