Industry
Healthcare
Specialties
Healthcare Insurance
Location
USA
About the Client
The client is a health insurance company operating in different sectors, such as retail, group and specialty businesses, and healthcare services. The company has over 90,000 employees in different verticals and specializes in clinical care, pharmacy solutions, provider solutions, and health informatics.
Business Challenges
Business Solution
Royal Cyber’s data science experts created a machine learning solution to help the client’s system identify vital features and attributes of fraudulent transactions and automate the claims handling process to save time and cost for the team.
Key Outcomes
70%
Decrease in deployment dependencies
75%
Increase in customer satisfaction
80%
Reduction in human resources investment
Our Customers Enjoy Our Process
Working with an industry-leading client in the health insurance space was a productive and learning experience for me and my team. We initiated by understanding the client’s project and its pain points, how the fraudulent transactions and manual inspection processes affected their time and resources, and eventually created a custom ML solution that would help them detect fraud claims and automate claims handling and payments.