Agentic AI in Insurance: Moving Beyond Generative AI to Autonomous Decision-Making
DOI:
https://doi.org/10.63282/3117-5481/AIJCST-V7I5P104Keywords:
Agentic AI, Generative AI, Insurance Technology, Autonomous Systems, Reinforcement Learning, Risk Modeling, Explainable AI, Fraud Detection, Cognitive Agents, Decision IntelligenceAbstract
The emergence of the Artificial Intelligence (AI) has revolutionised the operational and decision making of the international insurance sector. Although Generative AI has already transformed the technique of relying on information to produce content, claims consolidation, and client communication, the subsequent breakthrough is Agentic AI Stations that may release self-managed choices and aim-directed learning and take charge of actions without immediate human oversight. The paper presents the shift of AI used in the insurance industry towards agentic AI and its architectural, ethical, and operational consequences of implementing autonomous intelligence to underwrite, risk model, fraud detection, and claim management. Agents AGI works contrasts with classical super AI paradigm since it introduces goal-based reasoning, multi-agent interaction and self-improvement systems. In contrast to large language models (LLMs), like ChatGPT or Claude, which are designed to produce their own output given a prompt, agentic systems have the ability to start and finish activities, evaluate feedback, and autopilot judgments and plan with other virtual agents or human decision makers. Services in the insurance domain can use these systems to be able to independently analyze market environments, adjust their underwriting designs, make transactions within controlled limits, and respond to policy alterations. The transition of AI towards prompts (reactive) to intent (proactive) will require a new computational infrastructure that is the fusion of reinforcement learning (RL), knowledge graphs, explainable AI (XAI) and trust-based governance systems. In this paper, a multi-layered structure of Agentic Insurance Intelligence Framework (AIIF) is introduced that combines streams of risk data, behavioral economic and real time optimization models of policy to facilitate trustful autonomous practice. It is a qualitative and a quantitative study, which compares the traditional AI processes used in claims processing and agentic systems, which can reason under uncertainty. Results indicate that up to 45 percent accuracy of risk assessment, and 30 percent reduction in time to detect claims of fraudulent activities were recorded. Moreover, agentic reasoning layers have been shown to be more interpretable, regulatory-compliant as well as traceable of the decisions. The last section of this paper maintains that agentic AI is a not only a technological innovation but also a paradigm shift - of assistance to autonomy. Such architectures adopted by insurance businesses will result in a state of flexibility, efficiency and stability never felt in the dynamic risk environment
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