Download

Breaking Down Silos in Insurance

Insurers can dismantle organizational silos by shifting from project-based work to product teams built around shared capabilities like underwriting and claims.

Breaking Down Silos in Insurance

It's easy to assume insurance silos stem from communication problems. When teams don't share enough information, systems become disconnected, and business units operate in disparate ways.

But silos begin with organizational structure. Teams prioritize work according to the operating model around them. If organized vertically, technology follows the same pattern. Each business unit may build its own systems and data practices to address its immediate needs, creating fragmentation that's difficult to unwind.

Breaking down silos in insurance requires an operating model that connects people, data, systems, and accountability. You can accomplish this by preserving each business unit's deep expertise while building a shared infrastructure that helps them work more effectively across your organization.

Insurance Needs Depth and Connection

Each line of business has its own risk appetite, customer needs, broker relationships, underwriting considerations, and claims complexity. That depth is one of the reasons clients and brokers turn to specialty carriers in the first place.

However, specialization can create the perception that every business unit is entirely unique, making it harder to identify common threads across the entire organization. Teams may assume there's little opportunity to share processes or insights because their work feels highly specific to their line of business.

Many of the core processes behind each segment are similar across the entire organization. You need experts who understand their markets in detail, but you also need the infrastructure to help those experts share their insights and serve customers with greater consistency.

Disconnection Creates Real Costs

When teams and systems aren't connected, you can miss opportunities that should be visible across your organization. A single customer may have relationships across multiple business units, but your organization may not have a unified view of that customer. Even when you know that connection, the customer or broker experience may vary.

Disconnected systems can also create operational inefficiencies. If each business unit builds its own technological solution for a similar issue, your organization may end up solving the same problem several times. That creates higher implementation and long-term maintenance costs. It also limits the ability to cross-skill employees or create business continuity across related functions.

From a technology perspective, the better model is to build once and deploy many times. You can identify what's common and manage the differences intentionally.

The more connected your organization becomes, the easier it is to create consistent workflows and more predictable delivery. But reaching that point requires you to think differently about the operating model behind your technology.

Prioritize Product Over Project

Many insurers still approach technology through a project-based model. A team is assembled to complete a specific project. Once they deliver the project, that team disbands and moves on to the next initiative. This approach can create inconsistency. Each new project may require a new team and a new understanding of the business problem.

However, a product-based model offers a different approach. Instead of bringing teams to the work, you bring the work to your teams. Those teams own a product, platform, or business capability over time. They understand the business context, the technology environment, the backlog, the capacity of the team, and the outcomes they're responsible for delivering.

This model can be especially valuable when teams are built around shared capabilities, such as underwriting or claims, that support multiple business units rather than a single line of business.

Underwriting offers a clear example. While each specialty line is unique, many parts of the underwriting process are similar across the business. Rather than having each business unit build its own separate underwriting tools or workflows, you can create a shared team focused on underwriting as an organizational capability. That team can include experts from different specialty lines, allowing them to build common solutions while still accounting for the unique needs of each business unit.

This approach enhances specialization. Business unit experts contribute to a broader capability that benefits from shared knowledge and accountability. It also creates the foundation for stronger data practices, because connected teams are better positioned to collect and use that data consistently.

Shared Data Is the Foundation for Scalable Technology

Data plays a central role in how you prepare for automation and more advanced digital capabilities.

For these technologies to create value, you need strong data foundations. If data is fragmented across business units or disconnected from the teams building technology, something like AI can become another siloed tool rather than a source of your organization's value. A common data set across business units can help you build technology that supports multiple parts of the organization.

Data engineering should be embedded into the teams responsible for business capabilities. When data and business expertise come together within a product team, you're better positioned to build tools that solve real problems and can be scaled across similar use cases.

But you still need human judgment to harness that data and technology.

Keep Humans in the Loop

Brokers and clients need people who understand the risks and the context behind every decision. Don't believe efficiency means removing the human element from your business.

Technology should help teams focus more time on the work where human judgment matters most. For underwriters, that may mean using automation tools to reduce more routine tasks so they can spend more time on risk selection and pricing sophistication. For business development teams, it may mean using data to identify trends that warrant outreach, such as a change in business flow from a particular broker or market segment.

But a human still needs to understand what's happening and determine the best next step. The human decision then creates feedback that can improve the model over time.

Use technology to make your experts more focused and informed. To do that well, avoid some common modernization traps.

Tie Modernization to Your Business Value

One of the most common risks in technology modernization is chasing solutions before clearly defining the business problem. New tools can be appealing, but technology should never be a solution looking for a problem.

Be selective about what you build versus what you buy from vendors. If a capability helps differentiate your business, building it provides more control and long-term value. If it supports a standard business function, buying an existing solution may be the more efficient choice.

Avoid creating new silos through disconnected tools or over-customized solutions. Make sure technology teams have the structure and visibility required to deliver consistently. That's what turns modernization from a series of projects into a sustainable operating capability.

Building Your Connected Insurance Enterprise

As the insurance industry continues to modernize, treat technology as part of a broader evolution of how work gets done. Brokers and clients are looking for insurers who can combine their expertise and insights with the infrastructure of the future. Balance efficiency with delivering the clarity and confidence they need in an ever-changing, complex market.

Climate Risk Doesn't Begin with a Hurricane

Insurers increasingly rely on AI-driven property condition data to assess climate-related deterioration between catastrophic events, not just during them.

Climate

Insurers have become very good at preparing for the big moments. Hurricanes, hailstorms, wildfires, floods and tornadoes are analyzed in remarkable detail, helping carriers estimate losses and prepare for large-scale events.

But some of the biggest drivers of property risk develop in silence, long before a named storm appears on the forecast.

Properties are constantly responding to the environments around them. Day after day, ordinary weather conditions gradually change the condition of roofs and exterior materials. Over time, they change the condition of a property in ways that aren't always visible until the next severe weather event turns gradual deterioration into a claim.

Catastrophe models are essential to helping us understand what could happen. What's becoming just as important is understanding what's already happened to the property before that event occurs.

Property condition tells part of the story

Rarely does a single storm cause a roof to fail; catastrophic damage is almost always the culmination of long-term environmental stress. Years of exposure to thermal fluctuations, moisture penetration, UV radiation and heavy rainfall systematically degrade roofing systems. By the time severe weather arrives, the property may already be more vulnerable than anyone realizes. The storm gets the blame, but the conditions leading up to it often tell an equally important part of the story.

These gradual changes have historically been difficult to observe consistently across large portfolios. That's beginning to change. Better property-level data is giving insurers a much clearer picture of how long-term climate exposure affects the condition of homes over time.

A recent analysis of more than 2.8 billion AI-derived roof observations across nearly 2,100 U.S. counties pointed to consistent relationships between chronic climate exposure and roof longevity. Counties experiencing the largest daily temperature swings showed roof aging about 23% faster than those with more stable climates. Homes in hotter, more humid regions tended to have shorter roof lifespans than comparable homes in cooler, drier environments.

None of those findings should be viewed in isolation. Combined, they suggest that long-term environmental exposure can influence property condition in ways that deserve greater consideration in underwriting.

A better question for underwriters

Property underwriting has traditionally focused on hazards surrounding a home. Is it exposed to hail? Flood? Wildfire? Wind? Those questions still matter.

