CBS12 Information not too long ago aired a troubling report, 1 shared by FAPIA, asking whether or not synthetic intelligence is unfairly denying hurricane insurance coverage claims in Florida. It’s a good query. The Florida legislature is correctly asking questions.
As know-how races forward, insurers are more and more turning to AI to hurry up claims, detect fraud, and streamline underwriting. Optimistically, this might imply larger effectivity, quicker funds, and higher choices for policyholders. However with out transparency and oversight, the identical know-how can quietly deny justice.
AI shouldn’t be coming to the insurance coverage business. It’s already right here. Claims choices are more and more data-driven and algorithm-guided. Inside a decade, we could not even consider “AI in claims” as a definite idea. It’ll merely be a part of how insurance coverage operates. But when know-how begins changing human judgment, particularly in one thing as consequential as a property insurance coverage declare, policyholders need to know.
That’s why the Nationwide Affiliation of Insurance coverage Commissioners (NAIC) acted in 2023, adopting a Mannequin Bulletin on the Use of Synthetic Intelligence by Insurers. It lays out clear expectations: insurers should have documented AI governance applications, take a look at for bias, keep human oversight, and guarantee their techniques adjust to present legal guidelines towards unfair commerce practices and unfair declare settlements. It’s a considerate, forward-looking framework designed to protect accountability in an age of automation.
Florida ought to observe that lead. With our distinctive publicity to pure catastrophes and the rising use of digital instruments in claims dealing with, transparency isn’t optionally available. Shoppers have a proper to know whether or not an algorithm influenced their fee or denial, and regulators should have the authority to overview these techniques for equity and compliance.
I famous this rising concern earlier this 12 months in When Synthetic Intelligence Turns into Wrongful Intelligence in Claims Dealing with:
Allstate’s Chief Info Officer brazenly acknowledged that AI is chargeable for composing claims-related emails, with human adjusters merely reviewing them for accuracy. This admission was met with a direct—and considerably baffling—try by Allstate’s media relations group to erase these statements from the general public document, even going as far as to strain journalists to delete direct quotes from their government.
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The insurance coverage business markets AI as a instrument to enhance accuracy, cut back prices, and expedite claims. In principle, this could profit each insurers and policyholders. However the Allstate controversy exposes a extra troubling actuality: AI is being utilized in ways in which lack transparency, and when questioned, firms could search to rewrite the narrative somewhat than present clear solutions. If an government’s personal phrases about AI-driven processes may be dismissed as a mistake or “misinterpretation,” what does that say in regards to the accountability of those techniques?
AI can and ought to be a pressure for good in insurance coverage. However because the CBS12 story highlights, it should serve the general public curiosity and never obscure it behind a digital curtain. The insurance coverage business has at all times prided itself on understanding threat. The following frontier is making certain that synthetic intelligence doesn’t grow to be yet one more peril for policyholders to endure.
Thought for the Day
“Know-how is a helpful servant however a harmful grasp.”
—Christian Lous Lange
1 Jamilka Gibson, “Is Synthetic Intelligence unfairly denying insurance coverage claims in Florida?” CBS12 Information (Oct. 23, 2025). Accessible on-line at https://cbs12.com/information/native/is-artificial-intelligence-unfairly-denying-insurance-claims-in-florida-hurricane-milton-florida-october-22-2025