OCCS GET Series: Gen AI & Data-Driven Innovation: Transforming Healthcare and Insurance Claims
We are excited to continue the Orange County Computer Society (OCCS) Global Emerging Technologies (GET) Series, a monthly platform dedicated to spotlighting transformative innovations in computer science and technology. Hosted by the IEEE Orange County Computer Society Chapter, this series brings together professionals, students, and tech enthusiasts to explore the cutting edge of what’s possible.
This month, we turn our attention to the powerful intersection of Generative AI and data-driven innovation in healthcare and insurance—two industries rapidly evolving under the pressures of precision, personalization, and operational efficiency.
In this session, we’ll explore how large language models (LLMs) and multimodal AI systems are revolutionizing clinical workflows and insurance claims processing. From diagnostic support and clinical decision-making to automated claims adjudication, Gen AI is delivering faster, more accurate outcomes for both providers and patients.
Key topics include:
✅ AI-powered EHR summarization
✅ Fraud detection and risk scoring
✅ Automated prior authorizations
✅ Claims optimization and compliance
✅ Synthetic data generation and privacy
✅ Cutting-edge techniques like GraphRAG and federated learning
You’ll gain insights into how these technologies are not only streamlining administrative tasks, but also enabling scalable, privacy-preserving models that are shaping the future of the healthcare ecosystem.
📅 Don’t miss this opportunity to learn how Gen AI is unlocking new possibilities for innovation, operational excellence, and improved care delivery.
Interested in speaking at a future session? Reach out to swapnali.karvekar@ieee.org—we’re always looking for passionate voices to lead the conversation.
Join us as we learn, connect, and transform the future of technology together!
Date and Time
Location
Hosts
Registration
- Date: 30 May 2025
- Time: 12:00 AM UTC to 02:00 AM UTC
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- Starts 07 May 2025 07:00 AM UTC
- Ends 29 May 2025 07:00 AM UTC
- No Admission Charge
Speakers
Santosh of HCLTech (USA)
Gen AI & Data-Driven Innovation: Transforming Healthcare and Insurance Claims
The integration of Generative AI and data-driven innovation is reshaping the landscape of healthcare and insurance. With the increasing demand for precision, efficiency, and personalization, both industries face the challenge of managing vast amounts of complex data. Gen AI holds the key to unlocking new possibilities—enabling not only transformative clinical workflows but also seamless automation of insurance claims processes.
This session will delve into how large language models (LLMs) and multimodal AI systems are accelerating diagnostic support, clinical decision-making, and claims adjudication, driving better outcomes for patients and providers alike. Generative AI-powered tools are streamlining administrative tasks such as EHR summarization, fraud detection, and prior authorization, reducing manual labor while improving accuracy and compliance. Furthermore, the use of synthetic data, GraphRAG, and federated learning is enabling the creation of highly scalable, privacy-preserving models that fuel AI-powered solutions across the healthcare ecosystem
Biography:
Santosh Kumar is an award-winning AI leader with over 15 years of expertise in Generative AI, Machine Learning, and Data Science. Specializing in AIOps, LLMOps, MLOps, and cloud AI (Azure, AWS, Google Vertex AI), he drives AI-powered transformations across industries. Santosh has authored multiple AI books and research papers and received the Artificial Intelligence Achievement Award from Globee. He serves as a Judge for the Globee AI Awards and the 2025 AI Excellence Awards and is an Editorial Board Member for AI publications. A Senior Member of IEEE, IEEE Computer Society, and IEEE Computational Intelligence Society, Santosh actively contributes to AI standards, ethics, and policy and member of IEEE-USA AI Policy committee and led the Congresstial visit to capital hill in April 2025. He is also a Member of ACM, Full Sigma Xi and an invited Speaker at various international conferences.
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Agenda
| Time (in PST) | Activity |
| 05:00pm - 05:15pm | Check-in and networking |
| 05:15pm - 05:30pm | OCCS Chapter Introduction! |
| 05:30pm - 06:00pm | Speaker: Santosh Kumar |
| 06:00pm - 06:30pm | Q/A |