Nine Tier-1 Models, Two Breaches, One Analyst: Rebuilding an AI Risk Appetite
Calder Insurance Group runs 61 AI/ML models: 18 in claims triage, 12 in underwriting, 9 in fraud, and the rest across marketing, service and finance. Nine are designated tier 1. The board-approved AI risk appetite states that no more than 5% of tier-1 models may be outside tolerance at any time and that no single AI vendor may support more than 30% of tier-1 models. Today, 2 of the 9 tier-1 models breach their performance tolerance, both in claims triage, and one cloud provider plus its foundation-model partner underpin 4 of the 9. The AI risk register is a 61-row spreadsheet maintained by one analyst; KRIs are reported ad hoc. Last quarter's board pack contained a model count, a list of completed training sessions and the statement 'AI risk is within appetite'. The CRO wants a redesigned AI risk reporting and appetite framework before the next board cycle in 10 weeks, with one additional FTE and no new tooling budget. Internal audit has flagged 'no evidence of aggregation or correlation analysis across models'.
1. Evaluate whether the current appetite statement is usable and propose a KRI set with thresholds, aggregation and concentration treatment.
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Assessment: the statement is a slogan with numbers attached. It meets one test - it is measurable - and fails the others: 'outside tolerance' is undefined per model, no owner is named, and there is no escalation ladder. The prior quarter's pack says 'within appetite' while 22% of tier-1 models breach; the statement and the reporting already contradict each other, which is the most damaging finding because it destroys the credibility of the whole framework.
Redesign
- Define tolerance per model by tier: e.g. AUC below a stated floor, PSI above a stated value, calibration error above a ceiling, override rate above a threshold. Tolerance must be a number agreed with the model owner, not a feeling.
- Keep the 5% aggregate limit but add a per-model rule: no tier-1 model remains out of tolerance for more than one quarter without an approved remediation plan.
Concentration Count economic dependency, not contracts. One cloud provider plus its foundation-model partner plus a shared fine-tuning pipeline is one correlated failure, not three vendors. On that basis 4 of 9 (44%) already breaches the 30% limit.
KRI set (report monthly, escalate on breach)
- % tier-1 models validated on schedule; % overdue.
- Number of tier-1 models out of tolerance; mean days to remediate.
- Drift alerts open beyond 30 days.
- Third-party change notifications received versus changes detected.
- Human override rate by model; complaint and incident counts.
- Shadow AI instances discovered.
Aggregation honesty With one FTE and no tooling, full quantitative aggregation is not achievable. Use a tier-weighted heat aggregation by business line and state the limitation explicitly rather than implying precision you do not have.
2. Two tier-1 models are out of tolerance. How do you escalate, prioritise and decide whether appetite is breached?
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Appetite is breached, not 'within appetite'. 2 of 9 tier-1 models is 22% against a 5% limit. Say that plainly; the credibility cost of spin exceeds the cost of the breach.
Escalation CRO notifies the CEO and board risk committee within the framework's stated window, with a remediation plan and a residual-risk statement. Assess whether supervisory notification is required - in insurance, a claims-triage failure can affect policyholders directly and may be material; assess, do not assume either way.
Prioritisation Rank by exposure and detectability, not by ease of fix. Claims triage affects claimants and can produce adverse decisions, complaints and regulatory interest - it outranks marketing or service models. Both breaches sit in the same function, which points to a shared cause: a vendor update, a change in claims mix, or a common feature source. Investigate jointly before funding separate fixes; two independent remediations may be wasted spend.
Sequence given no tooling budget
- Immediate compensating control - human review of affected claims decisions.
- Root-cause analysis on the shared-cause hypothesis.
- Recalibration or re-validation, whichever the evidence supports.
- Vendor escalation if the cause is external, with contractual leverage.
Set a decision date and a decommission criterion. If the model cannot return to tolerance within one quarter, retire it. Report the breach once, with a plan and a date - repeatedly listing it as a 'known issue' is how appetite statements die quietly, and internal audit will find it next cycle.
3. Redesign the board pack. What goes in, what comes out, and how do you make it decision-useful within the 10-week and one-FTE constraints?
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Remove
- The raw model count - a number with no denominator, no trend and no risk content.
- Training-session counts - activity metrics that measure effort, not exposure.
- The unsupported sentence 'AI risk is within appetite'. Never assert appetite status without a scorecard behind it.
Add
- Appetite scorecard: one row per limit, green/amber/red, current value, trend, and an explicit statement of whether appetite is breached.
- Tier-1 model page: tolerance status, trend, owner and remediation date per model.
- Top five risks with owner, mitigation and target date.
- Incidents in the quarter with impact and lesson - not a list of tickets.
- Concentration map: vendor and foundation-model dependency mapped to models and business lines, including correlated failure paths.
- Validation coverage: validated, due, overdue.
- Forward look: one or two items - an upcoming foundation-model release, a regulatory change, a supplier renewal.
Make it decision-useful
- Show trends, not snapshots. A board needs direction of travel, not a still image.
- State what is not known: the 61-model register is probably incomplete and depends on one analyst - a single point of failure the board should see.
- Close with two or three explicit decisions requested, each with a recommendation.
Ten-week plan Weeks 1–3: agree tolerance definitions and build the scorecard. Weeks 4–6: populate and reconcile with the register; run the correlation analysis audit asked for. Weeks 7–8: draft narrative and dry-read with one non-executive director. Weeks 9–10: CRO review and issue. Use the additional FTE for data reconciliation, not for writing slides - the analyst is the constraint.