A Feasibility Study on Automating the Automotive Insurance Claims Processing

In this paper, we present a feasibility study in automating the insurance claims processing system related to automotive sector. In automobile insurance claims processing, usually an adjuster is sent to specific location from where the claim has been registered to physically inspect the validity of the claim. Sending adjusters for each and every such claim imposes a cost factor. With the increased number of such claims it often becomes very difficult to physically inspect each claim with a limited number of adjusters. Here we categorize certain claims where physical inspection is unnecessary and these claims can be processed without sending any adjuster (we call these claims as `fasttrack' claims). The challenge of labeling any claim as a `fast-track' claim is that in the past historical data no claim has been identified as `fast-track' claim. The domain experts have certain knowledge about `fasttrack'ness of a claim, however, it is very difficult to articulate tha...

• Type: Conference
• Year: 2009
• Where: COMAD
• Authors: Jayanta Basak, Desmond Lim
• Keywords: COMAD 2008, COMAD 2009, Decision Tree, Domain Experts, Insurance Claims Processing