FinTech Belgium - Insurtech Belgium MeetUp on Claim Optimisation - Filip Verbeke - Complidata - 23-05-19

1. Process
Automation and
Advanced
Analytics for
Claims Automation
A.I.-driven automation

2. Assisting the industry in the Digital Transformation of Financial Crime
Developing A.I.- driven Process Automation to streamline and
optimise Financial Crime processes and underlying operations
across several vertical domains for FSI’s.
Harvesting the team’s domain expertise and thought leadership embedding
it in Analytical Approaches
Leveraging a network of more than 100 client FSI’s
Build A.I. assets with a team of tech-savvy experts, supported by
academic research
What we do
A.I.-driven automation

3. A day in the life of a claims handler
Manual processes, A.I.-driven automation

4. Propensity scores
Providing the claims handler with a holistic view A.I.-driven automation

5. Early offer propensity
Score outcomes visualised A.I.-driven automation

6. Automated scripts
Computing monetary value A.I.-driven automation

7. Fraud scripts
Fraud likelihood & loss amount A.I.-driven automation

8. Propensity-Scoring and Matching
Gradient-Boosting
A.I. models
Tangible benefits A.I.-driven automation

9. Developing A.I.- driven Process Automation to streamline and
optimise claims handling processes and underlying operations.
Benefits:
• Reduced cost
• Increased Customer satisfaction
• Faster settlement
• Reduced fraud
A.I.-driven automation

10. Company registries mining
A.I.-driven automation

11. A.I.-driven automation
Extraction of ID data from documents

12. Intelligent Agents platform
Generic framework deployable in various verticals
From Analysis to
Action
The next step in the
process is to create
actionable results. This
is achieved by building
“actuators”.
These are robotic
agents driven by white
box artificial
intelligence and not
only by rules-based
workflows. The A.I.
models are managed in
the platform with full
Model Risk
Management features.
Analysis Ready Data
We get to analysis-
ready data by unlocking
paper-based assets and
unstructured data,
cleansing and
remediating
information,
augmenting and
resolving entities. For
each process a separate
approach is required,
which we define
as smart sensors.
Accessible framework
A framework built on
rich internal and
external data,
facilitating access to
API-based
specialist data
providers but also to
open source
intelligence, core
operational systems and
in-house data
repositories.
Fully secured, GDPR
ready, audit trail
features, encryption.
A cloud-based
platform
The Complidata
Intelligent Agents for
Financial Crime is
available on a cloud-
based platform,
composed of a
collection of generic
sensors, generic
algorithms and generic
actuators, and content
rich, fit for purpose,
readily deployable
Intelligent Agents.
A.I.-driven automation