How AI-powered ML Models Helps Run Unemployment Claims Verification at Scale

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With unemployment application submissions reaching record numbers over the past year, state and local agencies in the United States have faced the challenge of processing unprecedented numbers of claims per week. The digital infrastructure most agencies have in place is unable to handle this volume, resulting in constituents waiting longer, and bad actors taking advantage of vulnerable systems. The Department of Labor Inspector General estimates that $63 billion in claims distributed is either an improper payment or fraud.
Validating claims also requires secure data sharing with other agencies for document and identity verification. Government leaders need a way to allow case adjudicators to quickly and confidently release backlogged claims, integrate with existing systems, and segment legitimate claims from potentially fraudulent ones — all within limited government budgets — securely and at scale.
Implementing a fraud detection solution on Google Cloud
States were under pressure to release payments, while also filtering out potentially fraudulent claims. SpringML and Google Cloud developed a framework to give adjudicators a reliable verification process that quickly filters potentially fraudulent claims, while processing the remaining claims so benefits reach citizens in a timely manner. SpringML and Google Cloud, applied AI-powered machine learning models to detect anomalous patterns in large datasets. Using Google Cloud tools, SpringML implemented a solution to streamline workflows, improve efficiencies, automate processes and identify potentially fraudulent claims.
SpringML used a variety of Google Cloud products to deliver a fraud detection solution, including:
- Google Cloud Storage to store and manage data
- BigQuery to store tabular data and BigQuery Machine Learning (BQML) to conduct machine learning on that data
- AutoML solutions to build predictive models and risk scoring
- Visualization tools such as Looker and Data Studio to present data and help government leaders make informed decisions.
Implementing machine learning to detect improper payments allows agencies to classify claims as “fraud” or “not fraud” based on the number of flags, as well as prioritize the most urgent claims. Deploying intelligent virtual agents to handle frequently asked questions meant that live agents could focus their time on more challenging cases.
Even once the pandemic is behind us, there will be bad actors trying to take advantage of overwhelmed or legacy systems. We’ve identified a few best practices for agencies managing enormous case loads and looking to improve improper payment analytics:
- Move your systems to the cloud. Many on-premises legacy systems can’t update their applications and scale to meet the volume of claims. Moving to a cloud environment enables rapid solution deployment and ingestion of large amounts of data without fear of overloading the system. The cloud scales with you–cost-effectively and securely.
- Understand patterns in the data. The answer is always in the data — we used deep analysis to help uncover suspicious patterns in large data sets. We implemented unsupervised machine learning to learn behaviors and create configurable rules that adjust to new information that comes into the system. We can uncover patterns that are likely associated with fraud – ones that a human might have missed.
- Use AI/ML tools to automate your existing systems and teams. These tools enable humans to work smarter and more efficiently. We automate anomaly detection and create dashboards for adjudicators to rapidly process claims. We are enabling the Wisconsin Department of Workforce Development by implementing automatic calculations and processing of recharge amounts, resulting in faster processing times and fewer human errors. Proactive fraud detection and timely calculation of recharge payment allowed DWD to ensure the benefits reached the right individuals.
- Build flexibility into your systems. We discovered that fraud patterns change over time. For instance,flags for fraud during March-May 2020 were vastly different from those we found in June-July 2020. Google Cloud tools make it easy to continually update algorithms to detect patterns and integrate external data sources.
Using Google Cloud tools, we can update digital infrastructure and incorporate machine learning best practices to help organizations efficiently process large volumes of claims and identify high probability fraudulent ones. SpringML provides consulting and implementation services and industry-specific analytics solutions that deliver high-impact business value to accelerate data-driven digital transformation. Learn more about fraud detection and how to improve improper payments analytics by watching our webinar.
