Insurance Claims AI Assessment — Multi-Cloud (Azure/AWS/GCP) NAIC
Kriv AI · Cybersecurity & IT
Certification per AWS Marketplace.
Evidence tier Source Confirmed · 4 captures on record
What the publisher says
As described on AWS Marketplace.
Insurance claims AI is the single most-scrutinized AI surface in US financial services — and no other AWS Marketplace listing delivers a tri-cloud claims-specific assessment in a single SKU.
The NAIC Model Bulletin on AI (Dec 2023) has been adopted in ~24 states with claims adjudication, SIU fraud detection, and triage named as high-risk AI use cases. Colorado Reg 10-1-1 sets algorithmic-discrimination testing obligations. CO SB 24-205 imposes consumer disclosure + bias-testing + impact-assessment duties. NYDFS Circular Letter No. 7 (2024) tells carriers to document + test + govern external consumer data + AI-based underwriting and claims. Texas TRAIGA HB 149 (eff. Jan 1, 2026) layers state AI governance on top. The NAIC AI Systems Evaluation Tool is in 12-state pilot. Class-action complaints and multi-state market-conduct inquiries citing algorithmic claims denial have moved claims AI from "emerging risk" to "active enforcement surface" in 18 months.
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Most carriers can't answer in one document — claims AI workloads span Azure (Guidewire ClaimCenter, Duck Creek, payer claims on Fabric + Azure OpenAI), AWS (Textract + Bedrock + SageMaker + Comprehend), and GCP (Vertex AI + Document AI + BigQuery). Big-4 advisory runs $150K–$500K over 3–6 months, single-cloud-shop. Single-cloud Marketplace listings stop at the AWS boundary. Nothing on AWS Marketplace today delivers a fixed-fee, tri-cloud, claims-specific AI assessment with fair-by-design disparate-impact review and NAIC / Colorado / NYDFS / Texas TRAIGA overlay in 4 weeks.
Methodology anchored to Kriv's 03A-Azure-Claims-Intelligence portfolio (FNOL, triage, reserve-signal, SIU, adjuster-assist, adverse-action) and 03B-AWS-Underwriting-Risk portfolio (Textract + Bedrock + SageMaker + CloudTrail), extended with AWS-native controls (Bedrock Guardrails, Textract, Comprehend, CloudTrail, Config, Security Hub, Macie, KMS, S3 Object Lock, Amazon Fraud Detector) and GCP-native controls (Vertex AI, Document AI, DLP API, Chronicle, Security Command Center, BigQuery ML lineage).
4-week structure. Week 1 — Scoping + tri-cloud claims AI inventory (FNOL/coverage/triage/severity/assignment/reserve/SIU/subrogation/litigation-likelihood/adjuster-assist/prior-auth/benefits); PHI data-flow mapping; vendor + reinsurance AI clause review; prior DOI/class-action review under NDA. Week 2 — Control mapping per cloud + fair-by-design review (NAIC four pillars + CO Reg 10-1-1 + CO SB 24-205 + NYDFS Circular 7 + TX TRAIGA + NAIC AI Systems Evaluation Tool + NIST AI RMF; AWS/Azure/GCP service mapping; cross-cloud identity/KMS/audit-log reconciliation; disparate-impact review across protected + quasi-protected classes: race, color, national origin, sex, age, disability, marital status, ZIP proxy, credit scoring, language). Week 3 — Findings + roadmap (per cloud/cross-cloud/LOB; Claims AI Governance Committee RACI; model-risk tiering; AUP; HITL thresholds; adjuster override logs; adverse-action templates; AI IR runbook; DOI exam readiness checklist). Week 4 — Executive readout + handover.
