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Job 03 · Loss history

// MGAs and wholesale brokers · Before pricing

Loss runs from every prior carrier, set out by policy year before anyone prices the risk.

A hard-to-place account brings its claims history in as many layouts as it had carriers: printed runs, portal downloads, a spreadsheet from a claims administrator. This tests whether AI can turn that stack into one summary by policy year for the underwriter, or for the broker taking the risk to market, on copies of 20 to 30 submissions your desk already worked.

Book a proof-of-concept call30 minutes with Rob
Past submissions
20 to 30
Carrier portal or system login
None
Who reads the history and prices
Your underwriters

// The one job

A pile of loss runs comes in. One summary by year goes to the underwriter.

Today someone on the desk opens each run, works out which policy it covers, and copies the figures onto your loss summary sheet: claim counts, paid, reserved and incurred by policy year, the open claims, every loss above the large-loss line your underwriters set, and the date each run was valued. Years with no run, or a cover note that disagrees with the runs, become questions for the retail agent.

In the proof of concept, AI reads every run in the file and drafts that summary, with each figure traced to the page and line it came from, plus a list of what is missing or doesn't reconcile. It doesn't price, decline or ask anyone for anything. Your reviewer, the person whose loss summaries your underwriters trust most, puts each draft next to the one your desk actually built.

Prior carriers' runsMixed layouts
Carrier
Policy term
Valued as of
Claims listed
ClaimPaidReserve
Illustration, not a real loss run
Read
by policy year
Loss summaryFor your underwriter
Policy years
Open claims
Large losses
Gaps found
YearCountIncurred
Illustration, not a real summary

// What makes loss runs hard

Every carrier counts, values and labels claims its own way

What arrives depends partly on the prior carrier's state. Illinois has an insurer send the first named insured three policy years of loss information within 30 days of a request, straight to the producer if the insured asks in writing, and each open claim shows its date, a description, payments and reserves; workers' comp sits outside that rule. Connecticut, since 2012, has every commercial insurer send a summary of claims within 30 days of a written request, reaching back up to four years and giving each policy number, coverage period, claim count, paid losses and date of loss. Louisiana puts up to three years of loss runs inside a commercial nonrenewal notice, but its rule leaves surplus lines policies out. One file can mix a statutory summary with a full claim listing, and the draft labels each.

Totals mean different things on different runs. Incurred is paid plus reserves for the period, and as IRMI defines it, it ordinarily leaves out losses incurred but not reported, so the newest policy year always looks lighter than it will end up. Some carriers fold allocated loss adjustment expense, meaning the outside defense counsel, experts and investigators billed to a claim, into paid and reserved; others give it a column of its own or leave it off. Under a professional liability policy with defense within limits, that expense also uses up the limit. The draft keeps indemnity and expense apart wherever the run allows it, and notes where it doesn't.

Putting a claim in the right year takes care. Under an occurrence policy, a claim belongs to the year the loss happened. A claims-made policy, the usual form for professional and management liability, is triggered by a claim made during the policy period, subject to any retroactive date, so the claim belongs to the year it was reported. A run that sorts claims-made losses by date of loss, or a renewal that changed the policy number partway through the history, can place a claim in the wrong year or count it twice. The draft groups each claim by the trigger of its policy and lists any claim that shows up on two runs.

Then the valuation date. A run is a snapshot, and open claims keep moving after it. Where workers' comp runs are in the file, for example behind an umbrella that sits over employers liability, the experience mod values the same claims on its own calendar. NCCI's unit reports value a policy's losses 18 months after it took effect and then every 12 months, and a policy counts toward the mod only if it began between 21 and 57 months before the rating effective date. California, New York and a few other states run their own plans. So one comp claim can carry two figures, and the draft prints each run's valuation date beside every year it summarizes.

Your reviewer will look first at what a summary can hide: a policy year with no run and no reason given, a run valued earlier than the market you're approaching will accept, a claim closed without payment that reopened on a later run, one loss split across two claim numbers, and a cover note claiming no losses where a run lists some. Every figure points back to its source page.

// What you send

Submissions with the loss summaries your desk wrote

Copies, never originals
No carrier portal login
01

20 to 30 past submissions

Commercial submissions with every loss run as the retailer supplied it. Include a few with four or more prior carriers, one with claims-made coverage, one with comp runs behind an umbrella, and one where a year was missing.

02

The summaries your desk built

The loss summary or rating sheet your team prepared for each file, and any notes that went back to the retailer about missing runs. Together they are the answer key.

