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[Blog post](/blogs)2 October 20262 mins

# Why Insurance Is the Proving Ground for Enterprise AI

Find out how insurers are capturing the context enterprise AI needs to understand their processes and completely transform insurance operations at scale.

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![Dan Dantus, General Manager, Agentic AI at Skan AI](https://cdn.sanity.io/images/3xg3qj5k/production/5f31785e0d98517fa9e7dc65213373a813da1551-624x806.jpg?q=80&fit=max&auto=format)

Dan Dantus](/authors/dan-dantus)

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Your organization likely already has agents that can handle few-step tasks or decisions: performing document intake, answering a user’s questions, or searching records and returning a result.

But how do we realize the full promise of AI in insurance processes that are long running, branch into millions of exceptions, and cross a dozen systems? To illustrate the challenge, let’s use a claims processing example.

“Verify coverage” might be a single line in the entire procedure. But an experienced adjuster knows that single step in the process requires working through a sequence of questions, for example:

-   Which date of loss is right, when the intake form says March 12 and the police report says March 10?
-   Was the policy in force, given it lapsed on March 11?
-   Was it reinstated?
-   Is the driver covered?
-   Was the loss reported on time?

With each question, the adjuster has to decide:

-   Which system to check?
-   Which screen to trust when billing and policy records disagree?
-   Whether to pend the claim or set a diary?
-   Which reason code to select?

The agent has to get these right too, because a correct coverage call entered the wrong way is still a wrong claim.

**The number of possible paths through a claim is effectively infinite.**An average claim contains around 50 decision points like these, each with its own micro-decisions. Many don't resolve to a simple yes or no - Adjusters select multiple exclusions, write free-text rationales and request documents that reopen earlier steps.

Gathering this information ahead of moving to production is _the hard thing about hard things_ in enterprise AI.

You can map one narrow workflow by hand if you shadow adjusters long enough, but mapping every decision point, macro and micro, across thousands of claims is a different problem, and it's why most agents today are point solutions: they automate the slice that the team had capacity to document.

The only place this knowledge surfaces is in the work itself. Observing thousands of real cases reveals these decision points and records what an experienced adjuster actually did at each one.

Only once your AI system understands these paths can workflows be carried through to completion. That’s why insurance is the ultimate proving ground for enterprise agents; every claim decision is structured, auditable and open to dispute.

This is the next major opportunity for enterprise AI: building agentic systems that can outlast any single interaction and follow a case end to end, whether it takes days, weeks or months to complete.

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![Dan Dantus, General Manager, Agentic AI at Skan AI](https://cdn.sanity.io/images/3xg3qj5k/production/5f31785e0d98517fa9e7dc65213373a813da1551-624x806.jpg?q=80&fit=max&auto=format)

[Dan Dantus](/authors/dan-dantus)

General Manager, Agentic AI

Dan Dantus is General Manager, Agentic AI at Skan AI. His career has spanned product development, business operations, and consulting. Throughout it all, he's helped industry-leading enterprises evolve to stay competitive across both business and technical functions. Now, he leads Skan AI's product strategy and roadmap as the company helps its enterprise customers in banking, insurance, and healthcare capture the work context they need to ground, govern, and validate agent execution at scale.

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