InsuranceData Engineering
Predicting insurance policy claims
An insurance company in the US is facing a 5% of claims and is struggling to understand their distribution and factors. Lets develop a predictive model.
- Industry
- Insurance
- Solution
- Data Engineering

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The challenge
An insurance company in the US is looking to:
- Detect and predict patterns in policy claims.
- Reduce the % of claims in its business portfolio.
- Improve profits by avoiding insuring high-risk cars.
Problems faced: the currently percentage of claims is 5%.
- Difficulty in understanding the distribution of claims and their factors.
- Complexity in identifying probability patterns in claims.
- Knowledge based mostly on unverified hypotheses.
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What Tekne did
Objective
Therefore, it was necessary to achieve greater use of the data from their systems, and to do so they aimed to:
- Organize data to draw conclusions, detect patterns and predict behaviours.
- Verify existing hypotheses about claims.
- Generate and contrast new hypotheses and insights.
- Develop a predictive model to estimate the probability of claims over the next 6 months.
Proposed Solution
We work together with the company proposing:
- Implementation of predictive models to predict policy claims: random forest and logistic regression using 36 months of data.
- Deployment of the models via API and integrated into its origination platform.
Work continuity:
- Advice on good data management practices.
- Implementation of tools for policy management.
- Analysis to obtain valuable insights.
Architecture and Processes
Implemented architecture

Model diagram

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Results
After working with us, the company now has:
- A standard application model for claim detection.
- Insights on which aspects influence the making of claims.
- Predictive scoring for analyzing the behavior of customer policies and establishing different prices according to behavior.
- Predictive scoring for carrying out campaigns in sector where the probability of claims is lower.
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