The question that is becoming just as important is, what condition is this property actually in today?

Two homes built in the same year with similar construction can age very differently depending on the conditions they've experienced over time. One may have spent years exposed to repeated temperature swings. Another may have seen persistent humidity or heavier rainfall. Looking only at a property's age or location doesn't always explain those differences.

The industry has spent years getting better at predicting what a storm might do to a property. We're now much better positioned to understand what's happened to that property before the storm ever arrives.

Current aerial imagery and AI analysis make it possible to observe how properties change between quote, renewal, and claim. It doesn't replace traditional underwriting, but it provides another layer of context and data when evaluating current risk.

What this means for carriers

Catastrophe models are still essential. They're strongest when paired with a current understanding of how the insured property is changing between major weather events.

Hazard models explain the environment around a property. Current observations help explain how that environment may already be affecting the property itself. Looking at both together gives insurers a more complete view of risk than either can provide on its own.

That has practical implications across the business. Property condition can become part of renewal decisions instead of something evaluated only after a loss. Portfolio-level trends can help identify neighborhoods where homes appear to be aging faster than expected, even outside traditional catastrophe zones. Claims teams gain additional context about pre-loss conditions, while policyholders have more opportunities to address maintenance issues before relatively small problems become larger claims.

These aren't new objectives. Insurers have always wanted better information. What's changed is the ability to observe property condition consistently across large portfolios instead of relying solely on snapshots captured months or years earlier.

Looking ahead

One of the more interesting findings from the roof analysis wasn't simply that roofs age differently across the country. It was that the geography of climate exposure itself is changing.

The report found that U.S. land area in the highest rainfall-intensity band expanded from roughly 35,000 square miles during 1980 to 1984 to about 300,000 square miles during 2020 to 2024, an increase of approximately 750%. That doesn't mean every community faces the same level of risk. It does suggest that millions of properties are now experiencing environmental conditions that differ from what they were originally built to withstand. This reinforces the value of pairing historical experience with a current understanding of property condition.

Property insurance has always been about understanding uncertainty. Catastrophe models will continue to play a central role in that work. As the industry gains better visibility into property condition over time, insurers also have an opportunity to make more informed decisions between the next major weather event, not just after it.

Climate risk doesn't begin when a hurricane makes landfall. In many cases, it starts years earlier, one season, one temperature swing and one roof at a time.

The carriers that recognize those changes sooner will be better positioned to price risk, strengthen portfolios, and help policyholders address vulnerabilities before they become costly claims.


David Tobias

Profile picture for user DavidTobias

David Tobias

David Tobias serves as the general manager of insurance at Nearmap.

Previously, he co-founded Betterview, a property intelligence platform for P&C insurers that Nearmap acquired in December 2023. Before founding Betterview, Tobias was instrumental in scaling Research Specialist, an insurance loss control company.

When Sports and Insurance Mix (Badly)

The rushed sale of the Lakers and impending unwinding of a sports empire that includes the Dodgers will bring scrutiny to insurers and, perhaps, rating agencies. 

Image
Sports Commentary

Sometimes, when a headline hits, you just know the story is going to drag on for months, even years. The rushed sale of the Los Angeles Lakers for $12.5 billion is one of those headlines. 

It has all the elements. There are big names -- the buyers are Bob Iger, the former CEO of Disney, and Josh Kushner... yes, the brother of Jared and, thus, by extension, tied to the president. The Lakers franchise is iconic. The price is the highest for any team in the history of sports. And the sale looks like just the beginning. Mark Walter, who is selling the Lakers, may have to unwind his whole sports empire, and we'll see a new wave of stories any time he sells one of the other iconic names in his portfolio: the Los Angeles Dodgers, the Premier League's Chelsea, the F1 Cadillac team, the WNBA's LA Sparks, and more.

This headline also, I'm sorry to say, includes the insurance industry. That's because the impetus for Walter's yard sale is a federal investigation into the at least $20 billion that he pulled secretly from insurance companies he controls so he could finance his sports empire. He hasn't been charged with any crimes, and the investigation could, of course, lead nowhere. There's also no indication at this point that others in the insurance industry are using their companies as banks, beyond what's allowed by law and routinely reported. But you can be sure that there will be lots of scrutiny both for insurers and, perhaps, for rating agencies.

Let's have a look.

The Wall Street Journal does its usual, thorough job of reporting all the complexities of the investigation into Walter and his financial services firm, Guggenheim Partners, so I won't recount them in detail here. I'll just note that the WSJ says there is about $1 trillion in private credit that insurers have disclosed they are providing to related entities, as Walter did, without disclosing the extent of those loans until recently. That's a lot of money.

As far as I know at this point, much of that stems from an open and seemingly smart approach that private equity firms are taking in life insurance. PE firms are buying life insurers and using their vast investment portfolios both to increase the PE firms' assets under management and to increase the yield that the insurers get on their investments. If PE firms produce better returns than the firms had been generating, then everybody wins.

Walter may, in fact, be able to offer that sort of defense -- what basketball players would describe as, "No harm, no foul." He led a group that bought the Lakers for $10 billion in June 2025 and sold the team just 14 months later for 25% more. He led the group that bought the Dodgers in 2012 for $2.15 billion, and the team is now valued at perhaps $8 billion. But not all the investments were winners. The WSJ says Walter used funds from his insurance companies to, for instance, make an early investment in Beyond Meat, whose stock price has fallen from $4,700 to $11. Walter also leveraged his sports empire to buy personal properties, including mansions.

We'll have to see what happens when Walter unwinds the $20 billion of loans that his firm now acknowledges it didn't disclose.. and any additional ones that come to light now that the Feds are investigating his businesses. 

But don't expect the scrutiny of him, or the insurance industry's investment practices, to go away any time soon.

Cheers,

Paul 

As Iran War Drags on, Concern for P&C Grows

In our quarterly interview, Dr. Michel Léonard, chief economist at the Insurance Information Institute, explains how to use stress testing to protect against what may be unpleasant surprises.

Interview
Paul Carroll

Your latest economic outlook struck me as reasonably optimistic, despite the U.S. tariffs and our war against Iran, but the environment changes awfully fast these days. Where do you stand now?  

Michel Léonard

I'm sorry to disappoint. We put out our Outlook a few weeks ago, and I've already turned more pessimistic. You know me — I lean optimistic by default. But here's what happened, and it all comes down to the Iran conflict:

When we put out our last quarterly estimates, everyone was talking ceasefire — and what it would mean for the P&C industry, replacement costs especially, and for the broader U.S. economy, inflation especially. Then the ceasefire evaporated, and the consensus swung back to the war grinding on. So we started repricing growth and inflation across the board — systemic, structural, economy-wide.

I say more pessimistic because I'm not ready to call a trend yet. You've heard me say it takes two quarters to make a trend — and we're not there. We won't have two clean quarters of data until late this year or early next, on what the Iran conflict has done to the economy, or is still doing by then. But we've clearly shifted from worrying mostly about GDP growth to worrying about price stability and jobs, too.

