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Need an Idea for Innovation? How About 1,208,580?

The founder of Idealab has used AI to generate more than 1.2 million ideas for innovative AI-based companies, including in insurance. They're thought-provoking.

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Insurance

Bill Gross recently announced a free database of AI-generated ideas for innovative companies, based on the 31 methodologies that he's developed over the past three decades and that have powered his Idealab incubator. 

The list of ideas — currently totaling a whopping 1,208,580 — may or may not contain an idea that you'll be able to turn into big bucks, but I think that exploring the database and interacting with the ideas is worth a bit of your time. 

Many of the notions I see for the insurance market are provocative. They can at least suggest where there are holes in insurance offerings today that you should work to fill, even if you don't launch the sort of standalone company that Gross would love to see join his pioneering incubator.

Let's have a look. 

Here is a link to the database. And here is a link to a Fortune article that describes the effort in detail, including Gross's argument that innovations driven by AI will create far more jobs than it will eliminate. The article says Gross's prompts to the AI break down into three categories: 

"Opportunities, which he says are things such as solving a business pain point, removing friction, removing waste, removing danger, and improving design, among others; enablers, such as new technologies, scientific advances, and new materials, processes, or changing cost curves that make solutions more feasible than before; and shifts, such as regulatory changes, as well as behavioral, economic, cultural, or geopolitical movements that make the timing for a particular business seem right. "

Gross also fed his AI "some 17 million source documents that included news stories, research reports, expired patents, public company filings, and threads from online community discussion boards" and came up with his 1.2 million ideas for new businesses.

But are the ideas any good?

I certainly found them thought-provoking. 

For instance, I selected the "fintech/insurtech" option, specified that I didn't want to invest more than $250,000, wanted to get to market within a year and hoped to "make the insurance claims process smoother for customers." The top suggestion, which the AI suggested was a 57% fit for me, was for a "claims trust operating system that... gives policyholders visibility into the evidence shaping settlements and repairs."

I'm not sure that's a business. It would take an awful lot of work to assemble the huge amount of settlement and repair data that would be needed to be truly definitive, but the idea raises an intriguing notion: Somebody will surely try to use an AI to give policyholders a quick handle on what the insurer will likely offer after a car accident, water damage to a home, etc. If the insurance industry provides the initial take, it will be able to lower expectations and control payments. If plaintiff attorneys fill the need, they'll be able to raise expectations, influencing policyholders to be disappointed... and perhaps hire an attorney to contest the offer. 

The competing interests would seem to create an opportunity for a trusted intermediary, but I, at least, have become skeptical about whether it could stay unbiased. I subscribe to the notion laid out by Cory Doctorow in a seminal blog post republished by Wired magazine in 2023 that describes the process of — excuse my French — enshittification. 

As I wrote at the time, Amazon is a great example. It initially built a huge base of customers by doing everything possible to make life simple for them. Once it had the customer base, it courted businesses — and the customer experience started to get gunked up by ads, attempts to keep customers from easily finding the best deals, etc. Once Amazon had built a marketplace where companies had to have a presence, it started milking them as much as possible on behalf of investors — a fee here, a fee there, maybe Amazon would even use its insights into sales data to launch products or businesses that would undercut a company with a hit offering on Amazon's platform. (Amazon has consistently denied doing so but has faced many lawsuits alleging it does.) Just about everybody still uses Amazon, but the experience is very different than it was a decade ago.

Even if I'm right that there isn't a business in a "claims trust operating system," the Idealab database has still pointed to a sore spot that the insurance industry needs to address. Somebody is going to use AI to shape policyholders' thinking about what to expect as a settlement, by providing near-instant estimates. So insurers should at least be thinking about how they show their work, and quickly, to keep plaintiff attorneys from setting unrealistic expectations and accelerating the trend toward more and more litigation. 

So I'd recommend that, whatever your role in the insurance ecosystem, you poke around in the database to see what friction points and opportunities it has surfaced that you might be able to address. There are more ideas than I can count about underwriting, pricing, services from agents and brokers, and on and on. 

If you're like me, your eyes glaze over after half an hour or so of an exercise like this, so maybe make a visit to the database an occasional excursion over the next month, perhaps at the end of the day as you're winding down or before a weekly meeting with colleagues so you can stir up discussions. We all get locked into our mindsets and into our day-to-day routines, and Gross has provided a whole host of prompts that can challenge us to do ever more than we are now.

Cheers,

Paul

Buy or Build? Yes.

AI has lowered barriers to building custom insurance workflows, but integration and adoption remain the hardest parts of implementation.

Insurance

One of my takeaways from ITC Vegas this fall was that a lot of vendors are playing defense. A lot of carriers are looking at what AI can do now and asking some version of the same question: Hold on a minute, the world changed, so should we just build everything ourselves?

It's a fair question. The barriers to building have come down a lot in the last year, and the benefits of owning your own technology are real. When a convincing demo takes a couple of engineers instead of a sales cycle, the old reasons to buy start to look pretty thin.

I suppose I'm not the most neutral person to ask. I've spent the last decade building and running Clearcover, an AI-native carrier, and now Dearborn Labs, an AI-native software development firm built specifically for insurance; if anyone was going to tell you to build everything, it would probably be me. But when people ask me whether to buy or build, my answer is...yes. We have components of our system that we bought and didn't build, and we're fine with that. We build more than we buy, though, and more every day.

Is "yes" a dodge? Maybe a little. Mostly it's that buy vs. build was never one decision. Every carrier already runs a mix of both, workflow by workflow. And even the build half of my answer comes with an asterisk.

Where should the line sit?

The choices sit along a spectrum, made one workflow at a time, and lately the mix has been shifting toward build. That makes sense to me, and I'd expect it to keep shifting for as long as building keeps getting cheaper.

Buy what's already solved well. If a problem looks roughly the same at every carrier, and someone has spent years getting good at it, there isn't much to gain from building your own version, and the time and money are better spent elsewhere. But that list gets shorter every month.

Build the workflows where being different is the point, like how you triage a new claim or decide which risks to write. Buying those means working the same way as everyone else who bought the same thing, which probably isn't what you were going for.

Where exactly that line falls depends a lot on the carrier and its lines of business, which is why a single company-wide decision on buy vs. build usually ends up wrong somewhere.

The asterisk

What qualifies as building, because you can put a demo together, is usually the smallest portion of the work. AI can change how a claim moves and which decisions get made without a person ever opening the file, but the systems underneath that workflow rarely change, or at least they rarely change quickly. Not everybody is doing a rip-and-replace of their whole company to launch a new AI workflow. A new claims-intake workflow still has to post to your core system and set reserves the way your actuaries expect, and an underwriting workbench still has to read from policy admin and write its decisions back. None of that shows up in a demo.

The interface is mostly a solved problem now, and that's good news. The hard part is the wiring underneath it. Most of the AI conversations I have with carriers wind up being about traditional software engineering. That's the work of fitting whatever the AI application or agent is into the rest of the company, so the systems supporting a reinvented workflow still work properly.

And the wiring is only half of the asterisk.

