The system of inherent defect insurance is an important measure to serve the real economy through financial means and improve the quality of construction projects, which is the future development direction of China’s construction industry. However, the related research is not perfect due to the short implementation of the insurance. This could bring risks to the promotion of insurance for companies. Insurance ruin theory is an important method in risk management theory, so adopting it to manage the risk inherent defect insurance from the perspective of insurance companies is vital. The research starts with the classic insurance ruin theory and determines the coefficient of premium collection from the perspective of claim settlement distribution expectations. Furthermore, the approximate distribution of claim settlement is deduced, and a comprehensive risk assessment model is constructed. Finally, based on the data of insurance actuarial practice in Shanghai, both the ruin probability of inherent defect insurance in each insuring term and its average required initial reserve are calculated, which provides the analyses on the risks and main subitems of inherent defect insurance as well as relevant suggestions. Finally, the sensitivity analysis is used to further analyse the risk of different insurance stages of IDI, and the relevant measures are proposed. The research can provide theoretical assistances for insurance companies to carry out effective risk management and provide model tools to make scientific decisions.