Unpopular opinion: It's OK to use AI to fight fraud as long as your data is good, your precision threshold is very high, and appeals are easy. It seems like it is almost never used in this way when people try to save money, sadly.

[–] DankDingleberry@lemmy.world -1 points 1 week ago

i work in Management at an insurance firm and thats exactly what we do (use AI for fraud prevention). we have no interest in denying rightful coverage because in the longrun it can cost you more than just paying them outright (lawyer costs, interventions, bad PR, etc...) if you dont work in the industry, you have NO idea how many people try to cheat. its ridiculous.

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