AI for process automation: use cases from healthcare insurance. Filippo F.G. Della Casa, Unipol

International Journal on Soft Computing, Artificial Intelligence and Applications (IJSCAI) is an open access peer-reviewed journal that provides an excellent international forum for sharing knowledge and results in theory, methodology and applications of Artificial Intelligence, Soft Computing. The Journal looks for significant contributions to all major fields of the Artificial Intelligence, Soft Computing in theoretical and practical aspects. The aim of the Journal is to provide a platform to the researchers and practitioners from both academia as well as industry to meet and share cutting-edge development in the field.

Machine Learning 2. May 19th 2018. Data Driven Innovation 2018. Engineering Department, university of Roma Tre

Données & analyses

AI for process automation: use cases from
healthcare insurance
Data Driven Innovation 2018, Roma

Mission
Leithà is a factory which develops, through agile, data-intensive solutions, applications
or components of applications, with the goal to
• preserve, extract value from, enrich the data assets of the Unipol Group
• gain and maintain competitive advantage
2

Skill-set: Algorithms and Applications
3
Data Science
• Data mining
• Process mining
• Graph mining
• Text mining
• Big Data
• Machine Learning
• Image processing
• Natural Language Processing
• Artificial Intelligence
Computer Science
• Data Engineering
• Software Engineering
• High Performance Computing
• Big Data architectures
• IoT
• Signal processing
• Software embedded
• Mobile
• User eXperience

Project portfolio
4
• Insurance premiums
• Purchase propensity algorithms
• Fraud analytics and claims management instruments
• Telematics claims
• Nat-cat modeling for insurance and re-insurance
• Machine Learning / AI for process automation

AI for process automation: the «hurdle» of unstructured
data
5
► Calculations can be performed on any kind of digital data
Structured data ≈
Numbers => calculations
Labels => filters{
Unstructured data: text

AI for process automation: use cases from healthcare
insurance
6
► Goal: across multiple touchpoints / processes, understand medical services and
diseases and match to a list of available medical services for certain diseases
Issue #1: many different ways
 word2vec
• Mapping of words on vectors
• Prediction of «in-between» word
• Sum-preserving mapping
Issue #2: highly technical domain
 trial and error…
• Wikipedia
• Medical dictionaries
• Company-specific data

7
Deploy… or die!
• Implementation of matching algorithms as services
• Services integrated in website and mobile app, to provide auto-completion suggestions
• Services integrated in web-app to support the process of new clinics entering the network
• Services integrated in «virtual agent»
The road to fully unlock the potential of Data Science…
.ppt  analysis on static datasets  PoC  working prototype  Production!!!× × ××

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