保険不正検知の市場規模、シェア、成長分析、コンポーネント別、ソリューション別、サービス別、応用分野別、展開モード別、組織規模別、地域別 - 産業予測 2025～2032年

世界の保険不正検知市場規模は、2023年に73億米ドルと評価され、2024年の89億1,000万米ドルから2032年には440億3,000万米ドルに成長し、予測期間（2025-2032年）のCAGRは22.1％で成長する見通しです。

世界の保険市場は、デジタル化の進展と詐欺事件の憂慮すべき増加によって著しい成長を遂げています。2024年には、ソリューション部門が市場シェアの64.7%を占め、リアルタイムの不正防止と対応を促進する高度な不正検知ソフトウェアへの需要が牽引しています。主要保険企業は、不正検知能力を強化するためにAI、ML、ビッグデータ分析を採用する傾向を強めており、従来の手法では見過ごされていた複雑な不正パターンを特定できるようになっています。米国では個人情報の盗難などの詐欺により年間400億米ドル以上の損害が発生しており、より強力な防止戦略が不可欠となっています。加えて、商品革新や消費者エンゲージメントのためのデジタルプラットフォームへのシフトは、保険会社を脅威検知システムの強化に向かわせる一方、詐欺的行為に対するスタッフの能力を向上させるための研修イニシアティブへの投資を促しています。

目次

イントロダクション

• 調査の目的
• 調査範囲
• 定義

調査手法

• 情報調達
• 二次と一次データの方法
• 市場規模予測
• 市場の前提条件と制限

エグゼクティブサマリー

• 世界市場の見通し
• 供給と需要の動向分析
• セグメント別機会分析

市場力学と見通し

• 市場概要
• 市場規模
• 市場力学
  • 促進要因と機会
  • 抑制要因と課題
• ポーターの分析

主な市場の考察

• 重要成功要因
• 競合の程度
• 主な投資機会
• 市場エコシステム
• 市場の魅力指数（2024年）
• PESTEL分析
• マクロ経済指標
• バリューチェーン分析
• 価格分析
• ケーススタディ
• 技術分析

保険不正検知市場規模：コンポーネント別& CAGR（2025-2032）

• 市場概要
• ソリューション
• サービス

保険不正検知市場規模：ソリューション別& CAGR（2025-2032）

• 市場概要
• 不正行為分析
  • 予測分析
  • 記述的分析
  • ソーシャルメディア分析
  • ビッグデータ分析
• 認証
  • 単一要素認証
  • 多要素認証
  • リスクベース認証
• ガバナンス、リスク、コンプライアンス
• その他

保険不正検知市場規模：サービス別& CAGR（2025-2032）

• 市場概要
• プロフェッショナルサービス
  • コンサルティングサービス
  • 研修と教育
  • サポートとメンテナンス
• マネージドサービス

保険不正検知市場規模：応用分野別& CAGR（2025-2032）

• 市場概要
• 請求詐欺
• 個人情報の盗難
• 支払い詐欺と請求詐欺
• マネーロンダリング

保険不正検知市場規模：展開モード別& CAGR（2025-2032）

• 市場概要
• クラウド
• オンプレミス

保険不正検知市場規模：組織規模別& CAGR（2025-2032）

• 市場概要
• 中小企業
• 大企業

保険不正検知市場規模：地域別& CAGR（2025-2032）

• 北米
  • 米国
  • カナダ
• 欧州
  • ドイツ
  • スペイン
  • フランス
  • 英国
  • イタリア
  • その他欧州地域
• アジア太平洋地域
  • 中国
  • インド
  • 日本
  • 韓国
  • その他アジア太平洋地域
• ラテンアメリカ
  • ブラジル
  • その他ラテンアメリカ地域
• 中東・アフリカ
  • GCC諸国
  • 南アフリカ
  • その他中東・アフリカ

競合情報

• 上位5社の比較
• 主要企業の市場ポジショニング（2024年）
• 主な市場企業が採用した戦略
• 最近の市場動向
• 企業の市場シェア分析（2024年）
• 主要企業の企業プロファイル
  • 企業の詳細
  • 製品ポートフォリオ分析
  • 企業のセグメント別シェア分析
  • 収益の前年比比較（2022-2024年）

主要企業プロファイル

• IBM（US）
• BAE Systems（UK）
• SAS Institute（US）
• Experian（Ireland）
• Iovation（US）
• Friss（Netherlands）
• SAP（Germany）
• Fiserv（US）
• ACI Worldwide（US）
• Perceptiviti（India）

結論と提言

Global Insurance Fraud Detection Market size was valued at USD 7.3 billion in 2023 and is poised to grow from USD 8.91 billion in 2024 to USD 44.03 billion by 2032, growing at a CAGR of 22.1% during the forecast period (2025-2032).