The other half is running the thing in production until people actually work that way. Most implementation projects are scoped to end at go-live, which is roughly where this half starts. At Clearcover, adoption of the AI tools across our claims team is 92%+. A number like that gets earned after go-live, inside real claims, over however long it takes for the new way of working to become just how the job gets done.

You might reasonably ask whether all of this is an argument for buying something that comes already integrated. For the work that's solved well, it is. But a bought workflow is the vendor's workflow, designed to fit as many carriers as possible, and in the workflows you'd want to run differently from everyone else, that's exactly the problem.

Build realistically.

Before you build a new workflow, ask three questions of it:

  1. Foundation — Was this workflow designed around constraints that no longer exist?
  2. Fit — Can it work with the systems you already have, without a rip and replace?
  3. Engineering — Do your engineers own the integration layer today, and can you test, govern and audit what runs on it?

The first is about not building on top of a bad foundation. A lot of insurance workflows were shaped by limits that made sense at the time, like a handoff that existed because two systems couldn't talk to each other, or a sampling audit that existed because nobody could read every file. If you automate that workflow as it stands, what you get is the old process running a little faster, and you've spent real money to keep a constraint you no longer have.

The second one is more encouraging. You don't have to fully rip out your systems to improve a workflow, so long as you have the software engineering chops to fit the new workflow into the systems you have.

The third is the one I'd push on hardest, mostly because a demo is very good at hiding it. If the answer is no, I'd want to know that before the demo goes in front of the Board rather than after.

If you're asking me whether to buy or build, I'd say build more than you used to. Just go in knowing that the demo is the easy part, and that the wiring, plus the long stretch of running it until people actually work that way, is the job. So where does your line sit this year, and who's doing the wiring?


Kyle Nakatsuji

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Kyle Nakatsuji

Kyle Nakatsuji is the founder and CEO of Clearcover, an AI-native auto insurance carrier, and Dearborn Labs, which helps P&C carriers and MGAs operationalize artificial intelligence. 

Before founding Clearcover, he was a venture investor at American Family Insurance, where he led insurtech investments. He speaks regularly on AI strategy in insurance.

Independent Agents - A Forward View

Economic simulations now forecast fiscal health across 1,900 U.S. localities, helping agents anticipate consumer affordability shifts and community financial stress.

Insurance

Local agents swim in the waters around them, and while a rising tide lifts all boats, that sucking sound before a tsunami hits shore is a clear signal that locality risk is a constant. It's good to be lucky with a rising tide, but luck is not a strategy.

Simulations of the world are a way to describe observed reality and anticipate change, and modeling the changing economic tides of every locality in America (call that a list with 1,900 locations) is a good way to both reflect on what has happened since COVID-19 and to help those agents see what's coming next.

Modeling Communities Like We Model Weather

We simulate weather daily to anticipate storm tracks and estimate damage. We simulate climate change with variation in sea level, flood plains, and riverbanks. We simulate fire spread, hail fall, straight-line wind… and so, too, we should simulate the local economies of 1,900 communities across America.

In a consumer-driven economy, simulating how America spends is like watching a developing hurricane pattern off the shore – is it intensifying or waning, is it heading for land or staying off the coast, what amount of intrusion to interior geographies will a footprint create, and will there be additional risks set in motion as the dynamics unfold, including supply chain and demand patterns that may also be interrupted or surged?

Affordability and Fiscal Health as Key Signals

Just as a student loan may go unpaid if post-graduate incomes are low, the choices households and individuals make on debts to service and debts to default are mirrored at businesses, organizations, and local communities, cities, and municipalities. These local priorities of affordability affect decisions on risk transfer and affect premiums – agents sit amid it all.

(See this article on a data source to predict financial health, going beyond the backward-looking credit reports that insurers use.)

Affordability is a key signal, as is the fiscal health of a locality. When you combine these with the inflows and outflows of households and businesses, any agency can make a plan for the year or two ahead and set in motion a process for continually navigating their locales.

Looking Backward: The Affordability Crisis

People living in houses and driving cars work at businesses and spend money in their communities. Unsurprisingly, changes in the economies of those communities are both observable and predictable. That matters to local agents.

Looking backward, hindsight is usually 20/20 – higher uninsured driver populations occurred where affordability was lowest. More UM/UIM claims drive insurance costs higher, and rates may go up even further. In an economic downswing, rising costs and flat to slow wage increases force more budget stress on consumers. Where job loss escalates stress, things twist up even faster. Not only do consumers decide not to be insured, but they also change other spending habits. More businesses fail when customers can no longer afford them. Collections of tax revenue suffer when high earners migrate away and when business activity slows or falters. Taxes suffer further when sales slump, and property values deteriorate. These can lead to cuts in community services, and spiral from there.

Emerging Patterns: From Data Centers to Remote Work

Independent agents, brokers of all sizes, carriers, wholesalers, specialty, excess, and MGA/MGUs all compete in these predictable localities. And predictions for consumers, businesses, and even the localities are proving their value in understanding and pricing risk.

Some localities see changes that are from emerging patterns of life and risk, like hyperscale data centers. Other changes are more subtle, like a work-from-anywhere job landscape that allows high earners to live wherever they want. Or what happens when AI shifts work tasks in legacy workflows or creates new ways of working?

Boomtowns to ghost towns and everything in between paint the map of America -- parcel-by-parcel, building-by-building, business-by-business, organization-by-organization, job-by-job, and so, too, insurance and risk management dynamics. Some things change very slowly, while others shift abruptly, but the profound effect of "work anywhere" from COVID may be the most significant overarching impact in our generation and the next.

Anticipating Economic Consequences

We anticipate sudden changes to life patterns in a variety of peril-driven scenarios – hurricane, tornado, fire, severe convective storm – as well as in environmental scenarios like sea level change, cyclical patterns like El Niño, and even major disruptions like power outages, transportation interruptions, and cyber interference.

Anticipating economic consequences, especially shifts in contribution to cash flow in community capital assets and liabilities, is another risk in the underlying infrastructure where all the other risks interact. Thriving localities add services and amenities, which attract more growth. Dwindling localities lay off public workers and renegotiate long-term liabilities while trying to improve local revenues with more taxes and fees. Debt offerings and the ability to service debt obligations are then most comparable to Ernest Hemingway's famous line on personal bankruptcy – which happens "gradually, then suddenly."

New Analytics for Local Planning

Analytics now exist for consumers, businesses, and their communities across the 1,900 localities that make up the investable and insurable economies of America.

This observability of a locality, its finances, its threats/opportunities, and its ability to service its debts and obligations is summed across the consumer and business mix of their constituents and forecast against those changing elements to portray current and future years' planning horizons. Local agents can take heed.

Situations with imminent insolvency are expected to make certain choices, while growth-busting upside creates better problems.

Adapting to Local Reality

While agents can always relocate, they are more likely to need to adapt to their local reality. While premium forecasts and business mix are constantly used in distribution planning and customer appetite focus, the pace of change has accelerated inside of the existing process steps. Using a locality stress index along with existing forecasts and affordability measures will make agents smarter in their marketplaces and quicker to react to change.

