Insurance Industry

Causal Risk Assessment
Beyond Correlation

UM-Model 1 distinguishes true risk factors from confounding variables, enabling accurate pricing, fraud detection, and claims prediction through causal reasoning.

41%
Improvement in Risk Prediction
67%
Reduction in False Positives
$3.2M
Annual Fraud Prevention
88%
Claims Accuracy

Risk Assessment: Correlation vs Causation

Why causal reasoning prevents pricing errors

Generic Predictive AI

Pattern Matching

Approach

Observes: "Customers in ZIP code 90210 have 40% higher claims"

Conclusion

Increase premiums for all 90210 residents by 40% ✗

Problem

Confounding! High claims are caused by expensive vehicle repairs in that area, not inherent risk. Unfairly penalizes safe drivers.

$1.8M
Lost Customers Due to Unfair Pricing

UM-Model 1

Causal Reasoning

Approach

Builds causal graph: Repair Costs → Claims, Driving Behavior → Accidents, Location → Repair Costs

Counterfactual Analysis

"What would claims be if repair costs were normalized?" Identifies true risk factors

Conclusion

Price based on driving behavior, not location. Fair pricing increases retention 23% ✓

$3.2M
Increased Revenue Through Fair Pricing

Risk Assessment Analysis

Explore causal factors in insurance risk modeling

Select Risk Type

Causal Risk Factors

Real Insurance Outcomes

Proven results from insurance operations

Auto Pricing

Generic AI 72% Accuracy
UM-Model 1 91% Accuracy

Separated causal risk factors from demographic correlations. Fair pricing increased retention 23%

Fraud Detection

Generic AI 45% False Alarms
UM-Model 1 12% False Alarms

Causal analysis distinguished legitimate unusual claims from actual fraud patterns. Saved $3.2M annually

Health Claims

Generic AI $8,200
UM-Model 1 $6,400

Identified preventive care as causal factor reducing future claims. Adjusted incentives saved $1,800 per member

Property Risk

Generic AI 38% Error Rate
UM-Model 1 9% Error Rate

Separated building age correlation from actual structural risk factors. Improved underwriting accuracy

Claims Prediction Accuracy

Risk Assessment Tool

Analyze insurance risk with causal modeling

Risk Parameters

35 years
15 years
12,000 miles

Causal Risk Analysis

Adjust parameters and click "Run Analysis" to see risk assessment