Home Case Studies Revolutionizing Fraud Detection in Insurance with AI/ML-Powered RPA
Reduction in claim processing time
Improvement in operational efficiency
Increased cost savings

The client is a prominent insurance provider that specializes in healthcare, travel, and accident coverage and is dedicated to maintaining the industry’s highest claim ratio. They aim to retain a leading position within the sector through contemporary technologies such as AI in insurance and ML.
The client wanted to move away from conventional methods requiring much manual intervention. They wanted to automate their insurance claim process solution with AI/ML to spot unusual patterns that are unnoticeable by the human eyes. The overall goal was to use deep anomaly detection to anticipate fraud detection in insurance claims quickly, reduce the loss ratios, and fasten the claim processing.


Advanced Anomaly Detection
Achieved swift identification of unusual behaviors and fraud patterns, enabling quicker response and intervention by leveraging RapidMiner.
Streamlined Claims Processing
Streamlined the claim review process, ensuring that claims underwent fraud detection checks before payment instructions were transmitted to the bank with the help of an AI virtual assistant.
Enhanced Fraud Prevention
Mitigated financial risks and enabled a more sophisticated and supervised approach to detecting and preventing fraud by implementing predictive analytics in healthcare.


Kanerika is a premier provider of data-driven software solutions and services that facilitate digital transformation. Specializing in Data Integration, Analytics, AI/ML, and Cloud Management, Kanerika prides itself on its expertise in employing cutting-edge technologies and agile methodologies to ensure exceptional outcomes. With a proven track record across various industries, Kanerika maintains rigorous quality standards, backed by ISO 27701 & 27001 certification, SOC II, and GDPR compliance. We are also CMMi Level 3 appraised, further accentuating our commitment to quality service delivery. As a distinguished partner of Microsoft, AWS, and Informatica, Kanerika’s commitment to innovation and strong partnerships positions it at the forefront of empowering businesses for their growth.

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