AI & Technology in CX

The Real Insurance Crisis Isn’t Claims—It’s Communication

Stephanie Behnke
May 29, 2025
0 minute read

J.D. Power’s 2025 U.S. Property Claims Satisfaction Study highlights a long-standing problem in insurance: even as digital tools improve parts of the insurance customer experience, poor communication keeps eroding trust.

Ease of Communication Drives the Customer Experience in Insurance

Communication isn’t just part of the process, it’s one of the biggest drivers of customer sentiment in insurance. When insurers make it easy to communicate, customer satisfaction more than doubles.

When it’s easy to communicate with their insurer, policyholders are much more satisfied. In fact, satisfaction scores more than double—rising to 777 from 337—when communication is clear and effortless.

Making communication easier is one of the best ways to reduce frustration from long claims or rising prices. Even when things take time, customers stay calm if they feel informed.

Still, many insurers make it hard. Customers leave voicemails, follow up repeatedly, and wait too long for responses. 82% of customers end up using channels they don’t prefer—and it creates friction.

The Communication Breakdown Starts Early

Communication issues don’t begin with the claim itself. They often start much earlier—during everyday interactions that build (or break) trust.

Each touchpoint matters. When updates are slow, unclear, or inconsistent, customer trust starts to fade.

Insurance is complex, and trust is everything. That’s why clear, consistent communication across every channel is critical. It helps prevent repeat calls, avoids confusion, and keeps your operation running smoothly.

These issues aren’t just theoretical—we saw them firsthand in our Insurance Mystery Shopper Report, where we analyzed 400+ agent interactions across disaster-prone states. The biggest breakdowns? Unclear guidance, generic scripts, and missed opportunities to build trust from the first call.

Why Communication Breaks Down in Insurance

Communication isn’t just frustrating when it fails—it hurts the customer experience and slows everything down.

These are the most common issues we see across insurance carriers, and they’re exactly why more teams are turning to QA software and insurance interaction analytics to stay ahead.

1. Complexity

Bots can handle the basics, like taking payments or sharing claim numbers.

But when customers have a nuanced question—about coverage, eligibility, or a confusing policy—they expect more. If the bot fails and no one follows up, frustration builds fast.

These moments expose gaps in the insurance customer journey and show why smarter quality checks are essential across every channel.

2. Lengthy Processes

From quoting and underwriting to claims and service, insurance involves a lot of waiting.

But the real issue isn’t the wait itself—it’s the lack of communication during those moments.

When customers don’t hear what’s happening, they start to lose trust in the process. Well-run insurance claim audits help teams identify these silent breakdowns early.

3. Lack of Internal Visibility

Many insurers still operate in silos. Teams can’t always see prior interactions across underwriting, claims, or customer service. Even within departments, employees often have to check multiple systems just to find a case status. That slows everything down and leaves customers in the dark.

QA software helps connect the dots. With the right tools, insurers can run insurance quality checks across all channels and respond faster, with better context.

What Customers Expect from Insurers Today

Expectations are changing fast. Customers want better experiences—across every channel, at every step.

✔️ Speed and Convenience

Customers know insurance is complex, but they still want quick answers and clear next steps. They expect real-time updates, self-service options, and a sense that someone’s on it.

Delays and lack of clarity drive attorney involvement—and that’s costly.

The right tools can help insurers catch these delays early and improve how they communicate through each stage of the process.

✔️ Channel Flexibility

Sometimes only a human can explain something clearly or offer the empathy a customer needs.

Other times, a quick answer from a chatbot or automated message is all that’s needed.

The key is letting customers choose. Whether it’s chat, phone, email, or text—flexibility builds trust and makes the experience feel more personal.

✔️ Accuracy and Consistency

Customers expect consistent answers—whether they’re talking to a person or a bot.

In a business built on trust and accuracy, clear communication isn’t optional. It’s essential.

Why Leading Insurers Monitor Every Interaction

There’s a gap between rising customer expectations and the limits of legacy systems—especially when it comes to communication.

Leading insurers are closing that gap by focusing on quality early, not just reacting when things go wrong.

That’s why more teams are adopting a 'QA Everything' approach to strengthen their insurance claims quality assurance programs.

Monitoring every customer interaction gives insurers the full picture. With AI and large language models (LLMs), they can quickly spot friction, uncover frustration trends, and fix broken processes—before those issues turn into costly problems.