This means that in troubled areas, expect more business failures, lapses, and non-payment of premiums in a dwindling premium pattern, yet a rise in risk for fraud, theft, and malicious mischief, including a heavier threat of arson. This includes household stress, too, where skyrocketing base rates have pushed daily budgeting stress onto most households for car and homeowner insurance into an affordability squeeze where many drivers are underinsured, overcommitting to large deductibles, or going all the way to lapsing insurance entirely and becoming uninsured drivers.

What does luck look like?

A common quote from successful businesses – "It's better to be lucky, even if you're good."

Never has that been more relevant than today, as changes in local luck have magnified in recent years. Some places have a deep downside – rising taxes, failing businesses, public service degradation, municipal financial stress, drops in quality of life generally, and the ensuing changes in household composition from thriving to just holding on. Some places have all sunshine -- growth in incomes, formation of new jobs, infrastructure improvements, and engaged public services.

To live in an uninvestable locality is the hallmark of being unlucky.

The endpoints are always locality-based. It is where people live, where businesses operate, and where municipal authorities administer. For an agent, the forward look in these markets is flat to down. Fewer businesses for fewer booming households means fewer insurable assets. Even if premiums rise and commissions float with them, the total insurance value opportunity won't be in a boom cycle. The larger concern is a doom cycle.

Investors are aware of the general migration trend outlined in this recent Census article, whereby large metro areas are losing residents, while many smaller metro areas are growing. Details matter, and this is where data and analytics add critical value:

  • High earners are migrating away from large metro areas in fiscally troubled states.
  • They are migrating to small and mid-sized metro areas: Boise, Idaho; Frisco, Texas.
  • High earners are responsible for the majority of personal and property taxes, new business formation, and capital investments.
Scoring the 1,900 Localities

Across the observed 1,900 cities, the municipalities, consumers, and businesses are scored based on their future fiscal viability and likelihood to default across a set of debts (everyday bills, credit cards, car loans, mortgages, business loans, pension commitments, municipal bonds, etc.).

Ranked near the top of the list is St. George, Utah, with a short-term debt ratio of 0.31, which represents total liabilities divided by total assets. St. George is representative of 60 mostly mid-sized "under the radar" cities that have low legacy liabilities and sustainable budgets and are growing their populations with a healthy taxpayer base. This is where you can feel comfortable doing business for the long term. Lucky local agents!

Then there are plenty of typical "middling" cities, with budgets that are not sustainable over the long term due to underfunded pension and benefits liabilities. Steady as she goes for the next few years.

On the other side of the scale – consider a poster child for fiscal mismanagement to the extent it appears on a list titled Uninvestable Cities. These cities are laying off public sector workers today as they struggle with revenue shortfalls. Most of these cities meet the technical definition of insolvency. They appear to have accelerating financial deterioration over the next 24 months, resulting in a highly likely outright fiscal crisis.

Envision trying to do business in a city where high earners (lowest risk, rational decision-makers) are leaving. The businesses are shuttering, as well. New business formation is almost non-existent. The city struggles to fund basic services, while raising taxes. The residual population has lower FICO scores. Crime, including costly fraud, rises.

The Resilience of Independent Agents

Every year another study predicts the demise of independent agents. They are getting too old; they can't scale to digital; they can't compete with changing technology… add in AI.

Yet every year independent agents remain a dominant force in commercial insurance and have never failed to impress in personal lines. Watch how they adapt across 1,900 localities as a way to keep insuring America.

ADDITIONAL THOUGHTS PARKING LOT

What has changed is almost everything all at once.

Blame it on remote work options, but look at how many high-earner households opt to relocate for better taxes, better weather, better schools, better anything.

Blame it on migration, but the businesses and services they need will follow them, while the ones that used to serve them will feel the loss.

Blame it on anything you like, but the undeniable facts are that no one relocates to a state; they move to a specific location. The imbalances from losing localities to gaining localities are seen in shifts in income, housing, business formations/failures, and municipal financial resilience. To assess health, a current approach ties to the capital markets where municipalities trade their debt.

Using a locality lens, it is possible to observe the condition of consumers, businesses, and municipalities. With modern data and analytics, we can track changes over time. Did all three (consumer, business, municipality) improve, stay the same, or deteriorate in the last few years? What is the effect of these local changes, and how fast are changes now occurring? What is in store for the next couple of years?

The US is in the early stages of an economic transformation, by locality, and that means insurance agents have both local threats and opportunities.

Like Detroit filing Chapter 9 bankruptcy in 2013, it is conceivable that other major cities may follow suit. No city is immune to stress in changing local economies, and dozens of large municipalities have a reckoning coming. The tax base within these cities (high-earner consumers and meaningful business tax bases) is departing at rates never seen before.

When an AI Calls, Who Should Answer?

Blocking Meta's AI agent on your website won't stop it from calling. Insurers need a plan to handle these calls.

Insurance

A consumer's AI agent can now call an insurer and ask for a quote. The possibility of such calls leaves carriers with two bad options: putting a licensed person on the line with a machine, or risk hanging up on a real person.

Both options are wrong. There's a third.

The AI phone calls are already happening. Reuters reported that people using Meta's Muse, the personal AI agent launched in the U.S. this past September, can have it call businesses to book appointments, check inventory or get quotes from contractors. A Meta employee testing this feature said an insurer kept hanging up on Muse after realizing it was an AI caller.

At InsureTech Connect in Las Vegas, Steve Rullo, who is Guardian Life's chief digital and technology officer, told Insurance Business, "We are already seeing providers calling in for verification of benefits with AI." He described healthcare providers using AI to verify patient benefits, often for an entire list of patients in a single call.

The Debate Is About Websites

Since Muse launched, carriers and marketplaces have been deciding whether to allow it access. Insurify quickly blocked Muse, saying it "risks stripping carrier quotes of critical contextual information." Co-CEO Giorgos Zacharia explained, "A quote without its context is not a fair comparison. It is a number."

Shortly afterward, Kin announced that it would let Muse crawl its site so customers can shop for quotes, and Zebra announced an integration the following day. Employers, a workers' compensation insurer, told Dig-In it doesn't allow third-party AI agents like Muse to access its operational systems or customer data.

Each of those decisions is about access to a website or system. None of them covers phone calls, and blocking Muse online won't stop it from calling. I expect insurers will get a lot more of these calls. Handled the old way, they're a cost. Handled well, every one is a quote in front of a real shopper. That's where the real opportunities are.

The Talking Is About 5% of the Value

The answer is simple: AI for AI, humans for humans. Let AI answer calls from other AI, and let people answer calls from people. This way, a family dealing with a flooded basement won't be stuck on hold while a licensed agent talks to a bot.

Most voice AI answers the phone, then sends the caller through a phone menu or to a person. That's 5% of the value. The other 95% is the work behind the call: pulling up the policy, filing the claim, writing the result back to the core system. If AI can handle a machine caller's request at this level, no person needs to pick up, and licensed people can focus on judgment calls, like denied claims.

