US 12,277,482 B2
Cognitive claims processing
Srinivasan S. Muthuswamy, Bangalore (IN); Mukesh Kumar, Bangalore (IN); Willie Robert Patten, Jr., Hurdle Mills, NC (US); and Subhendu Das, Chapel Hill, NC (US)
Assigned to International Business Machines Corporation, Armonk, NY (US)
Filed by International Business Machines Corporation, Armonk, NY (US)
Filed on Mar. 23, 2021, as Appl. No. 17/209,568.
Prior Publication US 2022/0309380 A1, Sep. 29, 2022
Int. Cl. G06N 20/00 (2019.01); G06N 5/04 (2023.01)
CPC G06N 20/00 (2019.01) [G06N 5/04 (2013.01)] 18 Claims
OG exemplary drawing
 
1. A computer-implemented method, the method comprising:
receiving, by a processor, a claim, wherein the claim is related to an event;
identifying characteristics of the claim;
determining, using a plurality of artificial intelligence (AI) models trained on a plurality of previous claims, respective ones of the previous claims having a set of characteristics, an alert reason based on a similarity of the characteristics of the claim to characteristics of one or more previous claims of the plurality of previous claims, wherein the plurality of AI models comprises a first AI model and a second AI model that are each configured to generate a classification for a different aspect of the claim, and wherein the plurality of AI models further comprises an ensemble model configured to aggregate classifications from the first and second AI models;
generating an alert notification;
outputting the alert notification to a user;
receiving feedback from the user confirming the alert notification; and
updating the first AI model from the plurality of AI models with the feedback,
wherein the feedback increases an accuracy of subsequent alert notifications.