Plate 01
2026-05
AI-Powered Healthcare Insurance Fraud Detection System
AI-assisted fraud scoring and decision-routing platform for healthcare insurance operations.
Built an AI-assisted healthcare insurance fraud detection system that scores claims and providers for fraud risk, routes cases through decision automation, and supports investigators with a business-friendly analytics dashboard.
System Type
Healthcare AI
Delivery State
Completed / Flagship
Tools
Concepts
Proof Point
Streamlit-based fraud scoring dashboard with decision routing, business impact modeling, and responsible AI controls.