Artificial Intelligence in Insurance Training Course

Duration 5 days 10 modules · 33 contact hours
Level Intermediate Certificate on completion
Who attends Insurance Innovation Managers, Underwriting Managers and others
Fee from USD 1,100 KSh 95,000 for Kenyan organisations
Where 52 cities + online See dates by city
Next start 16 Nov 2026 Course code SD-BI-111

Before you join: Participants should understand core insurance operations such as underwriting, claims, policy administration, pricing, fraud management or customer servicing.

Dates & prices

Two start dates a month in every city, and live online on weekdays or weekends. Fees are per participant; classroom fees include tuition, materials, lunch and refreshments, and the certificate.

Suggest a date or city

Showing the next six months. Later dates, other cities and private deliveries for your team are available on request.

Course overview

Insurance firms are under pressure to shorten quote and claims cycles, identify fraud earlier, improve service quality and control loss ratios without weakening underwriting discipline or customer fairness. Artificial intelligence can support these aims through predictive models, document intelligence, computer vision, network analysis and generative AI. However, insurance decisions affect premiums, coverage, claim outcomes and customer treatment, so poor data, opaque models and weak controls can create conduct, regulatory, operational and reputational risk.

This course examines where artificial intelligence creates measurable value across the insurance value chain. Participants assess AI use cases for underwriting, pricing, claims, fraud, customer service, reserving and back-office operations. They learn to frame business problems, assess data readiness, select suitable model approaches, evaluate performance, test fairness, set human review thresholds and monitor deployed models. The course also addresses generative AI controls, vendor due diligence, model governance, privacy, explainability and audit evidence.

Teaching combines short instructor briefings with insurance cases, structured group analysis, model-risk simulations and application planning. Cases reflect personal lines, commercial insurance, health insurance and claims operations. Participants work with practical decision criteria rather than software-specific demonstrations. They leave with an AI use-case prioritisation model, a model governance checklist, a data readiness assessment and a 90-day implementation plan suitable for adaptation within their business unit.

The course is designed for insurance professionals who contribute to digital, analytics, risk, product, underwriting, claims or operational improvement initiatives. It is also suitable for managers responsible for approving, governing or sourcing AI-enabled insurance solutions.

What you will be able to do

  • Prioritise insurance AI use cases using value, feasibility, risk and data-readiness criteria
  • Frame underwriting, claims and fraud problems as measurable machine-learning decisions
  • Assess insurance data quality, lineage, bias and permitted-use constraints
  • Evaluate predictive models using calibration, precision-recall, error and business-impact measures
  • Apply model governance controls using NIST AI RMF and ISO/IEC 42001 principles
  • Design human-review, explainability and escalation controls for material insurance decisions
  • Assess generative AI applications for policy servicing, claims documentation and internal knowledge work
  • Produce a 90-day AI implementation plan with controls, owners, dependencies and decision gates

Benefits of attending

For you

  • A practical method for assessing AI proposals from insurers and technology vendors
  • Greater confidence questioning model outputs, assumptions and performance claims
  • A structured approach to managing AI-related conduct and model-risk issues
  • Practical criteria for selecting claims, underwriting and servicing automation opportunities
  • A documented implementation plan for an insurance AI initiative

For your organisation

  • Better prioritisation of AI investments against measurable insurance business outcomes
  • More controlled use of automated underwriting and claims decision support
  • Earlier identification of fairness, privacy, fraud and model-drift concerns
  • Stronger vendor governance for external AI platforms and data providers
  • Clearer accountability across business, risk, technology and data teams

Course modules

10 modules over 5 days

Participants can identify suitable insurance AI opportunities and define them as controlled business decisions.

  • Insurance value-chain decisions suited to prediction, classification, optimisation and generation
  • Distinguishing supervised, unsupervised, reinforcement and generative AI model families
  • Problem framing through decision owner, action, data, metric and constraint
  • Loss ratio, expense ratio and combined ratio linked to AI cases
  • Claims severity, frequency and propensity targets defined without target leakage
  • Human judgment boundaries for underwriting, claims and customer communications
  • Build-versus-buy choices assessed through data access, integration and vendor accountability

Participants can assess whether insurance data is suitable, permitted and sufficiently reliable for AI use.