Most carriers aren't there yet. According to KPMG International's report Unlocking AI value in insurance, only 29% of respondents use AI agents or automation for end-to-end processes. Rullo said Guardian will keep people involved in its AI processes: "We'll still have a human in the loop." For some risk profiles, he said, Guardian wants alerts on exceptions instead of reviews of every transaction.

People should own the decisions. They shouldn't have to answer every call.

You Can't Always Tell Who Is Calling

Carriers also can't always tell if a caller is a machine or a person. Reuters reported that Meta tested having human contractors make some Muse calls without telling the other party. A Meta vice president said the test without proper disclosures "was a miss," and Reuters said Meta has rolled back that test for now. So a call that seems to come from an AI agent might actually be from a person. Zacharia told Dig-In that Muse got around Insurify's bot detection and didn't identify itself.

A system designed to resolve requests can help both human and AI callers. A system that only routes calls can't.

Policyholders Already Draw the Line

In Liberate's September survey of 1,001 U.S. claimants, 50% said they would prefer a claim paid in 60 seconds with no human contact over talking to a person within 10 minutes and getting paid in three days. Another 41% preferred a person on the phone. Of those who chose the fast payout, 55% still want a human involved in every denial. 

Fast on yes. Human on no. 

Across the whole survey, 61% say a human must review every denial. In the same survey, 86% want to be told when AI touches their claim.

A Hi Marley survey of 550 senior property and casualty decision-makers and 2,000 policyholders in the U.S. and Canada highlights the gap carriers need to close. Eighty-five percent of executives think AI will build customer trust, but only 40% of policyholders agree. Ninety percent of policyholders said it's very or extremely important to know when they're interacting with AI, and two-thirds said their biggest worry is not being able to reach a human when it matters.

Three Rules for Carriers

First, use insurance-specific AI that works within your core systems to answer calls from machines. Sending a bot to a phone menu or a person wastes time and doesn't solve the problem.

Second, keep a licensed person on every denial, no matter what else the AI handles.

Third, be transparent about AI on both sides. Let people know when they're talking to AI, and expect AI callers to do the same.

If carriers follow these rules, they can answer every call, whether it's from a person or an AI. The shopper using a machine gets a response, and the family with a flooded basement gets to talk to a real person. Insurance has always wanted to answer everyone who calls. Now it can.


Amrish Singh

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Amrish Singh

Amrish Singh is co-founder and CEO of Liberate, which builds insurance-native AI agents for P&C carriers and agencies. 

He previously spent nearly four years in back-office operations and technology at Metromile.

Insurers Await AI Integration in Core Platforms

Insurers aren't avoiding AI due to fear—they're waiting for core platform vendors to deliver native capabilities instead of risky integrations.

Insurance

We've all heard some version of the same story this year: Many carriers and brokers are still on the fence about AI because of regulatory risk, errors and omissions (E&O) exposure, or "black boxes" they can't explain to a state department of insurance (DOI) examiner.

All of this is true. But none of it tells the whole story.

Spend time with almost any carrier's IT and operations leaders, and eventually they'll say the quiet part out loud: They're not avoiding AI; they're waiting for it to arrive inside the systems they already run. Those systems are the core platforms, such as Duck Creek, Guidewire, Majesco, Sapiens, and Insurity, that sit beneath a large share of the policies and claims on the books today.

The Real Bottleneck Isn't Fear. It's Architecture.

For most carriers, policy, billing, and claims data live in a core system: a multi-year, multimillion-dollar investment that the business treats as its "single source of truth." The vendor varies from carrier to carrier, but the obstacle their IT teams face is the same.

Bolting a standalone AI tool onto that architecture, even an elegant and streamlined one, isn't a plug-and-play decision. It's a multi-team integration project that typically stretches across several quarters, exposing the organization to delays, cost overruns, and shifting priorities. One claims technology vendor estimates that AI vendors lose roughly 40% of their projected timelines to integration complexity, whether the carrier runs Guidewire, Duck Creek, Majesco, or a custom legacy core.

That kind of complexity is often the difference between a pilot that launches and one that quietly dies in the backlog.

Naturally, carriers also scan the standalone AI market. They see dozens of point solutions for underwriting triage, claims scoring, and first notice of loss (FNOL) intake, and wonder: "Why integrate a third-party layer today when the core vendor is about to deliver the same capabilities natively?"

It isn't a hypothetical question. Nearly every major core platform vendor is moving to close this gap. Consider a few examples:

  • Duck Creek launched its Agentic AI Platform in April 2026.
  • That same month, Guidewire embedded ProNavigator, an AI assistant that gives adjusters context-specific guidance, into ClaimCenter and its other core applications. In August, Guidewire followed with its Qusar release, which added Guidewire-built claims and underwriting agents, including an agentic FNOL tool.
  • Majesco announced that it's quadrupling its AI investment in 2026 to build an AI-native P&C platform and expand Majesco Copilot and its agentic AI capabilities.
  • Sapiens has been rolling AI-based functionality into its CoreSuite releases.
  • Insurity has committed an additional $100 million over two years to embed AI in its core systems, on top of the more than $50 million it had already invested in AI and R&D.

In each case, the pitch is essentially the same: The AI isn't a separate purchase; it's part of the system carriers already pay for.

That point is missing from many of the "why insurers are hesitant" stories in the media. Carriers aren't approaching AI cautiously simply because they're risk-averse. They're using their position as large, long-term platform customers to create a buyer's advantage. That leverage lets them be deliberate about their "build-versus-buy-versus-wait" calculations—and for many carriers, waiting has so far proved the more disciplined option.

Why Waiting Is a Deceptively Difficult Decision

The problem is that waiting has a cost, too, and that cost doesn't fall evenly. One AI underwriting vendor that sells a core-agnostic product has argued that carriers and managing general agents (MGAs) can't afford to wait for a full core system transformation before deploying AI and can't afford to be locked into a tool that works with only one platform.

Both concerns are valid, which makes waiting a strategic bet rather than an obvious answer.

There's also a quieter signal that undercuts the "carriers are simply being cautious" narrative. A May 2026 IA Capital Group survey of national and regional carriers found OpenAI's models in 91% of respondents' AI stacks, often delivered through Microsoft Copilot. Carriers aren't AI-averse. They're AI-selective, using their scale to adopt productivity tools quickly while holding the line on systems of record until their core vendors catch up. For many of them, that moment has either arrived or is very close.

The Exception That Proves the Rule

So why do carriers buy standalone tools at all? Because when a tool solves a problem that general-purpose AI, or the AI now arriving in core platforms, doesn't handle well, the calculus flips.

That's where most insurance-specific AI vendors stake their pitch: not "we're AI," but "we're AI trained on insurance data and workflows, which a horizontal model wrapped around your files isn't." It's an argument that still holds water. Shift Technology has made this case to carrier IT leaders directly, arguing that generic horizontal AI players often lack the data foundations and expertise needed to move a pilot into production. It's a real distinction, not just positioning. A general-purpose model can summarize a claims file. Reasoning reliably across coverage language, state-specific regulations, and loss histories is a different problem, and it's one that a system trained specifically on that data is, at least in theory, built to solve.