How a Mid-Sized Firm is Shrinking Inventory Carryovers 50% with AI

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For more than 10 years, NMK Textile Mills has manufactured bed linens for major retailers in the United States and Canada. As e-commerce exploded, the company’s co-founder saw an opportunity to grow the business. So, in addition to manufacturing bed linens wholesale for retail customers, NMK Textile Mills reworked its complete supply chain to manufacture products for California Design Den, which became an e-commerce retailer selling its own fashion-forward products directly to consumers online.
With California Design Den’s push into e-commerce, it became apparent the SMB company (with about 250 global employees) faced the same tough supply chain questions as large retail customers, including maintaining enough inventory to meet customer demand in a timely, efficient way.
California Design Den depended upon a myriad of systems to track its complex forecasting and reordering processes. Team members typically planned inventory manually using desktop spreadsheet software, which could lead to excess inventory. Accurately forecasting demand and supply was essential to the company’s financial success—but it was also a challenge.
A couple years ago, California Design Den partnered with Pluto7, a technology solutions provider that offers a software as a service (SaaS) called Planning In A Box. Leveraging Google Cloud Platform machine learning and artificial intelligence, Planning In A Box intelligently helps predict demand and balances it with supply.
But that was just the beginning. “Along the way, we realized that to compete with larger retailers, make quicker decisions, and move faster, we needed to go further,” says Deepak Mehrotra, Co-founder and Chief Adventurer at California Design Den.
With guidance from Pluto7, California Design Den began migrating its database to Google Cloud Platform. Using Google BigQuery, Google Compute Engine, Google Cloud SQL, and Google Cloud Storage, and experimenting with Google Cloud Vision and Google Cloud AutoML, the company is reducing inventory carryovers by more than 50%, improving the accuracy of demand planning quarter over quarter, and gaining granular insights into how individual SKUs are performing.
“We would need an army of data scientists to make faster decisions on pricing and inventory levels. With Google Cloud Platform machine learning and artificial intelligence, we don’t need that. We can make much faster pricing decisions to optimize profitability and move inventory.”
—Deepak Mehrotra, Co-founder and Chief Adventurer, California Design Den
No need for army of data scientists
“Using Google Cloud Platform machine learning and AI was essential for California Design Den if it was to compete successfully with larger retailers,” Deepak says.
For example, tastes and fashions in bed linens can change quickly and consumer prices fluctuate. With more than 2,500 SKUs, it wasn’t possible for California Design Den’s team to continuously monitor product demand and experiment with competitive pricing in real time.
“We would need an army of data scientists to make faster decisions on pricing and inventory levels,” says Deepak. “With Google Cloud Platform machine learning and artificial intelligence, we don’t need that. We can make much faster pricing decisions to optimize profitability and move inventory.”
By integrating all its data onto Google Cloud Platform, California Design Den’s team gains deeper insights into product sales over time, which in turn helps the company improve demand planning by better determining which styles to manufacture and sell in the future.
“When experienced employees leave, their knowledge leaves with them. By having all data in one place, and with machine learning and AI, California Design Den can go back in its history, look at products made or sold years ago, and analyze product performance.”
—Deepak Mehrotra, Co-founder and Chief Adventurer, California Design Den
Merging visuals with data
Before Google Cloud Platform, team members had to dig through spreadsheets and run scenarios to get a sense of how particular products had sold. The next step was to perform keyword searches across the company’s photo library in the cloud to find each product’s image. From there, a team member would insert the product images into a presentation, along with relevant data points, to provide a report for stakeholders on how particular styles performed.
Today, California Design Den, with the help of Pluto7, is integrating its entire product image library with its database on Google Cloud Platform. Experimenting with Google Cloud Vision and Google Cloud AutoML, California Design Den is moving towards a day when team members can run sales scenarios and get deep background data on individual product performance while viewing images of the relevant products.
Merging product visuals with data will help designers and team members better understand sales patterns over time and in context. In the past, making correlations between things like which sheet colors sold well in California, compared to how the same sheet colors performed on the East Coast, was something that California Design Den employees primarily did in their heads.
