English

ClauseLens: Clause-Grounded, CVaR-Constrained Reinforcement Learning for Trustworthy Reinsurance Pricing

Machine Learning 2025-10-10 v1 Artificial Intelligence Machine Learning

Abstract

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.

Keywords

Cite

@article{arxiv.2510.08429,
  title  = {ClauseLens: Clause-Grounded, CVaR-Constrained Reinforcement Learning for Trustworthy Reinsurance Pricing},
  author = {Stella C. Dong and James R. Finlay},
  journal= {arXiv preprint arXiv:2510.08429},
  year   = {2025}
}

Comments

Accepted for publication at the 6th ACM International Conference on AI in Finance (ICAIF 2025), Singapore. Author-accepted version (October 2025). 10 pages, 5 figures