This study delves into applying blockchain technology to maximize trust and efficiency when it comes to the process of verifying insurance claims, in health and motor car insurance markets in this case. Through the application of a permissioned blockchain network, the study proves how blockchain transparency and decentralization can facilitate processing claims yet maintain data integrity and minimize fraud. Four core algorithms—Blockchain Consensus, Smart Contracts, Fraud Detection, and Claim Validation—were developed and implemented. The tests registered a reduction of 30% in claim verification time against traditional practices. In addition, fraud detection accuracy was boosted by 25%, and blockchain was found to enhance security and block fraudulent claims. Machine learning algorithms integrated further empowered the system with real-time decision-making, leading to responsiveness of claims handling overall. Comparison with existing systems identified phenomenal improvements in trust, operating speed, and cost savings. The relevance of the findings is that blockchain-based applications offer an open, secure, and efficient platform for processing insurance claims. The study contributes to the scientific community's knowledge of blockchain applications for insurance as well as offering real-world know-how to industry players keen to utilize new technology to simplify claims processing.

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Blockchain-Powered Claims Validation for Enhancing Trust in Health and Auto Insurance Ecosystems

  • Sneha Singireddy,
  • Lahari Pandiri,
  • Shabrinath Motamary,
  • Dwaraka Nath Kummari,
  • Bharath Somu,
  • Phanish Lakkarasu

摘要

This study delves into applying blockchain technology to maximize trust and efficiency when it comes to the process of verifying insurance claims, in health and motor car insurance markets in this case. Through the application of a permissioned blockchain network, the study proves how blockchain transparency and decentralization can facilitate processing claims yet maintain data integrity and minimize fraud. Four core algorithms—Blockchain Consensus, Smart Contracts, Fraud Detection, and Claim Validation—were developed and implemented. The tests registered a reduction of 30% in claim verification time against traditional practices. In addition, fraud detection accuracy was boosted by 25%, and blockchain was found to enhance security and block fraudulent claims. Machine learning algorithms integrated further empowered the system with real-time decision-making, leading to responsiveness of claims handling overall. Comparison with existing systems identified phenomenal improvements in trust, operating speed, and cost savings. The relevance of the findings is that blockchain-based applications offer an open, secure, and efficient platform for processing insurance claims. The study contributes to the scientific community's knowledge of blockchain applications for insurance as well as offering real-world know-how to industry players keen to utilize new technology to simplify claims processing.