EIS presents OneSuite as cloud-native, API-first, and modular across policy, billing, claims, and customer workflows. During phased modernization, an insurer still needs a dated rule for which system owns each policy state, transaction, document, balance, and correction.
Hi Marley presents an insurance communication platform centered on text messaging among claim professionals, policyholders, and service participants. A retained conversation can be evidence in the file, but it does not by itself establish coverage, liability, reserve, payment, settlement, or delegated authority.
Sapiens presents property-and-casualty claims capabilities spanning intake, segmentation, triage, financial control, and machine-assisted prediction. An initial-severity estimate can prioritize review, but an authorized reserve still requires policy, coverage, facts, uncertainty, financial controls, and documented judgment.
Duck Creek now presents an Intelligent Core that connects policy, rating, billing, claims, underwriting, data, integrations, and agentic workflows with human oversight. An orchestrated action can move a case or transaction, but the insurer remains responsible for the product, jurisdiction, evidence, decision right, customer effect, exception, and retained record.
Earnix presents pricing, rating, underwriting, personalization, and governance technology for insurers. A model or engine output can support a controlled decision, but approval, filing, eligibility, and the premium offered remain jurisdiction- and product-specific records.
NAIC's current AI topic record says 12 states are piloting a regulator-facing evaluation tool as of March 2026, with adoption anticipated at the Fall National Meeting. The pilot can inform readiness, but it is not yet an adopted national requirement or proof that an insurer's models satisfy applicable law.
The Insurance Fraud Prevention Model Act supplies a model statutory structure for prevention, reporting, investigation, and authority. A model output can prioritize review, but it cannot establish fraud, intent, liability, or a lawful adverse action.