The global insurance market is witnessing significant growth, fueled by rising digitalization and an alarming increase in fraud incidents. In 2024, the solutions segment captured 64.7% of market share, driven by the demand for advanced fraud detection software facilitating real-time fraud prevention and response. Leading insurance companies are increasingly adopting AI, ML, and Big Data Analytics to enhance their fraud detection capabilities, enabling them to identify complex fraudulent patterns overlooked by traditional methods. With scams such as identity theft costing the US over $40 billion annually, stronger prevention strategies are imperative. Additionally, the shift towards digital platforms for product innovation and consumer engagement is pushing insurers to bolster their threat detection systems while investing in training initiatives to better equip staff against deceptive practices.

Top-down and bottom-up approaches were used to estimate and validate the size of the Global Insurance Fraud Detection market and to estimate the size of various other dependent submarkets. The research methodology used to estimate the market size includes the following details: The key players in the market were identified through secondary research, and their market shares in the respective regions were determined through primary and secondary research. This entire procedure includes the study of the annual and financial reports of the top market players and extensive interviews for key insights from industry leaders such as CEOs, VPs, directors, and marketing executives. All percentage shares split, and breakdowns were determined using secondary sources and verified through Primary sources. All possible parameters that affect the markets covered in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data.

Global Insurance Fraud Detection Market Segments Analysis

Global Insurance Fraud Detection Market is segmented by Component, Solution, Service, Application Area, Deployment Mode, Organization Size and region. Based on Component, the market is segmented into Solutions and Services. Based on Solution, the market is segmented into Fraud Analytics, Authentication, Governance, Risk, and Compliance and Others. Based on Service, the market is segmented into Professional Services and Managed Services. Based on Application Area, the market is segmented into Claims Fraud, Identity Theft, Payment Fraud and Billing Fraud and Money Laundering. Based on Deployment Mode, the market is segmented into Cloud and On-Premises. Based on Organization Size, the market is segmented into Small and Medium-Sized Enterprises and Large Enterprises. Based on region, the market is segmented into North America, Europe, Asia Pacific, Latin America and Middle East & Africa.

Driver of the Global Insurance Fraud Detection Market

The Global Insurance Fraud Detection market is witnessing substantial growth, primarily fueled by the rising adoption of artificial intelligence (AI) and machine learning (ML) technologies. These advanced tools empower insurers to process extensive datasets, allowing for real-time identification of fraudulent activities while minimizing false positives, thereby enhancing the efficiency of fraud prevention measures. For example, machine learning algorithms refine their capabilities through continuous learning from past fraud incidents, which boosts their precision in recognizing dubious claims. Additionally, AI-powered predictive analytics enable insurers to evaluate the risk associated with claims prior to their approval, significantly curtailing potential financial losses.

Restraints in the Global Insurance Fraud Detection Market

While AI-driven fraud detection solutions offer considerable advantages, the substantial cost of implementation poses a significant obstacle, particularly for small and medium-sized insurance firms. Establishing effective fraud detection systems necessitates a considerable investment in various areas, including infrastructure, software licenses, expert personnel, and ongoing monitoring. Moreover, the integration of these fraud detection tools with existing legacy insurance systems can be both complicated and expensive, often demanding extensive customization and considerable IT resources. This financial burden and the technical challenges involved can impede the widespread adoption of advanced fraud detection technologies within the industry.

