Beyond Automation AIs Strategic Role in Insurance
Beyond Automation AIs Strategic Role in Insurance
RESEARCH REPORT
The State of AI in
P&C Insurance
A VIEW ACROSS THE ECOSYSTEM: RETAIL, MGA, AND CARRIER
Authors
Mark is well known for his perspectives on the Meredith is an award-winning insurance
future of the insurance industry and innovative transformation strategist with almost four decades
uses of technology in insurance. His specialty of industry operations and technology experience
areas include insurtech, transformational spanning all lines of business and the entire
technologies, innovation, and distribution insurance value chain. She has led numerous
strategies. Previously, he was partner and chief digital, product, and organizational carrier
research officer at Strategy Meets Action, a leading transformations, along with the insurance go-to-
strategic advisory firm, and has consistently been market strategy at an AI customer experience
ranked as one of the “Top 50 Global Influencers in SaaS startup.
InsurTech” by InsurTech News.
[email protected]
[email protected]
Heather Turner
Program Manager
Table of contents
05 About this report: AI 101
09 Retail agencies
The potential implications of AI
11 MGAs
The potential implications of AI
13 Carriers
The potential implications of AI
CLASSIC AI DEEP AI
Inputs are human knowledge and expertise Inputs are data and guiding parameters
Responses are programmed System learns, identifies patterns, forms responses
Expert CBR Rules Data Programmed Text Robo RPA Artificial ML NLP Generative
Systems Engine Mining Chatbots Mining Advisors NN Chatbot AI
Process Image/
Mining Vision
Speech
Recognition
Conversational
AI
You’ll note that we have taken a broad view of what constitutes AI, as many solutions include multiple underlying
technologies, making it difficult to assess the degree to which a solution is AI-enabled. We believe it is important for some
individuals at your company to understand the specific technologies, but ultimately, most AI will be embedded in solutions
provided by vendors. We have a full series of reports available that dive deeper into specific industry segments or topics,
including generative AI and AI governance. Please contact the authors to learn more.
MGA
Carrier
1 In addition, ReSource Pro has been leveraging AI in our own capabilities to improve our service delivery to our customers.
*Operations include key agency functions such as accounting, document processing, business intelligence, and compliance.
The majority of companies are in the early stages of AI exploration, with low adoption across most functions. However,
there are exceptions. Carriers have been using machine learning models for underwriting, pricing, claims severity, and
reserving predictions for at least the past two decades. In subsequent years, this usage has expanded to include computer
vision for aerial imagery. Furthermore, executives indicate they will continue investing in these areas, with claims having
a heightened priority in the near term.
In the retail agency sector, the most progress has been made in agency marketing, sales, and servicing functions like policy
checking. These are also the processes agency executives are prioritizing in the near term. Lastly, MGAs are focusing on
underwriting and pricing as top priorities now and for the future.
Broadly speaking, the industry’s approach to AI is diverging. While most companies are learning about and exploring
potential AI use cases, many are choosing to pause AI initiatives to focus on other current strategic priorities, especially
building out the digital foundation. Conversely, larger companies with the necessary infrastructure and resources are
actively piloting and implementing AI solutions. Alongside our overview of the current state of AI adoption, we’ve identified
the following key themes shaping AI today and setting the stage for future advancements:
Lastly, successful AI adoption relies on a strong foundation of digital readiness within your organization. The remainder of
the report will take a closer look at the real-world use cases and potential implications of AI across different segments of
the P&C industry, including retail agencies, MGAs, and insurance carriers. We will then explore the critical importance of
digital readiness, including practical steps you can take today. Finally, the report looks ahead to 2030, exploring how the
industry will evolve over the next five years.
Retail agencies
In the ever-evolving landscape of retail agencies, the impact and potential of AI is becoming
increasingly evident. From agency marketing and sales to account servicing and agency operations,
AI-enabled tech solutions stand to revolutionize the way insurance agencies and brokerages
operate. Executives who embrace AI stand to make significant gains in efficiency, productivity,
decision-making, and more – those who don’t risk being left behind. To be clear, AI will not replace
the insurance agent but rather reshape how agencies operate and deliver value to their customers.
Below, we explore four essential agency functions: agency marketing, sales, account servicing, and
agency operations, as well as the respective AI use cases that are beginning to transform them.
