Describe the AI system
Sign in to save your workDescribe the system in plain language before judging it. Use only what the case tells you and mark anything else as unknown.
ClaimReview AI at Harbourside Mutual Insurance
- Provider
- ClearSight Risk Ltd (fictional) supplies the model; Harbourside tuned it on its own claims
- Deployer
- Harbourside Mutual claims operations
- Inputs
- Claim details, time since policy start or change, claim channel, prior claims, postcode, call-transcript 'inconsistency score'
- Output
- Fraud score 0–1; above 0.70 routes to the SIU and holds payment
- Human role
- An investigator reviews every SIU case; target 10 working days
- Customer message
- 'Your claim is under review.' No reason or timescale
- Live since
- Nine months
AI system description
This becomes the first section of your report.
Name the system
What problem is the organisation trying to solve, and how will it know the system helps?
Provider, deployer, users, affected people, suppliers, system owner, risk owner and control owners
Prediction, classification, recommendation, generation, retrieval or action; classic or generative AI
List what the evidence confirms, what you are assuming and what you do not know
Which decision does the output influence, and what does a person still decide?
Where, for whom and for what the system may and may not be used
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