Paul Carroll

Oil prices haven’t risen as much as many of us expected, because various countries, especially China, have cut way back on consumption or dipped into strategic petroleum reserves. As a result, the oil shock hasn’t spread throughout the economy as much as it might have. But with the resumption of at least occasional fighting in Iran and the depletion of petroleum reserves and stockpiles for fertilizer and other oil-dependent products, are we reaching a breaking point where contagion can no longer be contained?



Michel Léonard

Yes, absolutely. We've been measuring how oil-price contagion spreads into the wider economy two ways: first, the damage already done, through existing PPI [produce price index] data; second, how it could unfold from here, through stress tests.

On what's already happening: higher oil prices have jumped the fence from energy into everything else — the contagion is real. Aluminum and petrochemicals, machinery and equipment, electronics and accessories, fertilizer manufacturing, plastic resins and materials — all up an average of 34% year-over-year over the last six months.

Paul Carroll

As the conflict drags on without a clear path to negotiations or a long-term solution, what do your stress tests say might happen to replacement costs in P&C insurance?



Michel Léonard

Our P/C replacement-cost stress tests ran three conflict durations — through end-2026, into 2027, into 2028 — and zeroed in on the three lines the Iran conflict is already hitting hardest on replacement costs: farm owners, commercial property, and personal and commercial auto. For those lines, we estimate replacement costs climb an average of 13% year-over-year if the war runs into 2027, and another 20% if it drags into 2028.

Paul Carroll

How should people use scenarios like this to plan?

Michel Léonard

In our last outlook, we said the whole point of stress tests is to build consensus around managing the severity of tail events — not their likelihood. Scenarios have to be credible, but not the most likely — and almost never are. 

Let a stress-test conversation slide into political debate about how likely each scenario is, and it's dead on arrival. Pick credible scenarios, skip the likelihood argument, and go straight to impact severity — that's how you actually get people to consensus on a risk-mitigation strategy.

For P/C, that brings us to actuarial analysis — backward-looking by definition. Here, that's a feature, not a bug. You anchor to the data in the rearview mirror, then work with regulators on where reserving and rates should go. The stress tests are the headlights — you use them after, mostly to set reserving or policyholder surplus above what regulators require.

Now, if you ask which of the three is most likely, I'll say this may be the most impossible conflict to forecast I've seen in decades. Put a crystal ball in my hand instead of structured analysis, and I'd still bet on the one-year scenario — into 2027.

But I'll say it again: each scenario's exact probability is beside the point, as long as it's credible. What matters for our audience is that nobody can argue the war couldn't drag on another year or two. So my advice: reserve adequately for all three scenarios — in a way that's economically viable for your own book and how it actually behaves.

Paul Carroll

No matter what happens in terms of costs, the outlook for growth seems fairly positive. Is that correct?



Michel Léonard

The pressure point is what the Fed does. Real tell: the new chairman's very first communiqué ended with a standalone line — "The Committee will deliver price stability." That's just not how these things are written. I've never seen anything like it. It signals rate hikes for an inflationary environment, it locks the Fed in. And markets didn't like that line one bit when there was no rate increase at the next meeting.

I won't get into the dynamics between the new chairman and the president who appointed him — or what the president wants, which everyone knows. But if the Fed hikes based on today's inflation drivers, that's a basic policy mistake. Rate hikes work best on demand-driven inflation; this is supply-side, so raising rates buys you almost nothing.

As Greenspan used to say, rate hikes would be the wrong medicine for the disease. here This inflation is the White House's to cure — not the Fed's.

In my view, a 25 basis point hike in this geopolitical climate would land with several times the force it would in normal times. It would slam the brakes on growth — tipping GDP toward a contraction and pushing unemployment toward 5%.

Paul Carroll

A fair amount could change on tariff policy and other issues based on what happens in the November midterm elections. How do you see these political dynamics affecting the situation?

Michel Léonard

I'm so glad you brought that up, because the tariffs are back. It's August, and out of nowhere a few weeks ago we've got tariffs on Canada and others again. I didn't see that coming — I thought we'd closed that chapter. The only way they make sense right now is to change the subject, from Iran-conflict inflation to protectionism. But it's not all performative — tariffs are increasing government revenues, real money coming in, more than expected back in 2022. 

Tariffs are inflationary by design. They won't do affordability any favors — and insurance affordability least of all.

The midterms and the rest of the DC noise you're pointing to — that's what tips the one- or two-year scenario.

The one-year scenario gets more likely if Democrats lead the polls into the midterms and take at least one chamber of Congress — this could cause a replay of 1980, when Reagan was already offering a better deal to the Iranians before he'd even won the presidency.

The two-year scenario gets more likely if the Democrats don't win back a chamber. You'd have a lame-duck president who'd probably want to end the war he started on his own watch —  or, again, we could have a rerun of 1980.

Paul Carroll

What happens if the Iranians show for the long term that they can keep the Strait of Hormuz mostly closed and that the U.S. can’t protect our longtime allies in the Middle East as much as we and they thought we could?

Michel Léonard

That changes the whole ballgame — the repercussions would run in every direction. But now I'd be trading structured analysis for the crystal ball again, so I'll stop there.

Paul Carroll

We’ve covered a lot. How would you summarize?



Michel Léonard



First, prices are already spiking — and not evenly; some costs aren't behaving the way you'd expect. Check the actual BLS and BEA data. That part matters. Second, P/C replacement costs are climbing, too, hardest in farm owners, homeowners, and commercial property.

Finally — and I'll end on optimism, like I promised — I think this slowdown is short-lived. As long as the Fed keeps its hands off rates.

And if you’re a Triple-I member, don’t forget that you can reach out to us directly. Membership has its privileges. 

Paul Carroll

Thanks, Michel. As insightful as always.


Insurance Thought Leadership

Profile picture for user Insurance Thought Leadership

Insurance Thought Leadership

Insurance Thought Leadership (ITL) delivers engaging, informative articles from our global network of thought leaders and decision makers. Their insights are transforming the insurance and risk management marketplace through knowledge sharing, big ideas on a wide variety of topics, and lessons learned through real-life applications of innovative technology.

We also connect our network of authors and readers in ways that help them uncover opportunities and that lead to innovation and strategic advantage.

Managing Litigation Risk in Nuclear Verdict Era

Auto and trucking litigation now drives 33% of carrier spending as nuclear verdicts climb, demanding proactive management over reactive response.

Managing Litigation Risk in Nuclear Verdict Era

Litigation is one of the most volatile and least standardized components of indemnity leakage. Venue outcomes vary widely, plaintiff bar strategy has grown more sophisticated, and jury behavior remains inherently unpredictable. This is exactly why litigation is often the hardest leakage driver for claims organizations to bring under control in day-to-day operations.

According to a 2026 CLM Litigation Management Study, auto and trucking has overtaken general liability as carriers' single largest litigation spending driver. It now accounts for 33% of total litigation spending, up from 24% in 2023. At the same time, data from Marathon Strategies' May 2025 analysis puts the median nuclear verdict against corporate defendants at $51 million, up from a $44 million median. Even mid-severity claims now carry thermonuclear tail risk in adverse venues.

Claims organizations at P&C insurers are stretched thin. However, when done well, claims litigation management is one of the most effective methods for controlling severity and protecting loss ratio performance.

