Harnessing Generative AI in Guidewire: Transforming Insurance Operations with Intelligent Insights

Authors

  • Nivedita Rahul Independent Researcher, USA. Author

DOI:

https://doi.org/10.63282/3117-5481/AIJCST-V7I4P105

Keywords:

Generative Ai, Guidewire, Insurance Technology, Intelligent Automation, Underwriting, Claims Processing, Fraud Detection, Policy Administration, Machine Learning, Large Language Models, Predictive Analytics

Abstract

The insurance market, which has long been associated with the need to use a lot of paperwork, manual processing and the use of legacy systems, is now in the transition to the digital world. One of the most disruptive technologies is Generative Artificial Intelligence (AI) that is causing a change. The provided paper talks about the ways to implement Generative AI in the Guidewire platform, which presupposes the opportunity to enhance the processing of claims, handling policies, communication with customers, detecting fraud, and underwriting. The work concentrates on the potentially smart application of automation, and discusses how Generative AI algorithms, in particular, large language models (LLMs) play a role in improving operational efficiency, predictive analytics, and personalized customer experiences. Mixed-method study, combining the qualitative value of case studies and the quantification of objective measures of the measurable metrics in the processes, we offer the proof of the objective value of AI-enabled systems. The research shows the ethical questions, safety of the data, the abject necessity to follow the regulations proposing the use of the strategic framework. The findings confirm the use of a hybrid of human and AI workflow whereby the humanity and AI integrate their benefits to bring about optimal results. The paper also enumerates a roadmap that can be followed by insurers intending to have a digital maturity of their business with the help of AI-based changes which incorporates guidelines, architectural drawings, performance benchmarks, and an illustration of future capabilities

References

[1] Suresh, H., & Guttag, J. V. (2019). A framework for understanding unintended consequences of machine learning. arXiv preprint arXiv:1901.10002, 2(8), 73.

[2] Reddy, A. S. (2023). Future Proofing Insurance Operations: A Guidewire-Centric Approach to Cloud, Cybersecurity, and Generative AI.

[3] Kokab, S. T., Asghar, S., & Naz, S. (2022). Transformer-based deep learning models for the sentiment analysis of social media data. Array, 14, 100157.

[4] Subhash, P. M., Gupta, D., Palaniswamy, S., & Venugopalan, M. (2023, July). Fake news detection using deep learning and transformer-based model. In 2023 14th International Conference on Computing Communication and Networking Technologies (ICCCNT) (pp. 1-6). IEEE.

[5] Shasha, Z. (2023). The Impact of Digital Transformation on the Insurance Business Model and Innovative Opportunities. Financial Engineering and Risk Management, 6(11), 121-126.

[6] Scardovi, C. (2017). Transformation in Insurance. In Digital Transformation in Financial Services (pp. 163-185). Cham: Springer International Publishing.

[7] Saxena, A., Verma, S., & Mahajan, J. (2024). The Evolution of Insurance in the Digital Age. In Generative AI in Banking Financial Services and Insurance: A Guide to Use Cases, Approaches, and Insights (pp. 201-237). Berkeley, CA: Apress.

[8] Cosma, S., & Rimo, G. (2024). Redefining insurance through technology: Achievements and perspectives in Insurtech. Research in International Business and Finance, 70, 102301.

[9] Cappiello, A. (2020). The digital (r) evolution of insurance business models. American Journal of Economics and Business Administration, 12(1), 1-13.

[10] Warudkar, S., & Jalit, R. (2024, May). Unlocking the potential of generative AI in large language models. In 2024 Parul International Conference on Engineering and Technology (PICET) (pp. 1-5). IEEE.

[11] Saxena, A., Mahajan, J., & Verma, S. (2024). Generative AI in Banking Financial Services and Insurance. Springer.

[12] How is Artificial Intelligence Reshaping The P&C Insurance Industry?, guidewire, online. https://www.guidewire.com/resources/insurance-technology-faq/artificial-intelligence-in-insurance

[13] Riikkinen, M., Saarijärvi, H., Sarlin, P., & Lähteenmäki, I. (2018). Using artificial intelligence to create value in insurance. International Journal of Bank Marketing, 36(6), 1145-1168.

[14] Baker, D. F., Neely, W. P., Prenshaw, P. J., & Taylor, P. A. (2015). Developing a Multi-Dimensional Evaluation Framework for Faculty Teaching and Service Performance. Journal of Academic Administration in Higher Education, 11(2), 29-41.