What sustains the "insurance-specific always beats generic" argument, then? The products carriers keep buying from these vendors, despite their preference for waiting until such capabilities arrive inside a core system, share one trait: They're widely believed to do the job better because of deep domain training, proprietary data, or a workflow too specialized for a core vendor to prioritize anytime soon.

Everything else, such as a general chat interface bolted onto a claims queue, is the kind of functionality most likely to show up natively in the next core release, whichever vendor delivers it. That's why carriers aren't rushing to pay for it twice.

What This Means If You're Evaluating Tools Right Now

A few things are worth doing before you sign anything:

  • Separating "edge" AI from "core" AI. Marketing copy and service-desk triage carry low regulatory exposure and can run successfully on general-purpose tools today. Underwriting and claims determinations that touch policyholder outcomes are a different risk category, where the wait-for-native instinct makes more sense.
  • Asking vendors for proof of successful integrations, not just a demo. A clean demo says nothing about how a tool behaves once it's wired into a decade-old core system. Ask for a named carrier reference on your exact platform and version.
  • Pushing for a real audit trail. If a vendor can't produce output in a format that your internal compliance team and state DOI examiners would accept, that's a governance gap that will surface at the worst possible time.
  • Ensuring pilot programs don't require a multi-year lock-in. Any AI vendor worth considering should be comfortable running a three- to six-month pilot on a limited book of business before asking for a long-term commitment.
  • Watching your core vendor's product roadmap as closely as the pitch deck. If your platform vendor plans to deliver the capability you're evaluating in its next release cycle, that changes the decision, even if the standalone tool works well today.
  • Testing whether the value is domain-specific. If a vendor's edge could be replicated by connecting a general-purpose model (for example, an enterprise assistant such as Microsoft Copilot, or an AI workflow that retrieves and summarizes documents) to your own policy forms, endorsements, claim files, and underwriting guidelines, don't count on that edge lasting once your core system catches up. If it depends on proprietary data or workflow depth that a core vendor is unlikely to build soon, that's the case worth paying for.
  • Knowing the legacy exception. If a legacy system will continue to house and service existing policies for years before any platform migration, a general-purpose AI layer built over that system's documents and data, such as a search-and-summarize workflow for policy forms and claim notes, can still earn its keep as a bridge, even without a lasting edge.
The Differentiator

Most coverage of AI hesitancy in insurance treats reluctance as a problem of mindset: Carriers are cautious, regulators are strict, liability is scary. That may be true, but this framing overshadows a more relevant (and more interesting) story.

Carriers that are being deliberate aren't necessarily behind the curve or tech-averse. Many are making a sequencing bet: Let the core platform vendor absorb the integration risk, compliance burden, and audit-trail engineering, and then adopt AI as native functionality instead of a fragile add-on.

That strategy holds up well, with one condition: Waiting has to remain an active decision rather than a default. A carrier that sequences AI adoption around its core platform should still revisit that choice whenever a standalone tool offers an edge its core vendor can't match soon, using the tests outlined above. Handled that way, the real story in 2027 won't be whether insurance is "ready" for AI. It will be which carriers turned strategic patience into a well-timed rollout.

Sources:

- Decerto, AI Claims Processing: The Complete 2026 Guide for US Carriers, April 2026: integration complexity and the estimate that AI vendors lose roughly 40% of projected timelines to it.

- PRNewswire / Convr, Convr Delivers AI Underwriting Across Guidewire, Duck Creek, Sapiens, and Beyond, June 2026: the case against both waiting for core transformation and single-platform lock-in, from a core-agnostic AI vendor.

- Duck Creek, Duck Creek Launches Insurance-Native Agentic AI Platform and Unveils New Applications to Transform Underwriting and Claims, April 28, 2026: launch of the Duck Creek Agentic AI Platform.

- Guidewire, Guidewire Launches ProNavigator, Embedding Expert AI Insights into Insurance Workflows, April 16, 2026: ProNavigator embedded in InsuranceSuite (including ClaimCenter) and InsuranceNow.

- Guidewire, Guidewire Introduces Qusar Release to Help Insurers Build and Control AI Agents, Aug. 3, 2026: Qusar's Agentic Framework and Guidewire-built claims and underwriting agents.

- Zfort, Guidewire ClaimCenter vs Duck Creek Claims, August 2026: comparison of Duck Creek's Agentic AI Platform and Guidewire's Qusar release.

- Hesper AI, Claims management systems compared, May 2026: Guidewire's ProNavigator embedded directly into ClaimCenter.

- Business Wire, Majesco Accelerates P&C Market Leadership with 2026 AI Investment Surge, December 2025: Majesco quadrupling its AI investment and deepening Majesco Copilot and agentic AI capabilities.

- SEC filing, Sapiens Launches Enhanced CoreSuite for P&C, September 2025: Sapiens rolling AI-based functionality into its core platform releases.

- Business Wire, Insurity Named to the AIFinTech100 List of Leading AI Innovators in Financial Services, July 2026: Insurity's additional $100 million commitment, on top of more than $50 million already invested in AI and R&D.

- The Insurer, OpenAI dominates AI stacks as insurance industry moves from pilot to production, May 2026: IA Capital Group survey data on foundation-model presence in carrier AI stacks.

- Shift Technology, Making Agentic AI Work for Insurance webinar page, 2026: the case against generic horizontal AI models for production-grade insurance agents.


James Ballot

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James Ballot

James P. Ballot is an insurance research, thought leadership, and content strategy leader with more than a decade of experience helping industry, regulatory, business, consumer, and higher education audiences understand and navigate complex industry transitions – including the rapid evolution of insurtech and AI-driven automation.


Diane Brassard

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Diane Brassard

Diane Brassard is an operations and AI transformation leader specializing in the insurance industry. With three decades of experience spanning underwriting, claims, and BPO strategy at major carriers, she helps insurers design and execute practical, scalable workflows, whether powered by AI or process redesign, that drive measurable business results.

The Insurance Alignment Gap: Where Insurer Priorities and Customer Protection Needs Converge…and Diverge

Insurers are modernizing for efficiency, while customers seek affordability, trust, and protection. This report reveals how closing the alignment gap can create lasting value.

Insurance

Insurers are prioritizing cost reduction, profitability, modernization, and AI. Customers are looking for something different: affordability, trust, preparedness, and protection that feels relevant to the risks they face every day.

This growing alignment gap matters. Modernization and AI investments deliver their full value only when customers see and feel the benefit. When insurer priorities and customer expectations drift apart, confidence erodes, and so does the opportunity to help customers build financial resilience.

Based on original research with both insurers and insurance customers, this report examines where priorities align, where they diverge, and how insurers can connect business transformation to customer value. It explores three areas that matter most to building confidence and resilience:

Relevance. Customers want protection that reflects their everyday risks. Learn how insurers can deliver coverage that feels meaningful and worth the cost.

Personalization. Tailored products, pricing, and communications help customers feel understood and prepared. Learn how personalization supports trust.