A Three-Layer Approach to Claims Litigation Management

The CLM 2026 data also show that settlement — not trial — remains the dominant path to resolution. A mean of 87% of non-workers' comp litigated claims settle, against a verdict rate of just 2.9%, indicating that settlement quality, not just avoiding trial, is the true performance lever.

Yet many legacy claims processes were not built for the circumstances insurers face today. Litigation propensity is assessed too late to change outcomes. Panel counsel is retained based on legacy relationships rather than performance. And even once a case is flagged, panel counsel selection and case strategy tend to move independently of one another, with reserves catching up only after the fact.

Closing that gap requires more than incremental fixes. It calls for an end-to-end approach built on three integrated layers, each tied to a distinct point of loss ratio impact.

1. Analytics and AI

The foundation of a modern litigation management approach is intelligence applied at the earliest possible point in the claims life cycle. Machine learning models embedded at first notice of loss (FNOL) score litigation likelihood using injury type, claimant history, adjuster notes, and jurisdiction, giving claims teams a head start on cases most likely to become contested. The earlier that signal arrives, the more severity is still avoidable.

Attorney selection benefits from that same discipline. Panel counsel are scored on cost per claim, resolution time, and win rate, then matched to cases based on demonstrated performance rather than tenure or familiarity. Later in a case's life cycle, predictive models take on a different task, comparing the likely cost and outcome of settling now against continuing to litigate so adjusters can weigh that decision with data instead of instinct.

A Litigation Risk Index ties these capabilities together: a composite score built from plaintiff attorney specialization, reptile-theory signals, and jurisdiction severity. In practice, the score is used to trigger escalation thresholds, reserve reviews, and counsel reassignment, giving claims organizations a consistent way to gauge venue risk across an entire portfolio.

2. Claims Management Platform

Where analytics identify risk, the claims management platform puts that intelligence to work inside the daily workflow, rather than leaving it in a separate tool an adjuster has to remember to check.

Preferred counsel assignment is automated first. Panel tiers are enforced by default, and any deviation is flagged for supervisor approval so that attorney selection is strategic, not based on firm availability or convenience. Each file carries a real-time litigation risk score inside the platform, visible to the adjuster the moment a case is assigned.

From there, oversight becomes continuous instead of periodic: a centralized case tracking dashboard, automated diary management, and billing review keep reserve alignment current as a file moves through each stage. The Litigation Risk Index recalculates at key case events, automatically escalating a file to the litigation management track the moment its risk profile changes. The result is fewer files drifting off-process, and less variance in how similar cases get handled.

3. Advisory and Governance

Analytics and platform automation are only as effective as the human judgment guiding them, which is where advisory and governance close the loop. Quarterly venue heat map updates, paired with judicial behavior analysis (plaintiff-friendly tendencies, historical award patterns, and jurisdiction-specific trends) give litigation leadership an continuing view of exposure and reserve guidance that shifts as jurisdictions evolve, rather than a static assessment revisited only after a bad outcome.

That intelligence feeds directly into panel strategy. Rather than reviewing counsel performance on an ad hoc basis, this layer calls for a structured panel redesign process: identifying underperforming firms, restructuring fee arrangements, and setting outcome targets tied to results. A regular litigation strategy review cadence carries that discipline into individual files, with adjusters and defense counsel working from file-level guidance and early resolution playbooks, particularly for cases trending toward nuclear venues, well before a verdict is at risk.

This layer also defines what happens when risk scores change. Intervention protocols tied to low, medium, and high score bands establish clear escalation paths, agreed upon with carrier leadership in advance, so no file's rising risk profile goes unaddressed for lack of an owner.

When these three layers operate together rather than in isolation, litigation shifts from a cost absorbed after the fact into a severity lever that is actively managed from FNOL forward.

Turn Litigation Insight Into Action

Litigation is not going away, and neither is the pressure it places on loss ratios. Exposure risk will likely continue climbing, and nuclear verdicts show little sign of slowing down.

No approach eliminates litigation risk entirely. But carriers that manage it proactively through integrated analytics, embedded workflows, and disciplined governance can meaningfully influence the trajectory of a case rather than simply reacting to it after exposure has already escalated.

To learn more about navigating the changing environment around litigation management, read ValueMomentum's whitepaper "Combating Social Inflation: Strategies for Claims Organizations to Reduce Leakage."

Generic AI Stops Where Insurance Decisions Begin

Generic AI can summarize and extract data, but vertical AI is needed to provide the context and governance required by high-stakes decisions.

Generic AI stops Where Insurance Decisions Begin

Generic AI is reaching its limit in insurance. It can summarize a submission, draft a customer response or extract information from a claims file. What it cannot do independently is make the high-stakes decisions that determine insurance performance.

Those decisions require more than a plausible answer. They depend on an insurer's data, pricing and underwriting rules, risk appetite, regulatory obligations, portfolio position and operational context. Without that grounding, AI may produce an answer that sounds credible but cannot be trusted, explained or acted upon.

According to Grant Thornton's 2026 AI Impact Survey, 44% of insurance executives said governance or compliance challenges had caused AI projects to fail or underperform, while 56% identified regulatory uncertainty as a leading barrier to scaling AI.

This is driving the industry toward vertical AI built specifically for insurance. Unlike general-purpose tools, vertical AI can apply intelligence within the context, controls and accountability that real insurance decisions demand.

The Danger of Faster Silos

Most insurers already have vast amounts of data, but rarely a complete view at the moment a decision must be made. Policy data may sit in one system, claims history in another and customer interactions somewhere else. Portfolio information and external risk signals may also arrive on different cycles.

Each source tells part of the story, but none necessarily reflects the full business context.

When insurers place AI on top of that partial view, they may produce an answer more quickly without producing a better decision. In high-stakes decision making, speed cannot compensate for missing context.

Insurance has traditionally been organized around separate disciplines, including pricing, underwriting, claims, customer engagement and portfolio management, even though the outcomes of those functions are closely connected. A pricing decision affects conversion and retention. An underwriting decision changes portfolio quality. A claims experience can influence renewal, customer value and future risk.

The business understands these relationships, but its systems do not always reflect them.

The risk is that insurers layer AI onto the same fragmented operating model. Pricing, claims, underwriting and service may each gain tools, while the organization still lacks a shared understanding of the decision being made. Individual tasks become faster, but the underlying disconnect remains.

That is the limit of horizontal AI. It can improve an activity without improving the enterprise decision surrounding it.

Insurance AI Should Follow the Decision

Policy administration, billing, claims and CRM platforms remain essential to insurance operations. They preserve records, process transactions and provide the stability insurers rely on. AI should strengthen the work performed within and across those systems, rather than attempt to replace them.

These platforms are highly effective at recording what has happened. The greater opportunity lies in helping insurers determine what should happen next.

A renewal decision, for example, may require policy history, recent claims, customer value, portfolio concentration, emerging risk signals, a pricing model, underwriting appetite and current regulatory requirements. No single platform owns all of that context.

The architecture must therefore be decision-centered rather than core-centered. Insurers need to identify the intelligence, rules, workflows and human expertise that must come together around each decision, then orchestrate those elements across the systems they already use.

Vertical AI extends far beyond adding insurance terminology to a general-purpose model. It is designed around how insurance work is performed, how decisions are governed and how their consequences are managed.

A rate change, for example, affects more than the price presented to a customer. It can influence portfolio composition, retention, profitability, fairness and regulatory filings. The AI supporting that decision must understand those connections.

