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AI agent for insurance actuaries

Claims Reserve Review Agent

Reserve indications by line ready for actuarial selection

Claims Reserve Review Agent: what goes in, what the agent does and what you get

What it does

Reserve reviews take weeks each quarter, and a data gap or one large loss can distort the whole picture. This agent prepares the reserve analysis. It builds loss triangles from claims data and checks that they tie to the general ledger before doing anything else. If they do not, it finds the missing data and rebuilds. It runs standard methods such as chain ladder and Bornhuetter-Ferguson and compares results to last quarter and to actual development. It runs diagnostics for distortions from large losses or process changes, removing large losses for separate handling and testing adjusted factors. It drafts a summary of indications by line. The actuary selects the final estimates. Edge case: the claims department sped up case reserving, so factors from older years may overstate, and the agent flags it.

How it works

Follow the arrows from top to bottom. The orange dashed arrow is the loop: when a check fails, the agent goes back and tries again.

Start and resultWhat it doesA check on its own workWaits for your OKGoes back and retries
Yes, continueApprovedNo 1 STARTS WHEN Quarter closes 2 USES A TOOL Build loss triangles 3 CHECKS THE RESULT Do triangles tie to the ledger? If not: find missing claims or mapping errors andrebuild. Back to step 2. 4 USES A TOOL Run reserving methods 5 DOES Run diagnostics for distortions 6 DOES Draft indications by line 7 YOU APPROVE Actuary selects estimates 8 RESULT Reserve report
Read the steps as a list
  1. Quarter closes
  2. Build loss triangles
  3. Do triangles tie to the ledger?If not: find missing claims or mapping errors and rebuild. Back to step 2.
  4. Run reserving methods
  5. Run diagnostics for distortions
  6. Draft indications by line
  7. Actuary selects estimatesThe agent waits here for your OK.
  8. Reserve report

How it decides

It runs set methods, checks ties and diagnostics, and shows a range for the actuary.

  • Large loss over threshold: remove from triangle and handle separately
  • Actual development off expected by over 10%: flag
  • Case reserve speed change: test adjusted factors

Make it yours

Every agent is a starting point. You choose these settings for your own situation.

  • Methods
  • Large loss threshold
  • Lines in scope
  • Diagnostics

What keeps you in control

It always asks you first

  • Final reserve selections

Hard limits

  • Never books reserves
  • Never selects final estimates

It stops when

  • Done: report ready
  • Stop: data does not tie

Set it up

We guide you through the set-up, step by step

Members get the full set-up guide for this agent. No technical skills needed: you copy, paste and upload.

10 minto set it up in your AI
5 AIsChatGPT, Claude, Copilot, Gemini, Grok
  • One set of instructions to paste into your AI, with the clicks for ChatGPT, Claude, Microsoft 365 Copilot, Gemini and Grok
  • The agent then walks you through connecting your own data, one source at a time
  • A downloadable copy with the flow chart, the rules and the full guide
Get access to this agent

An example run

What happensFor Q2, the general liability triangle was $3.2 million short of the ledger, so the tie-out failed. The agent found a claim type that was not mapped and rebuilt the triangle, which then tied. Chain ladder showed $48 million and Bornhuetter-Ferguson $44 million, with one $6 million claim handled separately. The actuary selected $46 million.

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