Pre-Deployment Assessment
Claims Workflow Audit
- Map current claims process end-to-end
- Identify automation candidates by volume and complexity
- Document exception handling procedures
- Catalog data sources and system integrations
- Benchmark current performance metrics
Underwriting Process Review
- Document risk assessment criteria
- Identify data sources for automated underwriting
- Define pricing model requirements
- Map human review triggers and escalation paths
Data Security Requirements
- Verify SOC 2 Type II certification
- Confirm HIPAA compliance (for health insurance)
- Review data encryption standards (at rest and in transit)
- Audit access control and authentication mechanisms
- Verify data residency compliance
- Review backup and disaster recovery procedures
- Confirm PII handling and retention policies
Regulatory Compliance
- Review state insurance department requirements
- Document AI decision-making transparency measures
- Ensure fair lending and discrimination compliance
- Prepare model risk management documentation
- Establish audit trail requirements
- Define human oversight protocols
Vendor Evaluation Criteria
Technical Requirements
- Integration capabilities with existing systems
- Scalability for claims volume
- API availability and documentation
- Uptime SLA and support levels
Insurance-Specific Features
- Claims processing automation capabilities
- Fraud detection model accuracy
- Underwriting automation features
- Policy administration integration
- Customer portal capabilities
Vendor Stability
- Financial stability assessment
- Insurance industry experience
- Customer references from similar insurers
- Product roadmap alignment
Go-Live Readiness
Technical Readiness
- Integration testing complete
- Performance testing validated
- Security penetration testing passed
- Disaster recovery tested
Operational Readiness
- Staff training completed
- Support procedures documented
- Escalation paths defined
- Rollback plan prepared
Business Readiness
- Success metrics defined
- Stakeholder communication plan ready
- Customer communication prepared
- Regulatory notifications complete (if required)
Post-Deployment Monitoring
- Establish KPI dashboards
- Schedule regular model performance reviews
- Plan quarterly business reviews
- Document continuous improvement process