Bringing the necessary context into the workflow may require predictive AI for risk and pricing, generative AI for explanation and guidance, and agentic AI for bounded, multistep execution. The type of model matters less than the insurer's ability to orchestrate the right intelligence around the decision.

The decision must come first.

Governance Must Travel With The Action

Insurance has always delegated authority within defined boundaries. Controls throughout the process allow insurers to distribute decision-making without losing accountability.

Agentic AI changes the risk profile because it can take action rather than simply provide advice. When an AI system can initiate or execute steps in real time, reviewing its activity after the fact may be too late.

Governance must therefore be embedded within the decision itself. It should define which data can be used, which models and rules may be applied, when human review is required and how the complete decision path can be reconstructed.

Not every AI component will be deterministic, but the route from input to action must be controlled wherever the decision demands it. Probabilistic intelligence requires deterministic guardrails, including defined permissions, monitoring, escalation paths, and the ability for a person to intervene.

The regulatory direction is already clear. The NAIC's model bulletin calls on insurers to establish governance, documentation, testing, validation and third-party oversight for AI systems supporting decisions that affect consumers. It also reinforces that insurers remain accountable for those decisions, regardless of the technology used to support them.

Human oversight must be designed into the operating model. This does not mean asking someone to rubber-stamp every AI-generated output. It means defining what can be automated, what must be reviewed, when escalation is required, and who ultimately carries responsibility.

Done well, this approach also gives experienced underwriters, actuaries and claims professionals greater leverage. Their hard-won expertise can become reusable decision logic, business rules and escalation paths, rather than remaining trapped in documents, manual processes or the knowledge of a small number of individuals.

Measure Decisions, Not Deployments

The insurance industry has invested heavily in data, analytics, predictive models, cloud platforms and core modernization. The remaining gap lies between those assets and the decisions that run the business.

A vertical approach allows insurers to advance AI without waiting for a multiyear core replacement. It can draw on the systems, data, and models insurers already trust, then orchestrate them around the decisions that need to improve today.

This makes existing investments more valuable while giving the business greater flexibility to adapt, without destabilizing the systems that keep operations running.

Success should therefore be measured by the quality and business impact of the decisions being improved, not by the number of AI tools deployed. That may include stronger pricing performance, more consistent underwriting, faster product changes, improved customer outcomes, or better portfolio management.

Insurance is an industry of connected consequences. AI built for isolated tasks will miss those connections, regardless of how capable the underlying model may be.

Insurance-native, vertical AI begins with the decision. It brings together domain context, predictive and generative intelligence, business rules, workflows, governance, and human judgment at the point where action occurs.

That is how insurers can move beyond isolated AI use cases and turn AI into a trusted, scalable capability for the decisions that matter most.

Commercial Insurance Has an Identity Crisis

When a steel column buckled in a Manhattan tower conversion, it exposed a deeper problem: Buildings lack persistent identity across their lifecycle.

Missing Link

When two steel columns buckled on the 21st floor of the former Pfizer headquarters in Manhattan this July, the building safety industry watched a familiar sequence unfold, and commercial property insurers should have watched just as closely. 

Reporting noted that engineers were cautioned against assuming the visible damage marked the full extent of the problem at the 37-story tower, then mid-conversion into more than 1,600 apartments. Structural elements are connected, and a failure in one area often signals stress elsewhere. Early accounts pointed toward a missing steel reinforcement plate, a detail that should have appeared in the project's engineering plans but was never installed, according to engineers cited by The Real Deal.

For a carrier underwriting that asset, or an adjuster assigned to the claim, it would be easy to call this a documentation failure. That framing undersells the problem. The tower did not lose its documentation. It lost records continuity. Every renovation, code cycle, and material change was tied to whatever system or individual happened to be tracking it at the time. When those links broke, so did the file's ability to describe the true risk on the books.

The missing layer is not another document repository. It is a persistent identity connecting every record, inspection, permit, renovation, owner, engineer, and platform to the same physical asset across its lifecycle and every policy period it will ever carry.

Documentation Answers the Wrong Question

Even carriers with disciplined underwriting files run into this. A document repository answers what records exist. It cannot answer what actually happened to a specific asset across its operating life, the question a claims examiner is really asking.

A recent industry analysis of facility continuity found that as veteran facility managers retire, decades of undocumented building knowledge often leave with them, since it lives in someone's head rather than in a system. The analysis cited IFMA projections that more than 45% of facility management professionals worldwide will retire within a decade, removing much of the institutional memory insurers have quietly relied on when pricing risk.

That is the same failure described two ways: a retiring manager who carried undocumented knowledge out the door, or a file that cannot say what a structure can support after decades of alterations. The cause is identical. The record lives with the software, the vendor, or the employee, never with the infrastructure itself.

What Claims and Underwriting Actually Require

In a post-failure scenario, structural engineers, investigators, and claims teams are not simply looking for a folder of drawings. They need a reliable, continuous chain of custody for every material change, traceable to who made it, when, and under what code cycle. A binder handed off at turnover cannot provide what's needed.

The same need extends well beyond a single claim. Fire departments, FEMA, adjusters, building officials, and search and rescue teams all depend on the same continuous history of what a building is, what it can support, and what has changed. So does every actuary modeling portfolio exposure, and every reinsurer pricing a treaty against it.

What claims and underwriting actually require is closer to a VIN for physical infrastructure, a persistent identifier every contractor, engineer, permitting office, carrier, and platform can reference over decades, regardless of who owns the data or which system created it. Imagine underwriting an aircraft fleet if every maintenance record moved to a new numbering system each time ownership changed. That is unacceptable in aviation. It remains normal for buildings.

A Survey That Is Measuring Something Deeper

Viewed this way, recent survey findings from ARC Facilities on facility leader confidence are not really measuring documentation quality. They are measuring identity fragmentation, the same fragmentation showing up as inconsistent exposure data across a book of business. The survey found many facility leaders describe only partial confidence in accessing critical building information when it matters most, one noting their organization lacks a reliable system.

Low confidence in complete records is what a carrier's risk engineers should expect in an industry where every renovation, ownership change, and software migration creates another chance for the thread between an asset and its history to snap, often just before a claim tests it.

The Layer the Industry Never Standardized

Over recent decades, the built environment has standardized layer after layer of how infrastructure gets built and managed. CAD standardized design. BIM standardized information. GIS standardized location. IFC standardized interoperability. Digital twins standardized representation.

None of those layers standardized identity, a persistent, portable reference that follows infrastructure across every system, every underwriting cycle, and every claim, throughout its lifecycle. Each platform generation has improved how information about an asset is captured, but none has solved for what happens once the platform, vendor, or risk manager who understood it moves on.

A digital twin cannot remain continuous if the identity of the asset it represents is not continuous. Neither can a book of business.

Interoperability tells systems how to exchange information. Identity tells systems what they are exchanging information about. The industry has spent 50 years perfecting the first problem while leaving the second unaddressed, and insurers have been pricing risk on top of that gap.

A Different Question for Risk and Insurance Leaders

The Pfizer conversion is useful not because documentation failed at a single point, but because continuity failed across an entire history of changes, and continuity depends on identity. That is a claims story and an underwriting story at once.

