Insurance runs on two decisions: first, underwriting — whether to take a risk and at what price; and second, claims — what to pay and when. Together, they are "two decision points which drive 100% of the value this industry creates for its shareholders, its policyholders, and society as a whole," said Bill Pieroni, DXC’s Global AI, Strategy & Growth Executive. Today, Pieroni estimates 70% of those decisions on human judgment rather than structured rules. That judgment has to happen at industrial scale: “For an average carrier, millions of these decisions are made in less than an hour," he said.
That judgment runs on documents. Submissions and claims arrive by email, fax, paper and phone, requiring manual rekeying or optical character recognition (OCR). The industry sits on four exabytes of data, and Pieroni estimates that less than 15% of it is usable. Before Claude, making sense of those documents took at least 40 to 50% of expert time in claims operations. "Backlogs for claims ran days, exceptions waited, errors compounded," Pieroni said.
Those backlogs carried real cost. Time is one of the key drivers of claim severity: claims that take longer to settle cost more, even adjusted for type. And a mishandled claim is one of only two reasons customers leave a carrier at all, the other being a price increase of more than 10% in a year. For property and casualty carriers, running 1% margins over the long term, neither is affordable. And that workload runs through DXC: carriers worldwide underwrite, service their books, and settle claims on the company's platforms.