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Fraud Detection Analytics

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Background 

The Client is European Social Security Agency

Solution 

  • Selected as the AI partner of choice to help perform the experiments that add significant value to the organization mainly in helping detect fraud, reduce cost and significantly improve customer experience.
  • Introduced image analytics and RPA to dental claim processing
  • Currently building and industrializing several different AI and IOT related experiments

Benefits

  1. Managed to save $5m in savings in dental claim processing from fraud alone.

  2. The RPA resulted in significant reduction in processing time while raising the accuracy of the claims filed with the group.

  3. Improved Customer Experience.