Case Study: Insurance
Fixing AI Governance in Insurance Before It Tanks Compliance
The Problem
An insurance provider integrated AI to streamline underwriting and claims processing. Instead of efficiency, they got compliance nightmares—fragmented documentation, unexplained claim denials, and regulators asking uncomfortable questions.
What We Did
- Built a governance framework to ensure AI decisions were transparent and explainable.
- Standardized data sources to eliminate bias in pricing and fraud detection.
- Implemented compliance monitoring to catch issues before regulators did.
Results
✔ Reduced regulatory risks by aligning AI decisions with legal standards.
✔ Improved fraud detection accuracy, cutting false positives by 40%.
✔ AI-powered underwriting that was actually trusted—by auditors and customers.
The Takeaway
AI in insurance isn’t a free-for-all. If your underwriting and claims processes can’t explain themselves, regulators will come knocking. We fixed the governance gaps before they became legal liabilities.