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5 Deep Learning Use Cases for the Insurance Industry

4 minutes, 9 seconds read

In 2010, with the launch of the Image Net Competition, a vast dataset of about 14 million labeled images was made open-source to inspire the development of cutting-edge image classifiers. This was when Deep Learning technology got its a real breakthrough and since then there’s been no looking back for advancements in this field.

Different industries are actively using Deep Learning for object detection, features tagging, image analysis, sentiment analysis, and processing data at extremely high speeds. The bigger benefit that differentiates Deep Learning from other AI and ML technologies is the ability to train vast amounts of unstructured data in near real-time. Organizations with a strong focus on data are already about 1.5 times more likely to invest in Deep Learning for actionable insights — Forrester Predicts.

What makes Deep Learning Technology so sought after?

Let’s take a look at 5 Deep Learning use cases from an insurance perspective.

5 Noteworthy Deep Learning Use Cases in Insurance

Deep Learning (DL) is a branch of Machine Learning, which is based on artificial neural networks. DL techniques are specifically useful for determining patterns in large unstructured data. It is highly beneficial for assessing damages during an accident, identifying anomalies in billing, etc. that can eventually help in fraud detection and better customer experiences.

The insurance industry can leverage Deep Learning technology to improve service, automation, and scale of operations. 

1. Property analysis

Typically, insurers analyze a property only once before quoting an insurance premium. However, a customer may remodel the property, for instance, install a swimming pool. 

Under such instances, Insurers can proactively modify the insurance coverage with the help of deep learning technology. In fact, with DL technology, Insurers can help their customers with predictive maintenance, fault analysis, and real-time support. 

For example, Enodo provides underwriting for multifamily properties. It allows users to analyze historical rent, concession data, and market values. Such data-driven tools are also a great aid for insurers.

2. Personalized offers

Insurers are seeking different ways to enhance the customer experience. Deep Learning can vividly improve interaction experiences at different customer touch-points. Take for instance — marketing outreach. Through personalized recommendations and dynamic remarketing strategies, insurers can achieve better conversions. McKinsey states that personalization can reduce customer acquisition costs by up to 50%

At the core of these strategies lies Deep Learning technology. DL technology can make logical classifications of unstructured data through unsupervised learning. We’ve already seen product recommendations based on our own preferences, browsing/search patterns, and peers’ interests. The same applies to the insurance industry, especially when insurers endeavor profits through bite-size and on-demand insurance products.  

3. Pricing/Actuarial analysis

Actuarial analysis and evaluation are both time-consuming and error-prone processes. Insurers can considerably improve policy pricing through automated reasoning. Deep Learning techniques combine statistics, finance, business, and case-based reasoning and can assist actuaries in better risk assessments. Accenture reports — Insurers are leveraging machine learning for underwriting in P&C (56%) and life (39%) insurance sectors

  1. Explainable AI (XAI) is capable of adopting and implementing AI across all capacities of the actuarial profession. 
  2. Pattern recognition from historical data can help assess the risk and understand the market better.
  3. Deep Learning can help in pragmatic actuarial solutions to make effective decisions on large actuarial data sets.

4. Deep Learning Use Cases in Fraud Detection

In Norway alone in 2019, there were 827 proven fraud cases, which could have caused a loss of over €11 million to insurers.

Insurance fraud usually occurs in the form of claims. A claimant can fake the identity, duplicate claims, overstate repair costs, and submit false medical receipts and bills. Mostly because of disconnected information sources, Insurers fall victim to fraudulent activities from customers. Now, here’s the challenge. How to unify different data sources, which, to date, even include offline receipts and manually scanned documents. 

Deep Learning can help in fraud detection by-

  • Finding hidden/implicit correlations in data.
  • Facial recognition, sentiment analysis on submitted claims application.
  • Supervised learning to train the fraud detection models using labeled historical data.
  • Eliminating the time lag in the verification of documents, which raises the potential for data breaching.

5. Claims

Deep Learning incorporates two-fold benefits to insurers in terms of claims. One — with a connected information ecosystem, it helps insurers with faster claims settlement (thus, customer experience as well). Two, deep learning predictive models can equip insurers with a better understanding of claims cost. 

For example, Tokio Marine — the largest P&C insurance group in Japan uses a cloud-based document processing system to process handwritten claims from the time of the first intimation. Many insurers are looking forward to end-to-end claims processing systems with deep learning and other AI capabilities. 

The Crux

Today, Deep Learning technology is able to mimic an infant’s brain. The research is on for developing new neural network architectures (e.g. Siamese Network, OpenAI’s GPT-2 Model, etc.) that will be capable of performing complex functionalities of a mature human brain. Deep Learning technology, in the near future, will be leading the development of cognition-based insurance systems.

Also read — The Cognitive Cloud Insurer is Next!

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Conversational UI in Healthcare: Enhancing Patient Interaction with Chatbots

As healthcare becomes more patient-centric, the demand for efficient and personalized care continues to grow. One of the key technologies that have gained traction in this domain is Conversational UI (CUI) — a user interface where interactions occur through natural language, often with the help of chatbots. For developers, building a robust CUI in healthcare requires a balance of technical proficiency, understanding of the healthcare landscape, and empathy toward patient needs. Let’s explore how CUI can improve patient interactions through chatbots and what developers should consider during implementation.

