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Optimization of Insurance Claim Cost Prediction Through Health Data and Machine Learning

Publication Type : Conference Paper

Publisher : IEEE

Source : 2025 Fifth International Conference on Advances in Electrical, Computing, Communication and Sustainable Technologies (ICAECT)

Url : https://doi.org/10.1109/icaect63952.2025.10958928

Campus : Bengaluru

School : School of Engineering

Department : Electronics and Communication

Year : 2025

Abstract : This research aims to estimate the health insurance claim costs using a machine learning algorithm with given potential health risks factors including age, sex, BMI, smoking status and city. To benchmark the prediction accuracy for various algorithms selected in this analysis, a health insurance dataset obtained from Kaggle is used, details of which are given as follows: It involves activities such as data pre-processing, feature engineering, model selection along with using measures like R-squared (R2ˆ) and Mean Absolute Error. The predictive accuracy results indicated that Random Forest rendered the best results among all the tested models with an accuracy of 96.7% in modeling the health data due to its rich ability to generate various relationships. This research also focuses on the capability of machine learning in cost forecasting for insurance companies that would improve on the pricing strategies among other aspects of financial management.

Cite this Research Publication : Shivram Mohan, Sanidhya Sharma, Sonali Agrawal, S Kamatchi, Optimization of Insurance Claim Cost Prediction Through Health Data and Machine Learning, 2025 Fifth International Conference on Advances in Electrical, Computing, Communication and Sustainable Technologies (ICAECT), IEEE, 2025, https://doi.org/10.1109/icaect63952.2025.10958928

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