Automated claim validation and fraud detection

# AI for automated claim validation and fraud detection **Domain:** Customer Service **Subdomain:** Customer Service and Support **Capability:** Customer Claims Management Ability to process claims from customers for the recovery of costs based on contractual agreements. It includes the ability to receive and record the claim and to decide if a credit memo will be issued or the claim will be disputed. ## AI use case AI for automated claim validation and fraud detection. ## Implementation Implement AI algorithms to automatically validate claims against contractual terms and detect potential fraudulent activities. ## Reference solutions IBM Watson Discovery; SAS Fraud Management