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You Know Who Hates AI? Insurance Claims Adjusters

wired.com

41–50 of 146 posts

Re: You Know Who Hates AI? Insurance Claims Adjusters

#41

So AI is going to take jobs not because AI is necessarily better or more appropriate, but because it accelerates bad decision making and makes those decisions exponentially worse.

That's why the eu AI act makes every person affected by an AI decision in most relevant industries entitled to a human explanation.

Re: You Know Who Hates AI? Insurance Claims Adjusters

#43
post #5

Ultimately this isn't "AI's fault". As the article points out, clueless executives who don't understand the capabilities and limitations of specific LLMs push the technology on workers so they can say they are "using AI to improve efficiency".

But isn’t this also just bad implementations of AI? “It got a stupid simple answer wrong”, seems like a gpt-4o on a buggy RAG implementation from 2 years ago problem.

Hard to fathom a modern model would get any of this basic stuff wrong. I know accountants using it for (a lot more complex but similar problem) tax law parsing and it going through flawlessly.

There seems to be some bidirectional media gaslighting happening here where the doomers and glazers are talking past each other a bit.

Re: You Know Who Hates AI? Insurance Claims Adjusters

#44
post #13

Earlier quoted context omitted.

I read and article on here some months ago titled something like "Leftist usecases for LLMs" and one of them was negotiating bureaucracies, and that reminds me, I need to call back JCP&L about my Board of Public Utilities complaint that an LLM helped me out together. You see, I live with in a rural area and especially since LED light bulbs have become the thing, it's been clear that we are delivered far less than 120…

If you were monitoring the power coming into your house, why did you need claude to "put together a whole packet documenting brownouts"? Shouldn't you just have the raw data, maybe highlighted with the offending parts? Or was the prose of your complaint the issue?

There is still a lot of work to take the raw data and put it into a useful format. LLMs are really good at that (when they don't hallucinate data).

Re: You Know Who Hates AI? Insurance Claims Adjusters

#45
post #42

Meanwhile insurance fraudsters love AI, and its ability to manipulate photos!

It seems like companies are getting a lot less trusting with their return policies.

It used to be you just email them a photo or video of the issue and they send you a replacement. Now companies won’t send one until they have received the defective one back.

Re: You Know Who Hates AI? Insurance Claims Adjusters

#46
post #6

LLMs are really good when your primary goal is just to fob people off. So customer support when you don't care about your customers etc. I can imagine it's very appealing when you just want to come up with semi-plausable reasons to deny insurance claims. Who cares if it's wrong? They might give up anyway and you've saved paying out! Not saying they're not good for other things, but the "waste people's time and make t…

Anybody that has worked on a phone exchange knows they already do this sort of thing. Some customers just never get through to a person. This is by design.

Re: You Know Who Hates AI? Insurance Claims Adjusters

#47
post #18
post #14

Follow-up question, [Do] You know who loves flock cameras? Insurance Claim Adjusters. They are using the cameras to catch fraud (where claimants try to lump previous damage with damage covered by the current claim.), etc.

How is that relevant? I’m sure we all hate flock here, but what does that have to do with the article?

Many groups in society are actively harmful and should be ignored?

I.e. Dentists are scammers at such high rates that their opinions on how to organize society should be actively ignored. The opposite or "rule by guild" is basically https://en.wikipedia.org/wiki/Syndicalism which is the alternative "terrible ideology" to Socialism that would have taken off in a world where Germany won WW2

Re: You Know Who Hates AI? Insurance Claims Adjusters

#49
post #5

Ultimately this isn't "AI's fault". As the article points out, clueless executives who don't understand the capabilities and limitations of specific LLMs push the technology on workers so they can say they are "using AI to improve efficiency".

I don't know, it feels like "reading a claims summary and classifying the type of claim" should be the bread and butter LLM use case? Not that executives are blameless for pushing AI everywhere, but we should also be able to "blame" AI for doing poorly at a task it's supposed to be good at.

Re: You Know Who Hates AI? Insurance Claims Adjusters

#50
post #3

> Between May 2025 and May 2026, employment in the sector dropped a staggering 21 percent, according to BLS data. Yeah sure. I mean, same reason why HN readers hate AI, right? It replaces their jobs. (Obviously the difference is that the poor old claims adjusters didn't spend the last two decades "disrupting" every other industry and telling everyone else to "learn to code". Ha! If you hear a faint high noise, that's…

There are probably two camps in IT (in terms of hating AI). One is afraid that AI will replace them, the other is about to rage quit because AI is damaging to their mental health, but being forced on them by management which is as clueless that those of the insurance claims adjusters.
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