Insurance · Machine Learning

How AI Helped a Health Insurer with Risk Estimation and Management

A neural network model, trained on five consecutive years of historical medical data, that estimates the risk of economic loss so a niche health insurer can optimise its pricing policies.

Outperformed statistical baseline models
Illustration of AI-based insurance risk estimation
Client
Insurance Company
Industry
Insurance
Technology
Machine Learning
Also applicable in
Finance, Banking
01

The challenge

A niche insurance company operating in the medical and health domain needed to develop its pricing policies. To do so, it had to understand the risks associated with individual patients and adjust its pricing models accordingly, with the aim of achieving considerable savings.

02

Our solution

We built an application around a machine learning model that predicts the probability of a particular disease from many input features and parameters, including medical history. The model is a deep neural network trained on historical medical data covering five consecutive years, and it was designed to handle intrinsic difficulties in the data such as class imbalance.

We also built a validation framework to compare multiple approaches objectively and confirm that the chosen model clearly outperformed the alternatives.

  • Disease probability prediction from medical history and other patient features
  • Deep learning model trained on five consecutive years of historical medical data
  • Handling of class imbalance in the training data
  • Validation framework for objective comparison of competing approaches
03

The outcome

Outperformed statistical baseline models

The model significantly outperformed the baseline models based on statistics. The insurer used its output to optimise pricing policy, increase revenue and manage risk better, which resulted in significant savings.

Start your project

Let's discuss a project like this for your company

Share a few details and our AI team will take it from there. Here is what happens next:

  1. We review your request and reply by email.
  2. A call with an AI expert to understand your problem, data and goals.
  3. A clear recommendation: the approach we suggest and a high-level estimate.

By submitting, you agree to our privacy policy. We use your details only to reply to your request.

Discuss your project