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Monday, October 13, 2025

Expert urges AI and empathy in insurance claims response - Insurance Business America

Industry faces fraud and claims surge from severe weather

Maurice Zicman (pictured), vice president - CX strategy at TP in Australia, has addressed the shifting landscape for insurers as extreme weather events become increasingly common and severe.

Zicman noted that weather is now a central factor in driving insurance claims, with the industry facing mounting operational challenges.

Recent data from the Insurance Council of Australia (ICA) indicates that, in the first half of 2025, insurers processed more than $1.8 billion in claims linked to extreme weather, stemming from over 148,000 separate incidents.

Notable events such as Ex-Tropical Cyclone Alfred, which accounted for more than $1.36 billion in losses, and widespread flooding in North Queensland and the NSW Mid North Coast and Hunter regions, have demonstrated that large-scale weather events are a recurring issue rather than isolated anomalies.

Managing claim surges and operational pressures

Each major weather event results in a sharp increase in claims volume, requiring insurers to quickly scale their operations. Policyholders, often experiencing significant distress, expect prompt and effective assistance.

Zicman identifies the main challenge as the need to expand capacity while maintaining fairness and transparency in claims handling.

“The opportunity lies in combining digital capabilities with the empathy that only human claims professionals can provide, ensuring technology augments, not replaces the human...



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