Three tiers. Foundation $25K (single entity; single LOB; up to 2 clouds; up to 10 use cases) — regional carriers/payers $500M–$2B. Standard $40K (up to 3 entities OR 1 entity tri-cloud; up to 3 LOBs; up to 20 use cases; full state-bulletin overlay; fair-by-design + 1 deep-dive model; 5-jurisdiction state overlay) — mid-size carriers/payers $2B–$5B. Enterprise $60K (multi-entity carrier group OR integrated health payer; full tri-cloud; up to 6 LOBs; up to 40 use cases; full framework stack; fair-by-design + 3 deep-dive models; all-adopted-states overlay; class-action-exposure signal-review memo) — large carriers, top-25 health payers, reinsurers. Optional Extra LOB Deep-Dive $10K each. EDP-eligible — assessment fees ($25K / $40K / $60K) count toward your AWS Enterprise Discount Program commitment (up to 25%). Structure via Marketplace private offer. Contact info@kriv.ai or +1-732-433-5564.
Important disclosures. AWS, Azure, GCP infrastructure billed separately. Kriv is not a carrier, reinsurer, MGA, MGU, broker, TPA, claims-handling firm, adjuster, public adjuster, appraiser, umpire, actuarial firm, or law firm; holds no insurance / adjuster / appraiser / legal license; is not a fiduciary. Kriv adjusts no claims; makes no coverage determinations. No actuarial opinion, rate filing, reserving opinion, or loss-development conclusion. Fair-by-design disparate-impact review is preliminary, non-expert, non-legal-opinion, non-actuarial-opinion, not expert-witness testimony. No NAIC / state-bulletin / NIST AI RMF certification exists. No guarantee of DOI exam, class-action, or reinsurer-diligence outcome. Customer retains all data, filings, regulator communications, and operational responsibility. Not legal, regulatory, actuarial, compliance, tax, claims-handling, coverage, or expert-witness advice.
Highlights
Highlighted by the publisher on AWS Marketplace.
4-week tri-cloud insurance claims AI assessment — Azure + AWS + GCP — covering NAIC Model Bulletin (~24 states), CO Reg 10-1-1, CO SB 24-205, NYDFS Circular Letter 7, TX TRAIGA HB 149 (eff. Jan 1, 2026), NAIC AI Systems Evaluation Tool, NIST AI RMF. In-scope claims functions: FNOL intake, coverage verification, triage + severity, adjuster assignment, reserve-signal scoring, SIU/FWA, subrogation, litigation-likelihood, adjuster-assist, prior-auth, benefits.
First-of-kind tri-cloud claims SKU on AWS Marketplace with fair-by-design preliminary disparate-impact review included — explicitly preliminary, non-expert, non-legal, non-actuarial, not expert-witness testimony. Covers race, color, national origin, sex, age, disability, marital status, ZIP-code-as-proxy, credit-based insurance scoring interactions, language preference. Inventory-level for Foundation; +1 deep-dive model for Standard; +3 deep-dive models for Enterprise.
AWS Select + Databricks + Anthropic CPN — anchored to 03A-Azure-Claims-Intelligence + 03B-AWS-Underwriting-Risk portfolios. Three tiers: Foundation $25K (1 entity, 1 LOB, 2 clouds, 10 use cases) for regional carriers/payers; Standard $40K (tri-cloud, 3 LOBs, 20 use cases, 5-state overlay) for mid-size carriers/payers; Enterprise $60K (carrier group, 6 LOBs, 40 use cases, all-adopted-states overlay, class-action-exposure signal memo) for large carriers, top-25 payers, reinsurers.
Agent build and provenance
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Compliance
- FedRAMPConfirmedNot listed90%, registry-checkedNo FedRAMP Marketplace entry matched this vendor's domain, checked 2026-08-27registry recordas observed 2026-08-27
Confirmed means matched to a public authoritative registry. Claimed means the vendor or its listing states it, not yet cross-checked. A framework not shown was not found in any source we hold, which is not evidence against it. Not listed means a scoped registry check found no match for this vendor's domain: a No is a scoped registry check, not a compliance judgment. Confidence bands: 95% domain-verified, 90% registry-checked, 80% self-attested, 70% weak signal. Self-attested items marked “vendor's site” are gathered from the vendor's own website and are not verified by us.
Vendor
External enrichment · as of 2026-08-29
Sources
Publisher resources
3 linksLinked repositories
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