The more productive question for the insurance and risk industry isn't how thoroughly infrastructure gets documented. It's why so little of it carries a persistent identity across ownership changes, renovations, and software migrations, including changes in carrier, broker, and policy. Every industry exchanges data about buildings without a shared way to identify what it describes.

The built world has standardized nearly every way information is created, exchanged, and analyzed. The next standard will not be another data format. It will be persistent identity, and the carriers who adopt it first will be the ones who can actually price the risk they are holding.

AI Can Help Fill Key Gap for Life Insurers

Life insurers carry decades-long risk locked in contracts they can't revise, yet lack systems to continuously test the assumptions beneath them.

Life Insurers

In 2012, someone showed me a life insurance policy still in force. Issued in 1928. I'd come to the sector after a long run in credit cards, where you know what you're carrying within six to 18 months. I did the math without meaning to: that policy predated Social Security.

Insurance carries risk differently, and the difference isn't just duration — it's what either side can do about it once the ink is dry. A lender can act on an individual account: reduce a line, renegotiate, price it differently, charge it off. A life insurer cannot unilaterally touch a policy already in force; that right belongs to the policyholder, not the carrier. The industry doesn't just carry decades-long risk. It carries it locked, one contract at a time, with no lever to revisit terms even after the assumptions underneath them have quietly stopped matching reality.

That's an issue the industry's own machinery was never built to answer. Reserving, asset adequacy testing, hedging, reinsurance, the sale of legacy blocks to run-off specialists — all of it real, all of it sophisticated, all of it built to answer whether the aggregate is still solvent. None of it answers a narrower, harder question: does this one assumption, buried in a block that's still passing in aggregate, still hold? The standards touching assumption review ask for judgment, triggered by whatever surfaces the need — not a date on a calendar. The tests that do run on a schedule check the aggregate, not the assumption underneath it.

Here's the tell that this gap stopped being theoretical

In March 2026, the NAIC began piloting a structured AI Systems Evaluation Tool across 12 states. It isn't a general AI-governance gesture. Examiners using it can ask insurers to detail the oversight of AI systems used by actuarial service providers specifically, and to walk through the testing, verification, frequency, and methodology behind them. For actuaries who build or validate predictive models — which increasingly means experience studies and assumption-setting, not just pricing or claims — that means model documentation and assumption justifications becoming subject to regulatory examination, not just internal actuarial standards of practice. That's not an analogy to a proactive posture. It's regulators reaching directly into how AI-touched assumptions get tested and justified — a first, concrete step toward exactly the granular scrutiny this piece is arguing the industry doesn't otherwise have.

(A brief aside: the industry has pushed back hard on this pilot, and not merely over workload. Trade groups' formal comments call it "voluntary for regulators while compulsory for companies," note it has no defined end date, and flag that findings from what's explicitly an exploratory phase could be held against a carrier before the tool itself is finalized. Those are fair governance objections. They're also, in a way, evidence for this piece's own argument: regulators are building this proactive posture iteratively, through judgment and a pilot, before hardening it into a fixed rule — which is closer to the muscle insurers themselves need than a reason to dismiss it.)

That same year — 2012 — I watched a version of this exposure play out in real time, from inside a different seat, in an industry-wide effort that was already well underway. The 2008 crisis had left insurers holding large in-force books of annuities carrying guaranteed crediting or withdrawal rates set in a much higher-rate era. When rates fell and stayed down for years, those guarantees didn't just look generous — they became a standing liability the original pricing had never been stress-tested against. And because nobody can unilaterally rewrite a policy already in force, the fix was never going to be a model update. It was years of patient, unglamorous, one-by-one work: building offers attractive enough that policyholders would voluntarily give up guarantees the industry could no longer comfortably afford to keep. Carrier by carrier, contract by contract, across the sector — not because anyone lacked talent, but because nobody had a standing practice of asking, before the rate environment turned, whether that guarantee still made sense.

That's the exposure insurance carries now, in its own way, with its own kind of contract. It isn't new, and it was never really about AI — the gap between "the aggregate is fine" and "the individual assumption still holds" predates any model running against an underwriting file. What's changing is the cost of not knowing. Checking assumptions individually, continuously, used to be a resourcing decision nobody could justify for a block that was passing anyway. That constraint is loosening — not because the risk changed, but because the tools that make granular, continuing review economically realistic now exist. "We check the aggregate and trust judgment to catch the rest" isn't gone as an answer. It's weaker than it was five years ago. And that industry-wide effort is a preview of something worth sitting with: the fix that took years of manual, one-by-one work only got built because the rate environment forced it. It's a much better position to build that habit before something forces it than during.

What this actually asks of insurance executives

I'm not offering a view on hedging strategy or reserve methodology — that's not my lane. What is squarely in my lane: whether the organizational conditions exist for the people who already own assumption review to work well with AI — not defer to it, not ignore it, but genuinely partner with it.

  • The regulator's own posture is worth studying less for compliance value and more as a design pattern — and it's only become buildable as standing practice, rather than crisis response, recently. Assumption review has always had owners. What it hasn't had is a way to run continuously rather than annually or on trigger. That's what AI now makes affordable — not a replacement for an actuary's judgment, but a way to test a guarantee, a lapse assumption, a legacy block, far more often than a person could manage alone.
  • The harder question is whether the talent is being built for that partnership. Treating an AI system's output as the answer is one failure mode. Dismissing what it surfaces because it doesn't match what the model has always said is the other. The judgment in between — knowing when to challenge an AI finding, when to trust it, when to go dig further — isn't automatic. It has to be cultivated, the same way any other analytical judgment is.

Picture your next executive meeting on NAIC's AI Systems Evaluation Tool — whenever the Fall National Meeting takes it up, this becomes an agenda item somewhere. The easy question in that room will be whether you're ready for the exam. The harder, better question is whether the people who own your assumption reviews are equipped to work alongside AI — able to use what it surfaces, and just as able to push back on it when something doesn't add up.

The guaranteed-rate annuity problem wasn't solved by finding more talent — the industry had no shortage of it. It was solved reactively, once a crisis forced the question, and it took years longer than it should have because nobody was set up to ask it before the crisis made it unavoidable. That's the real choice in front of insurance leadership now: build the organizational conditions and the talent to ask that question all the time, with AI doing part of the looking and people doing the judging — or wait for the next rate environment, or the next examiner, to force the question again.


Amy Radin

Profile picture for user AmyRadin

Amy Radin

Amy Radin is a strategic advisor, keynote speaker, and Columbia University lecturer focused on why transformation succeeds or stalls in large, complex organizations. 

Drawing on senior leadership roles at Citi, American Express, and AXA, including one of the world’s first corporate chief innovation officer roles, she helps leaders build the capabilities required to absorb, scale, and sustain change.

Learn more at amyradin.com.

 

AI Lets Insurers Avoid Reserve Surprises

AI-enabled decision intelligence helps insurers integrate fragmented enterprise data before reserve surprises become $500 million problems.

AI Changed a $500 Million Reserve Development Story
The Call

At 6:42 a.m. on a Tuesday morning in early February, Michael Grant's phone rang.

He was already awake. Public company CEOs rarely sleep well during earnings week.

The caller ID displayed David Ellis, Meridian Commercial Insurance's chief financial officer. David never called before seven unless something had gone wrong.