“When experienced employees leave, their knowledge goes with them,” says Manjunath Devadas, Founder and CEO at Pluto7. “By having all data in one place, and with machine learning and AI, California Design Den can go back in its history, look at products made or sold years ago, and analyze product performance.”
“We are literally growing the complexity of our business on all levels, including designing, manufacturing, selling, reordering, inventory holding—everything.”
—Deepak Mehrotra, Co-founder and Chief Adventurer, California Design Den
Reimagining supply-demand balancing
Pluto7’s mission statement is to democratize supply demand balancing with machine learning and AI. California Design Den is a case in point, as the combination of Planning In A Box and Google Cloud Platform gives the company greater control over its destiny.
“Big retailers used to tell us what to manufacture and how much they would pay for it,” says Deepak. “That was our primary business, and if we didn’t accept the terms, a competitor would.” Today, in addition to continuing to make products for retailers, California Design Den can design, make, and sell a variety of designs for itself, including custom and limited-edition products, thanks to Google Cloud Platform and Pluto7 software offerings. The payoff is not only in having a more diversified business. California Design Den also receives more favorable profit margins by selling its own products.
“We are literally growing the complexity of our business on all levels, including designing, manufacturing, selling, reordering, inventory holding—everything,” Deepak says. “We can make smaller batches. We can connect directly with consumers. We can identify the missing pieces—what should we produce next, when, and how much? We otherwise couldn’t afford the level of talent it would take to do this.”
Cutting through the noise
Google and Pluto7 software helped California Design Den reduce inventory carryovers by more than 50%. Inventory tracking and distribution, along with insights and visibility into product sales, are faster, more efficient, and accurate. Google Cloud Platform flexible pricing, speed, reliability, security, and scalability enable California Design Den to stay relevant and be more competitive.
In addition to benefiting from Google Cloud Platform, California Design Den relies on G Suite—also part of Google Cloud—to enhance collaboration among its global teams. Previously, the company’s email server would sometimes crash, due to the heavy load of sharing product photos and other data. “Gmail and Google Drive handle the everyday demands on the business effortlessly and reliably,” Deepak says.
“Google machine learning and AI enable us to cut through all the noise from raw data, so we can see what’s important. We can focus on analytics to guide us to success today and in the future.”
—Deepak Mehrotra, Co-founder and Chief Adventurer, California Design Den
The company is exploring additional ways to leverage Google Cloud Platform in the near future. For example, one possibility is to import customer reviews from sites where products are sold into Google BigQuery, and to use that data to perform sentiment analysis via Google Cloud Natural Language. It could provide another valuable data source to help California Design Den’s team decide where to focus future designs.
“Google machine learning and AI enable us to cut through all the noise from raw data, so we can see what’s important,” Deepak says. “We can focus on analytics to guide us to success today and in the future.”
Leading Verve Group’s CX Innovation with Google Cloud Vertex AI

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Verve Group is an ecosystem of demand and supply technologies fusing data, media, and technology to deliver results and growth to both advertisers and publishers – no matter the screen or location, no matter who, what, or where a customer is. Classifying massive amounts of this unstructured data at scale is the first step in helping to surface relevant, high-quality content to users—and that’s where natural language processing (NLP) comes in.
Verve Group uses the NLP API from Google Cloud’s Vertex AI to fetch data for their internal content classification quality verification and as an additional source for building categorization models. By leveraging the NLP API’s Content Classification models, which are now generally available and offer Google’s latest large language model (LLM) technology, Verve Group powers classification through an updated and expanded training data set with over 1,000 labels and support for 11 languages (Chinese, French, German, Italian, Japanese, Korean, Portuguese, Russia, Spanish, and Dutch join previously-available English).
Verve Group has been using Google Cloud’s NLP API since day one, because of both the ease of implementation and the quality compared to competing NLP products. With documentation that is “comprehensive and self-explanatory,” the NLP API “allows for fast adoption and implementation, from test models all the way to production,” said Rami Alanko, GM of Verve Group.