  • Insurance data domains mapped across policy, claims, billing, telematics and documents
  • Data lineage traced from source systems to feature and decision
  • Missingness, outliers and duplicates treated using documented data-quality rules
  • Feature engineering for tenure, coverage, exposure, claims and payment behaviour
  • Sampling bias and proxy discrimination tested before model development
  • Privacy-by-design controls applied to personal, special-category and behavioural data
  • Data dictionaries specify definitions, owners, refresh cycles and permitted uses

Participants can interpret model performance measures and connect them to insurance operating decisions.

  • CRISP-DM stages adapted for regulated insurance model-development lifecycles
  • Training, validation and test sets separated by time and policy cohort
  • Cross-validation selected for sparse outcomes and unstable claim populations
  • ROC-AUC, precision-recall and calibration compared against business decision thresholds
  • MAE, RMSE and quantile loss applied to severity predictions
  • Confusion matrices translated into referral rates, missed fraud and workload
  • Benchmark rules and champion-challenger models establish measurable incremental value

Participants can specify governance, validation and fairness controls for insurance AI models.

  • Model inventory fields capture purpose, owner, data, version and approval
  • NIST AI RMF functions applied to insurance model governance decisions
  • ISO/IEC 42001 controls interpreted for AI management-system responsibilities
  • Fairness metrics tested across protected groups and relevant proxies
  • Explainability methods distinguish global drivers from individual decision reasons
  • Adverse-action explanations aligned with underwriting and claims communication requirements
  • Independent validation tests conceptual soundness, outcomes, stability and use controls
  • Incident escalation criteria cover material harm, drift, security and conduct

Participants can design controlled AI applications for submission handling, risk selection and underwriting triage.

  • Risk appetite translated into underwriting triage, referral and straight-through rules
  • Submission intake uses OCR, entity extraction and document classification
  • Propensity and appetite models rank submissions without replacing underwriter authority
  • Geospatial, peril and exposure features support property risk assessment
  • Underwriter workbenches present evidence, confidence and override reason codes
  • Portfolio accumulation monitored when automated decisions alter risk selection
  • Quote turnaround, bind rate and loss outcomes measure underwriting impact

Participants can assess AI methods for claims prioritisation, fraud detection and recovery management.

  • Claims triage combines severity, litigation propensity and customer vulnerability signals
  • Computer vision estimates vehicle damage with confidence-based human review
  • Fraud detection combines anomaly scores, network analysis and investigation rules
  • Special investigation unit queues prioritised by expected recoveries and harm
  • Claims automation preserves audit trails, handoffs and claimant communication records
  • Subrogation opportunities identified through entity resolution and liability indicators
  • Leakage measurement separates legitimate claim variation from process-control failures

Participants can evaluate AI-supported pricing and reserving methods within actuarial and conduct controls.

  • Frequency-severity modelling connects exposure, risk characteristics and expected loss
  • Generalised linear models compared with gradient boosting for pricing governance
  • Rating-factor constraints prevent prohibited or poorly justified differentiation
  • Demand elasticity models quantify conversion effects of premium changes
  • Loss reserving forecasts combine development triangles, assumptions and uncertainty ranges
  • Scenario testing assesses catastrophe, inflation and portfolio-mix sensitivity
  • Actuarial sign-off requirements retained for material pricing and reserving decisions

Participants can assess and control generative AI applications for insurance knowledge, documents and communications.

  • Retrieval-augmented generation grounds responses in approved policy and procedure content
  • Prompt patterns extract policy terms, summarise files and draft correspondence
  • Hallucination, prompt injection and data-exfiltration risks tested before deployment
  • Human review thresholds set for coverage interpretation and customer-facing messages
  • Knowledge-base governance assigns source owners, review dates and access permissions
  • Generative AI use cases separated from predictive-model decision use cases
  • Output logging supports quality assurance, complaints handling and audit evidence

Participants can establish accountabilities and third-party controls for an insurance AI operating model.

  • Target operating model assigns accountabilities across business, risk, data and technology
  • Use-case prioritisation scores value, feasibility, risk, data readiness and time-to-benefit
  • Business cases quantify benefits, implementation costs, controls and residual risk
  • Vendor due diligence examines training data, security, explainability and exit rights
  • Service-level agreements specify availability, incident response, support and change notification
  • Third-party model documentation tested against internal validation and audit requirements
  • Change-management plans address role redesign, training, adoption and escalation routes

Participants can create a monitored implementation plan for a controlled insurance AI deployment.