Michael answered immediately.

"We have a reserve problem."

The independent actuarial review had concluded the previous evening. After weeks of analysis and challenge sessions, the conclusion was unavoidable. Meridian would need to strengthen its commercial casualty reserves by approximately $500 million.

The financial implications were immediate.

Before the markets opened, the board would need to be informed. Rating agencies would request meetings. Investors would expect explanations. The earnings call scheduled later that week would no longer focus on operating performance. It would focus on credibility.

Michael listened quietly before asking a single question.

"How did we not see this coming?"

It was the question every executive, director, analyst, regulator, and shareholder would eventually ask.

It was also the wrong question.

The better question was this:

How did a long sequence of individually reasonable executive decisions become a $500 million reserve development?

The answer did not lie in a single actuarial assumption or one poor management decision.

It began nearly three years earlier.

Three Years Earlier

Three years before the reserve strengthening, Meridian looked exactly like the kind of carrier executives aspire to build.

The regional P&C insurer had earned a reputation for disciplined underwriting, conservative reserving, and consistent financial performance. Reserve development was generally predictable. Analysts viewed the company as steady. Rating agencies considered it well managed. Internally, executives regarded reserve discipline as one of Meridian's competitive strengths.

The quarterly reserve committee reflected that culture.

Led by the chief financial officer, the committee brought together senior leaders from actuarial, claims, underwriting, finance, and risk. Each function contributed a different perspective before management selected the company's carried reserve position.

The chief actuary presented reserve indications based on established actuarial methods and independent reserve reviews.

Claims executives discussed emerging litigation trends, settlement behavior, and developments within the largest claims.

Underwriting reviewed changes in portfolio composition, policy limits, pricing discipline, and business mix.

Finance evaluated the implications for earnings, capital adequacy, and external financial reporting.

The discussions were disciplined.

Assumptions were challenged.

Alternative interpretations were debated.

No one rushed to conclusions.

Looking back, there was remarkably little to criticize.

The organization had experienced executives.

It had sound governance.

It had reliable data.

It had established actuarial methods.

It had exactly the reserve process most well-managed carriers would expect to have.

And yet, within three years, those same executives would be explaining a $500 million reserve strengthening to the board and to the market.

The explanation would not be weak governance.

Nor would it be poor judgment.

It would be something far more subtle.

The organization possessed the information it needed.

It simply possessed it in pieces.

The First Signals

The first indications that something was changing did not arrive dramatically.

They appeared as routine operational observations.

During one quarterly reserve committee meeting, the chief claims officer noted that commercial auto bodily injury claims in several jurisdictions were remaining open longer than historical experience suggested. Settlement negotiations appeared less predictable. Litigation was becoming more complex in certain venues.

The observation attracted discussion but not concern.

Claims professionals encounter fluctuations like these regularly. Individual developments often reflect temporary operational factors rather than lasting changes in the underlying claims environment.

The committee agreed that the trend deserved continued monitoring.

Nothing suggested it justified changing reserves.

The underwriting discussion followed.

The chief underwriting officer described gradual changes in the portfolio. Larger commercial accounts represented a growing share of written premium. Higher liability limits had become increasingly common in several business segments. Competitive market conditions were influencing coverage structures in selected areas.

None of those developments appeared unusual.

Each reflected deliberate business decisions that management had already approved.

The business remained profitable.

Pricing discipline remained intact.

The portfolio continued performing within expectations.

The chief actuary then presented the quarterly reserve indications.

Historical development remained broadly consistent with prior analyses. Multiple actuarial methods continued supporting management's reserve position. Independent actuarial review identified no material reserve deficiency.

Viewed independently, each conclusion was entirely reasonable.

Claims observed subtle operational changes.

Underwriting observed gradual portfolio evolution.

Actuarial observed reserve adequacy supported by historical experience.

No individual observation justified changing the company's reserve position.

The committee approved another quarterly reserve selection.

It was a disciplined decision supported by the evidence available at that time.

What no one yet understood was that the organization was beginning to observe different parts of the same emerging story.

The Institutional Blind Spot

Nothing about Meridian's organizational structure was unusual.

Like most successful P&C insurers, it was organized around specialized functions.

Claims focused on claims.

Underwriting focused on risk selection and portfolio quality.

Actuarial focused on reserve adequacy.

Finance focused on earnings and capital.

Each function was exceptionally good at answering its own questions.

That specialization represented a strength.

It also created an unintended limitation.

Reserve adequacy is not fundamentally a claims question.

Nor an underwriting question.

Nor solely an actuarial question.

It is an institutional judgment that depends upon integrating evidence originating across the enterprise.

During periods of stability, that distinction rarely matters.

Historical experience aligns closely with current operations.

Independent functions naturally reinforce one another.

But when the operating environment begins changing faster than historical experience can reveal, something important happens.

Claims professionals may observe changing litigation behavior months before those developments become statistically visible.

Underwriters may recognize shifts in portfolio characteristics before those changes influence reserve development.

Finance may begin asking different questions about capital while actuarial analyses remain appropriately anchored in historical data.

Each observation is valid.

Each reflects disciplined professional judgment.

Each remains incomplete.

The reserve committee brought those perspectives together.

It integrated professional opinions.

It did not necessarily integrate the underlying evidence.

That distinction explains how well-governed institutions can still reach consequential decisions with an incomplete understanding of emerging enterprise risk.

Meridian was not suffering from a lack of information.

The organization knew many important things.

It simply did not yet know what those things meant when viewed together.

Rewinding the Story

Now rewind the story.

The portfolio is the same.

The claims are the same.

The executives are the same.

The reserve committee is the same.

The governance process is unchanged.

No authority has been delegated to AI.

No actuarial methods have been replaced.

No reserve decisions have been automated.

Only one thing changes.

The institution begins making reserve decisions with a more complete understanding of the evidence already available across the enterprise.

Instead of reviewing information that has been organized independently by claims, underwriting, actuarial, finance, and risk, the reserve committee begins with an integrated view of the emerging risk environment.

That distinction may appear subtle.

It is anything but.

In the original timeline, each function accurately described what it was observing.

Claims reported longer settlement cycles.

Underwriting described a gradually changing portfolio.

Actuarial presented reserve indications that remained within established ranges.

Finance evaluated capital and earnings implications.

Every presentation was accurate.

Every conclusion was professionally sound.

What the committee never saw was how those observations were beginning to reinforce one another.

Now imagine the same meeting supported by an AI-enabled decision intelligence capability.

Before the committee convenes, the system continuously evaluates information flowing across the enterprise—not to make reserve recommendations, but to identify relationships that deserve executive attention.

It examines claim notes, case reserve movements, settlement duration, litigation activity, jurisdictional trends, changes in policy limits, shifts in portfolio composition, external legal developments, and traditional actuarial analyses.

Its purpose is not to predict ultimate losses.

Its purpose is to answer a different question:

Are independently observed developments beginning to describe the same emerging enterprise risk?

Rather than producing another dashboard, the system highlights combinations of evidence that would otherwise remain separated by organizational boundaries.

Claims managers have independently observed increasing settlement duration within several commercial auto segments.

Underwriting has independently documented continued growth in higher-limit policies within many of those same segments.