[15] Hassan, M. N., Hawas, Y. E., & Ahmed, K. (2013). A multi-dimensional framework for evaluating the transit service performance. Transportation Research Part A: Policy and Practice, 50, 47-61.

[16] Ittoo, A., & Bouma, G. (2013). Minimally-supervised learning of domain-specific causal relations using an open-domain corpus as knowledge base. Data & Knowledge Engineering, 88, 142-163.

[17] Edge, M. E., & Sampaio, P. R. F. (2009). A survey of signature based methods for financial fraud detection. computers & security, 28(6), 381-394.

[18] Verma, A., Taneja, A., & Arora, A. (2017, August). Fraud detection and frequent pattern matching in insurance claims using data mining techniques. In 2017 tenth international conference on contemporary computing (IC3) (pp. 1-7). IEEE.

[19] Rusum, G. P., Pappula, K. K., & Anasuri, S. (2020). Constraint Solving at Scale: Optimizing Performance in Complex Parametric Assemblies. International Journal of Emerging Trends in Computer Science and Information Technology, 1(2), 47-55. https://doi.org/10.63282/3050-9246.IJETCSIT-V1I2P106

[20] Pappula, K. K., & Anasuri, S. (2020). A Domain-Specific Language for Automating Feature-Based Part Creation in Parametric CAD. International Journal of Emerging Research in Engineering and Technology, 1(3), 35-44. https://doi.org/10.63282/3050-922X.IJERET-V1I3P105

[21] Enjam, G. R. (2020). Ransomware Resilience and Recovery Planning for Insurance Infrastructure. International Journal of AI, BigData, Computational and Management Studies, 1(4), 29-37. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V1I4P104

[22] Pappula, K. K., Anasuri, S., & Rusum, G. P. (2021). Building Observability into Full-Stack Systems: Metrics That Matter. International Journal of Emerging Research in Engineering and Technology, 2(4), 48-58. https://doi.org/10.63282/3050-922X.IJERET-V2I4P106

[23] Pedda Muntala, P. S. R., & Karri, N. (2021). Leveraging Oracle Fusion ERP’s Embedded AI for Predictive Financial Forecasting. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 2(3), 74-82. https://doi.org/10.63282/3050-9262.IJAIDSML-V2I3P108

[24] Enjam, G. R. (2021). Data Privacy & Encryption Practices in Cloud-Based Guidewire Deployments. International Journal of AI, BigData, Computational and Management Studies, 2(3), 64-73. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V2I3P108

[25] Karri, N. (2021). Self-Driving Databases. International Journal of Emerging Trends in Computer Science and Information Technology, 2(1), 74-83. https://doi.org/10.63282/3050-9246.IJETCSIT-V2I1P10

[26] Rusum, G. P. (2022). WebAssembly across Platforms: Running Native Apps in the Browser, Cloud, and Edge. International Journal of Emerging Trends in Computer Science and Information Technology, 3(1), 107-115. https://doi.org/10.63282/3050-9246.IJETCSIT-V3I1P112

[27] Pappula, K. K. (2022). Architectural Evolution: Transitioning from Monoliths to Service-Oriented Systems. International Journal of Emerging Research in Engineering and Technology, 3(4), 53-62. https://doi.org/10.63282/3050-922X.IJERET-V3I4P107

[28] Jangam, S. K., & Pedda Muntala, P. S. R. (2022). Role of Artificial Intelligence and Machine Learning in IoT Device Security. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 3(1), 77-86. https://doi.org/10.63282/3050-9262.IJAIDSML-V3I1P108

[29] Anasuri, S. (2022). Adversarial Attacks and Defenses in Deep Neural Networks. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 3(4), 77-85. https://doi.org/10.63282/xs971f03

[30] Pedda Muntala, P. S. R. (2022). Anomaly Detection in Expense Management using Oracle AI Services. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 3(1), 87-94. https://doi.org/10.63282/3050-9262.IJAIDSML-V3I1P109

[31] Enjam, G. R. (2022). Energy-Efficient Load Balancing in Distributed Insurance Systems Using AI-Optimized Switching Techniques. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 3(4), 68-76. https://doi.org/10.63282/3050-9262.IJAIDSML-V3I4P108

[32] Karri, N. (2022). AI-Powered Anomaly Detection. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 3(2), 122-131. https://doi.org/10.63282/3050-9262.IJAIDSML-V3I2P114

