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Adoption of Technologies
for Claims Management
in
Health Insurance Sector
BY ARTIVATIC.AI
ARTIFICIAL
INTELLIGENCE
Nowadays, AI is assisting the health
insurance sector in claim processing,
this not only cuts down human
intervention but also cuts down the
time. This allows customers to have a
better user experience, AI helps to
capture damage and audit payout &
quickens the settlement process. It
also helps customers to check their
claims history and stay updated on
the payment.
INTERNETOF
THINGS[IoT]
With the potential to offer real-time
customer data, IoT is transforming
the insurance industry with active
loss-prevention techniques. A study
by the Boston Consultancy Group
estimates that US insurers could
reduce annual claims by 40 to 60
percent, just with the real-time data
smart devices provided.
BLOCKCHAIN
Blockchain holds a lot of
opportunities under it, it is found
that the main use of blockchain
technology is in fraud detection,
risk prevention, and ultra-safe
cross-border payments. Speaking of
fraud detection, Forbes states that
an estimated 5 to 10 percent of all
claims, in general, are fraudulent
which, according to the FBI, costs US
health insurers more than $40 billion
per year.
BLOCKCHAIN
Wearables are technological innovations that help
insurers. Connected devices such as wearables,
nearables, hearables, and ingestables will aid digital
insurers in the following:
- Identify customer segments and categorize products
and services accordingly.
- Offer customized premium pricing and flexible rates
based on a wealth of location, health, and environment
data.
- Recognize and update the latest information on a
policy holder’s database.
- Detect fraudulent activities using photos, audio,
video or any other form of qualified data.
- Generate real-time claims management by an adjuster.
API’s are crucial for claims
management. Health insurers need
efficient integration when it comes
to patients eligibility, health data,
digital claims management etc. and
APIs are ideal for these.
APPLICATION
PROGRAMMING
INTERFACE
GET IN TOUCH
www.artivatic.ai
Head Office
#18, 4th Floor, ENZYME JNC
Business Center, Guava Garden,
Koramangala 5th Block,
Bangalore-560095
Talk to us at:
contact@artivatic.ai

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Adoption of Technologies for Claims Management in the Health Insurance Sector.

  • 1. Adoption of Technologies for Claims Management in Health Insurance Sector BY ARTIVATIC.AI
  • 2. ARTIFICIAL INTELLIGENCE Nowadays, AI is assisting the health insurance sector in claim processing, this not only cuts down human intervention but also cuts down the time. This allows customers to have a better user experience, AI helps to capture damage and audit payout & quickens the settlement process. It also helps customers to check their claims history and stay updated on the payment.
  • 3. INTERNETOF THINGS[IoT] With the potential to offer real-time customer data, IoT is transforming the insurance industry with active loss-prevention techniques. A study by the Boston Consultancy Group estimates that US insurers could reduce annual claims by 40 to 60 percent, just with the real-time data smart devices provided.
  • 4. BLOCKCHAIN Blockchain holds a lot of opportunities under it, it is found that the main use of blockchain technology is in fraud detection, risk prevention, and ultra-safe cross-border payments. Speaking of fraud detection, Forbes states that an estimated 5 to 10 percent of all claims, in general, are fraudulent which, according to the FBI, costs US health insurers more than $40 billion per year.
  • 5. BLOCKCHAIN Wearables are technological innovations that help insurers. Connected devices such as wearables, nearables, hearables, and ingestables will aid digital insurers in the following: - Identify customer segments and categorize products and services accordingly. - Offer customized premium pricing and flexible rates based on a wealth of location, health, and environment data. - Recognize and update the latest information on a policy holder’s database. - Detect fraudulent activities using photos, audio, video or any other form of qualified data. - Generate real-time claims management by an adjuster.
  • 6. API’s are crucial for claims management. Health insurers need efficient integration when it comes to patients eligibility, health data, digital claims management etc. and APIs are ideal for these. APPLICATION PROGRAMMING INTERFACE
  • 7. GET IN TOUCH www.artivatic.ai Head Office #18, 4th Floor, ENZYME JNC Business Center, Guava Garden, Koramangala 5th Block, Bangalore-560095 Talk to us at: contact@artivatic.ai