Agency Marketing
With approximately 40,000 insurance agencies and brokerages nationwide, demand generation and lead generation are top
priorities for agency marketing teams. These initiatives require clear strategies focused on increasing brand awareness and
identifying/qualifying potential leads. AI-enabled tech solutions are poised to transform demand generation via customer
segmentation, predictive analytics, tailored content, and more. Within lead generation, AI allows agents and brokers to capitalize
on internal and third-party data sources to identify, evaluate, and prioritize new leads and upsell/cross-selling opportunities.
Sales
It’s important to remember that retail agencies are, first and foremost, sales organizations. To succeed, they must generate
new business and retain existing clients. Historically, the sales process has been long, complex, and fraught with many
challenges, often due to its manual processes. However, AI solutions are beginning to automate and streamline sales
workflows with use cases spanning customer data capture, coverage needs analysis, data pre-fill, and quote comparisons.
In turn, agents and brokers can better obtain underwriting information, classify risks, assess coverage needs, compare
competing quotes, and ultimately land more business.
Account Servicing
Once an agency writes a new account, the work has just begun. Customer service reps (CSRs) and account managers devote
significant time to the day-to-day servicing of accounts. Tasks include contract review, issuing certificates of insurance,
fielding coverage inquiries, processing policy changes, and assisting with claims. In each area, AI solutions help automate
and streamline these processes. For example, generative and conversational AI tools can handle routine policy inquiries
and requests, expediting agency response time. Other solutions can compare contractual insurance requirements to the
insured’s policies to identify potential coverage deficiencies. Similarly, GenAI solutions help automate policy checking,
providing an initial review before having the CSR or AM assess identified discrepancies.
Agency Operations
The scope of agency operations is vast and often prone to manual processes and errors. However, AI solutions for document
processing, accounting, compliance, business intelligence, and data integrity/cleansing are helping streamline these critical
functions. For example, intelligent document processing (IDP) solutions can identify, classify, and route incoming documents,
while data pre-fill solutions can extract necessary information and automatically populate applicable platforms. Within
accounting, revenue automation and commission reconciliation tools are streamlining key workflows and reducing errors.
Lastly, business intelligence tools are providing agency leaders with sales and retention analytics that enable them to more
accurately predict future sales, prioritize new business opportunities, and identify churn risks.
Additional details and specific use cases on AI at retail agencies can be found in the research reports:
“The AI Advantage: Unlocking New Opportunities for Retail Agencies in Marketing and Sales”
“The AI Advantage: Unlocking New Opportunities for Retail Agencies in Servicing and Operations”
Figure 3. How AI Will Impact Retail Agencies Over the Next Five Years
Enhance agent/ • AI-powered virtual assistants and co-pilots that support service staff
broker expertise • Customer experience is enriched via real-time data insights, prompts, and coaching
Personalized • Actionable insights into customer behavior, communication preferences, risk profiles, etc.
customer experience • Tailored messaging, product offerings, and services based on customer needs/preferences
• “Smart” (AI-powered) automation solutions learn over time; thus, becoming more
accurate and efficient
Increase in ‘smart’
automation • Extend automation capabilities beyond “rule based” processes and into more complex tasks
• Enable employees to focus on value-added services rather than transactional work
Ability to launch new • Leverage robust data and analytics to identify potential market opportunities
business models • Increase revenue by offering new value-added services
MGAs
Managing General Agents (MGAs) have long been at the forefront of insurance innovation, developing
specialized products to address emerging risks and serving as niche experts for their carrier and agency
partners. However, their use of technology varies widely. A small percentage of MGAs (especially
insurtech MGAs) leverage advanced tech stacks, using their technological capabilities as a point of
differentiation. Others operate more leanly, relying on manual processes, spreadsheets, or in-house
systems for underwriting and quoting risks. While many MGAs have sophisticated data and analytics
capabilities, whether manual or tech-enabled, most have not yet adopted AI. The majority are working
toward greater digital readiness and prioritizing current strategic initiatives.
Regardless of an MGA’s current state of digital readiness, AI has the potential to be transformative. It
stands poised to automate time-consuming tasks, enhance decision-making, and develop more data-
driven products that meet the evolving needs of MGAs’ partners. The most significant impact is likely
to be seen in the following areas: product development, underwriting, and pricing, each of which are
explored in greater detail below.
Product Development
The demand for new and innovative insurance programs is on the rise, fueled by emerging risk exposures, rising premiums,
and existing coverage gaps. And speed-to-market is often critical to remain competitive and capitalize on emerging market
opportunities. AI can significantly enhance and expedite product development. Through the use of machine learning, MGAs
can analyze vast amounts of data to identify and assess market opportunities and pinpoint areas where new products
can bring value. For example, an MGA might use AI to analyze environmental, weather, and claims data to explore new
solutions for climate-related risks.
