AI-assisted coverage checks:The machine calculates, the human judges

Summary

The check at the start of every case becomes faster, more consistent and verifiable.

• The effort

  Around 40,000 cases a year, of which around 15,000 detailed case reviews and around 2,000 very complex ones taking up to 60 minutes.

• The solution

  It checks the five coverage dimensions and backs every statement with a clause reference.

• Where we stand

  Pilot since October 2025, go-live on 19 October 2026.

• The impact

  More consistent assessments, earlier answers to customers.

Contents · eight chapters along the coverage check

1. 01Starting pointHow the check runs today, what slows it down, where it becomes inconsistent
2. 02The solutionA check across five dimensions, with reasoning and clause references
3. 03Interplay and architectureWho does what, and how data protection and governance are covered
4. 04Quality measurementThe threshold before rollout and what is measured continuously
5. 05ImpactTime, quality, relief for the experts, customer benefit
6. 06Rollout and adoptionHow the transformation succeeds in the organisation
7. 07TransferabilityWhat other legal protection insurers can take away
8. 08OutlookEnd-to-end process, further products, further languages