Digital engagement. Digital experiences shape how customers perceive their insurer. Learn how to use them to strengthen confidence and connection.

Whether you lead strategy, product, distribution, customer experience, or technology, this report offers a research-based view of what customers expect and how your transformation priorities can meet them.

Read the Report


Sponsored by Majesco


ITL Partner: Majesco

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ITL Partner: Majesco

Majesco isn’t just riding the AI wave — we’re leading it across the P&C, L&AH, and Pension & Retirement markets. Born in the cloud and built with an AI-native vision, we’ve reimagined the insurance and pension core as an intelligent platform that enables insurers and retirement providers to move faster, see farther, and operate smarter. As leaders in intelligent SaaS, we embed AI and Agentic AI across our portfolio of core, underwriting, loss control, distribution, digital, and pension & retirement administration solutions — empowering customers with real-time insights, optimized operations, and measurable business outcomes.


Everything we build is designed to strip away complexity so our clients can focus on what matters most: delivering exceptional products, experiences, and long-term financial security for policyholders and plan participants. In a world of constant change, our native-cloud SaaS platform gives insurers, MGAs, and pension & retirement providers the agility to adapt to evolving risk, regulation, and market expectations, modernize operating models, and accelerate innovation at scale. With 1,400+ implementations and more than 375 customers worldwide, Majesco is the AI-native solution trusted to power the future of insurance and pension & retirement. Break free from the past and build what’s next at www.majesco.com


Additional Resources

The Second Half of Agentic AI

Read More

The Insurance Alignment Gap: Where Insurer Priorities and Customer Protection Needs Converge…and Diverge

Read More

Operational Value and Impact of GenAI and Agentic AI

Read More

Reimagining Insurance for a More Resilient Future

Read More

State of Core Solutions Transition: Which Tech Priorities Are Being Carried Out?

Read More

Evaluating Leadership Beyond Individual Accomplishments

A broader perspective is needed on how organizations develop, recognize, and evaluate leadership effectiveness.

Insurance

A leadership title establishes authority and responsibility. It does not automatically establish leadership effectiveness. The distinction matters because organizations often evaluate leaders primarily through what they achieve, rather than through what they enable others to achieve.

Business performance, operational improvements, problems resolved, and accomplished organizational objectives are important measures of leadership contribution. These outcomes matter. Leaders have a responsibility to deliver results. But evaluating effective leadership requires looking beyond an individual's accomplishments. It also requires examining how leaders develop the capabilities of others, exercise judgment, establish accountability, and contribute to the organization's ability to achieve results over time.

The question is not simply what a leader accomplishes, but what the organization becomes capable of accomplishing through that individual's leadership.

From Technical Expertise to Leadership Responsibility

Organizations frequently promote individuals into leadership positions because they have demonstrated exceptional technical competence. The reasoning is understandable. These individuals possess valuable knowledge, solve complex problems, and consistently deliver results. However, technical expertise and leadership effectiveness are not interchangeable.

An individual may possess outstanding technical knowledge without having developed the capabilities necessary to coach others, delegate effectively, navigate interpersonal dynamics, or develop a team's collective strengths.

Technical expertise can provide a valuable foundation for leadership. The concern is not necessarily the promotion itself, but the preparation that accompanies it. Does the organization recognize the difference between performing work exceptionally well and enabling others to perform effectively?

Does it prepare newly appointed leaders for that transition?

A promotion changes an individual's responsibilities. It does not automatically develop the capabilities required to fulfill them.

Leadership Development Requires Shared Responsibility

Organizations have a responsibility to prepare individuals for leadership, establish meaningful expectations, and provide opportunities for continued development. Yet leadership growth cannot rest with the organization alone.

Individuals must take ownership of their learning, seek feedback, question assumptions, and recognize that previous success does not necessarily prepare them for every new challenge.

This requires self-awareness and intellectual humility.

One difficulty is that people do not always recognize what they have yet to learn. Meaningful development therefore requires exposure to different perspectives, constructive feedback, and opportunities to discover gaps in knowledge and judgment.

The same principle applies to employees. Leaders can provide guidance, support, and opportunities for growth, but employees also have a responsibility to participate in their own development and fulfill the expectations of their roles.

Effective leadership strengthens individual responsibility rather than replacing it.

Developing Capability While Maintaining Accountability

One of the most significant transitions from technical expert to leader involves learning when to provide an answer and when to help someone develop the ability to find one.

A leader who personally resolves every difficult issue may achieve immediate results. However, consistently doing so can unintentionally limit opportunities for others to develop judgment and confidence. Over time, employees may become dependent on the leader's involvement, even in matters they could learn to handle within their responsibilities.

But the opposite approach can be equally problematic. Delegation without adequate preparation, clearly defined authority, or appropriate oversight does not necessarily constitute empowerment.

Effective leadership requires distinguishing between unnecessary dependence and legitimate organizational governance. Some decisions require specialized expertise, formal approval, or regulatory oversight. These requirements exist for valid reasons and should not be removed simply to encourage independence.

The objective is not to eliminate structure but to develop capable individuals who understand their responsibilities, exercise sound judgment, and operate effectively within established boundaries.

Sometimes this requires coaching or training. Sometimes it requires clearer expectations, improved processes, or a better understanding of the obstacles preventing effective performance. The appropriate response begins with understanding the underlying problem.

The Organizational Environment Influences Leadership Effectiveness

Leadership does not operate independently of the organization. People work within environments shaped by behaviors, expectations, processes, incentives, and relationships. These conditions can support or constrain the development of individual and collective capabilities.

An organization may encourage employees to contribute ideas, yet routinely dismiss questions or provide little meaningful response to suggestions. Another may encourage managers to develop their teams while primarily rewarding those who personally resolve the greatest number of problems. In both situations, organizational practices may undermine stated expectations.

This is why leadership development requires more than formal training programs. Organizations must examine whether their everyday practices reinforce the behaviors they expect from effective leaders.

Culture is not defined solely by what an organization declares. It is revealed through the behaviors it reinforces and the experiences people encounter every day.

Understanding those behaviors, and the conditions that sustain them, creates opportunities for meaningful action.

Rethinking How We Evaluate Effective Leadership

If organizations expect leaders to develop capable people, leadership evaluations should reflect that expectation. Business results remain essential. Leaders must be accountable for performance, execution, sound decisions, and the achievement of organizational objectives.

However, business outcomes alone may not reveal the full contribution of an individual leader. Leadership evaluations should also consider how effectively leaders develop others, delegate responsibilities, strengthen decision-making, maintain appropriate accountability, and prepare individuals for future responsibilities.

They should examine whether teams are becoming more capable of performing their work without unnecessary dependence on a single individual.

These dimensions should not be viewed independently of organizational performance.

Developing people's capabilities can be one of the ways effective leadership contributes to business results.

Employees with stronger knowledge, judgment, and accountability may be better equipped to solve problems, manage risks, improve processes, and contribute to organizational objectives. Over time, these capabilities can strengthen organizational resilience and the ability to sustain performance.