Why Conversational UI is Gaining Popularity in Healthcare

From scheduling appointments to answering medical queries, healthcare chatbots have become vital tools for enhancing patient engagement and streamlining healthcare workflows. Conversational UIs enable these chatbots to interact with patients naturally, making them accessible even to non-tech-savvy users. By incorporating AI and NLP (Natural Language Processing), chatbots can now simulate human-like conversations, ensuring patients receive timely, relevant responses. 

Image credit: https://www.analytixlabs.co.in/blog/ai-chatbots-in-healthcare/ 

Key Areas Where Chatbots Are Revolutionizing Healthcare

  1. Appointment Scheduling and Reminders – Chatbots can automatically schedule appointments based on patient availability and send reminders before the visit, reducing no-show rates. For developers, this feature requires integration with hospital management systems (HMS) and calendar APIs. The challenge lies in ensuring secure and real-time data transfer while adhering to healthcare compliance standards like HIPAA.
  1. Medical Query Resolution– Chatbots equipped with NLP can answer common patient questions related to symptoms, medications, and treatment plans. This reduces the burden on healthcare providers, allowing them to focus on more critical tasks. Developers working on this feature need to consider integrating medical databases, such as SNOMED CT or ICD-10, for accurate and up-to-date information.
  1. Patient Monitoring and Follow-ups – Post-discharge, chatbots can monitor a patient’s condition by regularly asking for health updates (e.g., vital signs or medication adherence). Developers can integrate IoT devices, such as wearable health monitors, with chatbot platforms to collect real-time data, providing healthcare professionals with actionable insights.
  1. Mental Health Support – Chatbots have shown promise in offering mental health support by providing patients with an outlet to discuss their feelings and receive advice. Building these chatbots involves training them on therapeutic conversational frameworks like Cognitive Behavioral Therapy (CBT), ensuring they offer relevant advice while recognizing when a human intervention is required.

Key Considerations for Developers

1. Natural Language Processing (NLP) and AI Training

NLP plays a pivotal role in enabling chatbots to understand and process patient queries effectively. Developers must focus on the following:

Training Data: Start by gathering extensive datasets that include real-life medical queries and patient conversations. This ensures that the chatbot can recognize various intents and respond appropriately.

Multi-language Support: Healthcare is global, so building multi-lingual capabilities is critical. Using tools like Google’s BERT or Microsoft’s Turing-NLG models can help chatbots understand context in different languages.

Contextual Understanding: The chatbot must not just respond to individual queries but also maintain the context across the conversation. Developers can use contextual models that preserve the state of the conversation, ensuring personalized patient interactions.

2. Security and Compliance

Healthcare chatbots handle sensitive patient information, making security a top priority. Developers must ensure compliance with regulations such as HIPAA (Health Insurance Portability and Accountability Act) in the U.S. and GDPR (General Data Protection Regulation) in Europe. Key practices include:

  • Data Encryption: All communication between the chatbot and the server must be encrypted using protocols like TLS (Transport Layer Security).
  • Authentication Mechanisms: Implement two-factor authentication (2FA) to verify patient identity, especially for sensitive tasks like accessing medical records.
  • Anonymization: To avoid accidental data breaches, ensure that the chatbot anonymizes data where possible.

3. Seamless Integration with EHR Systems

For chatbots to be truly effective in healthcare, they must integrate seamlessly with Electronic Health Record (EHR) systems. This requires a deep understanding of healthcare APIs like FHIR (Fast Healthcare Interoperability Resources) or HL7. Developers should aim to:

  • Enable Real-time Updates: Ensure that chatbot interactions (e.g., new appointment schedules, and symptom checks) are instantly reflected in the patient’s EHR.
  • Avoid Data Silos: Ensure that all systems (EHR, chatbot, scheduling system) can communicate with each other, eliminating data silos that can lead to fragmented patient information.

4. Scalability and Performance Optimization

In healthcare, downtime can be critical. Developers need to ensure that chatbots are scalable and capable of handling thousands of patient interactions simultaneously. Using cloud-based platforms (AWS, Google Cloud) that offer auto-scaling capabilities can help. Additionally, performance optimization can be achieved by:

  • Caching Responses: Store frequently used responses (such as FAQs) in memory to speed up interaction times.
  • Load Balancing: Implement load balancers to distribute incoming queries across servers, ensuring no single server is overwhelmed.

Tools and Platforms for Building Healthcare Chatbots

Several tools and platforms can aid developers in building healthcare chatbots with conversational UIs:

  1. Dialogflow (Google): Offers pre-built healthcare intents and integrates with Google Cloud’s healthcare APIs.
  2. Microsoft Bot Framework: A scalable platform that integrates with Azure services and offers AI-driven insights.
  3. Rasa: An open-source NLP tool that provides flexibility in creating highly customized healthcare bots.

Conclusion

Conversational UI in healthcare is transforming patient care by offering real-time, scalable, and personalized interactions through chatbots. However, for developers, building these systems goes beyond programming chatbots — it involves understanding the unique challenges of healthcare, from regulatory compliance to seamless integration with hospital systems. By focusing on NLP capabilities, ensuring security and privacy, and integrating with existing healthcare infrastructure, developers can create chatbots that not only enhance patient interaction but also alleviate the burden on healthcare providers.

References

  1. NLP in Healthcare: Opportunities and Challenges
  2. HIPAA Compliance for Chatbots

About the Author:

Shristi is a creative professional with a passion for visual storytelling. She recently transitioned from the world of video and motion graphics to the exciting field of product design at Mantra Labs. When she’s not designing, she enjoys watching movies, traveling, and sharing her experiences through vlogs.

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