An insurance company is selecting an AI approach to automate simple claim approvals for low-risk...

In PMI’s Seven Patterns of AI, capability selection depends on whether the system is primarily advising humans or acting on their behalf. When the goal is to automate operational actions—approving or routing claims under policy constraints with minimal human intervention—the capability aligns with autonomous systems, which emphasize automated execution within defined rules, safeguards, and operational boundaries. Predictive analytics (B) can score risk, but it typically supports decision support; autonomous systems extend this by taking actions automatically according to governance-approved policies. PMI-CPMAI’s responsible and trustworthy AI principles reinforce that higher-autonomy use cases require stronger controls: clear escalation paths, contingency plans, monitoring, and audit trails to ensure accountability for automated decisions. Conversational (A) and hyperpersonalization (D) do not fit the core need of automated adjudication. Therefore, autonomous systems is the best match for low-risk auto-approvals with predefined guardrails.