IDEAS home Printed from https://ideas.repec.org/a/bla/jrinsu/v92y2025i2p505-535.html
   My bibliography  Save this article

Textual analysis of insurance claims with large language models

Author

Listed:
  • Dongchen Li
  • Zhuo Jin
  • Linyi Qian
  • Hailiang Yang

Abstract

This study proposes a comprehensive and general framework for examining discrepancies in textual content using large language models (LLMs), broadening application scenarios in the insurtech and risk management fields, and conducting empirical research based on actual needs and real‐world data. Our framework integrates OpenAI's interface to embed texts and project them into external categories while utilizing distance metrics to evaluate discrepancies. To identify significant disparities, we design prompts to analyze three types of relationships: identical information, logical relationships and potential relationships. Our empirical analysis shows that 22.1% of samples exhibit substantial semantic discrepancies, and 38.1% of the samples with significant differences contain at least one of the identified relationships. The average processing time for each sample does not exceed 4 s, and all processes can be adjusted based on actual needs. Backtesting results and comparisons with traditional NLP methods further demonstrate that our proposed method is both effective and robust.

Suggested Citation

  • Dongchen Li & Zhuo Jin & Linyi Qian & Hailiang Yang, 2025. "Textual analysis of insurance claims with large language models," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 92(2), pages 505-535, June.
  • Handle: RePEc:bla:jrinsu:v:92:y:2025:i:2:p:505-535
    DOI: 10.1111/jori.70004
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jori.70004
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jori.70004?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:jrinsu:v:92:y:2025:i:2:p:505-535. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/ariaaea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.