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Copyright © 2013 PrimeDecision
Honesty and Insurance Claims
Can behavioural economics help to solve
insurance industry fraud?
Copyright © 2013 PrimeDecision
Claim exaggeration is prevalent
 A recent study by AXA found that the
average insurance claim value in the
UK is increased by around 17%
 Experian’s Fraud Report 2012 reported
that insurance fraud is estimated to
now cost £2.1 billion per year
http://www.experian.co.uk/assets/identity-and-fraud/fraud-report-2012.pdf
Copyright © 2013 PrimeDecision
Why exaggerate in insurance claims?
Claims forms can be
difficult and confusing
Value of claimed items
can be ambiguous
Expectation that the
insurance company will
not pay out fully
A sense of entitlement:
getting a return from
the insurance purchase
The extra amount is
tiny in relation to
insurance profits
Small or no likelihood
of being caught out
Ease and lack of
implications
Exaggeration is minor
compared to the potential
opportunity for fraud
There are a range of justifications given, including:
Copyright © 2013 PrimeDecision
An alternative perspective
Which contextual factors promote honesty?
Copyright © 2013 PrimeDecision
Behaving honestly = a balancing act
Maintaining a
positive view
of myself
Cheating for my
own benefit
According to psychology and behavioural economics
Copyright © 2013 PrimeDecision
Examples of factors which affect honesty
Depletion
People who have just
completed a task
which requires lots of
mental effort are
more likely to cheat.
Copyright © 2013 PrimeDecision
Examples of factors which affect honesty
Format
An employee might
comfortably justify taking
stationery from the office, but
wouldn’t steal cash of the
equivalent value.
Copyright © 2013 PrimeDecision
Examples of factors which affect honesty
Moral
reminders
Even atheists are less likely to
cheat if they are asked to recall
the ten commandments before
taking a test.
Copyright © 2013 PrimeDecision
Examples of factors which affect honesty
Proximity
In golf we are far more likely to
cheat by tapping the ball with our
club than by kicking the ball or
picking it up with our hands.
Copyright © 2013 PrimeDecision
A Proof Case
Using principles from Behavioural Economics to reduce
dishonesty in online transactions.
Copyright © 2013 PrimeDecision
Our experiment
 Instead of focusing on attitudes, we wanted to test our ability
to influence actual behaviour, so our team worked with market
research firm Consumer Intelligence to design an experiment.
 Online survey panellists were given an incentive to cheat in
order to increase the size of their Easter Bonus.
 Participants knew that cheating couldn’t be caught, so had
every opportunity to exaggerate.
 We wanted to find out whether the behavioural economics
principle of a pledge/moral reminder would combat dishonesty.
Copyright © 2013 PrimeDecision
Experiment format
C.
Control
No opportunity
to cheat
Opportunity
Cheating is
possible
B.A.
Pledge
Agree to act
honestly/morally
Exactly the same copy was used for all, with a single change per condition
Copyright © 2013 PrimeDecision
Pick a number between 1 and 100.
Click here to reveal the bonus payment you earned.
1.
4.
We chose the number 80. The closer your number was
to 80, the higher your spring bonus will be.3.
2. Tell us the number you picked.
A.Control
No opportunity
to cheat
A: Control
Copyright © 2013 PrimeDecision
B: Opportunity
Pick a number between 1 and 100.
We chose the number 80. The closer your number was
to 80, the higher your spring bonus will be.
Click here to reveal the bonus payment you earned.
1.
2.
3.
4.
Opportunity
Cheating is
possible
B.
Tell us the number you picked.
Copyright © 2013 PrimeDecision
C: Pledge
Pick a number between 1 and 100.1.
We chose the number 80. The closer your number was to 80, the
higher your spring bonus will be.3.
Click here to reveal the bonus payment you earned.
4.
C.
2.
Pledge
Agree to act
honestly/morally
I recognise that I have moral obligation to complete this task honestly.
Tell us the number you picked.
Copyright © 2013 PrimeDecision
The Results
Copyright © 2013 PrimeDecision
The key finding:
 The honestly pledge reduced the propensity to
cheat significantly.
Copyright © 2013 PrimeDecision
Comparison: percentage of people who
claimed the maximum bonus
0%
1%
2%
3%
4%
5%
6%
7%
8%
Control Opportunity Honesty Pledge
Copyright © 2013 PrimeDecision
Comparison: percentage of people who
claimed a high bonus
0%
5%
10%
15%
20%
25%
30%
35%
40%
Control Opportunity Honesty Pledge
High
Very high
Copyright © 2013 PrimeDecision
Additional: insurance company condition
 We told a different set of participants that the Easter Bonus
was being funded by an insurance company.
 Cheating still reduced substantially, though slightly less than
in the neutral honesty condition.
Does knowing an insurance company is picking up the tab change anything?
0%
1%
2%
3%
4%
5%
Insurance Funded Honesty Pledge + Insurance Funded
Percentage claiming a maximum bonus
Copyright © 2013 PrimeDecision
In conclusion
Copyright © 2013 PrimeDecision
Context is powerful
 What would an insurance process look like that was
designed to promote honesty?
The claims process
Marketing touch-points
Customer communications
There is a tremendous opportunity to apply psychological insights to reduce fraud
Copyright © 2013 PrimeDecision
Thanks for your time
Questions?
Natalie Horne, Strategy Director
natalie.horne@prime-decision.com
primedecision.com | @primedecision
 PrimeDecision is an insight and strategy company which applies behavioural
economics to marketing, customer experience and behaviour change.
