Global Insurance Fraud Investigation Outsourcing Market by Types (Healthcare Fraud Investigation, Auto Insurance Fraud Investigation, Property Insurance Fraud Investigation, Workers Compensation Fraud Investigation, and Others), Applications (Large Insurance Companies, Medium and Small Insurance Companies, and Third-Party Administrators (TPA’s)), and Regions (North America, Europe, Asia Pacific, Latin America, and Middle East & Africa (MEA)) - Global Industry Analysis, Growth, Share, Size, Trends, and Forecast 2020 – 2027
Market Outlook:
The global insurance fraud investigation outsourcing market was valued at USD 525 Million in 2019 and is projected to reach USD 2,154 Million by 2027, expanding at a CAGR of 19.6% during the forecast period. The market is driven by factors such as greater expertise, reduction in risk and cost for insurance companies, increasing adoption of advanced analytics techniques, and stringent regulatory compliances. Conversely, difficulties in detection and prosecution of insurance fraud and enormous costs involved in fighting fraud are likely to restrain the market. significance of social media and increasing adoption of technology are creating opportunities in the market.
Market Dynamics
The outsourcing companies have collective experience and expertise of an outsourcer's investigative workforce. These experts are aware about the insurance industry, claiming process, several fraud schemes, and technology and processes required to investigate, prevent, and detect fraud. Additionally, they are aware about the prosecutorial process and requirement for a successful prosecution. One of the key advantages offered by the fraud investigation outsourcing expertise is the best practice implementation for the overall investigation process. Outsourcing experts implement and recommend procedures covering all phases of fraud investigation from resolution to claim referral, which lead to more impressive outcomes than with a less practiced in-house Special Investigative Unit (SIU).
Training is a major expenditure for insurers to handle insurance fraud investigation in house. Insurance fraud investigation outsourcing reduces expenses for an insurance company and eases an insurer's possibility for bad-faith lawsuits. If an in-house investigator goes out of line to investigate a claim, the insurer is responsible for the legal penalties. However, if a service provider steps out of line to investigate a claim, the insurer points to its contract and make the case that the vendor broke the contractual duty, potentially defending itself from a bad-faith claim.
Advanced analytics techniques are a set of analytical techniques that analyze enterprises’ database and systems to identify the vulnerabilities of frauds. Advanced analytics play an important role in incorporating internal data with third-party data to increase fraud detection abilities. These solutions analyze and monitor data from various data sources, offer a control mechanism to avoid fraudulent practices in real-time, and detect suspicious & unusual and anomalies behavior across all channels. The adoption of analytics has reinforced fraud detection.
Insurers work to increase profits and cut costs by offering targeted insurance resolutions to their customers, insurers constantly modernize their compliance and regulatory functions to meet their ethical and legal ethical obligations cost-effectively and sustainably. The insurance fraud investigation market is expected to grow during the forecast period owing to restricted entry of new market players due to stringent regulatory compliances, which decreases the competition in the market.
Segmental Outlook
By Types Segment
In terms of types, the insurance fraud investigation market is segmented into healthcare fraud investigation, auto insurance fraud investigation, property insurance fraud investigation, workers compensation fraud investigation, and others. The healthcare segment is future divided into policyholder fraud/claims fraud, intermediatory fraud, and internal fraud. The auto insurance fraud investigation segment held 31.3% share of the market in 2020 owing to the increasing filing of fake damages. The healthcare fraud investigation segment is anticipated to expand at a CAGR of 19.8% during the forecast period.
By Applications Segment
On the basis applications, the market is segmented into large insurance companies, medium and small insurance companies, and third-party administrators (TPA’s). The large insurance companies segment accounted for a market share of 50.8% in 2020, while the medium and small insurance companies segment is anticipated to expand at a CAGR of 19.9% during the forecast period.
Region Wise Outlook
On the basis of regions, the market is categorized as North America, Europe, Asia Pacific, Latin America, and Middle East & Africa (MEA). North America is a promising region of the market. The region constituted 38% share of the market in 2020. The demand for insurance fraud investigation outsourcing is expected to rise due to increasing adoption of advanced analytics techniques. The market in Asia Pacific is projected to expand at a CAGR of 20% during the forecast period due to increasing awareness regarding rising instance identity thefts, payment frauds, and claims fraud in the region.
