Reducing Claim Losses with Smarter Anomaly Detection

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Challenge Slow, Error-Prone, and Costly Claims Analysis

A leading insurer was under pressure to improve risk accuracy and reduce claim losses. However, outdated processes and fragmented systems created barriers to effective anomaly detection.

Key challenges included

Legacy infrastructure

Couldn’t keep pace with the scale and complexity of claims.

Data silos

Claims data arrived from multiple sources and formats, making it difficult to achieve a single, unified view.

Manual investigation

Analysts spent hours reviewing irregularities, delaying fraud detection.

Delayed detection

Errors and fraudulent activities slipped through, inflating claim ratios and loss ratios.

Solution AI-Powered Underwriting Automation with Marvel.ai

The insurer deployed Marvel.ai, our AI-first, Cloud-native, and CX-centric Business Transformation Engine, to transform claims assessment with speed, accuracy, and scalability.

Key capabilities included

  • Seamless integration Connected with existing systems for real-time, enterprise-scale processing.
  • Unified data layer Consolidated inputs from multiple formats into a single source of truth.
  • Advanced anomaly detection AI/ML models identified hidden risks and fraud patterns in seconds or minutes .
  • Self-learning models Improved detection accuracy continuously without requiring labeled datasets.
  • Intuitive dashboards Gave investigators clear, real-time insights to accelerate decision-making.
  • Automation at scale Reduced manual reviews while strengthening audit trails and compliance.

Business Impact Stronger Risk Detection, Lower Losses

Sharper risk assessment

through precise anomaly detection.

Reduced claim losses

by detecting fraud and errors earlier.

Higher productivity

with analysts focusing on high-value cases.

Faster claim resolutions

improving customer satisfaction.

Scalable efficiency

enabled by cloud-based automation.

Ready to Start Your Transformation Journey?

Join the companies that chose transformation over stagnation. Marvel.ai isn't just a platform—it's your revolution catalyst. The future of business transformation starts with a single decision.