Insurers Are Ready to Hand Repeatable Work to AI, Just 6% Would Trust a General-Purpose Model to Do It
Research shows insurers are eager to expand AI in operations but demand governed, insurance-specific models and keep high-consequence decisions with humans.
New research finds that
The study draws on senior leaders across underwriting, operations, claims, technology and transformation. It covers 20 operational activities, from submission intake and triage to quote generation, bordereaux processing, claims adjudication and compliance screening, across
Consequential decisions, those that create true company distinction, should stay with people, according to
Operations decide how much business reaches a decision
Carriers estimate that one in nine broker submissions is declined or left unquoted because operations cannot keep up, on risks they had the appetite to write.
Where AI is already running in operations,
Trust runs through the model
Asked what they would trust for high-consequence underwriting and claims decisions made with limited oversight,
Governed carries a specific meaning in the research. The system draws on controlled policy wording, endorsements, underwriting appetite and claims guidance. Its permissions separate what it may read from what it may decide. A named person can override it or stop it. And it runs on that institution's own appetite, thresholds and referral triggers, so the organization scales its existing practice.
“Insurers are ready to hand the repeated work to AI, and they will do it on one condition, which is a model that understands insurance and operates inside their own rules. That is a demanding standard and the right one, because the prize on the other side is growth. Carriers are turning away business they had the appetite to write because operations cannot keep up, and winning that back is worth more than any saving.”
Martin Henley, Chief Executive, mea Platform
Ambition at
Ninety-six percent of insurers have AI-led redesign on the agenda. Advanced operating posture, where AI is central to workflow design, stands at
“Insurers know exactly where they want the line between AI and human judgment. Getting there is the part they have not solved. The gap between
Ashish Jhajharia, Insurance SME and Principal Analyst, ISG
AI-native, as the study defines it, means AI executing defined processes end to end while people set policy and manage exceptions. Almost no insurer operates that way today. The work that gets a firm there is operating-model work: decision rights, referral rules and an evidence trail that let a system act on the institution’s behalf. Insurers will only permit that with a model built for insurance and governed inside their own rules, which is why
The report is available at https://www.meaplatform.com/state-of-insurance-operations/.
About mea Platform
mea is the insurance-native agentic AI company. Built by insurance operators, mea provides the operational infrastructure that insurers, brokers, MGAs, and reinsurers use to run their core workflows. Its product suite runs agentic AI across underwriting, claims, finance, and broking, powered by a proprietary domain-specific language model℠ (dsLM) and insurance knowledge graph℠. mea is live with more than 30 clients across 21 countries and has processed more than
About ISG
ISG (Nasdaq: III) is a global AI-centered technology research and advisory firm. A trusted partner to more than 900 clients, including 75 of the world’s top 100 enterprises, ISG is a long-time leader in technology and business services that is now at the forefront of leveraging AI to help organizations achieve operational excellence and faster growth. The firm, founded in 2006, is known for its proprietary market data and research, in-depth knowledge and governance of provider ecosystems, and the expertise of its 1,500 professionals worldwide working together to help clients maximize the value of their technology investments.
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Source: mea Platform