Key Benefits for Industry Participants & Stakeholders
- In-depth Analysis of the Insurance Fraud Investigation Outsourcing Market.
- Historical, Current and Projected Market Size in terms of Value.
- Potential & Niche Segments and Regions Exhibiting Promising Growth Covered
- Industry Drivers, Restraints and Opportunities Covered in the Study
- Recent Industry Trends and Developments
- Competitive Landscape & Strategies of Key Players
- Neutral Perspective on from insurance fraud investigation outsourcing market Performance
Chapter 2 Assumptions and Acronyms Used
Chapter 3 Research Methodology
Chapter 4 Insurance Fraud Investigation Outsourcing Market Overview
4.1 Introduction
4.1.1 Market Taxonomy
4.1.2 Market Definition
4.1.3 Macro-Economic Factors Impacting the Market Growth
4.2 Insurance Fraud Investigation Outsourcing Market Dynamics
4.2.1 Market Drivers
4.2.2 Market Restraints
4.2.3 Market Opportunity
4.3 Insurance Fraud Investigation Outsourcing Market - Supply Chain Analysis
4.3.1 List of Key Suppliers
4.3.2 List of Key Distributors
4.3.3 List of Key Consumers
4.4 Key Forces Shaping the Insurance Fraud Investigation Outsourcing Market
4.4.1 Bargaining Power of Suppliers
4.4.2 Bargaining Power of Buyers
4.4.3 Threat of Substitution
4.4.4 Threat of New Entrants
4.4.5 Competitive Rivalry
4.5 Global Insurance Fraud Investigation Outsourcing Market Size & Forecast, 2017-2027
4.5.1 Insurance Fraud Investigation Outsourcing Market Size and Y-o-Y Growth
4.5.2 Insurance Fraud Investigation Outsourcing Market Absolute $ Opportunity
4.6 Global Insurance Fraud Investigation Outsourcing Market - Legal & Regulatory Framework
4.7 Insurance Fraud Investigation Process Overview
Chapter 5 Global Insurance Fraud Investigation Outsourcing Market Analysis and Forecast By Types
5.1 Introduction
5.1.1 Key Market Trends & Growth Opportunities By Types
5.1.2 Basis Point Share (BPS) Analysis By Types
5.1.3 Absolute $ Opportunity Assessment By Types
5.2 Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
5.2.1 Healthcare Fraud Investigation
5.2.1.1 Policyholder Fraud/Claims Fraud
5.2.1.2 Intermediatory Fraud
5.2.1.3 Internal Fraud
5.2.2 Auto Insurance Fraud Investigation
5.2.3 Property Insurance Fraud Investigation
5.2.4 Workers Compensation Fraud Investigation
5.2.5 Others
5.3 Market Attractiveness Analysis By Types
Chapter 6 Global Insurance Fraud Investigation Outsourcing Market Analysis and Forecast By Applications
6.1 Introduction
6.1.1 Key Market Trends & Growth Opportunities By Applications
6.1.2 Basis Point Share (BPS) Analysis By Applications
6.1.3 Absolute $ Opportunity Assessment By Applications
6.2 Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
6.2.1 Large Insurance Companies
6.2.2 Medium and Small Insurance Companies
6.2.3 Third-Party Administrators (TPA’s)
6.3 Market Attractiveness Analysis By Applications
Chapter 7 Global Insurance Fraud Investigation Outsourcing Market Analysis and Forecast by Region
7.1 Introduction
7.1.1 Key Market Trends & Growth Opportunities by Region
7.1.2 Basis Point Share (BPS) Analysis by Region
7.1.3 Absolute $ Opportunity Assessment by Region
7.2 Insurance Fraud Investigation Outsourcing Market Size Forecast by Region
7.2.1 North America
7.2.2 Europe
7.2.3 Asia Pacific
7.2.4 Latin America
7.2.5 Middle East & Africa (MEA)
7.3 Market Attractiveness Analysis by Region
Chapter 8 Coronavirus Disease (COVID-19) Impact
8.1 Introduction
8.2 Current & Future Impact Analysis
8.3 Economic Impact Analysis
8.4 Government Policies
8.5 Investment Scenario
Chapter 9 North America Insurance Fraud Investigation Outsourcing Analysis and Forecast