Ask yourself:
Is your Claims Quality Program monitoring every interaction?

If not, you could be missing early signs of frustration—and future churn.

The QA Platform for Modern Insurance Teams

MaestroQA gives insurance teams full visibility into every customer interaction, across claims, sales, service, underwriting, and more.

We ​analyze 100% of your conversations—across every channel—and surface the insights that matter most.

No more guessing where communication breaks down or why a claim experience went sideways. By blending operational data with customer experience insights, MaestroQA helps you coach more effectively, improve consistency, and build trust at every step.

Because in today’s market, quality outcomes start with quality communication.

Monitor What Matters, Fix What’s Broken

Give your team the tools to monitor every interaction, fix breakdowns fast, and deliver the kind of experience customers remember—in a good way.

🚀 Request a demo to see how MaestroQA helps insurance teams stay ahead of rising expectations.

Previous Article

The Real Insurance Crisis Isn’t Claims—It’s Communication

Stephanie Behnke

What 400 Mystery Shopper Calls Just Taught Us About Quality in the Insurance Industry

Lauren Alexander

Beyond Compliance: How QA is Transforming Medical Device Servicing

Leanna Merrell

Key Takeaways from the MaestroQA Quality Summit: High-ROI Quality Programs in Action

Team MaestroQA

KCS QA: Your AI agent is only as smart as your knowledge base

Leanna Merrell

Empowering Agents to Overcome Customer Service Challenges and Drive Brand Loyalty

Leanna Merrell

Navigating Legal Risks of AI in Employee Performance Management

Leanna Merrell

How QA is Transforming Sales

Leanna Merrell

Navigating AI Pitfalls and Enhancing CX in Call Centers

Leanna Merrell

Beyond VOC: The Future of Customer Service Conversation Intelligence

Leanna Merrell

How to Optimize Your Chatbot Strategy: QA’s Critical Role in Enhancing Accuracy & Effectiveness

Leanna Merrell

MaestroQA Achieves PCI DSS 4.0 Level 1 Compliance: Leading the Way in Secure QA Solutions

Lauren Alexander

Don't Settle. Dig Beneath The Surface For Customer Insights.

Team MaestroQA

Using Zendesk CSAT Reviews and Slack to Appreciate CX Agents

Customer Support Best Practices From The NYC Support Driven Meetup

Why Failure To Provide Great Customer Service Is A Risk To Company Success

Maintaining Quality Of Customer Support In The Face Of Hyper-Growth

Customer Service Quality Assurance and Soft Skills

The 2 Agent-Controlled Factors to Improve CSAT Scores

Guide to Building Call Center Quality Monitoring Scorecards

How To Improve CSAT Scores for Your Call Center in 3 Steps

Customer Service Quality Assurance for Higher CSAT Explained

How To Build Your First QA Scorecard — A Comprehensive Guide

Innovation in Quality Management with Freshly at The Art of Conversation

A maybe-too-honest perspective on our rebrand

How FabFitFun Uses Customer Service Quality Assurance To Manage A Best-In-Class Support Team

Team MaestroQA

How to Create A Customer Service Quality Assurance Form

See The Future: Be Proactive In Support Of Your Customers

Team MaestroQA

Quality Management and Customer Service Training Programs

Why Paving A Path To Resolution Is A Customer Service Best Practice

Team MaestroQA

CSAT Scores vs. Quality Assurance Metrics – Which Is Better?

5 Ways Quality Assurance Programs Can Improve CSAT Scores

MaestroQA Partnerships: Introducing Zendesk Suite

Is Your Quality Assurance Program Built For 2018?

Fresh Take: How Peer Review Can Identify Improvements

Roger That! Assume Nothing Until You Get Confirmation

Creating a Multi-Channel Quality Form For Contact Centers

The Art of Training with Harry's Razors and FuboTV

Building Customer Loyalty And Trust Through Service

Team MaestroQA

How ActiveCampaign Uses MaestroQA To Scale Their Support Team, And Improve Team Dynamics

Team MaestroQA

Omnichannel Support For Agents And Customers: A Necessity

2 Types Of Agent Skills That Impact Customer Satisfaction

Mastering Customer Interactions in the Age of DSAT

Leanna Merrell

How Shinesty Uses Alternative Positioning as a Best Practice

Dangers Of The 90%+ QA Scores

Using Positive Positioning to Improve Call Center CX

Team MaestroQA

Navigating AI Implementation Strategy in Customer Experience: Risks and Strategies

