It's not true that insurance carriers are averse to paying claims, it's just that many insurers hate paying claimants that don't deserve the money—particularly those who file fraudulent claims that end up costing honest policyholders in the long run.
Tim Wolfe heads the special investigations unit (SIU) for CNA where his team's responsibility is to detect and investigate claims fraud. To assist in that job, CNA began using the Fraud Framework tool from SAS in 2011 after taking several years to vet suppliers of similar tools and go through pilot programs to select the best tool for the carrier's business.
CNA is a commercial lines carrier with multiple lines of business. SAS built the predictive models for CNA's four major lines: workers' comp, general liability, commercial property, and commercial auto, based on the carrier's own historical data.
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