AI in Retail: Managing Risks & Boosting Claims Efficiency (2026)

Revolutionizing Retail Risk Management with AI: Navigating Challenges and Opportunities

The retail industry is facing an unprecedented storm of challenges, from economic pressures like tariffs and inflation to supply chain disruptions and rising operational costs. In this turbulent landscape, retailers are seeking every possible avenue to control costs and bolster their financial resilience. One of the most promising solutions emerging is the use of artificial intelligence (AI), particularly generative AI, to enhance operational efficiencies and manage claims expenses effectively.

During the recent North American Retail Roundtable hosted by Marsh, industry leaders shared their experiences and insights on leveraging AI to improve safety processes, identify potentially problematic claims, and optimize risk management strategies. However, while AI offers significant returns on investment, the industry must navigate several hurdles to ensure its successful implementation without introducing new risks.

AI's Role in Claims Prevention, Mitigation, and Management

With lean risk teams and increasing pressure to reduce expenses, many retailers are turning to AI-driven solutions to boost productivity and efficiency. Common applications include:

  • Enhanced Safety Processes: AI can analyze vast amounts of data to identify potential risks and improve safety protocols.
  • Identifying Problematic Claims: AI algorithms can flag claims that may require further investigation or may be fraudulent.
  • Optimizing Risk Management: AI can help retailers make data-driven decisions to minimize risks and manage claims more effectively.

Overcoming AI Adoption Challenges

Despite the numerous benefits of AI, many retailers face significant hurdles in its adoption. One common issue is the limited AI expertise within risk teams, especially in smaller organizations with stretched resources. This lack of technical knowledge or coding skills can hinder the understanding and critical evaluation of AI outputs, potentially leading to legal and reputational risks. For instance, an unintentional bias in an AI hiring tool could result in employment practices liability claims.

Another challenge is the lack of visibility into AI usage across the organization. Risk managers often struggle to track the deployment of various AI tools, from generative AI on personal devices to vendor-driven claims analyses. This opacity can lead to missed opportunities for early claim intervention and cost control, as well as increased regulatory exposure and costly errors.

Additionally, there's a risk of over-reliance on AI models. While AI excels at data processing, it lacks human judgment and contextual understanding. Risk managers may place too much trust in AI-generated recommendations, potentially overlooking complex claims that require expert evaluation. For example, an AI system might misclassify a claim as low-risk based on certain patterns, while an experienced claims professional could identify underlying complexities that warrant closer attention.

Mitigating AI-Related Risks and Maximizing Impact

As retailers embrace AI to streamline processes and reduce costs, it's crucial to acknowledge the potential risks associated with these technologies. Retail leaders should consider the following actions to mitigate these challenges:

  • Invest in AI Education: Provide risk teams with the necessary training and resources to understand and evaluate AI outputs effectively.
  • Foster Collaboration: Encourage cross-functional collaboration between risk, IT, and operations teams to ensure consistent AI usage and governance.
  • Implement Robust Governance: Establish clear policies and procedures for AI usage, including data privacy, security, and ethical considerations.
  • Regularly Audit AI Systems: Conduct periodic audits to identify and address biases, errors, and potential risks.
  • Embrace Human Oversight: Maintain a balance between AI automation and human expertise to ensure complex claims are properly evaluated and managed.

By addressing these challenges and implementing best practices, retailers can harness the power of AI to revolutionize their risk management and claims handling processes, ultimately strengthening their financial health and resilience.

AI in Retail: Managing Risks & Boosting Claims Efficiency (2026)
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