Claims automation
FNOL, damage estimation from photos, straight-through processing, subrogation, litigation triage; automated claim denials and their regulation.
No brief on this sub-beat yet.
Why claims leaders want AI to automate tasks, not decisions ↗
Claims leader Clayton Matthews argues AI should automate claims tasks rather than decisions.
Battle of Hospital A.I. vs. Insurer A.I. Is Pushing Medical Costs Higher (Gift Article) ↗
NYT reports hospital and insurer AI systems are contesting claims and pushing medical costs higher.
CLARA Analytics Will Showcase its Platform at Guidewire Connections 2026 ↗
Health insurers that prove human review of AI will win disputes ↗
Hippo's helpers: How insurer holds AI agents to human standards ↗
Hippo's AI agent Clara handles 81% of first-notice-of-loss calls without human intervention; agents are continuously evaluated.
Delegation Without Abdication: A Division of Labor for Human-AI Decisions in Insurance ↗
Opinion on dividing decisions between humans and AI in claims, drawing on governance lessons from a complex claims team.