实测AI大模型能否取代保险代理人
21世纪经济报道·2026-02-09 11:18

Core Viewpoint - The insurance industry in China is set to surpass 6 trillion yuan in original insurance premium income by 2025, driven by a digital transformation led by generative AI [1] Digital Transformation and AI Integration - The insurance industry is accelerating its digital transformation, with AI service volumes reaching 937 million in 2024, transitioning from "efficiency tools" to "decision support" [1] - Consumers increasingly demand simplified interpretations of complex insurance policies, leading to a trend of using generative AI for policy analysis and underwriting consultations [1] Performance of AI Models - In tests conducted on major domestic AI models like DeepSeek, Tencent Yuanbao, and Kimi, the models excelled in interpreting lengthy insurance contracts, significantly lowering the reading barrier for consumers [3][5] - DeepSeek effectively identified and categorized exclusion clauses in a medical insurance policy, while Kimi used mnemonic techniques to simplify complex terms, enhancing consumer understanding [3][5] Personalized Insurance Solutions - In family insurance planning scenarios, AI models demonstrated the ability to provide personalized recommendations, moving away from one-size-fits-all templates [7] - Models like Doubao and Tongyi Qianwen prioritized coverage for economic pillars and health risks, suggesting tailored insurance solutions based on family income and liabilities [7] Limitations of AI in Insurance - Despite advancements, AI models still exhibit limitations in actuarial simulations and underwriting depth, particularly in handling complex scenarios and individual health assessments [11][17] - AI's inability to assume responsibility for erroneous advice and its reliance on standard conclusions restrict its role to that of an assistant rather than a primary advisor [10][17] Legal and Compliance Insights - AI models showed high compliance sensitivity in legal scenarios, accurately interpreting insurance laws and highlighting the risks of fraudulent claims [19] - However, the models often refrained from providing specific product recommendations, emphasizing the need for professional brokers to guide consumers [22] Future Outlook - AI is changing how insurance information is accessed but has not yet altered the responsibility for decision-making in insurance [25] - The technology is best viewed as a starting point for consumer understanding rather than a replacement for professional judgment in insurance decisions [25]

实测AI大模型能否取代保险代理人 - Reportify