[33] Tekale, K. M., & Rahul, N. (2022). AI and Predictive Analytics in Underwriting, 2022 Advancements in Machine Learning for Loss Prediction and Customer Segmentation. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 3(1), 95-113. https://doi.org/10.63282/3050-9262.IJAIDSML-V3I1P111

[34] Rusum, G. P., & Anasuri, S. (2023). Composable Enterprise Architecture: A New Paradigm for Modular Software Design. International Journal of Emerging Research in Engineering and Technology, 4(1), 99-111. https://doi.org/10.63282/3050-922X.IJERET-V4I1P111

[35] Pappula, K. K. (2023). Reinforcement Learning for Intelligent Batching in Production Pipelines. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 4(4), 76-86. https://doi.org/10.63282/3050-9262.IJAIDSML-V4I4P109

[36] Jangam, S. K., Karri, N., & Pedda Muntala, P. S. R. (2023). Develop and Adapt a Salesforce User Experience Design Strategy that Aligns with Business Objectives. International Journal of Emerging Trends in Computer Science and Information Technology, 4(1), 53-61. https://doi.org/10.63282/3050-9246.IJETCSIT-V4I1P107

[37] Anasuri, S. (2023). Confidential Computing Using Trusted Execution Environments. International Journal of AI, BigData, Computational and Management Studies, 4(2), 97-110. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V4I2P111

[38] Reddy Pedda Muntala , P. S. (2023). Process Automation in Oracle Fusion Cloud Using AI Agents. International Journal of Emerging Research in Engineering and Technology, 4(4), 112-119. https://doi.org/10.63282/3050-922X.IJERET-V4I4P111

[39] Enjam, G. R. (2023). Modernizing Legacy Insurance Systems with Microservices on Guidewire Cloud Platform. International Journal of Emerging Research in Engineering and Technology, 4(4), 90-100. https://doi.org/10.63282/3050-922X.IJERET-V4I4P109

[40] Tekale, K. M., Enjam, G. R., & Rahul, N. (2023). AI Risk Coverage: Designing New Products to Cover Liability from AI Model Failures or Biased Algorithmic Decisions. International Journal of AI, BigData, Computational and Management Studies, 4(1), 137-146. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V4I1P114

[41] Karri, N. (2023). ML Models That Learn Query Patterns and Suggest Execution Plans. International Journal of Emerging Trends in Computer Science and Information Technology, 4(1), 133-141. https://doi.org/10.63282/3050-9246.IJETCSIT-V4I1P115

[42] Rusum, G. P., & Pappula, K. K. (2024). Platform Engineering: Empowering Developers with Internal Developer Platforms (IDPs). International Journal of AI, BigData, Computational and Management Studies, 5(1), 89-101. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V5I1P110

[43] Enjam, G. R., Tekale, K. M., & Chandragowda, S. C. (2024). Chatbot & Voice Bot Integration with Guidewire Digital Portals. International Journal of Emerging Trends in Computer Science and Information Technology, 5(1), 82-93. https://doi.org/10.63282/3050-9246.IJETCSIT-V5I1P109

[44] Pappula, K. K., & Anasuri, S. (2024). Deep Learning for Industrial Barcode Recognition at High Throughput. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 5(1), 79-91. https://doi.org/10.63282/3050-9262.IJAIDSML-V5I1P108

[45] Pedda Muntala, P. S. R., & Karri, N. (2024). Evaluating the ROI of Embedded AI Capabilities in Oracle Fusion ERP. International Journal of AI, BigData, Computational and Management Studies, 5(1), 114-126. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V5I1P112

[46] Jangam, S. K. (2024). Research on Firewalls, Intrusion Detection Systems, and Monitoring Solutions Compatible with QUIC’s Encryption and Evolving Protocol Features . International Journal of AI, BigData, Computational and Management Studies, 5(2), 90-101. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V5I2P110

[47] Anasuri, S. (2024). Prompt Engineering Best Practices for Code Generation Tools. International Journal of Emerging Trends in Computer Science and Information Technology, 5(1), 69-81. https://doi.org/10.63282/3050-9246.IJETCSIT-V5I1P108

[48] Karri, N., Pedda Muntala, P. S. R., & Jangam, S. K. (2024). Adaptive Tuning and Load Balancing Using AI Agents. International Journal of Emerging Research in Engineering and Technology, 5(1), 101-110. https://doi.org/10.63282/3050-922X.IJERET-V5I1P112

