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IndiaFinance and insurance2026 – ongoing

Star Health and Allied Insurance

Proprietary AI models for claims processing

Star Health said about 25% of its claims ran through its own AI models, with 50% targeted

In progressCompany's own claim

Problem

Star Health settles a very large number of health claims through a network of hospitals and wants faster processing.

Approach

The insurer built proprietary AI models with an in-house data science team. It also works with Microsoft and specialist healthcare AI firms. The models handle claims, and AI is also used in underwriting and customer servicing. Annual spend on IT, data and cybersecurity is Rs 200-250 crore.

Results

nearly 25%share of claims processed through proprietary AI models, per the CEOCompany's own claim[1]
50%target share of claims through AI models by the end of the financial year, per the CEOCompany's own claim[1]
Rs 200-250 croreannual investment in IT, data and cybersecurity, per the CEOCompany's own claim[1]

Takeaway

The CEO gave a current share and a target. The interview did not say how the models decide or how accuracy is checked.

Categories

Innovation type
Process innovation
Evidence
Company's own claim

Sources

Source summaries

[1]DT Next20 May 2026

In an interview, MD-CEO Anand Roy said nearly 25% of claims go through proprietary AI models and the target is 50% by the end of the financial year. He said AI is also used in underwriting and customer servicing, and gave annual IT, data and cybersecurity spend as Rs 200-250 crore.

Full details are in the original sources.

Added 1 Nov 2026 · Updated 1 Nov 2026
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