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by reassess_blind 405 days ago
No one is going to accept a claim rejection from AI. Everyone will want to dispute, which will have to go to a human to review. At the end of the day I don’t see how 100 people is realistic.
3 comments

This reaction is primarily an emotional one. Why is a human rejecting a claim better than an AI rejecting a claim? Presumably the AI will one day -- if not today -- be more accurate in following decisioning logic than humans, who will continue to make human errors.
The AI won't reject a claim because that's easier than doing the paperwork to approve the claim and it's 4:30 on a Friday.

It also won't approve it because despite not putting the "magic words" on the form it's clear from the situation that you'll get approved regardless and it's a waste of the company's labor to have you file an appeal that they then have to review.

I'm not sure which case is more common though.

If that were true then they would also dispute every first-line human review. I don't think the average first-line human customer service rep is any better than AI even today.
Fine! You win!

We'll send the appeals through Mechanical Turk.

Happy now?