Artificial Intelligence in Underwriting

Issue 33 of the Self-Funded with Spencer Newsletter

Episode 90 of the?Self-Funded with Spencer ?podcast features Matthew S. Weaver, J.D. of Gradient AI . Gradient AI is making waves in the self-funding and stop-loss worlds because its powerful underwriting engine helps brokers, carriers, and TPA's assess risk on employers who lack adequate claims data.

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Episode 90 Summary:

How Artificial Intelligence is Powering the Future of Risk with Matt Weaver of Gradient AI.

In this episode of "Self-Funded with Spencer," host Spencer Smith chats with Matt Weaver, Director of Sales for Gradient AI, about Artificial Intelligence in underwriting tools for self-funding and other stop-loss initiatives.

Gradient AI helps underwriters make better assessments of risk, especially when limited loss and claims history exists, or even in the potential absence of claims data altogether.

This solution can be helpful in the world of self-funding when underwriting stop-loss insurance, especially for smaller employers.

Matt, who brings his expertise in the legal and sales domains, shares his experience working at large insurance defense firms after law school, selling insurance despite no prior knowledge of the industry, and eventually finding himself working with Gradient AI.

He explains how the Gradient AI tool uses advanced data analytics and Artificial Intelligence to accurately assess risk profiles for small and mid-sized business groups.

Their platform has revolutionized the underwriting process, making it faster, and much more efficient. They also discuss the challenges of predicting outcomes for the "messy middle" groups and how the pricing model can lead to a rollercoaster ride for employers.

Listeners will learn the importance of data to support the recommendation of self-funding and how Gradient AI is using AI to make more informed decisions in the insurance industry.

Join Spencer and guest Matt Weaver, as they share their insights into how AI is changing the future of employee benefits and A and H space.

Timestamps

[00:00:09 ] Artificial Intelligence in Self-Funding Underwriting Tools

[00:03:04 ] Experience working at an insurance defense firm

[00:06:06 ] Transitioning from Insurance Defense to Benefits Consulting

[00:09:01 ] Starting in Insurance Sales

[00:14:42 ] Transitioning from traditional brokering to consulting

[00:17:53 ] From PEO Consulting to Joining Gradient AI

[00:21:04 ] Gradient AI's Role in Predicting Risk for Insurance

[00:27:37 ] Challenges in Underwriting Self-Funded Businesses

[00:30:45 ] Distinguishing Factors in Predictive Analytics

[00:37:14 ] Risk Scores and Cost Estimates for Health Insurance

[00:40:30 ] Success of Data-Driven Underwriting Tool

[00:43:35 ] Revolutionizing Underwriting in Insurance Industry

[00:46:33 ] Innovative Pricing Model & AI in Health Benefits

[00:52:56 ] The Power of Claims Data in Insurance Consulting

[00:55:47 ] Maximizing Benefits of Self-funded Healthcare Plans

[00:59:02 ] Challenges of Self-Funding for Employers

[01:01:59 ] Procurement processes for clients and use of data

[01:05:26 ] The Future of Artificial Intelligence in Insurance

[01:11:47 ] Risk Analytics and Artificial Intelligence in Insurance