Fraud in Insurance: Innovative Solutions

SCOR INNOVATION PODCAST

In this second episode about Fraud in Insurance, Robyn Wallner, Underwriting Solutions in the US, and Paul Blyth, Head of Underwriting Claims & Propositions in the UK, discuss innovative solutions with host David Ferguson, Underwriting and Claims Development Manager from the UK. Innovative technology, trends analysis, databases, heat maps, artificial intelligence, and more are being used to identify fraud in underwriting and claims to stay ahead of the fraudsters using many of the same tools. Part 1 of this series discusses fraud risks and mitigation and is available here.

Host David Ferguson

David joined SCOR in December 2014 and has more than 25 years of experience in life and health reinsurance in the UK and Irish market. He has worked for different insurers across a range of roles including premium administration, underwriting and claims, research and development and automated rules development for claims engines.

His current role as Underwriting & Claims Development Manager is to support the implementation of SCOR’s underwriting and claims strategy and framework for Life underwriting and claims best practice. He has an interest in advances and innovations in medical tech and their impact on the Life and Health industry. He is an Associate of the Chartered Insurance Institute and holds both the Institute's Underwriting and Claims diplomas. He is currently Chair of the Digital Technology and Innovation Practitioner Group at the Investment & Life Assurance Group.

Guest Paul Blyth

Paul is Head of Underwriting & Claims Proposition in the UK and Ireland at SCOR. His key responsibilities are maintaining and enhancing relationships with SCOR’s key clients in both Underwriting and Claims in the UK and Irish markets. With 20+ years’ experience in claims, he develops and delivers training to clients on a regular basis, coordinates the UK team's webinars and newsletter, SCORacle, where he has contributed a number of articles over the years, some of which have been translated for other markets including Korea and Japan.

He has represented SCOR many times when presenting at various industry events such as FOCUS (where he was vice chair), Health Insurance Society, Select 74, Health Claims Forum, and the Health, Care and Protection Conference. He has a particular interest in cancer and neurology and has issued a number of publications over the years, which include topics such as Proton Beam Radiation Therapy, Immunotherapy, Rare Cancers, Neurodendocrine Tumours (NETs)/Gastrointestinal Stromal Tumours (GISTs)/Pseudomyxoma Peritonei (PM) and many more.

Guest Robyn Wallner

Robyn Wallner works at SCOR in the role of Vice President, Underwriting|Partnerships. She has more than three decades of insurance and financial services experience including individual life and disability income underwriting, underwriting guideline development, compliance oversight, product development, reinsurance, technology development/underwriting rules/engines development, vendor negotiation, claims review and analysis, underwriting representation for litigation, quality oversight, co-creation of solutions with distributors, carriers, TPAs, and insurtechs, new business administration and underwriting leadership, and Chief Underwriter.

Robyn has a Bachelor of Arts degree in Management from College of St Benedict. She also holds the Fellow, Academy of Life Underwriting (FALU); Fellow, Life Management Institute (FLMI); and Chartered Life Underwriter (CLU) designations as well as Emergency Medical Technical (EMT) certification. In her free time, Robyn enjoys volunteering as an EMT and Alpine Ski Patroller, playing pickleball, golfing, hiking, and spending time with her husband, Steve, and three children, Paige, Megan, and Matthew.