9.1 Introduction
9.2 North America Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
9.2.1 U.S.
9.2.2 Canada
9.3 Basis Point Share (BPS) Analysis by Country
9.4 Absolute $ Opportunity Assessment by Country
9.5 Market Attractiveness Analysis by Country
9.6 North America Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
9.6.1 Healthcare Fraud Investigation
9.6.1.1 Policyholder Fraud/Claims Fraud
9.6.1.2 Intermediatory Fraud
9.6.1.3 Internal Fraud
9.6.2 Auto Insurance Fraud Investigation
9.6.3 Property Insurance Fraud Investigation
9.6.4 Workers Compensation Fraud Investigation
9.6.5 Others
9.7 Basis Point Share (BPS) Analysis By Types
9.8 Absolute $ Opportunity Assessment By Types
9.9 Market Attractiveness Analysis By Types
9.10 North America Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
9.10.1 Large Insurance Companies
9.10.2 Medium and Small Insurance Companies
9.10.3 Third-Party Administrators (TPA’s)
9.11 Basis Point Share (BPS) Analysis By Applications
9.12 Absolute $ Opportunity Assessment By Applications
9.13 Market Attractiveness Analysis By Applications
Chapter 10 Europe Insurance Fraud Investigation Outsourcing Analysis and Forecast
10.1 Introduction
10.2 Europe Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
10.2.1 Germany
10.2.2 France
10.2.3 Italy
10.2.4 U.K.
10.2.5 Spain
10.2.6 Russia
10.2.7 Rest of Europe
10.3 Basis Point Share (BPS) Analysis by Country
10.4 Absolute $ Opportunity Assessment by Country
10.5 Market Attractiveness Analysis by Country
10.6 Europe Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
10.6.1 Healthcare Fraud Investigation
10.6.1.1 Policyholder Fraud/Claims Fraud
10.6.1.2 Intermediatory Fraud
10.6.1.3 Internal Fraud
10.6.2 Auto Insurance Fraud Investigation
10.6.3 Property Insurance Fraud Investigation
10.6.4 Workers Compensation Fraud Investigation
10.6.5 Others
10.7 Basis Point Share (BPS) Analysis By Types
10.8 Absolute $ Opportunity Assessment By Types
10.9 Market Attractiveness Analysis By Types
10.10 Europe Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
10.10.1 Large Insurance Companies
10.10.2 Medium and Small Insurance Companies
10.10.3 Third-Party Administrators (TPA’s)
10.11 Basis Point Share (BPS) Analysis By Applications
10.12 Absolute $ Opportunity Assessment By Applications
10.13 Market Attractiveness Analysis By Applications
Chapter 11 Asia Pacific Insurance Fraud Investigation Outsourcing Analysis and Forecast
11.1 Introduction
11.2 Asia Pacific Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
11.2.1 China
11.2.2 Japan
11.2.3 South Korea
11.2.4 India
11.2.5 Australia
11.2.6 South East Asia (SEA)
11.2.7 Rest of Asia Pacific (APAC)
11.3 Basis Point Share (BPS) Analysis by Country
11.4 Absolute $ Opportunity Assessment by Country
11.5 Market Attractiveness Analysis by Country
11.6 Asia Pacific Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
11.6.1 Healthcare Fraud Investigation
11.6.1.1 Policyholder Fraud/Claims Fraud
11.6.1.2 Intermediatory Fraud
11.6.1.3 Internal Fraud
11.6.2 Auto Insurance Fraud Investigation
11.6.3 Property Insurance Fraud Investigation
11.6.4 Workers Compensation Fraud Investigation
11.6.5 Others
11.7 Basis Point Share (BPS) Analysis By Types
11.8 Absolute $ Opportunity Assessment By Types
11.9 Market Attractiveness Analysis By Types
11.10 Asia Pacific Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
11.10.1 Large Insurance Companies
11.10.2 Medium and Small Insurance Companies
11.10.3 Third-Party Administrators (TPA’s)
