{"id":9957,"date":"2026-07-24T09:08:56","date_gmt":"2026-07-24T02:08:56","guid":{"rendered":"https:\/\/ligaasuransi.com\/?p=9957"},"modified":"2026-07-24T09:08:56","modified_gmt":"2026-07-24T02:08:56","slug":"ai-menjadi-senjata-baru-menghadapi-lonjakan-klaim-kesehatan-dan-7-berita-asuransi-indonesia-yang-menjadi-sorotan","status":"publish","type":"post","link":"https:\/\/ligaasuransi.com\/en\/ai-menjadi-senjata-baru-menghadapi-lonjakan-klaim-kesehatan-dan-7-berita-asuransi-indonesia-yang-menjadi-sorotan\/","title":{"rendered":"AI Becomes a New Weapon to Face the Surge in Health Claims: And 7 Indonesian Insurance News Highlights"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Entering mid-July 2026, the Indonesian insurance industry is witnessing several significant developments. These include the use of artificial intelligence (AI) to manage the surge in healthcare claims, increased attention to medical inflation, and innovations in the use of big data in reinsurance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here is a summary of the 7 news items that received the most attention.<\/span><\/p>\n<h3><b>1. AI Becomes a New Weapon to Counter the Surge in Health Claims<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">PT Tugu Reasuransi Indonesia (Tugure) emphasized that Artificial Intelligence (AI) and Machine Learning will be one of the main solutions in maintaining the sustainability of the health insurance business.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The surge in claims driven by medical cost inflation requires insurance companies to be able to detect fraud, waste, and abuse more quickly. With AI-based analytics, companies can identify unusual claim patterns and improve the efficiency of the underwriting process.And claim management.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This transformation shows that technology is no longer just an operational support, but has become an important part of insurance companies&#8217; risk management strategies.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Source: <\/span><a href=\"https:\/\/wartaekonomi.co.id\/read623092\/inflasi-medis-naik-tugure-dorong-ai-untuk-jaga-keberlanjutan-asuransi-kesehatan\"><span style=\"font-weight: 400;\">https:\/\/wartaekonomi.co.id\/read623092\/inflasi-medis-naik-tugure-dorong-ai-untuk-jaga-keberlanjutan-asuransi-kesehatan<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h3><\/h3>\n<h3><b>2. Health Claim Patterns Are Changing, Companies Must Be More Predictive<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Still related to health issues, Tugure also revealed that the current claim trend is dominated by cases with high severity and high frequency.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This shift in patterns means that insurance companies can no longer simply react when a claim occurs. Predictive approaches through data analytics and AI are becoming necessary to enable companies to estimate risks earlier and better manage their portfolios.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Source: <\/span><a href=\"https:\/\/rm.id\/baca-berita\/ekonomi-bisnis\/318028\/klaim-kesehatan-melonjak-tugure-andalkan-ai-dan-machine-learning\"><span style=\"font-weight: 400;\">https:\/\/rm.id\/baca-berita\/ekonomi-bisnis\/318028\/klaim-kesehatan-melonjak-tugure-andalkan-ai-dan-machine-learning<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h3><\/h3>\n<h3><b>3. BRI Insurance Pays Rp322 Million in Heavy Equipment Claims<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The insurance company&#8217;s commitment to providing protection to customers was again seen through the payment of a heavy equipment claim worth Rp322 million by BRI Insurance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This claim settlement serves as a reminder that the primary function of insurance is to provide financial certainty when risks actually occur, particularly in the construction, mining, and heavy equipment sectors that have high asset values.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The speed and certainty of claim payments are also indicators of the quality of insurance company services.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Source: <\/span><a href=\"https:\/\/achmadnurhidayat.id\/bri-insurance-bayar-klaim-alat-berat\"><span style=\"font-weight: 400;\">https:\/\/achmadnurhidayat.id\/bri-insurance-bayar-klaim-alat-berat<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h3><\/h3>\n<h3><b>4. Indonesia Re Encourages the Use of Big Data Analytics<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Indonesia Re held a discussion on the use of Big Data Analytics in the reinsurance industry.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This technology is considered capable of helping companies improve underwriting accuracy, determine more appropriate premium prices, and strengthen risk analysis across various Property &amp; Casualty business lines.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Amidst the increasing complexity of business risks, data-driven decisions are becoming an increasingly important competitive advantage for insurance and reinsurance companies.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Source:<\/span><a href=\"https:\/\/megapolitan.antaranews.com\/amp\/berita\/540209\/pemanfaatan-big-data-analytics-di-perusahaan-reasuransi\"><span style=\"font-weight: 400;\">https:\/\/megapolitan.antaranews.com\/amp\/berita\/540209\/pemanfaatan-big-data-analytics-di-perusahaan-reasuransi<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b>5. The Disaster Protection Gap Remains a Challenge<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Moody&#8217;s latest report highlights that the level of insurance protection against disaster risks in the Asia Pacific region is still relatively low compared to developed countries.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These findings are a concern for Indonesia, which faces a relatively high risk of natural disasters. Many assets and infrastructure still lack adequate insurance coverage, potentially leading to significant economic losses in the event of a disaster.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This condition opens up opportunities as well as challenges for the insurance industry to increase insurance literacy and penetration in society and the business world.