Fraudulent Claim Detection

Detect whether a claim is Fraud or Not Fraud using Data Robot APIs.

IQ Bot 6.0 is required

Key Use Case: Fraudsters are not discriminating. They target any insurance company, large or small, that doesn't have a predictive system to catch fake claims. Without a predictive model to identify fraud, insurers have two options: 1. Review no claims and pay out on fraud OR 2. Review every claim and lose good customers at renewal time due to poor treatment and slow claims processing. With the Fraudulent Claim Detection Bot we can detect whether a claim is Fraud or Not Fraud using Data Robot APIs. In case of Fraud claim, the bot would send an email to supervisor. Otherwise, the bot would redirect the user to claim approval system.Fraudsters are not discriminating. They target any insurance company, large or small, that doesn't
have a predictive system to catch fake claims. Without a predictive model to identify fraud,
insurers have two options:
1. Review no claims and pay out on fraud OR
2. Review every claim and lose good customers at renewal time due to poor treatment and
slow claims processing.

With the Fraudulent Claim Detection Bot we can detect whether a claim is Fraud or Not Fraud using Data Robot APIs. In case of Fraud claim, the bot would send an email to supervisor. Otherwise, the bot would redirect the user to claim approval system.