In addition to identifying and analyzing market opportunities, AI can be instrumental in developing and testing new
products. Before launching, MGAs first need to determine the applicable coverages, policy terms and conditions, and
pricing. The new product then needs to be tested, considering factors such as potential claims costs, market demand, loss
ratios, and profitability. Machine learning models can analyze and test countless different variables that more traditional
models may miss, allowing MGAs to create and refine their products more quickly and accurately.
Figure 4. How AI Will Impact MGAs Over the Next Five Years
• Quickly develop new insurance products for emerging, micro, and underserved risks
More tailored
• Leverage customer insights to adjust coverage and respond to changing risks in real-time
insurance solutions
• More accurate personalized pricing based on a customer’s true risk profile
• Automatically review and prioritize submissions based on pre-defined criteria such as appetite
Optimized and alignment, winnability, and estimated profitability
agile operations • Optimize workflows and submission assignments based on underwriter expertise, availability,
and capacity
Carriers
Carriers are leading the pack in developing AI strategies, conducting pilots, and implementing
AI solutions. Of the carriers that participated in ReSource Pro’s AI in P&C Insurance in 2023 and
Beyond survey, almost half are actively piloting and/or implementing use cases. These use cases
span distribution, underwriting, pricing, inspections, loss control, claims, policy servicing, and
more. This section will focus on the areas where we see the most development and application
of AI-enabled solutions: distribution and submissions, underwriting and pricing, and claims
management.
Claims Management
AI is poised to make significant strides in claims management by improving efficiency, accuracy, and compliance
throughout the claim lifecycle. For starters, AI can optimize triage and assignment, efficiently routing claims based on
complexity, jurisdiction, and risk level, accelerating processing times, avoiding case management and investigation
delays, and enhancing the customer experience. Additionally, AI solutions can streamline claims notifications, such as
denial and reservation of rights letters, ensuring timely delivery and helping carriers adhere to compliance requirements.
Other potential use cases include improved initial and continuous predictive reserving, claim handling recommendations,
identifying claims likely to go to litigation, subrogation opportunities, and detecting fraud. This includes tapping into AI’s
ability to analyze unstructured data, including medical reports and litigation documents. AI’s vast potential within claims
will likely drive impactful improvements that will reduce claims costs and enhance the claims handling experience.
Figure 5. How AI Will Impact Carriers Over the Next Five Years
• Expedite claims triage by automatically classifying and prioritizing claims based on type,
Automated (even complexity, and severity
autonomous) claims • Fully automate low complexity claims from FNOL to settlement
handling • Provide 24/7 claims filing and support via AI Assistants
To set your organization up for success, start by evaluating your technology infrastructure, data
quality, and internal processes to ensure they can support AI capabilities. Additionally, consider the
following recommendations:
MGA
Carrier
Over the next five years, ReSource Pro anticipates a significant increase in AI adoption across all segments of the P&C insurance
industry. Currently, AI adoption remains relatively low (see Figure 2), but the next few years are poised to bring transformative
change. Retail agencies are expected to prioritize AI investments in marketing, sales, and client servicing functions, enhancing
their ability to personalize interactions and strengthen customer relationships. For MGAs, the focus will likely be on underwriting
and program development, where AI can help tailor solutions and assess risks more precisely. Carriers, meanwhile, are projected
to adopt AI broadly across the value chain, with underwriting and claims management expected to see the largest investments.
Across all three segments, AI will streamline operations and free up teams to focus on high-value, complex tasks that require
human insight and expertise. With this increase in AI adoption, the industry can also expect the following:
Conclusion
AI’s transformative impact will extend across the entire P&C insurance value chain, reshaping operations, insights,
decision-making, and customer interactions. By improving automation and augmenting decision-making with
advanced insights, AI will undoubtedly redefine and elevate the role of insurance professionals. Additionally,
new risks will emerge, prompting innovative coverages and product lines, while entire industries will transform,
spawning new companies and industry verticals. For insurance leaders, the time to act is now. Sitting on the
sidelines is not an option; those who fail to prioritize AI risk falling behind in a rapidly changing landscape. Taking
proactive steps to adopt and integrate AI will be essential to staying competitive and helping customers manage
tomorrow’s risks.
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