External litigation data suggests increasing plaintiff success in overlapping jurisdictions.

Traditional actuarial indications remain within acceptable ranges, but recent development is gradually migrating toward the upper end of those ranges.

None of these observations is individually conclusive.

Together, however, they justify asking different questions before the next reserve decision.

Notice what has not changed.

The chief actuary still owns the actuarial analysis.

Claims leadership still evaluates claim behavior.

Underwriting still assesses the portfolio.

Finance still considers capital implications.

The reserve committee still debates.

Management still decides.

The board still exercises oversight.

AI has not replaced professional judgment.

It has strengthened the evidence supporting professional judgment.

Instead of asking,

"Do today's reserve indications remain reasonable?"

the committee begins asking,

"Does our historical development fully reflect what the rest of the organization is already beginning to observe?"

That is a fundamentally different conversation.

The committee is no longer evaluating isolated evidence. It is evaluating the emerging enterprise narrative that evidence collectively describes.

The Decision Changes Before the Outcome Does

The first visible change at Meridian is not a reserve adjustment.

It is the discussion preceding the reserve decision.

During the next quarterly review, actuarial indications continue supporting management's reserve position.

Historically, that would likely have concluded the discussion.

Instead, it becomes the starting point.

Claims leadership is asked whether the changing settlement patterns represent temporary operational variation or an emerging shift in litigation behavior.

Underwriting reviews whether the evolving portfolio characteristics are concentrated within specific industries, geographies, or coverage structures.

Actuarial evaluates additional scenarios while continuing to rely upon established reserving methods.

No one proposes a $500 million reserve increase.

Nor should they.

The available evidence still supports management's selected reserve position.

What changes is the institution's understanding of uncertainty.

Over subsequent quarters, as additional claim development enters the actuarial analyses, the findings no longer appear unexpected.

Management has already been investigating the underlying drivers.

Reserve strengthening still occurs.

Long-tail casualty business remains uncertain.

No analytical capability eliminates that uncertainty.

The difference is that reserve adjustments occur progressively as the organization's understanding evolves rather than emerging as a single material financial event.

Capital planning becomes more measured.

Investor communication becomes more predictable.

Management discussions become more forward-looking.

The financial impact remains. The surprise does not.

Beyond Reserving

Reserve development illustrates a broader principle that applies throughout P&C insurance.

Every consequential decision is made before uncertainty has been eliminated.

Underwriting decisions commit capital before future losses are known.

Claims decisions resolve complex situations before every fact has emerged.

Reinsurance decisions reshape retained risk before the next catastrophe occurs.

Reserve decisions recognize liabilities before ultimate claim outcomes become fully visible.

The common challenge is not technology.

It is decision making under uncertainty.

That is why the executive conversation around AI should begin to change.

Today's discussion often centers on models, copilots, agents, orchestration platforms, and automation.

Those capabilities matter.

They improve productivity.

They streamline workflows.

They reduce operating expense.

But those are implementation capabilities.

Enterprise value is created somewhere else.

It is created when institutions consistently make better consequential decisions.

That distinction changes how executives evaluate AI investments.

Instead of asking,

"How many AI capabilities have we deployed?"

they begin asking,

"Which consequential decisions have become measurably better because of them?"

That is ultimately the only business question that matters.

The Decision Before the Decision

Meridian's story is not fundamentally about reserving.

It is about institutional decision making.

The company did not experience a $500 million reserve strengthening because it lacked capable executives, disciplined actuarial methods, or sound governance.

It experienced one because individually reasonable observations remained institutionally disconnected until history had already confirmed what operations had begun to signal.

That distinction reaches well beyond reserving.

Every consequential underwriting decision reflects the institution's understanding of risk at a particular moment.

Every significant claims decision reflects its understanding of liability, customer impact, and financial exposure.

Every reinsurance decision reflects management's understanding of the portfolio before uncertainty has been resolved.

In each case, executives must commit capital before perfect information exists.

The quality of those decisions depends upon the quality of the evidence available before the commitment is made.

That is where AI has the opportunity to reshape P&C insurance.

Not by replacing executive judgment.

Not by automating accountability.

Not by predicting the future with perfect accuracy.

Its greatest contribution is enabling institutions to assemble, interpret, and challenge evidence earlier, allowing experienced executives to make better-informed consequential decisions while they still have the opportunity to influence the outcome.

For decades, reserve committees have begun with a familiar question:

"Based on the evidence before us today, what reserve should we establish?"

The AI era introduces an earlier and arguably more important question:

"Have we assembled every meaningful piece of evidence the institution already possesses before making one of its most consequential financial decisions?"

The institutions that outperform in the AI era will not necessarily be those that deploy the most AI.

They will be the ones that consistently assemble better evidence before making consequential decisions.

In the AI era, competitive advantage will belong less to the institutions that possess the most information than to those that assemble the best evidence before making consequential decisions.


Upendra Belhe

Profile picture for user UpendraBelhe

Upendra Belhe

Dr. Upendra Belhe is president of Belhe Analytics Advisory.

With over 30 years of experience in the P&C insurance sector, Dr. Belhe has held senior leadership roles in global insurance organizations. Dr. Belhe now collaborates with insurers, insurtech firms, and investors to develop and implement analytics strategies.

A Scandal the Insurance Industry Must Sidestep

The illegal use of cameras that read license plates is a scandal that won't go away any time soon — and could smear insurance, if we aren't careful.

Image
Traffic Cameras

As soon as I heard about Flock, the now-huge network of cameras that can automatically read license plates and instantly report their location to authorities, I wondered how long it would take before we read about police officers using the network to track girlfriends, wives and exes. 

It actually took longer than I thought, but here we are: The Washington Post reported a week ago that at least 50 officers throughout the U.S. have been accused of stalking by using Flock and similar systems. All sorts of national media have now followed the Post story, and we're in an environment of heightened sensibilities about surveillance and about how scary AI might turn out to be, so this story isn't going away any time soon. 

In the swamp that is today's social media, some conspiracy theorists are trying to drag in the insurance industry, saying it uses Flock cameras in nefarious ways. As the scandal unfolds, we need to not only make sure we avoid any unethical uses of camera networks but can respond quickly and convincingly to any online trolls alleging abuse.

Let's have a look. 

Many years ago, a good friend was driving an old car in Washington, DC, when he stopped at a stop sign and saw a pedestrian motioning to him that he needed directions. Tim rolled his window down, and the guy stuck a gun in his face, ordering him out of the car. But the car's clutch was dying, and the carjacker couldn't figure it out. He lurched a few feet and stalled. Another few feet and another stall. He stalled a third time before he even made it halfway through the intersection. He got out of the car, threw the keys into Tim's chest and ran off.

If the carjacker had succeeded and been in modern DC, he would have been a perfect candidate for Flock. Tim could have simply told a 911 dispatcher what his license plate was, and Flock's 120,000 cameras throughout the U.S. (except Alaska) would have instantly been on the lookout. Flock works with 7,000 police departments, or 40% of the total in the U.S., so once its AI spotted the license plate on the stolen car it would have been able to alert police and have a pretty good chance of recovering it. 

In theory, Flock will gradually prevent more and more thefts, because thieves will either be caught and incarcerated or will simply realize that car theft is a losing proposition.