02 · Define and map · Insurance

GOVERN: establish accountability

Define product line, claim/customer types, fraud indicators, manual review points, supplier inputs and vulnerable-customer treatment.

INSURANCE WORKING CONTEXT

Scope the insurance customer journey

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

Evidence bar

Claims journey map
Fraud model validation plan
Vulnerable-customer protocol

REVIEW CHECKPOINTS

GOVERN Mapping

Name claims/fraud/pricing ownersMap adverse customer outcomesState decisions that cannot be automatedAssign risk and control ownersInclude third-party dependencySet an approval and exception route

INTERACTIVE REVIEW MEETING

Pressure-test your reasoning

Model ownerFailed benchmark

The average score passes, but one critical subgroup fails. What happens next?

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Executive sponsorRelease exception

Launch this week and fix monitoring later. What evidence would justify or reject the exception?

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GOVERN Mapping

Complete the fields against the insurance operating context. Your work saves automatically in this browser.

Governance and ownership

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Risk appetite and tolerance

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Supplier governance

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Approval gates and exceptions

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