 Brands and organisations task us with innovation and optimisation.

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Behavioural Economics: Reducing Insurance Fraud

  • 1. Copyright © 2013 PrimeDecision Honesty and Insurance Claims Can behavioural economics help to solve insurance industry fraud?
  • 2. Copyright © 2013 PrimeDecision Claim exaggeration is prevalent  A recent study by AXA found that the average insurance claim value in the UK is increased by around 17%  Experian’s Fraud Report 2012 reported that insurance fraud is estimated to now cost £2.1 billion per year http://www.experian.co.uk/assets/identity-and-fraud/fraud-report-2012.pdf
  • 3. Copyright © 2013 PrimeDecision Why exaggerate in insurance claims? Claims forms can be difficult and confusing Value of claimed items can be ambiguous Expectation that the insurance company will not pay out fully A sense of entitlement: getting a return from the insurance purchase The extra amount is tiny in relation to insurance profits Small or no likelihood of being caught out Ease and lack of implications Exaggeration is minor compared to the potential opportunity for fraud There are a range of justifications given, including:
  • 4. Copyright © 2013 PrimeDecision An alternative perspective Which contextual factors promote honesty?
  • 5. Copyright © 2013 PrimeDecision Behaving honestly = a balancing act Maintaining a positive view of myself Cheating for my own benefit According to psychology and behavioural economics
  • 6. Copyright © 2013 PrimeDecision Examples of factors which affect honesty Depletion People who have just completed a task which requires lots of mental effort are more likely to cheat.
  • 7. Copyright © 2013 PrimeDecision Examples of factors which affect honesty Format An employee might comfortably justify taking stationery from the office, but wouldn’t steal cash of the equivalent value.
  • 8. Copyright © 2013 PrimeDecision Examples of factors which affect honesty Moral reminders Even atheists are less likely to cheat if they are asked to recall the ten commandments before taking a test.
  • 9. Copyright © 2013 PrimeDecision Examples of factors which affect honesty Proximity In golf we are far more likely to cheat by tapping the ball with our club than by kicking the ball or picking it up with our hands.
  • 10. Copyright © 2013 PrimeDecision A Proof Case Using principles from Behavioural Economics to reduce dishonesty in online transactions.
  • 11. Copyright © 2013 PrimeDecision Our experiment  Instead of focusing on attitudes, we wanted to test our ability to influence actual behaviour, so our team worked with market research firm Consumer Intelligence to design an experiment.  Online survey panellists were given an incentive to cheat in order to increase the size of their Easter Bonus.  Participants knew that cheating couldn’t be caught, so had every opportunity to exaggerate.  We wanted to find out whether the behavioural economics principle of a pledge/moral reminder would combat dishonesty.
  • 12. Copyright © 2013 PrimeDecision Experiment format C. Control No opportunity to cheat Opportunity Cheating is possible B.A. Pledge Agree to act honestly/morally Exactly the same copy was used for all, with a single change per condition
  • 13. Copyright © 2013 PrimeDecision Pick a number between 1 and 100. Click here to reveal the bonus payment you earned. 1. 4. We chose the number 80. The closer your number was to 80, the higher your spring bonus will be.3. 2. Tell us the number you picked. A.Control No opportunity to cheat A: Control
  • 14. Copyright © 2013 PrimeDecision B: Opportunity Pick a number between 1 and 100. We chose the number 80. The closer your number was to 80, the higher your spring bonus will be. Click here to reveal the bonus payment you earned. 1. 2. 3. 4. Opportunity Cheating is possible B. Tell us the number you picked.
  • 15. Copyright © 2013 PrimeDecision C: Pledge Pick a number between 1 and 100.1. We chose the number 80. The closer your number was to 80, the higher your spring bonus will be.3. Click here to reveal the bonus payment you earned. 4. C. 2. Pledge Agree to act honestly/morally I recognise that I have moral obligation to complete this task honestly. Tell us the number you picked.
  • 16. Copyright © 2013 PrimeDecision The Results
  • 17. Copyright © 2013 PrimeDecision The key finding:  The honestly pledge reduced the propensity to cheat significantly.
  • 18. Copyright © 2013 PrimeDecision Comparison: percentage of people who claimed the maximum bonus 0% 1% 2% 3% 4% 5% 6% 7% 8% Control Opportunity Honesty Pledge
  • 19. Copyright © 2013 PrimeDecision Comparison: percentage of people who claimed a high bonus 0% 5% 10% 15% 20% 25% 30% 35% 40% Control Opportunity Honesty Pledge High Very high
  • 20. Copyright © 2013 PrimeDecision Additional: insurance company condition  We told a different set of participants that the Easter Bonus was being funded by an insurance company.  Cheating still reduced substantially, though slightly less than in the neutral honesty condition. Does knowing an insurance company is picking up the tab change anything? 0% 1% 2% 3% 4% 5% Insurance Funded Honesty Pledge + Insurance Funded Percentage claiming a maximum bonus
  • 21. Copyright © 2013 PrimeDecision In conclusion
  • 22. Copyright © 2013 PrimeDecision Context is powerful  What would an insurance process look like that was designed to promote honesty? The claims process Marketing touch-points Customer communications There is a tremendous opportunity to apply psychological insights to reduce fraud
  • 23. Copyright © 2013 PrimeDecision Thanks for your time Questions? Natalie Horne, Strategy Director natalie.horne@prime-decision.com primedecision.com | @primedecision  PrimeDecision is an insight and strategy company which applies behavioural economics to marketing, customer experience and behaviour change.  Brands and organisations task us with innovation and optimisation.