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

Dong, Stella C., Finlay, James R.

arXiv.org Machine Learning 

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.

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