Industry Categories icon

Assess, Govern, and Scale AI Decisions in P&C Underwriting and Claims

Move from AI experimentation to governed decision scaling in P&C underwriting and claims.

  • P&C insurers are embedding AI into pricing, risk selection, claims triage, and settlement workflows without a comprehensive inventory of decision points, ownership, or downstream impact.
  • Leaders lack a standardized method to quantify AI decision risk across financial impact, customer harm, regulatory scrutiny, model drift, and reversibility.
  • Insurers need clear boundaries for where AI can inform, recommend, act within guardrails, or remain under human oversight.
  • High-impact underwriting and claims decisions require stronger controls, documentation, auditability, and escalation than routine workflow automation.

Our Advice

Critical Insight

  • AI scaling breaks down when decision risk, AI authority, control rigor, and operational readiness are not governed as an integrated system.
  • AI governance in P&C requires autonomy calibration before scale. Insurers must define where AI can inform, recommend, or act across underwriting and claims.
  • Governance should follow the insurance decision AI shapes, not just the model or tool being deployed.

Impact and Result

  • Establish a decision-level P&C AI governance foundation for underwriting and claims.
  • Inventory and score AI-enabled decisions, define authority boundaries, and identify required controls.
  • Build a practical roadmap that prioritizes AI decisions as pilot, constrain, defer, or prohibit, with owners, actions, and timing.

Assess, Govern, and Scale AI Decisions in P&C Underwriting and Claims Research & Tools

1. Assess, Govern, and Scale AI Decisions in P&C Underwriting and Claims Deck – Helps P&C insurers assess AI-enabled underwriting and claims decisions, define risk-based AI authority, and build a governance roadmap for responsible scale.

This storyboard guides clients through a three-phase methodology: establish the AI governance foundation, define AI risk and governance, and build the AI governance roadmap. It helps insurers align stakeholders, define AI decision principles, assess governance maturity, set policy requirements, inventory AI-enabled decisions, score decision risk, define AI authority boundaries, identify required controls, assess scaling readiness, and prioritize roadmap actions.

2. AI Governance Goals & Decision Principles Template for P&C Insurance – Helps P&C insurers align stakeholders on what AI governance must achieve and define the decision principles that will guide AI-enabled underwriting and claims decisions.

Use this template to document governance goals; identify gaps in ownership, oversight, risk, controls, and evidence; and confirm the AI decision principles that will guide later risk scoring, authority boundaries, control design, and roadmap planning.

3. AI Governance Maturity Assessment Tool for P&C Insurance – Helps P&C insurers assess current and target maturity across AI governance capabilities.

Use this tool to evaluate current and target-state maturity across core AI governance capability areas, including AI guiding principles, organizational structure, risk and compliance, policies and standards, assurance, accountability, and adaptability and resilience. The results identify maturity gaps that must be addressed before AI decision authority expands across underwriting and claims.

4. AI Governance Policy Template for P&C Insurance – Helps P&C insurers write policies related to AI.

Use this template to document purpose, scope, definitions, foundational AI principles, governance structure, lifecycle governance, risk and compliance requirements, and supporting policies and procedures. It is tailored to P&C underwriting and claims workflows where AI may influence pricing, eligibility, fraud detection, claims triage, settlement support, customer communications, and operational decision-making.

5. AI Decision Risk & Governance Assessment Tool for P&C Insurance – Helps P&C insurers inventory AI-enabled decisions, score decision risk, define AI authority, identify controls, and assess scaling readiness.

This tool translates AI governance into decision-level action. Use it to document AI-enabled underwriting and claims decisions, score risk across financial impact, customer impact, fairness and bias sensitivity, reversibility, and regulatory exposure, confirm where AI can inform, recommend, act within guardrails, or not proceed, identify required control packs and gaps, and determine whether each decision should pilot, proceed with constraints, defer, or be prohibited.

6. AI Governance Roadmap Template for P&C Insurance – Helps P&C insurers convert governance findings into a practical implementation roadmap.

Use this template to summarize key findings, decision principles, maturity gaps, policy requirements, AI decision risk scores, authority boundaries, control gaps, scaling readiness results, and next steps. It provides a structured executive-ready roadmap for prioritizing the governance, risk, control, technology, and operating model actions needed to scale AI decisions responsibly.

Assess, Govern, and Scale AI Decisions in P&C Underwriting and Claims preview picture

About Info-Tech

Info-Tech Research Group is the world’s fastest-growing information technology research and advisory company, proudly serving over 30,000 IT professionals.

We produce unbiased and highly relevant research to help CIOs and IT leaders make strategic, timely, and well-informed decisions. We partner closely with IT teams to provide everything they need, from actionable tools to analyst guidance, ensuring they deliver measurable results for their organizations.

What Is a Blueprint?

A blueprint is designed to be a roadmap, containing a methodology and the tools and templates you need to solve your IT problems.

Each blueprint can be accompanied by a Guided Implementation that provides you access to our world-class analysts to help you get through the project.

Talk to an Analyst

Our analyst calls are focused on helping our members use the research we produce, and our experts will guide you to successful project completion.

Book an Analyst Call on This Topic

You can start as early as tomorrow morning. Our analysts will explain the process during your first call.

Get Advice From a Subject Matter Expert

Each call will focus on explaining the material and helping you to plan your project, interpret and analyze the results of each project step, and set the direction for your next project step.

Unlock Sample Research

Author

Vidhi Trivedi

Contributors

  • Arun Abraham, Vice President, Information Systems & Technology, Red River Mutual
  • Sandy Ulrich, Senior Vice President, Information Technology, Pharmacists Mutual Insurance Group
Over 100 analysts waiting to take your call right now: +1 (703) 340 1171