CHARLEE.AIINSURANCE AI KNOWLEDGE CENTER

Insurance AI Governance and Risk Center

Find the controls, evidence, ownership, and review cadence needed for an insurance AI system.

32governance controls
8control domains
12risk families
32controls shown
Control library32 controls
ModerateGOV-01 · Govern

AI policy and risk appetite

Set enterprise rules, prohibited uses, and escalation thresholds.
Strategy and intakeAll AI
HighGOV-02 · Govern

Accountability and decision rights

Assign accountable executives, control owners, reviewers, and escalation paths.
Design and buildPredictive AI
HighGOV-03 · Govern

AI inventory governance

Maintain a complete inventory of models, agents, vendors, uses, owners, and status.
Validation and approvalGenerative AI and RAG
CriticalGOV-04 · Govern

Training and competency

Match training requirements to each role's authority and AI responsibilities.
Production and changeAgentic AI
ModerateINT-01 · Map

Business purpose and scope

Document the intended decision, users, affected parties, jurisdictions, and boundaries.
Strategy and intakeAll AI
HighINT-02 · Map

Risk tier assignment

Classify impact using decision consequence, autonomy, data sensitivity, scale, and reversibility.
Design and buildPredictive AI
HighINT-03 · Map

Prohibited and restricted use screening

Stop or escalate uses that conflict with law, policy, contracts, or risk appetite.
Validation and approvalGenerative AI and RAG
CriticalINT-04 · Map

Material change assessment

Define changes that require reclassification, revalidation, or new approval.
Production and changeAgentic AI
ModerateDAT-01 · Map

Data provenance and rights

Verify permitted collection, acquisition, use, retention, and sharing.
Strategy and intakeAll AI
HighDAT-02 · Map

Data quality and representativeness

Assess completeness, accuracy, timeliness, coverage, and material gaps.
Design and buildPredictive AI
HighDAT-03 · Map

Privacy and minimization

Limit personal and sensitive data to what the approved purpose requires.
Validation and approvalGenerative AI and RAG
CriticalDAT-04 · Map

Fairness and discrimination testing

Test relevant groups, proxies, outcomes, and decision policies for harmful disparities.
Production and changeAgentic AI
ModerateVAL-01 · Measure

Evaluation plan

Define task metrics, counter-metrics, thresholds, datasets, and approval criteria before testing.
Strategy and intakeAll AI
HighVAL-02 · Measure

Independent validation

Use qualified review independent from primary development for higher-risk systems.
Design and buildPredictive AI
HighVAL-03 · Measure

Robustness and misuse testing

Test edge cases, adversarial inputs, out-of-scope behavior, and recovery.
Validation and approvalGenerative AI and RAG
CriticalVAL-04 · Measure

Business outcome validation

Confirm the system improves the intended insurance outcome without unacceptable counter-effects.
Production and changeAgentic AI
ModerateHUM-01 · Govern

Authority boundary

Specify whether the system drafts, recommends, approves, changes records, communicates, or pays.
Strategy and intakeAll AI
HighHUM-02 · Govern

Human review design

Define qualified review, information presented, time available, and ability to disagree.
Design and buildPredictive AI
HighHUM-03 · Govern

Escalation and exception handling

Route uncertainty, conflicts, protected decisions, and unusual cases to qualified staff.
Validation and approvalGenerative AI and RAG
CriticalHUM-04 · Govern

Override and appeal monitoring

Track overrides, disagreements, complaints, appeals, and overturned outcomes.
Production and changeAgentic AI
ModerateSEC-01 · Manage

Identity and least privilege

Give users, models, agents, and services only the access and actions required.
Strategy and intakeAll AI
HighSEC-02 · Manage

AI security testing

Test prompt injection, data exfiltration, model abuse, unsafe tool calls, and dependency risk.
Design and buildPredictive AI
HighSEC-03 · Manage

Secrets and data protection

Protect credentials, prompts, retrieved content, logs, and model inputs and outputs.
Validation and approvalGenerative AI and RAG
CriticalSEC-04 · Manage

Continuity and fail-safe behavior

Define timeouts, limits, fallback modes, manual operation, and recovery from failure.
Production and changeAgentic AI
ModerateOPS-01 · Manage

Production monitoring

Monitor quality, drift, fairness, safety, cost, latency, volume, and business outcomes.
Strategy and intakeAll AI
HighOPS-02 · Manage

Run logging and traceability

Retain inputs, outputs, versions, retrieval, tool calls, approvals, and consequential actions.
Design and buildPredictive AI
HighOPS-03 · Manage

Incident response

Detect, contain, investigate, notify, recover, and learn from AI incidents.
Validation and approvalGenerative AI and RAG
CriticalOPS-04 · Manage

Change release and rollback

Evaluate changes, approve releases, preserve versions, and restore safe service.
Production and changeAgentic AI
ModerateTPR-01 · Govern

Vendor due diligence

Assess provider governance, data use, testing, security, resilience, and subcontractors.
Strategy and intakeAll AI
HighTPR-02 · Govern

Contractual controls

Set requirements for data, changes, audit, incidents, performance, deletion, and exit.
Design and buildPredictive AI
HighTPR-03 · Govern

Third party performance monitoring

Monitor provider changes, incidents, service quality, and unresolved control gaps.
Validation and approvalGenerative AI and RAG
CriticalTPR-04 · Govern

Exit and substitution planning

Preserve data, records, continuity, and control when a provider or model changes.
Production and changeAgentic AI