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Employees Are Defrauding Commercial Insurers. How Can It Be Prevented?
Remote work and economic stress have led to an increase in employee-driven fraud in the insurance industry. Insurers are turning to AI to automate audits and detect fraud earlier, which also allows fraudsters to develop more sophisticated scams. Crystal Jezierski shares her professional opinion on the matter, stating, “Staffing may have been okay a few years ago. But if we take the assumption that AI is going to increase the types of crazy fraud, then … the number of investigations you’re going to have to do is going to multiply, so the staffing assumptions that you had two years ago are just going to be off”.
(Paywall Article)
Crystal R Jezierski
Senior Managing Director
Crystal R. Jezierski works with clients to manage governance and risk requirements and to design, implement, and lead compliance programs. Ms. Jezierski is a compliance expert and former compliance executive with 25 years of government and private sector experience. She has served as associate general counsel, assistant secretary for the U.S. Chamber of Commerce, senior vice president for Global Ethics at Walmart, a partner with the global law firm Baker McKenzie and as chief counsel for Oversight and Investigations with the Judiciary Committee of the U.S. House of Representatives.
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