Volume 2 - Issue 1, January - February 2026

The Indian insurance sector faces rising fraud, causing financial losses and delayed claim settlements. Traditional detection methods, relying on fixed rules and manual checks, struggle with complex claim data. This research explores AI's potential in detecting insurance fraud, using machine learning and graph-based models to analyze data, spot anomalies, and uncover hidden connections. An AI-driven framework is proposed to enable early detection, improve accuracy, and reduce false rejections. AI-powered fraud detection can boost industry efficiency, transparency, and trust.

Mrs.Deepa V, Ms.Pushpa B,"AI-Based Fraud Detection in Insurance Claim in India" International Journal of Advanced Multidisciplinary Research and Educational Development, V2(1): Page(1260-1262) Jan-Feb 2026. ISSN: 3107-6513. www.ijamred.com. Published by Scientific and Academic Research Publishing.