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
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
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
- Size
- Large enterprise
- Industry
- Finance and insurance
- Business function
- Production and qualityCustomer service
- Innovation type
- Process innovation
- AI technology
- Predictive analytics and ML
- Adoption
- Built in-house
- Evidence
- Company's own claim
Sources
Source summaries
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.