[49] Tekale, K. M., Rahul, N., & Enjam, G. reddy. (2024). EV Battery Liability & Product Recall Coverage: Insurance Solutions for the Rapidly Expanding Electric Vehicle Market. International Journal of AI, BigData, Computational and Management Studies, 5(2), 151-160. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V5I2P115

[50] Pappula, K. K., & Rusum, G. P. (2020). Custom CAD Plugin Architecture for Enforcing Industry-Specific Design Standards. International Journal of AI, BigData, Computational and Management Studies, 1(4), 19-28. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V1I4P103

[51] Enjam, G. R., & Tekale, K. M. (2020). Transitioning from Monolith to Microservices in Policy Administration. International Journal of Emerging Research in Engineering and Technology, 1(3), 45-52. https://doi.org/10.63282/3050-922X.IJERETV1I3P106

[52] Pappula, K. K., & Rusum, G. P. (2021). Designing Developer-Centric Internal APIs for Rapid Full-Stack Development. International Journal of AI, BigData, Computational and Management Studies, 2(4), 80-88. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V2I4P108

[53] Pedda Muntala, P. S. R., & Jangam, S. K. (2021). End-to-End Hyperautomation with Oracle ERP and Oracle Integration Cloud. International Journal of Emerging Research in Engineering and Technology, 2(4), 59-67. https://doi.org/10.63282/3050-922X.IJERET-V2I4P107

[54] Enjam, G. R., & Chandragowda, S. C. (2021). RESTful API Design for Modular Insurance Platforms. International Journal of Emerging Research in Engineering and Technology, 2(3), 71-78. https://doi.org/10.63282/3050-922X.IJERET-V2I3P108

[55] Karri, N. (2021). AI-Powered Query Optimization. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 2(1), 63-71. https://doi.org/10.63282/3050-9262.IJAIDSML-V2I1P108

[56] Rusum, G. P., & Pappula, kiran K. . (2022). Event-Driven Architecture Patterns for Real-Time, Reactive Systems. International Journal of Emerging Research in Engineering and Technology, 3(3), 108-116. https://doi.org/10.63282/3050-922X.IJERET-V3I3P111

[57] Pappula, K. K. (2022). Containerized Zero-Downtime Deployments in Full-Stack Systems. International Journal of AI, BigData, Computational and Management Studies, 3(4), 60-69. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V3I4P107

[58] Jangam, S. K., & Karri, N. (2022). Potential of AI and ML to Enhance Error Detection, Prediction, and Automated Remediation in Batch Processing. International Journal of AI, BigData, Computational and Management Studies, 3(4), 70-81. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V3I4P108

[59] Anasuri, S. (2022). Formal Verification of Autonomous System Software. International Journal of Emerging Research in Engineering and Technology, 3(1), 95-104. https://doi.org/10.63282/3050-922X.IJERET-V3I1P110

[60] Pedda Muntala, P. S. R. (2022). Natural Language Querying in Oracle Fusion Analytics: A Step toward Conversational BI. International Journal of Emerging Trends in Computer Science and Information Technology, 3(3), 81-89. https://doi.org/10.63282/3050-9246.IJETCSIT-V3I3P109

[61] Enjam, G. R. (2022). Secure Data Masking Strategies for Cloud-Native Insurance Systems. International Journal of Emerging Trends in Computer Science and Information Technology, 3(2), 87-94. https://doi.org/10.63282/3050-9246.IJETCSIT-V3I2P109

[62] Karri, N., Pedda Muntala, P. S. R., & Jangam, S. K. (2022). Forecasting Hardware Failures or Resource Bottlenecks Before They Occur. International Journal of Emerging Research in Engineering and Technology, 3(2), 99-109. https://doi.org/10.63282/3050-922X.IJERET-V3I2P111

[63] Tekale, K. M. T., & Enjam, G. reddy . (2022). The Evolving Landscape of Cyber Risk Coverage in P&C Policies. International Journal of Emerging Trends in Computer Science and Information Technology, 3(3), 117-126. https://doi.org/10.63282/3050-9246.IJETCSIT-V3I1P113

[64] Rusum, G. P., & Anasuri, S. (2023). Synthetic Test Data Generation Using Generative Models. International Journal of Emerging Trends in Computer Science and Information Technology, 4(4), 96-108. https://doi.org/10.63282/3050-9246.IJETCSIT-V4I4P111

[65] Pappula, K. K. (2023). Edge-Deployed Computer Vision for Real-Time Defect Detection. International Journal of AI, BigData, Computational and Management Studies, 4(3), 72-81. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V4I3P108