Market Trends of the Global Insurance Fraud Detection Market

The Global Insurance Fraud Detection market is witnessing a significant trend towards the integration of blockchain technology as a critical tool for fraud prevention. This shift is driven by the need for heightened data integrity and transparency within the insurance sector. Blockchain's decentralized and tamper-proof attributes provide a robust framework for detecting fraudulent activities and thwarting claim manipulation. As insurers increasingly adopt blockchain-ledger systems to document claims and policy transactions, they establish an immutable audit trail, vastly reducing data discrepancies and enhancing the overall security of transactions. This trend not only improves operational efficiency but also boosts customer trust in insurance providers.

Table of Contents

Introduction

• Objectives of the Study
• Scope of the Report
• Definitions

Research Methodology

• Information Procurement
• Secondary & Primary Data Methods
• Market Size Estimation
• Market Assumptions & Limitations

Executive Summary

• Global Market Outlook
• Supply & Demand Trend Analysis
• Segmental Opportunity Analysis

Market Dynamics & Outlook

• Market Overview
• Market Size
• Market Dynamics
  • Drivers & Opportunities
  • Restraints & Challenges
• Porters Analysis
  • Competitive rivalry
  • Threat of substitute
  • Bargaining power of buyers
  • Threat of new entrants
  • Bargaining power of suppliers

Key Market Insights

• Key Success Factors
• Degree of Competition
• Top Investment Pockets
• Market Ecosystem
• Market Attractiveness Index, 2024
• PESTEL Analysis
• Macro-Economic Indicators
• Value Chain Analysis
• Pricing Analysis
• Case Studies
• Technology Analysis

Global Insurance Fraud Detection Market Size by Component & CAGR (2025-2032)

• Market Overview
• Solutions
• Services

Global Insurance Fraud Detection Market Size by Solution & CAGR (2025-2032)

• Market Overview
• Fraud Analytics
  • Predictive Analytics
  • Descriptive Analytics
  • Social Media Analytics
  • Big Data Analytics
• Authentication
  • Single-Factor Authentication
  • Multi-Factor Authentication
  • Risk-Based Authentication
• Governance, Risk, and Compliance
• Others

Global Insurance Fraud Detection Market Size by Service & CAGR (2025-2032)

• Market Overview
• Professional Services
  • Consulting Services
  • Training and Education
  • Support and Maintenance
• Managed Services

Global Insurance Fraud Detection Market Size by Application Area & CAGR (2025-2032)

• Market Overview
• Claims Fraud
• Identity Theft
• Payment Fraud and Billing Fraud
• Money Laundering

Global Insurance Fraud Detection Market Size by Deployment Mode & CAGR (2025-2032)

• Market Overview
• Cloud
• On-Premises

Global Insurance Fraud Detection Market Size by Organization Size & CAGR (2025-2032)

• Market Overview
• Small and Medium-Sized Enterprises
• Large Enterprises

Global Insurance Fraud Detection Market Size & CAGR (2025-2032)

• North America (Component, Solution, Service, Application Area, Deployment Mode, Organization Size)
  • US
  • Canada
• Europe (Component, Solution, Service, Application Area, Deployment Mode, Organization Size)
  • Germany
  • Spain
  • France
  • UK
  • Italy
  • Rest of Europe
• Asia Pacific (Component, Solution, Service, Application Area, Deployment Mode, Organization Size)
  • China
  • India
  • Japan
  • South Korea
  • Rest of Asia-Pacific
• Latin America (Component, Solution, Service, Application Area, Deployment Mode, Organization Size)
  • Brazil
  • Rest of Latin America
• Middle East & Africa (Component, Solution, Service, Application Area, Deployment Mode, Organization Size)
  • GCC Countries
  • South Africa
  • Rest of Middle East & Africa

Competitive Intelligence

• Top 5 Player Comparison
• Market Positioning of Key Players, 2024
• Strategies Adopted by Key Market Players
• Recent Developments in the Market
• Company Market Share Analysis, 2024
• Company Profiles of All Key Players
  • Company Details
  • Product Portfolio Analysis
  • Company's Segmental Share Analysis
  • Revenue Y-O-Y Comparison (2022-2024)

Key Company Profiles

• IBM (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• BAE Systems (UK)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• SAS Institute (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Experian (Ireland)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Iovation (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Friss (Netherlands)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• SAP (Germany)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Fiserv (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• ACI Worldwide (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Perceptiviti (India)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments

Conclusion & Recommendations