Gen AI Leader Business strategies for a successful gen AI solution MEDIUM
PRODUCTION SCENARIO
A generated recommendation drives the decision to decline a customer's insurance claim. Regulation requires the insurer to name who made each decision and explain it to the customer on request.

Which operating design meets that requirement?

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Answer: A named reviewer approves each decision and records the reason

The regulation sets the bar: a person to name for each decision, and a reason to give the customer. Only a per-decision approval with the reasoning recorded produces both. Confidence-based routing is a real design and fails here for a specific reason - a model's confidence is not calibrated to how much harm an error causes, so the high-confidence declines reach the customer with nobody named against them. A weekly sample audit is sound governance that names a reviewer for a few decisions and leaves the rest unattributed, after the fact. A compliance rule engine checks each recommendation and is not a person, so it satisfies neither half of the requirement, however consistent it is.
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