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ZENODO
Article . 2019
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2019
License: CC BY
Data sources: Datacite
ZENODO
Article . 2019
License: CC BY
Data sources: Datacite
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Intelligent Automation for Insurance Claims Processing

Authors: Mahaboobsubani Shaik;

Intelligent Automation for Insurance Claims Processing

Abstract

The transformational effect of intelligent automation through machine learning models on insurance claim processing. Traditional manually operated workflows within claims processing are always vulnerable to inefficiency, inaccuracies, and fraudulent cases. Intelligent automation overcomes these challenges by streamlining processes that offer rapid claim validation and more accurate detection of fraud cases. The research work illustrates an integrated claims-processing mechanism that leverages predictive analytics and anomaly detection to filter out fraudulent patterns. Accuracy rates, time-to-resolution, and cost savings have seen significant enhancement compared to a purely manual process. Empirical analysis suggests that automated systems reduce the processing time by as high as 70% and can detect fraudulent claims with an accuracy of above 95%. Besides, intelligent systems provide scalability, flexibility to policy changes within insurance, and customer satisfaction through the acceleration of the processing of genuine claims. The results highlight how ML-driven automation can transform claims management into more efficient, reliable, and trustworthy ways in the insurance industry.

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green