Occupation Risk Mapping Agent
Map occupations to risk categories for accurate underwriting
Description
Challenge:
Occupational risk assessment is a critical but time-consuming step in underwriting. Manual evaluation can be inconsistent, subjective, and prone to errors, especially for high-risk or specialized occupations. Misclassification may lead to incorrect pricing, coverage denials, or compliance issues.
How It Works:
The Occupation Risk Mapping Agent extracts applicant occupation details from forms, normalizes job titles against standardized taxonomies, and assigns risk categories (low, medium, high, uninsurable). It applies occupation-specific rules—including hazardous environments, travel frequency, and exposure to chemicals—while referencing regulatory and internal underwriting guidelines. The agent integrates with the underwriting engine to influence pricing, exclusions, or additional requirements, ensuring fast, consistent, and transparent occupational risk assessment.
Benefits:
90%+ automation in occupation-to-risk mapping
60–75% reduction in underwriting decision time for occupation-heavy cases
95%+ consistency in applying occupational risk rules
40–50% reduction in manual underwriting errors
Transparent, auditable occupational risk assessment for compliance
Improved pricing accuracy and fair risk-based decisions
Features
This agent standardizes, validates, and scores occupational risk to support automated underwriting, ensuring consistent decisions and compliance across life and health insurance products.
Features & Capabilities:
Occupation Capture: Extract applicant occupation from proposal or application forms
Normalization: Map declared jobs to standardized taxonomies (ISO or insurer-defined)
Risk Mapping: Assign risk levels using occupation-risk tables and internal guidelines
Adjustment Rules: Factor in hazardous work, travel intensity, environmental exposure, and physical demands
Policy Eligibility: Flag high-risk or uninsurable occupations and trigger manual review if required
Integration: Send risk scores and classifications to underwriting engines for pricing and coverage decisions
Audit Logging: Maintain a complete record of decision logic and taxonomy references for compliance
Consistency Enforcement: Ensure same occupation maps to identical risk category across products and geographies
Operating Blueprint
Knowledge Sources:
Occupation Risk Tables (insurer-specific, regulatory, industry standards)
Occupational Safety & Health Databases (hazard exposure, accident statistics)
Internal Underwriting Guidelines
Claims History by Occupation (loss ratio benchmarks)
Product-Specific Eligibility/Exclusion Rules
Business Rules:
Normalize Occupation: Map to standardized taxonomy; trigger review if unmatched
Hazardous Occupation Check: Auto-flag high-risk or uninsurable roles
Travel-Intensive Roles: Apply additional risk loading or manual review
Environmental Exposure: Classify high-risk if exposed to chemicals, radiation, or accident-prone settings
Physical Demand: Higher mortality-linked risk loadings for strenuous jobs
Policy Exclusion: Automatically decline occupations on exclusion lists
Consistency: Ensure identical risk category across products and geographies
Tool Workflow:
Input Capture – Applicant provides occupation details
Normalization – Map job title to standardized taxonomy
Risk Mapping – Assign risk category based on tables and rules
Adjustments – Factor in hazards, travel, environment, and physical demand
Integration – Send outcome to underwriting engine
Decision Actions:
Low Risk → Standard underwriting
Medium/High Risk → Apply loadings, exclusions, or medical checks
Uninsurable → Trigger manual review or decline
Audit Logging – Store reasoning and applied rules for compliance
Badges
Classification
Capabilities
Geography
