The 360IS Blog: AI, Insurance, and Innovation

Why “Who decided this and why?” Is Now a Baseline Requirement in Automated Insurance Claims Artificial intelligence is rapidly transforming automated insurance claims . From intelligent document ingestion to medical bill review and demand evaluation, carriers are adopting AI to move faster, reduce costs, and scale without adding headcount. But amid the excitement around automation, one uncomfortable question keeps surfacing: “Who decided this — and why?” For many insurers dep

Unstructured records lead to inconsistent outcomes. Structured, source-backed reviews change that. Medical review is supposed to create clarity. Too often, it does the opposite. Claims teams are handed hundreds—sometimes thousands—of pages of medical records: PDFs, faxes, handwritten notes, imaging reports, lab results, and prior reviews. The information exists, but it isn’t organized for decision-making. As a result, even experienced clinicians and adjusters arrive at differ

How carriers can get ahead of bias, transparency, and governance requirements with a human‑in‑the‑loop approach Why NAIC’s 2026 AI Pilot Matters Artificial intelligence is no longer experimental in insurance. From automated insurance claims  handling to medical record review and fraud detection, AI systems are now embedded in daily carrier operations. Recognizing both the opportunity and the risk, the National Association of Insurance Commissioners (NAIC)  is launching AI Eva

Insurance organizations have made meaningful progress digitizing documents and automating basic workflows. But for many claims, legal, and medical review teams, the reality is this: unstructured data still slows everything down . Medical records, police reports, demand letters, bills, and correspondence don’t fit neatly into databases. Simply extracting text is no longer enough. The next step in the unstructured data automation journey is intelligent analytics —the ability to

In today’s competitive insurance landscape, underwriters are under pressure to deliver faster, more accurate decisions—without compromising quality or compliance. Yet many carriers still rely on manual data extraction  from submissions, applications, and supporting documents. This outdated approach bottlenecks the underwriting process, increases operational costs, and contributes to rising loss ratios. The good news: intelligent automation has matured to the point where carri

In today’s competitive insurance landscape, underwriting profitability hinges on two things: speed  and accuracy . Insurers are under constant pressure to make faster decisions, improve risk selection, and reduce operational costs—without compromising quality. Yet the traditional underwriting process remains stubbornly manual, tedious, and error-prone, especially when large volumes of documents must be reviewed. AI-powered document processing is changing that. By automating t

The insurance industry is at a turning point. After years of pilots, proofs of concept, and exploratory AI initiatives, 2026 is the year insurers finally shift from experimenting  to executing . The core question is no longer “Should we use AI?” —it’s “How fast can we scale it to transform underwriting and automate insurance claims?”   Below are the biggest trends shaping the industry and what they mean for insurers who want to stay competitive. AI Moves From Innovation to Im

The insurance industry is evolving faster than ever. For years, automation focused on one goal — extracting data from documents. But in today’s digital landscape, that’s no longer enough. The real transformation lies in how insurers use that data to make faster, smarter, and fairer decisions . At 360 Intelligent Solutions (360IS) , we believe the future of insurance isn’t about simply extracting  information — it’s about understanding  it. Our AI-driven solutions go far beyon

When it comes to managing insurance claims, medical reviews, or demand packages, the intake process often sets the tone for everything that follows. Yet, many organizations still rely on manual data entry, email attachments, and human triage to handle submissions—methods that are slow, error-prone, and expensive. In an era where speed and accuracy drive client satisfaction and profitability, manual submission intake isn’t just outdated—it’s costing your organization more than

In the fast-evolving world of insurance, AI is transforming claims management —accelerating processing times, improving accuracy, and helping adjusters focus on high-value tasks. But with innovation comes a new challenge: trust . Carriers and claims professionals must feel confident that AI-driven recommendations are accurate, explainable, and fair . So, what separates the leaders in AI-powered claims  from the rest? The answer lies in transparency, human collaboration, and p

In today’s insurance landscape, policy and claims teams are faced with a mountain of unstructured data —medical records, adjuster notes, legal documents, and customer communications. While this information holds critical value, it’s often scattered, unformatted, and difficult to interpret at scale. Without the right tools, teams risk overlooking insights that could improve claim accuracy, speed up decision-making, and strengthen customer satisfaction. This is where AI-driven

A Fresh Start for a Smarter Future As fall arrives, the back-to-school season reminds us of new beginnings and the power of learning. For insurance organizations, it’s the perfect time to sharpen skills and prepare for the year ahead. Just like students returning to the classroom, your team can use this season to expand their knowledge—this time, with AI tools designed to transform insurance workflows. At 360 Intelligent Solutions, our AI-powered platforms— 360 DemandReview ,

Fast outcomes. Fewer clicks. Trusted decisions.  That’s the bar we set for ourselves—and for every carrier, MGA, and TPA we support. While “AI for insurance” has become a crowded space, 360 Intelligent Solutions differentiates on three fronts that truly matter: measurable speed to value, explainable automation with human oversight, and a product suite that spans claims , document review , and policy administration —all built to integrate quickly and work the way your teams al

August 2025 —  This Fall, 360 Intelligent Solutions  is proud to announce a powerful expansion across its core platforms — 360 DemandReview and 360 MedReview  — combining dynamic reporting, operational KPIs, and next-generation analytics to deliver faster, smarter, and more defensible claims decisions . The centerpiece of this release is the integration of ICQs (Intelligent Claims Questions)  — a first-of-its-kind framework that automatically uncovers risk, exaggeration, an

Boost insurance claims productivity with AI that works with—not instead of—your team. 360 DemandReview, MedReview, and Ask360 deliver fast, accurate, human-guided support.

Struggling with the summer spike in auto claims? Discover how 360DemandReview and 360MedReview from 360 Intelligent Solutions use AI and human-in-the-loop precision to streamline insurance workflows, reduce processing times, and ensure compliance—no rip-and-replace required.

By Justin Mayfield, VP of Marketing & Business Analytics at 360 Intelligent Solutions Innovation in insurance is no longer optional—it’s a strategic imperative. That was the clear message from the session on Enabling Effective Innovation  at the Auto Insurance Report National Conference. As carriers, MGAs, and TPAs grapple with rapid technological change, evolving customer expectations, and mounting operational complexity, it’s become clear: standing still is the biggest risk

By Justin Mayfield, VP of Marketing & Business Analytics at 360 Intelligent Solutions In the not-so-distant past, insurance technology was dominated by clunky mainframes, rigid vended core platforms, and early cloud-based delivery systems. These systems laid the foundation for digital operations, but they came with limitations—heavy infrastructure, siloed data, and sluggish adaptability. Fast forward to today, and we’re witnessing a seismic shift: the rise of artificial intel

The insurance industry is evolving rapidly, with technology playing a major role in building competitive advantages. For smaller carriers and managing general agents (MGAs), keeping up with innovation can be costly. Traditional, rigid pricing structures often demand large upfront investments, which can strain cash reserves. This is where flexible pricing models offer a more adaptable and budget-friendly way to adopt new technology. The Need for Agile Pricing Models Smaller in

Efficiency has always been a key driver of success in the insurance industry. In 2025, though, it goes beyond cutting costs. It involves reducing risk, improving accuracy, and keeping policyholders happy. Advanced automation in claims processing drives these efforts. It gives insurers strong tools that reduce manual work and prevent costly mistakes. This blog explores how AI-powered workflows are changing claims in healthcare and beyond. We aim to prevent costly issues, like