AI AND CLOUD FOR CLAIMS PROCESSING AUTOMATION IN PROPERTY AND CASUALTY INSURANCE
Keywords:
Claims Automation, AI In Insurance, Damage Assessment, Natural Language Processing (NLP), Cloud Computing In Claims Management, Claims Cycle Time Reduction, Customer Satisfaction In Insurance, Predictive Analytics In Claims, IoT In Claims Processing, Blockchain In Insurance AutomationAbstract
The property and casualty (P&C) insurance industry is undergoing a transformative shift with the integration of artificial intelligence (AI) and cloud computing in claims processing. This paper explores the role of these technologies in automating key aspects of claims management, such as damage assessment, document processing, and decision-making. AI-powered tools like image recognition and natural language processing (NLP) enhance the speed and accuracy of claims assessment, while cloud platforms provide the scalability needed to handle large volumes of claims data efficiently. The study highlights the benefits of AI and cloud integration, including reduced claims cycle times, improved accuracy, and enhanced customer satisfaction. It also examines challenges, such as data security, regulatory compliance, and workforce adaptation, and discusses emerging trends like predictive analytics, IoT, and blockchain in claims automation. By addressing these challenges and embracing future advancements, insurers can achieve significant operational efficiencies and customer-centric outcomes.
References
Braunwarth, K.S., Kaiser, M. & Müller, AL. Economic Evaluation and Optimization of the Degree of Automation in Insurance Processes. Bus Inf Syst Eng 2, 29–39 (2010). https://doi.org/10.1007/s12599-009-0088-6
Singh, J., Urolagin, S. (2021). Use of Artificial Intelligence for Health Insurance Claims Automation. In: Patnaik, S., Yang, XS., Sethi, I. (eds) Advances in Machine Learning and Computational Intelligence. Algorithms for Intelligent Systems. Springer, Singapore. https://doi.org/10.1007/978-981-15-5243-4_35
F. Imaam, A. Subasinghe, H. Kasthuriarachchi, S. Fernando, P. Haddela and N. Pemadasa, "Moderate Automobile Accident Claim Process Automation Using Machine Learning," 2021 International Conference on Computer Communication and Informatics (ICCCI), Coimbatore, India, 2021, pp. 1-6, doi: 10.1109/ICCCI50826.2021.9457017.
Duan, J., & Wong, B. (2020). Artificial Intelligence Applications in Insurance Claims. https://www.actuaries.org/IAA/Documents/ASTIN/Workshops/Tokyo.pdf
Newman-Griffis D, Maldonado JC, Ho PS, Sacco M, Silva RJ, Porcino J, Chan L. Linking Free Text Documentation of Functioning and Disability to the ICF With Natural Language Processing. Front Rehabil Sci. 2021 Nov;2:742702. doi: 10.3389/fresc.2021.742702
Sunghwan Sohn, Yanshan Wang, Chung-Il Wi, Elizabeth A Krusemark, Euijung Ryu, Mir H Ali, Young J Juhn, Hongfang Liu, Clinical documentation variations and NLP system portability: a case study in asthma birth cohorts across institutions, Journal of the American Medical Informatics Association, Volume 25, Issue 3, March 2018, Pages 353–359, https://doi.org/10.1093/jamia/ocx138
Xiao, W. (2012). China Information-Sharing Platform for Auto Insurance Based on Cloud Computing. Computer Systems and Applications. https://www.semanticscholar.org/paper/dda7dabac78a86aec05ed5a353454e8504c28540
M. Soni, "End to End Automation on Cloud with Build Pipeline: The Case for DevOps in Insurance Industry, Continuous Integration, Continuous Testing, and Continuous Delivery," 2015 IEEE International Conference on Cloud Computing in Emerging Markets
(CCEM), Bangalore, India, 2015, pp. 85-89, doi: 10.1109/CCEM.2015.29.
S. Ye, H. Liu, Y. -W. Leung and X. Chu, "Reinsurance-Emulated Collaboration Mechanism in Cloud Federation," 2017 IEEE 10th International Conference on Cloud Computing (CLOUD), Honololu, HI, USA, 2017, pp. 727-732, doi: 10.1109/CLOUD.2017.102.