Using GANs for Insurance Claims Prediction: Improving Claims Automation

Processing insurance claims is a complex task that requires accurate predictions to speed up approvals, reduce fraud, and improve customer satisfaction. Traditional models often struggle with complex and unbalanced data. This paper explores how Generative Adversarial Networks (GANs) can help make insurance claims predictions more accurate by creating synthetic claim scenarios. GANs can generate realistic claim cases to improve training, leading to faster and more precise decisions. We propose a framework for using GANs in claims processing, compare its performance with traditional machine learning models, and discuss ethical and regulatory challenges. Experiments show that GAN-enhanced models perform better than traditional methods in accuracy and reliability. This study highlights how GANs can optimize claims automation and reduce fraud risks in the insurance industry.

Publication Details

Journal
Zenodo (CERN European Organization for Nuclear Research)
Published
2025-03-30
DOI
https://doi.org/10.5281/zenodo.15107579
Primary Topic
Genomics and Phylogenetic Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Using GANs for Insurance Claims Prediction: Improving Claims Automation

Zenodo (CERN European Organization for Nuclear Research)
Genomics and Phylogenetic Studies
article

Using GANs for Insurance Claims Prediction: Improving Claims Automation

article en

Abstract

Processing insurance claims is a complex task that requires accurate predictions to speed up approvals, reduce fraud, and improve customer satisfaction. Traditional models often struggle with complex and unbalanced data. This paper explores how Generative Adversarial Networks (GANs) can help make insurance claims predictions more accurate by creating synthetic claim scenarios. GANs can generate realistic claim cases to improve training, leading to faster and more precise decisions. We propose a framework for using GANs in claims processing, compare its performance with traditional machine learning models, and discuss ethical and regulatory challenges. Experiments show that GAN-enhanced models perform better than traditional methods in accuracy and reliability. This study highlights how GANs can optimize claims automation and reduce fraud risks in the insurance industry.

Zenodo (CERN European Organization for Nuclear Research)
Openalex Percentile: Top 56%
Genomics and Phylogenetic Studies
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