The relationship is not automatic. Business outcomes are influenced by strategy, resources, market conditions, regulatory requirements, and other factors beyond any individual leader's control.

Nor should favorable business results automatically be attributed to effective leadership. Evaluating effectiveness requires considering the leader's behaviors, decisions, contributions, and the conditions under which results were achieved.

A leader may deliver exceptional short-term results while leaving others heavily dependent on their personal involvement.

Another may invest considerable effort in developing employees without adequately fulfilling organizational responsibilities.

Neither example, considered alone, demonstrates the full measure of effective leadership.

The more meaningful evaluation considers both organizational results and the capabilities being developed to support future performance.

The Lasting Contribution of Effective Leadership

Holding a leadership position establishes authority and responsibility. Demonstrating effective leadership requires more.

Effective leaders deliver results, exercise sound judgment, and remain accountable for organizational performance. They also recognize that their contribution extends beyond their individual accomplishments.

Through their decisions, behaviors, and development of others, they can strengthen the organization's collective capabilities and its ability to meet future challenges.

The measure of effective leadership is not only what leaders accomplish themselves, but what their leadership makes possible for others to accomplish. Sustainable organizational success depends on both.

Perhaps that is the broader question organizations should consider when evaluating their leaders:

Are we recognizing leadership primarily through individual accomplishments, or are we also recognizing the lasting capabilities those leaders help develop?

Selected References

Benson, A., Li, D., & Shue, K. (2019). Promotions and the Peter Principle. The Quarterly Journal of Economics, 134(4), 2085–2134. https://doi.org/10.1093/qje/qjz022

Lacerenza, C. N., Reyes, D. L., Marlow, S. L., Joseph, D. L., & Salas, E. (2017). Leadership training design, delivery, and implementation: A meta-analysis. Journal of Applied Psychology, 102(12), 1686–1718. https://doi.org/10.1037/apl0000241

Lee, A., Willis, S., & Tian, A. W. (2018). Empowering leadership: A meta-analytic examination of incremental contribution, mediation, and moderation. Journal of Organizational Behavior, 39(3), 306–325. https://doi.org/10.1002/job.2220

Garavan, T., McCarthy, A., Lai, Y., Murphy, K., Sheehan, M., & Carbery, R. (2021). Training and organizational performance: A meta-analysis of temporal, institutional and organizational context moderators. Human Resource Management Journal, 31(1), 93–119. https://doi.org/10.1111/1748-8583.12284

Finding Value in Today's Volatility

New data sources, better models, scenario planning and faster processing of information can help insurers turn today's "polycrisis" into value for themselves and for customers.

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Insurance

I don't know about you, but I'm a bit wary when I pick up my phone first thing in the morning and check on the state of the world. There's rioting where? A convective storm or wildfire destroyed what? The war in Ukraine or Iran took what turn? Inflation was how high, or job growth how low?

And the volatility is building on itself, creating what some of our authors have dubbed the "polycrisis." Economic problems lead to rioting in France, which destabilizes the Western alliance, which emboldens Putin in Ukraine, which feeds the political crisis in the U.S., which....

The insurance industry generally dislikes volatility. Insurers want a decade or two of data on a risk so they can price it properly. But how do you understand risks that appear so suddenly and can interact in such complex ways?

To get a sense, I turned to Dawn Miller, the chief commercial officer at Lloyd's and CEO of Lloyd's Americas, who explained how new data sources, better models, scenario planning and just generally processing information faster can at least help. 

Let's have a look.

Here is the full interview I did with Dawn. And here is a link to this year's Global Insurance Forum, which our sister organization the International Insurance Society is holding at Lloyd's in London on Nov. 15 and 16 on the theme, "Turning Volatility Into Value." But I'll summarize:

Dawn says, "We're seeing innovations in modeling—additional data transparency being plugged into some of those core models that we've always used to look at some known perils. The perils aren't changing, but our ability to understand them is getting better, sometimes dramatically. There's also an opportunity for geopolitical assessments, economic assessments, and social demographic assessments to all play a role."

She adds that some firms like at least some volatility because it creates more potential for upside and "fits as a diversifier into their portfolios. We see others wanting the longer-tail risk. This may not be as volatile, but they want it for their own investment reasons. Our role [at Lloyd's] is to create the environment for all those different profiles to exist and to all benefit from the diversification of our marketplace. It's not an either-or—the alpha seekers or the beta seekers. It's having both in an environment where they can coexist."

Dawn cautions that today's environment is full of "new layers of complexity": "In the past, our market would focus on certain CAT risks, certain natural perils happening in one place at one time. Now we're seeing multiple risks interact at the same time, from natural catastrophes and supply-chain disruption to inflation, geopolitical uncertainty and demographic risks. And those are just to name a few.... It takes an enormous amount of creativity to predict the layers of complexity around us today."

But she's optimistic about the industry's ability to innovate, including through Lloyd's Lab and the Lloyd's Academy, to help the insurance industry react faster as perils develop and interact. She also sees the industry cooperating, including through the ecosystem that Lloyd's fosters:

"Innovation, whether it is the birth of a new product, or the birth of a new structure, or how we deal with some of the extreme large-scale infrastructure, energy, supply chain, and transportation issues that we see around the world—that is going to take more than one mind to solve."

When I wake up tomorrow morning, I'll still peek at my phone with one eye open to check on the state of the world, but all is not lost.

I hope to see you in London so we can discuss the polycrisis and its many implications in person.

Cheers,

Paul

 

Gen Z Drives Insurance Claims Transformation

Gen Z's demand for instant digital experiences is forcing insurers to modernize claims payments or risk losing policyholders.

Insurance

As digital natives who've grown up tethered to smartphones and social media, the Gen Z population's effect on today's consumer trends is well documented. Young shoppers' demands for instant gratification in consumer transactions have ushered in an era of in-app shopping, next-day shipping, and fast, friction-free digital payment options.

Gen Z's influence is extending to the insurance claims process, as well. More and more, Gen Z's preferences are pushing the industry to uplevel its claims experience – to make it faster, more convenient, more tied to mobile, and more transparent to the policyholder. InvoiceCloud's 2026 Claims Experience survey of 1,000 U.S. policyholders shows Gen Z is nearly twice as likely as the overall population to prefer a digital wallet for claims payments (13% versus 7%).

Recent research shines a light on policyholders' discontent with what they identify as their biggest deal breaker: an unacceptably slow process for paying claims.

The InvoiceCloud survey found that only 9% of policyholders received their claims payment within two days. Meanwhile, a quarter of respondents say it took more than a week to receive their claims payout, while an unfortunate 13% waited "several weeks" to get these urgent funds.

This could cause ripple effects. In a 2022 report, "Transforming claims and underwriting with AI", Accenture estimated that poor claims experiences could put up to $170 billion in global insurance premiums at risk through 2027. The InvoiceCloud survey shows how these risks could materialize. At least 75% of policyholders surveyed say they would consider switching carriers after a single negative claims experience. That's a high percentage in any field, but it's particularly high in personal-lines P&C, where switching providers is often easier than it is in commercial, E&S, or other specialty markets.