[66] Jangam, S. K. (2023). Data Architecture Models for Enterprise Applications and Their Implications for Data Integration and Analytics. International Journal of Emerging Trends in Computer Science and Information Technology, 4(3), 91-100. https://doi.org/10.63282/3050-9246.IJETCSIT-V4I3P110

[67] Anasuri, S., Rusum, G. P., & Pappula, K. K. (2023). AI-Driven Software Design Patterns: Automation in System Architecture. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 4(1), 78-88. https://doi.org/10.63282/3050-9262.IJAIDSML-V4I1P109

[68] Pedda Muntala, P. S. R., & Karri, N. (2023). Managing Machine Learning Lifecycle in Oracle Cloud Infrastructure for ERP-Related Use Cases. International Journal of Emerging Research in Engineering and Technology, 4(3), 87-97. https://doi.org/10.63282/3050-922X.IJERET-V4I3P110

[69] Enjam, G. R., Tekale, K. M., & Chandragowda, S. C. (2023). Zero-Downtime CI/CD Production Deployments for Insurance SaaS Using Blue/Green Deployments. International Journal of Emerging Research in Engineering and Technology, 4(3), 98-106. https://doi.org/10.63282/3050-922X.IJERET-V4I3P111

[70] Tekale , K. M. (2023). AI-Powered Claims Processing: Reducing Cycle Times and Improving Accuracy. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 4(2), 113-123. https://doi.org/10.63282/3050-9262.IJAIDSML-V4I2P113

[71] Karri, N., & Pedda Muntala, P. S. R. (2023). Query Optimization Using Machine Learning. International Journal of Emerging Trends in Computer Science and Information Technology, 4(4), 109-117. https://doi.org/10.63282/3050-9246.IJETCSIT-V4I4P112

[72] Rusum, G. P., & Anasuri, S. (2024). Vector Databases in Modern Applications: Real-Time Search, Recommendations, and Retrieval-Augmented Generation (RAG). International Journal of AI, BigData, Computational and Management Studies, 5(4), 124-136. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V5I4P113

[73] Enjam, G. R. (2024). AI-Powered API Gateways for Adaptive Rate Limiting and Threat Detection. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 5(4), 117-129. https://doi.org/10.63282/3050-9262.IJAIDSML-V5I4P112

[74] Pappula, K. K., & Rusum, G. P. (2024). AI-Assisted Address Validation Using Hybrid Rule-Based and ML Models. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 5(4), 91-104. https://doi.org/10.63282/3050-9262.IJAIDSML-V5I4P110

[75] Reddy Pedda Muntala, P. S., & Jangam, S. K. (2024). Automated Risk Scoring in Oracle Fusion ERP Using Machine Learning. International Journal of Artificial Intelligence, Data Science, and Machine Learning, 5(4), 105-116. https://doi.org/10.63282/3050-9262.IJAIDSML-V5I4P111

[76] Jangam, S. K. (2024). Scalability and Performance Limitations of Low-Code and No-Code Platforms for Large-Scale Enterprise Applications and Solutions. International Journal of Emerging Trends in Computer Science and Information Technology, 5(3), 68-78. https://doi.org/10.63282/3050-9246.IJETCSIT-V5I3P107

[77] Anasuri, S., & Rusum, G. P. (2024). Software Supply Chain Security: Policy, Tooling, and Real-World Incidents. International Journal of Emerging Trends in Computer Science and Information Technology, 5(3), 79-89. https://doi.org/10.63282/3050-9246.IJETCSIT-V5I3P108

[78] Karri, N., & Pedda Muntala, P. S. R. (2024). Using Oracle’s AI Vector Search to Enable Concept-Based Querying across Structured and Unstructured Data. International Journal of AI, BigData, Computational and Management Studies, 5(3), 145-154. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V5I3P115

[79] Tekale, K. M. (2024). Generative AI in P&C: Transforming Claims and Customer Service. International Journal of Emerging Trends in Computer Science and Information Technology, 5(2), 122-131. https://doi.org/10.63282/3050-9246.IJETCSIT-V5I2P113

Downloads

Published

2025-07-14

Issue

Section

Articles

How to Cite

[1]
N. Rahul, “Harnessing Generative AI in Guidewire: Transforming Insurance Operations with Intelligent Insights”, AIJCST, vol. 7, no. 4, pp. 54–65, Jul. 2025, doi: 10.63282/3117-5481/AIJCST-V7I4P105.

Similar Articles

1-10 of 102

You may also start an advanced similarity search for this article.