03

How your desk summarizes

Your summary template, the large-loss line your underwriters use, how recent each market wants a run to be, and whether expense is shown inside or beside indemnity.

04

The NDA, then the copies

Nothing moves until the NDA is signed. We never sign in to a carrier portal, a claims system or your management system. Mask claimant names and injury details first if you prefer, or we build look-alike runs with your reviewer.

// Before it starts

Agreed with the owner before any run moves

Four points go in writing first.

Before the proof of conceptOwner's sign-off
Reviewer
Named by the owner: often the underwriter or senior assistant who checks the most loss summaries.
Success criteria
Which figures must match year by year, which gaps and duplicates the draft must catch
Sample
Your reviewer's pick of recent commercial submissions with several prior carriers
Price
A range for the live month

// How the test is judged

Your desk's loss summary next to the draft

Same runs
year by year
On the same 20 to 30 submissionsYour desk's summaryThe AI draft
Claim counts, paid and reserved by policy yearFilled in on your submissionsFilled in on your submissions
Open claims listed with their reservesFilled in on your submissionsFilled in on your submissions
Losses above your large-loss line, describedFilled in on your submissionsFilled in on your submissions
Valuation date shown for every runFilled in on your submissionsFilled in on your submissions
Missing years and duplicate claims caughtFilled in on your submissionsFilled in on your submissions
Every figure traced to its pageFilled in on your submissionsFilled in on your submissions
Every cell starts empty. They fill in only once the test has run on loss runs your desk already summarized.Your reviewer scores each file, and that is the verdict.

// After a yes

About 30 days on incoming loss runs

Once your reviewer says yes, the summaries run on new submissions for about 30 days.

An underwriter reads every summary before it is relied on. The AI never prices, quotes or declines a risk, never asks a retailer, an insured or a carrier for a run, and never writes into your management system. A licensed person on your staff decides what the history means and what goes back to the retail agent.

The same reviewer scores the live month against the criteria agreed for the test.

// Later, one at a time

What could follow loss run summaries

Options, not promises
One goes live before the next
  1. 01

    Inspection report review

    Loss control and inspection reports read against the application, with each recommendation and whether the insured has dealt with it.

    Next
  2. 02

    Renewal loss updates

    Fresh runs at each renewal set against last year's summary, with every claim whose reserve or status moved marked.

    Then
  3. 03

    Bordereaux checks

    Every row of the monthly bordereau tested against the authority's limits and the policies bound under it.

    After that

// One hard limit

Your underwriters decide what the losses mean.

The proof of concept reads copies of loss runs and drafts a summary. It never prices, quotes, binds or declines a risk, never requests a run from a carrier, an insured or a retail agent, and never enters anything in your systems. Nothing on this page is legal or regulatory advice. Commercial lines only: no personal lines file goes into the sample.

Priced per job: a range before the test, a fixed price before you sign.

We give the range on the call, once we know how many submissions you price in a month and how many carriers' runs a typical file holds.

// Questions

What underwriters ask about loss runs

Will it chase carriers or retailers for missing loss runs?
No. It lists every missing year and every run older than your rules allow, and can draft a request for your staff to send if they choose. Contacting a retailer, an insured or a carrier stays with your people.
Our runs come as scans, portal PDFs and spreadsheets. Does that matter?
Mixed formats belong in the sample, because that is how runs really arrive. Each figure in the draft names the page it came from, and anything it could not read is listed instead of guessed.
Does it work out a loss ratio or a rate?
Not in this test. The summary sets out counts, paid, reserved and incurred by year, each with its valuation date. Any ratio, trend or rate is your underwriter's work, with the summary as one input.
What happens when one claim appears on two carriers' runs?
The draft shows both entries side by side with the reason it thinks they are the same claim, such as a matching date of loss and claimant. Whether it counts once is decided by your reviewer's rules.
Is this advice on what a state's loss information law requires?
No. A few state rules are named so the draft can tell a statutory summary from a full claim listing. What a prior carrier owes your insured, and by when, is a question for your compliance lead or counsel.
Rob Eason

Rob Eason, founder

// Book a proof of concept call

Bring loss runs your desk already summarized.

A half-hour call with Rob Eason. Tell us your firm, your role and that loss runs are the job, with a rough count of submissions priced each month. Loss runs stay with you until the NDA is signed.

  • Co-owned a 60-employee financial services firm and sold his share to his partner.
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  • Takes every proof-of-concept call himself.