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Claims Avoidance Analytics Artificial Intelligence (AI) Market Forecast: What Market Value Is Expected By 2030?
The claims avoidance analytics artificial intelligence (AI) market has experienced substantial growth in its size over recent years. It is projected to expand from $2.48 billion in 2025 to $3.15 billion in 2026, demonstrating a compound annual growth rate (CAGR) of 27.1%. The historical increase in this market can be linked to factors such as rising fraud detection initiatives, the increasing adoption of data-driven claims processes, a growing reliance on automated risk assessment, the expansion of insurance digitalization, and an elevated focus on loss prevention.
The claims avoidance analytics artificial intelligence (AI) market is projected to experience substantial expansion over the upcoming years. This market is set to reach $8.16 billion by 2030, exhibiting a compound annual growth rate (CAGR) of 26.9%. Several factors contribute to this growth during the forecast period, including a heightened demand for automated claims triage, the increasing implementation of advanced analytics platforms, a greater necessity to lower claim processing expenses, the broadening of real-time risk monitoring capabilities, and an intensified emphasis on the precision and openness of claims. Key trends anticipated during this period encompass enhancements in predictive analytics models, breakthroughs in real-time risk scoring, the evolution of AI-powered decision engines, ongoing research and development in automated claims review, progress in natural language processing applied to claims, and novelties in behavioral analytics tools.
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Claims Avoidance Analytics Artificial Intelligence (AI) Market Growth Drivers: What Factors Are Accelerating Expansion?
The growing implementation of digitalization across the insurance sector is anticipated to fuel the expansion of the claims avoidance analytics artificial intelligence (AI) market moving forward. Digitalization encompasses the adoption of digital technologies and platforms to optimize operations, elevate customer interaction, and enhance service delivery across various insurance functions. The increase in digitalization within the insurance industry is driven by a rising preference for online policy management and claims processing, as consumers increasingly seek faster, more convenient, and paperless solutions for their insurance needs. Claims Avoidance Analytics Artificial Intelligence (AI) further boosts digitalization within the insurance sector by enabling data-driven decisions and automating claims assessment processes. This improves operational efficiency, reduces fraudulent or unnecessary claims, and supports proactive risk management, thereby strengthening the overall digital transformation of insurance operations. For example, in June 2025, Guidewire Software Inc., a US-based insurtech company, reported that the proportion of customers using AI tools for insurance at least once a week increased from 21% in 2024 to 33% in 2025. Thus, the significant rise in digitalization within the insurance sector is propelling the growth of the claims avoidance analytics artificial intelligence (AI) market.
Claims Avoidance Analytics Artificial Intelligence (AI) Market Segments: Where Are The Largest Growth Opportunities?
The claims avoidance analytics artificial intelligence (AI) market covered in this report is segmented –
1) By Component: Software, Hardware, Services
2) By Deployment Mode: On-Premises, Cloud
3) By Organization Size: Small And Medium Enterprises, Large Enterprises
4) By Application: Healthcare, Insurance, Banking And Financial Services, Retail, Manufacturing, Other Applications
5) By End-User: Insurance Companies, Healthcare Providers, Financial Institutions, Other End-Users
Subsegments:
1) By Software: Predictive Analytics, Fraud Detection, Risk Assessment, Claims Workflow Automation, Reporting And Visualization
2) By Hardware: Servers, Storage Devices, Networking Equipment, Processing Units, Data Centers
3) By Service: Consulting, Implementation, Integration, Training And Support, Maintenance And Monitoring
Claims Avoidance Analytics Artificial Intelligence (AI) Market Trends: What Is Shaping Future Industry Growth?
Leading companies in the claims avoidance analytics artificial intelligence (AI) market are concentrating on creating sophisticated solutions, such as AI-powered automation platforms, to improve operational efficiency, enhance precision, and lower expenses. These AI-driven automation platforms are intelligent systems designed to streamline the entire claims process by automating various tasks, extracting and analyzing relevant data, and supporting informed decision-making. For instance, in March 2024, EIS Group Ltd., a US-based provider of core insurance software, introduced ClaimSmart. This cloud-native, AI-powered claims automation platform aims to significantly reduce the cost of claims. It utilizes artificial intelligence and machine learning to automate as much as 80% of claims tasks, covering everything from the First Notice of Loss (FNOL) through to payment. Its functionalities include automatic document intake, fraud risk assessment, and reserve allocation, ensuring smooth and precise claims handling with very little human involvement. Furthermore, the platform incorporates predictive analytics to detect high-risk or potentially fraudulent claims at an early stage, enabling insurers to proactively reduce potential losses. It also facilitates effortless integration with existing core insurance systems, promoting scalability and improving overall operational efficiency across the organization.
Claims Avoidance Analytics Artificial Intelligence (AI) Market Major Participants And Competitive Dynamics
Major companies operating in the claims avoidance analytics artificial intelligence (AI) market are International Business Machines Corporation, Oracle Corporation, Verisk Analytics Inc., Palantir Technologies Inc., Fair Isaac Corporation, Guidewire Software Inc., CCC Intelligent Solutions Inc., DataRobot Inc., Duck Creek Technologies Inc., Matterport Inc., Shift Technology Inc., H2O.ai Inc., Tractable Inc., FRISS Inc., Gradient AI Inc., EagleView Technologies Inc., CLARA Analytics Inc., RightIndem Ltd., SAS Institute Inc., EIS Group Inc.
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Claims Avoidance Analytics Artificial Intelligence (AI) Market Geographic Distribution And Regional Opportunities
North America was the largest region in the claims avoidance analytics artificial intelligence (AI) market in 2025. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in the claims avoidance analytics artificial intelligence (AI) market report are Asia-Pacific, South East Asia, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.
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Wasay has over a decade of experience in market research, data modelling, and analytics, with prior experience at GlobalData and Decision Tree Consulting Services. At The Business Research Company , he leads research operations across syndicated studies, customized consulting engagements, and the Global Market Model platform. His professional experience includes supporting organizations such as Boston Consulting Group, KPMG, and Ernst & Young. Wasay holds a degree in Electronics and Communications Engineering, postgraduate management qualifications from International Management Institute Belgium and Indian School of Business and Entrepreneurship, and completed the Integrated Program in Business Analytics from Indian Institute of Management Indore.