04 · Treat and evidence · Insurance

MEASURE and MANAGE: test and treat

Controls should protect customers from unfair delay or flagging while preserving proportionate fraud and claims management.

INSURANCE WORKING CONTEXT

Set insurance controls

AI supports pricing, claims or fraud activity where errors can delay payment, increase cost or unfairly flag customers.

Evidence bar

Manual-review protocol
Vulnerability training record
Claims monitoring dashboard

REVIEW CHECKPOINTS

Testing & Treatment Plan

Require manual review for adverse fraud/claim outcomesSet vulnerable-customer escalationMonitor overrides, complaints and payment delaysDefine pass/fail criteria before testingCapture evidence and known limitationsInclude rollback and deactivation

Testing & Treatment Plan

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Testing and evaluation plan