May 29, 2026
States Are Drawing Lines on AI Claims Decisions. The Map Is Getting Complicated. Three states have now enacted laws that directly regulate how health insurers can use artificial intelligence in claims coverage decisions, and the frameworks they have chosen are...
May 26, 2026
Why companies that treat AI as a technology upgrade are solving the wrong problem. By James W. Moore | InsuranceIndustry.AI Key Takeaways AI is not a productivity upgrade. It is a structural disruption to the economic logic that determined how insurance organizations...
May 13, 2026
By James W. Moore Key Takeaways An estimated $15-20 billion in recoverable subrogation dollars goes uncollected annually — not from incompetence, but from economics that made most cases not worth pursuing. AI shifts subrogation from selective, episodic recovery...
May 5, 2026
Every claims override, underwriting exception, and appeal reversal is a feedback signal. Most carriers have no idea what those signals are teaching their models. By James W. Moore | InsuranceIndustry.AI Executive Summary / Key Takeaways Any insurance carrier that has...
Apr 29, 2026
By James W. Moore Key Takeaways Agents and brokers don’t complain about carrier inconsistency. They route around it — quietly, permanently, and without warning. Carriers have almost no visibility into the submissions that never arrive. They measure what they...
Apr 22, 2026
By James W. Moore | InsuranceIndustry.AI Executive Summary / Key Takeaways AI was deployed to improve efficiency and accuracy. Exposing decades of institutional inconsistency was not in the requirements document — but that’s what it’s doing. Inconsistency...