Leanna Merrell

Elevating Call Center Performance with Six Sigma and MaestroQA

Lauren Alexander

Elevating Business Excellence Through Non-Customer-Facing QA: A Strategic Imperative

Leanna Merrell

Elevating Trust and Safety through QA: How TaskRabbit Sets the Standard

Leanna Merrell

The Essential Guide to Chatbot Quality Assurance: Ensuring Excellence in Every Interaction

Leanna Merrell

Unlocking Superior CX: The Bombas Blueprint for Quality and Coaching

Leanna Merrell

Agent Empowerment: 5 Tactics for Customer Retention from Industry Leaders

Mastering Agent Onboarding: Quality Assurance Lessons from ClassPass

How Angi Unlocked Growth and Continuous Improvement with QA

The Transformation of QA: Driving Business Results - Key Takeaways from MaestroQA’s CX Summit

Lauren Alexander

Unleashing the Power of Customer Conversations: Top 6 Tech Trends Revealed at the CX Summit

Lauren Alexander

Important Factors to Consider when Exploring Sentiment Analysis in Customer Support QA: A CX Community Discussion

Driving Business Impact with Targeted QA: Insights from an Expert

The Art of Outsourcing Customer Support: Lessons from Stitch Fix's BPO Partnership

Larrita Browning

How to Revamp QA Scorecards for Enhanced Quality Assurance

De-Villainizing QA Scorecards with Hims & Hers Customer Service

How to Maximize Call Center & BPO Performance | MaestroQA

Larrita Browning

Writing the Auto QA Playbook & Transforming Customer Support

Larrita Browning

MaestroQA Named One of Comparably’s 2023 Best Workplaces in New York for the Second Consecutive Year

Larrita Browning

Advancing Customer Service Metrics with AI Classifiers

Lauren Alexander

MaestroQA Named on Comparably’s Best Workplaces in New York

Larrita Browning

CX Strategy: The Future of AI in Quality Assurance

Larrita Browning

Elevating Customer Satisfaction with Visibility & Coaching

Larrita Browning

How Customers Collaborate with Their BPO Partners Today

5 Key Strategies to Supercharge Your BPO Partnership

Larrita Browning

Champion-Challenger Model: Improve Customer Service In BPOs

Larrita Browning

Kick Start Your Customer Service BPO Partnership Successfully

Larrita Browning

BPO Call Centers: Best Practices for Quality Assurance

Larrita Browning

Call Calibration: What is It & What are the Benefits?

Larrita Browning

Increase QA Team Alignment with Call Calibration & GraderQA

Dan Rorke

Measuring An Organization's 3 Ps: People, Process and Product

Larrita Browning

Empathy in Customer Service: Everything You Need to Know

Larrita Browning

Average Handle Time (AHT): How to Calculate & Reduce It

How to Onboard Your Customer Service Team to a New QA Program

21 Key Customer Experience Definitions for QA Professionals

Should You Have Dedicated Quality Assurance Specialists?

How Top eCommerce Brands Ensure Exceptional Customer Service in a Remote World

The Top 4 CX Books Recommended by Our QA Community

A Guide to Customer Service Quality Assurance Programs

5 Key Components of a Remarkable Customer Service Experience

The Ultimate Guide to Improving First Call Resolution (FCR)

How to Refresh Your Call Center Quality Monitoring Scorecard

The Key to Customer Service Coaching Is More Data (and Fewer Opinions)

Call Center Quality Assurance with Zola and Peloton

How to Update Your QA Scorecard

3 Ways to Test Your Call Center Quality Assurance Scorecard

The 9 Customer Service KPIs Needed To Improve CX

What is DSAT and 5 Steps to Improve It

Leveraging Customer Sentiment to Improve CX in Call Centers

Larrita Browning

Customer Experience Management and Quality Assurance Jobs

How Deeper CX Analytics Lead to Better CSAT | MaestroQA

Customer Service Management 101: Everything You Need to Know

Beyond Low CSAT Scores: Finding the Root Cause of Poor CX

How to Create an Omnichannel Call Center Quality Assurance Scorecard