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Auteurs principaux: Dong, Stella C., Finlay, James R.
Format: Preprint
Publié: 2025
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Accès en ligne:https://arxiv.org/abs/2510.08429
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author Dong, Stella C.
Finlay, James R.
author_facet Dong, Stella C.
Finlay, James R.
contents Reinsurance treaty pricing must satisfy stringent regulatory standards, yet current quoting practices remain opaque and difficult to audit. We introduce ClauseLens, a clause-grounded reinforcement learning framework that produces transparent, regulation-compliant, and risk-aware treaty quotes. ClauseLens models the quoting task as a Risk-Aware Constrained Markov Decision Process (RA-CMDP). Statutory and policy clauses are retrieved from legal and underwriting corpora, embedded into the agent's observations, and used both to constrain feasible actions and to generate clause-grounded natural language justifications. Evaluated in a multi-agent treaty simulator calibrated to industry data, ClauseLens reduces solvency violations by 51%, improves tail-risk performance by 27.9% (CVaR_0.10), and achieves 88.2% accuracy in clause-grounded explanations with retrieval precision of 87.4% and recall of 91.1%. These findings demonstrate that embedding legal context into both decision and explanation pathways yields interpretable, auditable, and regulation-aligned quoting behavior consistent with Solvency II, NAIC RBC, and the EU AI Act.
format Preprint
id arxiv_https___arxiv_org_abs_2510_08429
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle ClauseLens: Clause-Grounded, CVaR-Constrained Reinforcement Learning for Trustworthy Reinsurance Pricing
Dong, Stella C.
Finlay, James R.
Machine Learning
Artificial Intelligence
68T05, 91G70
I.2.6; I.2.7; J.1
Reinsurance treaty pricing must satisfy stringent regulatory standards, yet current quoting practices remain opaque and difficult to audit. We introduce ClauseLens, a clause-grounded reinforcement learning framework that produces transparent, regulation-compliant, and risk-aware treaty quotes. ClauseLens models the quoting task as a Risk-Aware Constrained Markov Decision Process (RA-CMDP). Statutory and policy clauses are retrieved from legal and underwriting corpora, embedded into the agent's observations, and used both to constrain feasible actions and to generate clause-grounded natural language justifications. Evaluated in a multi-agent treaty simulator calibrated to industry data, ClauseLens reduces solvency violations by 51%, improves tail-risk performance by 27.9% (CVaR_0.10), and achieves 88.2% accuracy in clause-grounded explanations with retrieval precision of 87.4% and recall of 91.1%. These findings demonstrate that embedding legal context into both decision and explanation pathways yields interpretable, auditable, and regulation-aligned quoting behavior consistent with Solvency II, NAIC RBC, and the EU AI Act.
title ClauseLens: Clause-Grounded, CVaR-Constrained Reinforcement Learning for Trustworthy Reinsurance Pricing
topic Machine Learning
Artificial Intelligence
68T05, 91G70
I.2.6; I.2.7; J.1
url https://arxiv.org/abs/2510.08429