Improving the claims process

How do insurance carriers improve the claims process? Our research found that speed and transparency matter most of all to policyholders. When asked directly, 30% named a faster claims payment after approval as the single change they want most, more than any other option, while 22% preferred clearer status communication. Gen Z echoes that second point: 24% named clearer, more consistent communication about payment status as the one change they would make, on par with the 21% who named faster payment.

Another issue: Many carriers have modernized inbound premium payments, but outbound disbursements still rely on paper checks and manual processing. Paper checks create fraud risk, delivery problems, and extra work for commissions and return premiums.

The next generation of policyholders is demanding two changes to this payment structure. They prefer a shift to digital, and they want choices.

Digital disbursement platforms can support a wide variety of options including ACH/direct deposit, debit cards, virtual cards, and digital wallets. Direct deposit to a bank account is policyholders' favorite payout, preferred by 52% of respondents, more than all other options combined. Printed checks still account for 19%, likely reflecting legacy carrier processes rather than genuine preference. The gap between generations is wide: 32% of Baby Boomers prefer a printed check, compared with just 9% of Gen Z.

If slow payouts can lead to defections, digital insurance payments can operate as a retention tool.

Insurance carriers can do this by ensuring this critical touchpoint becomes an easy experience end-to-end, from allowing policyholders to self-serve through digital premium payments, paperless billing, and automatic payments, to instant disbursements delivered however policyholders prefer to receive funds.

Real-time digital disbursements are funds sent electronically and received quickly, without a paper check in the middle. For insurance carriers, this means agent commissions and return premiums move through digital payment processing solutions rather than the mail. More importantly, it means getting funds into policyholders' hands fast, when it matters the most.

Raising expectations

As younger policyholders account for a larger share of the insurance market, experiences they've grown accustomed to in other walks of life will increasingly become expectations for insurance as well.

For many, this translates to being able to complete more transactions on smartphones. Digital payments enable customers to choose a payment method from their phone, receive payment notifications, track payment status, access transaction details, and receive funds directly into an eligible account or wallet. That matters most to the youngest policyholders. When asked for the easiest way to access funds in an emergency, 19% of Gen Z chose a mobile wallet, compared with 5% of Baby Boomers, while only 9% would withdraw cash at a bank, compared with 34% of Baby Boomers.

Gen Z's imprint on insurance claims is becoming more pronounced. Today's policyholders want to have insurance claims processed and paid out faster. But they want more. They want the entire journey – culminating in how and when they get paid – to feel as immediate and seamless as any other digital financial transaction.


Ray Walsh

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Ray Walsh

Ray Walsh leads InvoiceCloud's insurance vertical, helping property and casualty carriers modernize the way they bill, collect, and disburse payments to policyholders. 

He previously served as vice president of enterprise sales at Brightcove and senior vice president of global sales at TransAct Technologies.

Walsh sits on the board of Greater Springfield Habitat for Humanity, where he currently serves as board president. He studied business management at Albertus Magnus College.

AI Voice Agents Transform Lead Calling

AI can contact leads much faster than a human workforce can, boosting sales, but a small error rate in managing the AI can lead to serious problems.

Insurance

Insurers and agencies pay to generate leads, then let many of them go cold before a licensed agent calls. AI voice agents can now place that first call within seconds, at whatever volume the lead flow demands. That solves one of the oldest problems in insurance distribution. 

But it does not move the risk. Every AI call goes out on behalf of your company, and the rules treat it that way.

The speed problem is real

A 2011 Harvard Business Review study of 1.3 million sales leads found that firms that tried to contact potential customers within an hour were "nearly seven times as likely to qualify the lead" as those that tried an hour later and "more than 60 times as likely" as those that waited 24 hours or longer. Few agencies can staff to call every lead within minutes and at peak volume. An AI voice agent can call the moment a lead arrives, confirm that the person asked to be contacted, ask a few eligibility questions, and hand the live call to a licensed agent.

Draw the line at the license

The design that holds up best keeps the AI on one side of a clear line. It confirms interest, checks a handful of facts, and connects. Advice, quoting, and selling stay with licensed people. The line also clarifies the economics: 

Measure the AI on qualified conversations handed over and the agent on policies written. In the systems we build at VoiceOI, the transfer carries AI-written call notes, so the agent picks up where the AI left off instead of repeating its questions. When the roles blur, both the compliance review and the return-on-investment math get harder.

The risk stays with you

In February 2024, the Federal Communications Commission confirmed that the Telephone Consumer Protection Act's restrictions on "artificial or prerecorded voice" encompass "current AI technologies that generate human voices." Those calls need the called party's prior express consent. Hiring a vendor does not change who answers for them. The FCC ruled in 2013 that a seller "may be held vicariously liable under federal common law principles of agency" for violations committed by third-party telemarketers. The statute lets consumers recover $500 per violation, and a court can triple that for willful or knowing violations. At the volumes AI makes possible, a small error rate is not a small number.

Much insurance lead flow comes from comparison sites and lead partners. For telemarketing calls, FCC rules define prior express written consent as a signed agreement that "clearly authorizes the seller" to call using an artificial or prerecorded voice. The consent behind a purchased lead has to clearly authorize your company, and you need to be able to retrieve it for any call.

Opt-outs are part of the product

Two rules deserve attention at the executive level. First, artificial or prerecorded voice messages must, "at the beginning of the message, state clearly the identity of the business" responsible for the call. Second, a residential subscriber's do-not-call request must be honored within a reasonable time that "may not exceed ten (10) business days." The same rule says that when someone else keeps the list, "the person or entity on whose behalf the call is made will be liable for any failures to honor the do-not-call request."

A well-built AI agent can recognize "stop calling me" and end the call. The hard part is making sure that request reaches every system, lead partner, and vendor that might call the same person again.

Your phone numbers are a shared asset

Carriers and call-analytics firms judge numbers by how they behave. One voice provider's guidance warns that campaigns "with low answer rates and a high share of very short calls look like untargeted cold calling to carriers and analytics providers." AI agents can produce exactly that pattern at scale, and a spam label on a number follows every call made from it. Keep outbound lead campaigns off the numbers your service and claims teams rely on, and watch answer rates and complaints as closely as conversions.

Start where consent is clearest

The safest first deployment is the one with the cleanest consent trail: people who filled in your own quote form today and asked to be called. Run the AI on that flow beside your current process for a few weeks and compare contact rate, qualified transfers, and complaints against the human baseline. Expand to aged leads or partner-sourced leads only once the consent records for those sources hold up to the same scrutiny.

Five questions before you sign off
  • Consent: Who collected it, for which company, and can we produce the record
  • Disclosure: Does the call say at the start who is calling?
  • Opt-outs: Does a do-not-call request reach every system and vendor within 10 business days?
  • Handoff: What triggers a transfer to a licensed agent, and what does the agent see when the call arrives?
  • Measurement: Are we tracking contact rate, qualified transfers, cost per qualified transfer, and complaints?

AI makes the first call cheap. That is exactly why the decisions around it — whom to call, what to say, and when to stop — now belong with leadership rather than with the call floor.