Applications of AI and Machine Learning for Insurers
Try before you Buy
A simple cloud service for insurers to rapidly evaluate the performance and business benefits of SMART-CLAIMS© using their own data
The SMART CLAIMS Rapid Pilot Service
A successful pilot is very critical in showcasing the capabilities and benefits of SMART CLAIMS on your specific data. When you can “try before you buy”, it minimises risks to both parties.
Who in my organization can benefit?
The service is intended for insurers seeking to improve operational efficiency and cost management such as Claims Managers, Cost Containment Managers, Fraud/leakage Prevention Managers.
What kind of claims types are supported?
OUTPATIENT, SPECIALIST
INPATIENT
PRE_AUTHOURISATION or ELOG
ACCIDENT
What Lines of Business are covered?
INDIVIDUAL
GROUP
What kind of individual claims decisions are provided?
ACCEPT
DECLINE with justifiable reasons linked to ICD codes
What data do I need to provide?
SMART CLAIMS requires claims information (header, items), policy, plans and benefits.
Historical data needs to be uploaded into 2 phases:
a) Training phase – 1 year or 100K historical claims records, whichever is more.
b) Validation phase – 3 months or 10K claims records, whichever is more.
Note: No Personal Identifiable Information (PII) is required. Please do not upload any PII !!
How do I engage with AiDA to run the pilot?
Do you want to Try Before you Buy?
With AiDA SMART CLAIMS insurers can
