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Program Details
2026-02-19 13:00:00
Over 1,000+ webinars
Course Overview
2026-02-19 13:00:00
3h CLE Credits
Intermediate
3
This session explores the 187 AI programs used by insurers across the United States, including major systems like Colossus and TEACH, and how they determine claim values, liability, and fraud. Attendees will learn essential documentation requirements, the 11 demand statements that beat AI programs, and strategic timing for maximizing claim value within the critical 120-day window.
This technical deep-dive examines how AI valuation engines are constructed, trained with structured and unstructured data, and governed through responsible AI frameworks. Participants will gain practical knowledge about machine learning approaches, multimodal models for medical record review, and essential guardrails including bias detection, model drift monitoring, and human-in-the-loop validation processes.
This session investigates how algorithmic reliance can become a good-faith problem, using Colossus and the Allstate-McKinsey scandal as cautionary examples of valuation systems tuned to suppress payouts. Attendees will learn about NAIC Model Bulletin requirements for transparency, explainability, and consumer notice, plus the governance artifacts adjusters and counsel should request when AI drives claims decisions.
Sequoia Visions, Inc
Verisk Analytics, Inc
Anderson Kill P.C
Sequoia Visions, Inc
Former insurance industry executive with extensive experience in claims handling, evaluation, and litigation. Nationally sought after speaker on insurance-related topics including claim handling, insurance fraud, bad faith, and breach of contract.
Verisk Analytics, Inc
Vice-president of Analytics Initiatives and Compliance at Verisk with expertise in Medicare compliance, Section 111 reporting requirements, conditional payment recovery process, Medicare Advantage, Part D and Medicaid recovery.
Anderson Kill P.C
Shareholder practicing in Insurance Recovery and Commercial Litigation with nearly 30 years of experience representing policyholders and recovering hundreds of millions of dollars for clients in disputed insurance claims.
Sequoia Visions, Inc
Former insurance industry executive with extensive experience in claims handling, evaluation, and litigation. Nationally sought after speaker on insurance-related topics including claim handling, insurance fraud, bad faith, and breach of contract.
Verisk Analytics, Inc
Vice-president of Analytics Initiatives and Compliance at Verisk with expertise in Medicare compliance, Section 111 reporting requirements, conditional payment recovery process, Medicare Advantage, Part D and Medicaid recovery.
Anderson Kill P.C
Shareholder practicing in Insurance Recovery and Commercial Litigation with nearly 30 years of experience representing policyholders and recovering hundreds of millions of dollars for clients in disputed insurance claims.
Requirements
The Alabama State Bar MCLE Commission requires attorneys to complete 12 credits, including 1 ethics, by December 31 of each year. All credits must be reported by February 15 of the following year. A maximum of 12 credits, including 1 ethics credit, may be carried over for 1 year only.
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