An Ai- Powered and Blockchain – Integrated Model for Automated Claims Processing and Fraud Detection in the Insurance Industry
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This research presents an advanced model that integrates Artificial Intelligence (AI) and blockchain technologies to automate claims processing and strengthen fraud detection within the insurance industry. Traditional systems often face challenges such as lengthy manual procedures, human error, and vulnerability to fraudulent activities. The proposed AI–blockchain framework addresses these issues by combining predictive analytics, machine learning, and natural language processing for accurate claim assessment, while blockchain ensures transparency, data immutability, and secure record-keeping. The integrated system achieved higher accuracy, reduced processing time, and improved fraud detection performance compared to conventional methods. By merging AI’s analytical intelligence with blockchain’s decentralized security, the model enhances operational efficiency, customer trust, and data integrity. This innovative approach represents a significant step toward building a fully digital, secure, and customer-centric insurance ecosystem.
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