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Health Insurance Claim Prediction Model

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0% found this document useful (0 votes)
8 views3 pages

Health Insurance Claim Prediction Model

Uploaded by

bhatiyaleeli
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Python Machine Learning Assessment

Problem Statement:

“Predicting Health Insurance Claim Approval”

Analyse customer data and build a predictive model that identifies whether a claim
will be approved or denied based on historical records.

Tools & Technologies to Use:

• Language: Python

• Libraries:

o NumPy, Pandas (Data wrangling & analysis)

o Matplotlib, Seaborn (EDA & visualization)

o scikit-learn (Machine learning & evaluation)

o SciPy (Statistical tests)

You may use Jupyter Notebook or Google Colab.

Tasks and Deliverables:

1. Data Loading & Cleaning

• Load the dataset using Pandas

• Check for missing/null values

• Convert categorical variables as needed

• Describe data types and fix incorrect types if any

2. Exploratory Data Analysis (EDA)

• Generate summary statistics (describe, info)

• Plot distributions (e.g., histogram of charges, boxplot for BMI by smoker status)

• Analyze relationships between features and target (claim_approved)

• Plot heatmap of correlations


3. Feature Engineering

• Create new features (e.g., charges per visit, age bins)

• Encode categorical variables (gender, smoker, region)

• Normalize/scale numerical variables where appropriate

4. Statistical Analysis

• Use t-tests or chi-square tests to compare:

o Claim approval rates across smokers vs non-smokers

o Differences in claim amount between approved and denied groups

• Interpret p-values and comment on statistical significance

5. Modeling

• Split the data (80/20) for training and testing

• Train a Logistic Regression and Decision Tree Classifier

• Evaluate with:

o Accuracy

o Precision, Recall, F1 Score

o Confusion Matrix

• Compare both models and select the better one

• Optionally perform hyperparameter tuning (e.g., max_depth)

Deliverables

1. A Jupyter Notebook / Colab Notebook containing:

o Clean and well-commented code

o Visualizations

o Answers/insights from EDA and statistical analysis

o Final model evaluation

2. A short summary report (PDF or Markdown) (1–2 pages):

o Key findings
o Assumptions made

o Model performance summary

o Business recommendations (optional)

Additional Instructions

• Use Markdown cells to explain your thought process.

• Highlight assumptions and data handling choices.

• Use random_state in train-test split to ensure reproducibility.

• Focus on clarity, code quality, and interpretation.

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