Model Online / On-Site
Duration
Modules 5 modules

Course Objective & Scope

Non-life, life and pension insurers handle dense flows of policy wordings, endorsements, loss-adjuster reports, medical pre-authorisations and broker queries. This course covers practical AI applications across underwriting, claims management (FNOL, file summarisation, subrogation and fraud signals), agent/broker support assistants and policyholder communications.

SEDDK regulations, protection of sensitive health data under KVKK and human oversight in coverage decisions are examined through real insurance cases. Participants design an underwriting or claims workflow and verification checklist for their own line of business.

Who Should Attend?

  • Underwriting, product development and actuarial teams
  • Claims, medical pre-authorisation, subrogation and fraud-investigation specialists
  • Agency, broker, bancassurance and customer experience managers
  • Insurance compliance, internal control and digital transformation leads

Key Takeaways

  • Compare coverages, exclusions and endorsements across complex policy and reinsurance wordings
  • Generate structured claim-file summaries from FNOL notices, adjuster reports and invoices
  • Design product and coverage Q&A assistant workflows for agents and distribution channels
  • Apply KVKK safeguards for sensitive health and policyholder data across claims workflows
  • Define transparency, explainability and human-in-the-loop boundaries for underwriting and claims decisions

Curriculum

AI Use Cases Across the Insurance Value Chain
  • High-impact opportunities across P&C, health, life and pensions
  • Combining predictive models (pricing, churn, fraud) with LLMs
  • Quick-win internal copilots and document automation
Underwriting, Policy and Clause Analysis
  • Summarising commercial risk-engineering reports and submission packs
  • Comparing policy wordings, deductibles and exclusion clauses
  • Checking coverage alignment against reinsurance and tender specs
Claims Management, Loss Adjusting and Fraud Signals
  • FNOL triage and missing-document detection
  • Extracting decision summaries from adjuster reports, police records and repair estimates
  • Flagging inconsistent statements, fraud indicators and subrogation recovery leads
Agent, Broker and Policyholder Communication
  • Instant product, coverage and endorsement assistants for agents and brokers
  • Clear, empathetic wording for claim denials or partial settlements
  • Personalised renewal and cross-sell coverage summaries
SEDDK, Sensitive Data (KVKK) and Governance
  • Anonymisation and KVKK obligations for health and claims records
  • SEDDK regulatory expectations, outsourcing and audit trails
  • Checklist against automated denials and mandatory human review gates

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