  • Production monitoring tracks performance, drift, fairness, latency and override patterns
  • Population stability index flags material shifts in input distributions
  • Outcome back-testing compares predicted risk with emerging claims experience
  • Model recalibration triggers distinguish routine maintenance from material model change
  • Control dashboards report exceptions, approvals, incidents and remediation ownership
  • 90-day implementation plan sequences pilots, controls, dependencies and decision gates
  • Executive reporting links AI outcomes to customer, risk and financial measures

Exercises and examples are adapted to each cohort's sectors and roles.

What you take back to work

  1. Insurance AI use-case prioritisation matrix
  2. Insurance data readiness assessment template
  3. Model governance and validation checklist
  4. Generative AI control framework
  5. AI vendor due-diligence questionnaire
  6. 90-day insurance AI implementation plan

Who should attend

  • Insurance Innovation Managers — responsible for selecting and scaling viable AI use cases
  • Underwriting Managers — need controlled automation and evidence-based referral rules
  • Claims Managers — seek better triage, fraud detection and claims handling quality
  • Risk and Compliance Managers — oversee model, conduct, privacy and third-party risks
  • Data and Analytics Managers — translate technical models into insurance business outcomes
  • Product and Operations Managers — improve service, pricing and process performance through AI

Skills and tools covered

Insurance AI strategyModel risk governanceClaims analyticsUnderwriting automationFairness testingAI implementation planning

Tools and standards

CRISP-DM, NIST AI RMF, ISO/IEC 42001, Population Stability Index

How the course runs

Training methodology

The course uses short instructor briefings to establish methods and terminology, followed by insurance case analysis, group decision work and facilitated simulations. Participants assess AI opportunities in underwriting, claims, fraud, pricing and customer service using realistic operating constraints. Model-performance measures, governance controls and vendor documentation are examined through practical examples. Structured discussions compare predictive AI, generative AI and rules-based automation. The final sessions focus on translating course methods into a controlled implementation plan for each participant's insurance context.

Requirements and prerequisites

Participants should understand core insurance operations such as underwriting, claims, policy administration, pricing, fraud management or customer servicing. Familiarity with common insurance measures, including loss ratio, claim frequency and claim severity, is helpful. Participants should also be comfortable interpreting tables, charts and basic business cases. Prior coding, data-science experience or advanced mathematics is not required. The course explains machine-learning concepts in business terms, while retaining enough technical detail to support informed decisions about model performance, governance and implementation.

A typical training day

08:30 – 10:30First session
10:30 – 10:45Refreshment break
10:45 – 12:30Second session
12:30 – 13:30Lunch and networking
13:30 – 15:00Third session
15:00 – 15:15Refreshment break
15:15 – 16:30Workshop and daily review

Live online deliveries follow the same structure in East Africa Time, with shorter screen blocks and longer breaks.

What the fee includes

  • Instruction by a practitioner facilitator
  • Full course workbook and materials
  • Exercise files, templates and case studies
  • Refreshments and lunch on classroom deliveries
  • Certificate of completion
  • Post-course application plan

Frequently asked questions

Participants should understand at least one insurance function, such as underwriting, claims, pricing, fraud, product or operations. Coding, data-science qualifications and advanced mathematics are not required.

Participants should bring a laptop if attending in person and a current business challenge or AI use case from their insurance operation. No specialist software is required.

The course suits insurance managers, analysts, risk professionals, transformation leads and technology decision-makers. It is particularly relevant to people approving, designing or governing AI-enabled processes.

This course focuses on insurance decisions, data sources, controls and performance measures. It covers underwriting, claims, fraud, pricing, reserving, conduct risk and insurance-specific model governance rather than general technical programming.

Participants can use the prioritisation matrix to assess proposed AI initiatives and the governance checklist to identify control gaps. The implementation plan can support discussions with business sponsors, risk teams, data teams and vendors.

The five days provide approximately 32.5 contact hours, delivered from 08:30 to 16:30. Time is divided across ten modules covering AI foundations, data, models, governance, insurance applications, generative AI, operating models and implementation planning.

Questions about this course?

Ask about dates, fees, group bookings or running it for your team. Our training team replies by email.