Keynote by IFFCO-Tokio General Insurance at H2O World India 2023
- Predictive AI
- H2O Driverless AI
- H2O Hydrogen Torch
Overview
Seema Gorman, Executive IT Director at IFFCO-Tokio General Insurance, traces the insurer's AI journey from 2019 through 2023 at H2O World India. She covers early wins like AI-based motor damage assessment and OCR-driven claims automation, then focuses on the partnership with H2O.ai for fraud detection: a document AI system built to catch duplicate images and reports in health insurance claims under India's Ayushman Bharat scheme, and a retrained driverless AI model for motor claims fraud, including concrete results from both.
Key takeaways
- How IFFCO-Tokio's AI journey progressed from a 2019 self-service motor damage assessment app to OCR-driven claims automation and, from 2020, fraud detection built with H2O.ai
- How a document AI system was built to catch duplicate images and reports in health insurance claims under India's Ayushman Bharat scheme, covering about 2.5 million insured families in Jammu and Kashmir
- How the model was refined based on adjudicating doctors' feedback: narrowing comparisons to recent claims, filtering out legitimate repeat submissions from returning patients, and linking claimant history via API
- The scale of impact: around 100,000 duplicate images caught early on, and recognition from the Lieutenant Governor of Jammu and Kashmir for the resulting claims service
- How a revamped motor claims fraud model built with driverless AI reached 80 percent precision and helped flag roughly $1 million in suspected fraudulent claims for review
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