AI-Blockchain Hybrid Smart Contract Model: Fraud Detection and Immutable Record Keeping in Insurance

The insurance sector is being transformed through the combination of artificial intelligence (AI) and blockchain technologies. This study proposes the AI-Blockchain Hybrid Smart Contract Model (AIBSCM), which combines AI-based fraud detection with blockchain-based smart contracts to allow for automated insurance claim processing. A synthetic dataset of 1,000 insurance claims was used to train a random forest model, which achieved 92% accuracy on training data; however, real-world testing revealed difficulty in detecting fraudulent claims from under-represented categories. A blockchain simulation was conducted to demonstrate the secure storage and automated execution of claims, with smart contracts giving transparency and immutability. The architecture integrates decentralised oracles, zero-knowledge proofs (ZKPs), federated learning, and a DAO governance mechanism to provide a privacy-conscious, decentralised, and robust solution for the insurance business. Subsequent study will look at real-world deployment and integration with regulations. The integration of these technologies seeks to address traditional insurance systems' issues, such as data privacy concerns and a lack of transparency. By investigating real-world deployment and regulatory compliance, this model has the potential to transform the insurance business by delivering a safe and efficient method for dealing with false claims. This innovative method has the potential to boost client trust while also streamlining insurance company operations. Overall, the combination of blockchain and privacy-conscious technology might result in increased reliability and a transparent insurance sector.