Announced details
Insurance claims, claims payment assessment, fraudulent claim detection
In the previous proof-of-concept study on claims payment assessment operations, a claims assessment accuracy rate of at least 90% and AI-OCR accuracy of approximately 90% were confirmed.
Finatext is supporting the use of AI in claims payment assessment operations at メディケア生命. The companies have been advancing the use of AI in the claims payment assessment field.
A member of the Sumitomo Life Group. Head office: Sumitomo Life Kiyosumi Park Building, 1-11-12 Fukagawa, Koto-ku, Tokyo. President and Representative Director: Nishino Takatoshi (西野貴智). Established: October 2009.
The impact of this matter on financial results is expected to be minor.
The company does not address Contract Value / Offering price.
| Item | Details |
|---|---|
| Names of Products / Services Covered | Proof-of-concept (PoC) study on using AI to detect fraudulent insurance claims |
| Counterparty | メディケア生命保険株式会社 |
| Counterparty overview | A member of the Sumitomo Life Group. Head office: Sumitomo Life Kiyosumi Park Building, 1-11-12 Fukagawa, Koto-ku, Tokyo. President and Representative Director: Nishino Takatoshi (西野貴智). Established: October 2009. |
| Relationship with the Company | Finatext is supporting the use of AI in claims payment assessment operations at メディケア生命. The companies have been advancing the use of AI in the claims payment assessment field. |
| Launch date | 14 October 2026 (already launched) |
| Applicable area | Insurance claims, claims payment assessment, fraudulent claim detection |
| Quantitative Effects | In the previous proof-of-concept study on claims payment assessment operations, a claims assessment accuracy rate of at least 90% and AI-OCR accuracy of approximately 90% were confirmed. |
| Impact on Business Performance | The impact of this matter on financial results is expected to be minor. |
Items this document does not state (10)
These are items the company does not state in this document. We do not leave them blank, nor fill them in from other sources or by inference.
The reasons the company gives
The company's own explanation, not something inferred from the numbers.The advancement of generative AI and image-editing technology has made the alteration and tampering of claim document images increasingly sophisticated. The study is intended to identify fraudulent claims at an early stage and improve the efficiency of claims payment assessment.