11.11 Basis Point Share (BPS) Analysis By Applications
11.12 Absolute $ Opportunity Assessment By Applications
11.13 Market Attractiveness Analysis By Applications
Chapter 12 Latin America Insurance Fraud Investigation Outsourcing Analysis and Forecast
12.1 Introduction
12.2 Latin America Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
12.2.1 Brazil
12.2.2 Mexico
12.2.3 Rest of Latin America (LATAM)
12.3 Basis Point Share (BPS) Analysis by Country
12.4 Absolute $ Opportunity Assessment by Country
12.5 Market Attractiveness Analysis by Country
12.6 Latin America Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
12.6.1 Healthcare Fraud Investigation
12.6.1.1 Policyholder Fraud/Claims Fraud
12.6.1.2 Intermediatory Fraud
12.6.1.3 Internal Fraud
12.6.2 Auto Insurance Fraud Investigation
12.6.3 Property Insurance Fraud Investigation
12.6.4 Workers Compensation Fraud Investigation
12.6.5 Others
12.7 Basis Point Share (BPS) Analysis By Types
12.8 Absolute $ Opportunity Assessment By Types
12.9 Market Attractiveness Analysis By Types
12.10 Latin America Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
12.10.1 Large Insurance Companies
12.10.2 Medium and Small Insurance Companies
12.10.3 Third-Party Administrators (TPA’s)
12.11 Basis Point Share (BPS) Analysis By Applications
12.12 Absolute $ Opportunity Assessment By Applications
12.13 Market Attractiveness Analysis By Applications
Chapter 13 Middle East & Africa (MEA) Insurance Fraud Investigation Outsourcing Analysis and Forecast
13.1 Introduction
13.2 Middle East & Africa (MEA) Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
13.2.1 Saudi Arabia
13.2.2 South Africa
13.2.3 UAE
13.2.4 Rest of Middle East & Africa (MEA)
13.3 Basis Point Share (BPS) Analysis by Country
13.4 Absolute $ Opportunity Assessment by Country
13.5 Market Attractiveness Analysis by Country
13.6 Middle East & Africa (MEA) Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
13.6.1 Healthcare Fraud Investigation
13.6.1.1 Policyholder Fraud/Claims Fraud
13.6.1.2 Intermediatory Fraud
13.6.1.3 Internal Fraud
13.6.2 Auto Insurance Fraud Investigation
13.6.3 Property Insurance Fraud Investigation
13.6.4 Workers Compensation Fraud Investigation
13.6.5 Others
13.7 Basis Point Share (BPS) Analysis By Types
13.8 Absolute $ Opportunity Assessment By Types
13.9 Market Attractiveness Analysis By Types
13.10 Middle East & Africa (MEA) Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
13.10.1 Large Insurance Companies
13.10.2 Medium and Small Insurance Companies
13.10.3 Third-Party Administrators (TPA’s)
13.11 Basis Point Share (BPS) Analysis By Applications
13.12 Absolute $ Opportunity Assessment By Applications
13.13 Market Attractiveness Analysis By Applications
Chapter 14 Competition Landscape
14.1 Insurance Fraud Investigation Outsourcing Market: Competitive Dashboard
14.2 Global Insurance Fraud Investigation Outsourcing Market: Market Share Analysis, 2019
14.3 Company Profiles (Details – Overview, Financials, Developments, Strategy)
14.3.1 Verity Consulting Limited.
14.3.2 Suzzess
14.3.3 PJS Investigations
14.3.4 CoventBridge
14.3.5 Corporate Investigative Services
14.3.6 RobertsonandCo
14.3.7 ICORP Investigations
14.3.8 Brumell Group / Brumell Investigations Inc.
14.3.9 John Cutter Investigations (JCI)
14.3.10 Kelmar Global
14.3.11 RGI Solutions
14.3.12 Delta Investigative Services
14.3.13 Integrated Security Services
14.3.14 crigroup.com.
14.3.15 SECURaGLOBE Solutions, Inc.