NLP-Driven Benefits Interpretation Engine for Personalized Member Communication

Authors

  • Appala Nooka Kumar Doodala Technical Test Lead at Infosys Ltd, USA. Author
  • Swathi Thatraju Technical Test Lead at Infosys Ltd, USA. Author

DOI:

https://doi.org/10.63282/3050-9262.IJAIDSML-V3I1P118

Keywords:

Natural Language Processing (NLP), Benefits Interpretation, Personalized Communication, Member Engagement, Machine Learning, AI-driven Automation, Healthcare Technology

Abstract

Tailoring​‍​‌‍​‍‌ communication to individual needs through healthcare, insurance, and HR benefits channels is essential for elevating member engagement and understanding. However, entities are finding it challenging to decode and present the intricate benefit materials in a manner that is easy for the layman to understand. Conventional ways of communication hardly bear the intricacies of a person's needs, thus resulting in confusion and lack of satisfaction. To overcome this, the NLP-driven Benefits Interpretation Engine being proposed utilizes cutting-edge natural language processing and AI techniques to automatically scan and understand benefit documentation and thus generate in a clear, personalized fashion the summaries that the technical person can understand.  The organization system includes semantic understanding, contextual adaptation, and dynamic personalization to produce member-specific clarifications that elevate understanding and trust. The model in the scenarios realized deepened accuracy in interpreting benefits as well as lofted levels of member satisfaction and communication effectiveness. Possible developments will feature multilingual support for different member groups and live chat that will allow users to receive instant, interactive explanations of the benefits thus placing the engine as a revolutionary means of communication of personalized ‍ benefits.

References

[1] Sharma, Rajesh, et al. "Enhancing customer engagement through AI-powered marketing personalization engines: A comparative study of collaborative filtering and natural language processing techniques." International Journal of AI Advancements 10.1 (2021).

[2] Joshi, Rohit, et al. "Leveraging reinforcement learning and natural language processing for AI-driven hyper-personalized marketing strategies." International Journal of AI ML Innovations 10.1 (2021).

[3] Spain, Randall, et al. "Team communication analytics using automated speech recognition." Proceedings of the 8th Annual Generalized Intelligent Framework for Tutoring (GIFT) Users Symposium. North Carolina State University, 2020.

[4] Razack, Habeeb Ibrahim Abdul, et al. "Artificial intelligence-assisted tools for redefining the communication landscape of the scholarly world." Science editing 8.2 (2021): 134-144.

[5] Ray, R., et al. "MenGO: a novel cloud-based digital healthcare platform for andrology powered by artificial intelligence, data science & analytics, bioinformatics and blockchain." Biomed Sci Instrum 57.4 (2021): 476-485.

[6] Parakala, Adityamallikarjunkumar, and Aaron Bell. "How Citizen Developers Changed the Game." American International Journal of Computer Science and Technology 3.5 (2021): 14-24.

[7] Son, Jung Hoon, et al. "Deep phenotyping on electronic health records facilitates genetic diagnosis by clinical exomes." The American Journal of Human Genetics 103.1 (2018): 58-73.

[8] Ferrario, Andrea, et al. "Social reminiscence in older adults’ everyday conversations: automated detection using natural language processing and machine learning." Journal of medical Internet research 22.9 (2020): e19133.

[9] Kumar, Abhijeet, et al. "Surfacing Thematic Universe using Knowledge Mining and Unsupervised Concept Graph." 2021 IEEE 6th International Conference on Computing, Communication and Automation (ICCCA). IEEE, 2021.

[10] Kolleck, Nina, and Miri Yemini. "Environment-related education topics within global citizenship education scholarship focused on teachers: A natural language processing analysis." The Journal of Environmental Education 51.4 (2020): 317-331.

[11] Saini, Rijul, et al. "DoMoBOT: a bot for automated and interactive domain modelling." Proceedings of the 23rd ACM/IEEE international conference on model driven engineering languages and systems: companion proceedings. 2020.

[12] Shivarkar, Pratik. Improving sentiment analysis of disaster related social media content. Diss. 2018.

[13] Iqbal, Sehrish, et al. "A decade of in-text citation analysis based on natural language processing and machine learning techniques: an overview of empirical studies." Scientometrics 126.8 (2021): 6551-6599.

[14] Parakala, Adityamallikarjunkumar. "Building Analytics-Driven Bots: RPA Meets Business Intelligence." International Journal of Emerging Research in Engineering and Technology 2.1 (2021): 77-87.

[15] Kalé, Laxmikant V., Sameer Kumar, and Krishnan Varadarajan. "A framework for collective personalized communication." Proceedings International Parallel and Distributed Processing Symposium. IEEE, 2003.

[16] Lee, Danielle Hyunsook, and Peter Brusilovsky. "Improving personalized recommendations using community membership information." Information Processing & Management 53.5 (2017): 1201-1214.

[17] Gray, Lisa M., et al. "Expanding qualitative research interviewing strategies: Zoom video communications." The qualitative report 25.5 (2020): 1292-1301.

[18] Gali, V. K. (2021). Predictive Forecasting and Strategic Approach in Oracle Fusion ERP: Intelligent Planning Models. International Journal of AI, BigData, Computational and Management Studies, 2(3), 82-92. https://doi.org/10.63282/3050-9416.IJAIBDCMS-V2I3P110

Published

2022-03-30

Issue

Section

Articles

How to Cite

1.
Kumar Doodala AN, Thatraju S. NLP-Driven Benefits Interpretation Engine for Personalized Member Communication. IJAIDSML [Internet]. 2022 Mar. 30 [cited 2026 Apr. 29];3(1):173-8. Available from: https://ijaidsml.org/index.php/ijaidsml/article/view/521