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Source: <\/span><a href=\"https:\/\/mediaasuransinews.co.id\/asuransi\/moodys-perlindungan-asuransi-bencana-di-asia-pasifik-masih-tertinggal-jauh-di-bawah-negara-g7\/\"><span style=\"font-weight: 400;\">https:\/\/mediaasuransinews.co.id\/asuransi\/moodys-perlindungan-asuransi-bencana-di-asia-pasifik-masih-tertinggal-jauh-di-bawah-negara-g7\/<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h3><\/h3>\n<h3><b>6. Health Protection Awareness Continues to Increase<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The Healthcare Expo held by IHH Healthcare Malaysia in Surabaya demonstrates the increasing public interest in quality healthcare services.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While the primary focus of the event is medical services, this momentum also reinforces the importance of having health insurance coverage that can anticipate the ever-increasing costs of medical treatment, both at home and abroad.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For insurance companies, increasing public awareness is an opportunity to present products that are more relevant to customer needs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Source: <\/span><a href=\"https:\/\/daerah.sindonews.com\/read\/1729319\/174\/ingin-berobat-ke-negeri-jiran-ihh-healthcare-malaysia-gelar-expo-di-surabaya-1784261260\"><span style=\"font-weight: 400;\">https:\/\/daerah.sindonews.com\/read\/1729319\/174\/ingin-berobat-ke-negeri-jiran-ihh-healthcare-malaysia-gelar-expo-di-surabaya-1784261260<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h3><\/h3>\n<h3><b>7. Medical Inflation Remains the Industry&#8217;s Biggest Issue<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Various industry players agree that medical inflation will remain the biggest challenge throughout 2026.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rising hospital, pharmaceutical, and healthcare costs are driving significant increases in claims. This situation requires insurance companies to strengthen their cost containment strategies through digitalization, data analytics, collaboration with healthcare facilities, and the application of AI to detect potential fraud.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This issue is expected to remain a major focus for the industry in the next few years.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Source: <\/span><a href=\"https:\/\/wartaekonomi.co.id\/read623092\/inflasi-medis-naik-tugure-dorong-ai-untuk-jaga-keberlanjutan-asuransi-kesehatan\"><span style=\"font-weight: 400;\">https:\/\/wartaekonomi.co.id\/read623092\/inflasi-medis-naik-tugure-dorong-ai-untuk-jaga-keberlanjutan-asuransi-kesehatan<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h4><b>Conclusion<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">This series of news shows that the Indonesian insurance industry is moving towards a more digital and data-driven transformation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On the other hand, challenges such as medical inflation, changing claims patterns, and low penetration of disaster risk protection remain a challenge for all industry players.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For companies, insurance brokers, and customers, this development serves as a reminder that risk management no longer relies solely on insurance products, but also on the ability to utilize technology, data, and more comprehensive risk mitigation strategies.<\/span><\/p>\n<h4><b>Protect Your Business with L&amp;G Insurance Broker<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Developments in the insurance industry demonstrate that business risks are increasingly complex and constantly changing. Selecting the right coverage isn&#8217;t just about purchasing a policy; it also involves ensuring a comprehensive analysis of the company&#8217;s risks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As an independent insurance broker, L&amp;G Insurance Broker is ready to help you find protection solutions that suit your business needs, from Marine Cargo, Property, Construction, Liability, Heavy Equipment, to Employee Benefits.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Need a consultation regarding your business insurance needs?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\ud83d\udcf1 WhatsApp: <\/span><a href=\"http:\/\/wa.me\/628118507773\"><span style=\"font-weight: 400;\">0811-8507-773<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">\ud83d\udce7 Email: <\/span><a href=\"mailto:halo@lngrisk.co.id\"><span style=\"font-weight: 400;\">halo@lngrisk.co.id<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>L&amp;G Insurance Broker <\/b><i><span style=\"font-weight: 400;\">\u2013 Your Trusted Risk &amp; Insurance Partner.<\/span><\/i><\/p>","protected":false},"excerpt":{"rendered":"<p>Entering mid-July 2026, the Indonesian insurance industry is witnessing several significant developments. These include the use of artificial intelligence (AI) to manage the surge in healthcare claims, increased attention to medical inflation, and innovations in the use of big data in reinsurance. Here is a summary of the 7 news items that received the most [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":9958,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[1668,299,593],"class_list":["post-9957","post","type-post","status-publish","format-standard","has-post-thumbnail","category-ulas-berita","tag-ai-untuk-klaim-asuransi-kesehatan","tag-berita-asuransi","tag-ulas-berita"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/posts\/9957","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/comments?post=9957"}],"version-history":[{"count":1,"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/posts\/9957\/revisions"}],"predecessor-version":[{"id":9959,"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/posts\/9957\/revisions\/9959"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/media\/9958"}],"wp:attachment":[{"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/media?parent=9957"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/categories?post=9957"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ligaasuransi.com\/en\/wp-json\/wp\/v2\/tags?post=9957"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}