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Title

How Mapfre Insurance modernized fraud claims with Amazon EMR Serverless

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How Mapfre Insurance modernized fraud claims with Amazon EMR Serverless | AWS Architecture Blog Skip to Main Content Filter: All English Contact us AWS…

Description

Mapfre Insurance, the number one auto and home insurer in Massachusetts, modernized fraud detection by combining graph-based features from Neo4j with machine learning models deployed on AWS, using Amazon EMR Serverless, Apache Iceberg tables on Amazon S3, AWS Glue Data Catalog, AWS Lake Formation, and Amazon MWAA for orchestration. Fraud predictions integrate directly with Guidewire Claims via AWS Lambda, automatically creating claim activities showing the top model drivers for adjusters. The initiative, covering Massachusetts Auto insurance and later expanded to Home insurance, has delivered more than $5 million in Net Present Value, with detection accuracy improved 50-135 percent compared to baseline methods.

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…nts, policies, vehicles, providers, addresses, and prior suspicious activities. Mapfre Insurance is the number one auto and home insurer in Massachusetts, serving customers in 11 states nationwide. Our coverage includes auto, home, motorcycle, watercraft, business insurance, a…
…nce and later expanded to Home (HO), has delivered significant business impact, exceeding $5 million Net Present Value (NPV), with realized savings already outperforming projections. In this post, we share how Mapfre Insurance designed and implemented this solut…

Company

Mapfre Insurance

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…nts, policies, vehicles, providers, addresses, and prior suspicious activities. Mapfre Insurance is the number one auto and home insurer in Massachusetts, serving customers in 11 states nationwide. Our coverage includes auto, home, motorcycle, watercraft, business insurance, a…

Industry

Insurance

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…nts, policies, vehicles, providers, addresses, and prior suspicious activities. Mapfre Insurance is the number one auto and home insurer in Massachusetts, serving customers in 11 states nationwide. Our coverage includes auto, home, motorcycle, watercraft, business insurance, a…

Problem

Traditional fraud detection approaches at Mapfre Insurance relied on rules-based controls, manual investigation triggers, historical claim patterns, and structured-data-only analysis, which struggled to detect sophisticated fraud rings or hidden relationships across claimants, policies, vehicles, providers, addresses, and prior suspicious activities.

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…me investigation capacity that could otherwise be focused on serving customers. Traditional fraud detection approaches typically rely on rules-based controls, manual investigation triggers, historical claim patterns, and structured-data-only analysis. These approaches are useful for known fraud patterns, but they can struggle to…

Business value

The initiative, covering Massachusetts Auto insurance and later expanded to Home insurance, has delivered more than $5 million in Net Present Value, with realized savings outperforming projections, and detection accuracy improved 50-135 percent compared to baseline methods.

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…nce and later expanded to Home (HO), has delivered significant business impact, exceeding $5 million Net Present Value (NPV), with realized savings already outperforming projections. In this post, we share how Mapfre Insurance designed and implemented this solut…
…ud networks that traditional approaches miss. The results have been compelling: Accuracy gains – Detection improved by 50–135 percent compared to baseline methods. Substantial realized value – Both during the pilot and in production. Cross-fun…

Solution

In collaboration with AWS and Neo4j, Mapfre Insurance combined graph-based features from Neo4j with machine learning models deployed on AWS, using Amazon EMR Serverless for processing, Apache Iceberg tables on Amazon S3 with AWS Glue Data Catalog and AWS Lake Formation for governance, and Amazon MWAA for orchestration. Fraud predictions integrate directly with Guidewire Claims via an AWS Lambda function, automatically creating claim activities that show the top three model drivers for adjusters.

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…ns, making them reusable across models and ensuring strong metadata governance. Processing pipelines are executed on Amazon EMR Serverless , with orchestration managed by Apache Airflow operators running on Amazon Managed Workflows for Apache Airflow (Amazon MWAA) . This provides elastic, cost-efficient compute for both batch processing and fas…
…, so front-line adjusters automatically receive fraud alerts with explanations. Each flagged claim exposure generates a Guidewire activity showing the top three model drivers, helping investigators understand why the claim was identified and act quickly. Technical solution on AWS (Atenea Data Platform) The fraud detection platform i…

Technology

Amazon EMR Serverless, Apache Iceberg, AWS Glue Data Catalog, AWS Lake Formation, Amazon MWAA, Neo4j, Guidewire Claims, AWS Lambda

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…S, designed to scale efficiently and provide long-term governance. At its core, the solution uses Apache Iceberg tables stored on Amazon Simple Storage Service ( Amazon S3 ), with metadata managed through the AWS Glue Data Catalog and access governed through AWS Lake Formation as part of the Atenea lakehouse governance model. The platform feature store is implemented through feature-store-managed Iceberg…

Deployment options

cloud

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…countries with a team of 31,000 employees. In collaboration with AWS and Neo4j, Mapfre Insurance modernized its fraud prevention capabilities by combining graph-based features with machine learning (ML) models deployed on AWS. This initiative, focused initially on Massachusetts Auto insurance and later ex…

Country

United States

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…ies. Mapfre Insurance is the number one auto and home insurer in Massachusetts, serving customers in 11 states nationwide. Our coverage includes auto, home, motorcycle, watercraft, business insurance,…

Region

Massachusetts

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…nts, policies, vehicles, providers, addresses, and prior suspicious activities. Mapfre Insurance is the number one auto and home insurer in Massachusetts, serving customers in 11 states nationwide. Our coverage includes auto, home, motorcycle, watercraft, business insurance, a…

AI capabilities

Machine Learning

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…rnized its fraud prevention capabilities by combining graph-based features with machine learning (ML) models deployed on AWS. This initiative, focused initially on Massachusetts Auto insurance and later e…
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