Leveraging the NLP API has facilitated Verve Group’s fast go-to-market motions by enabling its customers to quickly discover and classify new content. “Operating on a global level with tens of different regions and languages, we have still been able to maintain high quality for our product and high retention rates with our clients,” Rami shared. “In a recent client case, we achieved 82% improvement in CTR when optimized with content quality measurements enabled by the API. In another client case, we drove brand safety risk down to 0.16% from 4% thanks to classification quality. Along with the new functionalities of the Google NLP, I can only see this trend continuing to strengthen.”
Verve Group is excited to further expand their NLP use cases by leveraging the new Content Classification models, which have already helped them expand their classification inventory, improve the quality and performance of their quality verification for customers, and unlock new use cases for NLP. “Our classification model accuracy improved 41% using Google NLP as a verification partner,” said Rami.
Additionally, Verve Group is now using the API for metadata analysis on a large image database. “We browse the database and run the image metadata via our classification. This flow enables us to classify images reliably aligned with our standard classification. We pretty much use the same data flow for our runtime in-app textual content analysis, therefore allowing for close to real-time consumer engagement,” Rami added.
To learn more about how companies are leveraging NLP API from Google Cloud Vertex AI, click here, and to learn more about Google Cloud’s work with foundation models and generative AI, read The Prompt on Transform with Google Cloud.
What Interests Baseball Fans? Unravel with Google’s Data Science Tools and ML

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The game of baseball has no shortage of statistics — from batting average to exit velocity, strikeouts to wins above replacement. Among all sports, Major League Baseball (MLB) arguably contains the most analytical and data-driven participants and fan base. Subconsciously or viscerally, players and managers on the field and those following from anywhere are constantly assessing and making decisions based off of game play trends and expectations — whether a batter will come through with a hit in an important situation, when a pitcher should be pulled. Less analyzed, however, is what leads fans to become engaged with certain players or teams, and what factors drive their love of the game. This is the motivation behind the problem being posed by Major League Baseball in their Kaggle competition for Player Digital Engagement Forecasting. Can you use machine learning to deconstruct baseball fandom?
This competition asks you to predict measures of digital engagement for each active player on a daily basis during the MLB season. So, how large was the surge in fan interest after Joe Musgrove threw the first no-hitter in Padres history? Is Shohei Ohtani’s engagement higher when he pitches well, when he hits a monster home run…or when he does both? You’re provided a wealth of game, team and player information – detailed stats, awards, rosters, and transaction information – as well as social and digital engagement data as your inputs. Data scientists will recognize this as an exciting forecasting problem with both traditional regression and time series components, where having this input data just prior to the prediction date is critical to determining which players will receive the most engagement.
With so many variables in the game, there are an endless number of vectors which could possibly influence fan engagement. Eleven-time All-Star Miguel Cabrera delighted fans by hitting the first home run of the season – in the snow! Occasionally a lesser-known player like Musgrove or Carlos Rodón “wins the day” with an unlikely no-hitter. And sometimes just getting traded to an iconic franchise like the Yankees generates a ton of fan interest, like it did for Rougned Odor in early April.

As these examples show, a player’s digital engagement can be pretty dynamic during the season, with many different potential contributors to who is “trending” on a given day. How can you use data to uncover which factors are the most influential of engagement with each player’s digital content?
Ready to play ball? Check out the competition on Kaggle for all the details. $50,000 in prizes is up for grabs in two prize categories. The code competition puts your machine learning skills to the test, to see who can build the most accurate forecasting models to predict daily digital engagement for every active player. You’ll have until July 31st to build your models and then be evaluated on a future time frame, which will determine the winners. For data visualization and exploration experts out there, the explainability prizes give you an opportunity to analyze more broadly which factors, even those outside of what we’re providing directly, most influence digital engagement. You’ll be evaluated on how well you can use what the data is telling you to support your findings.
And if you’re looking to get started, we’ve provided an introductory video and some notebook tutorials, including a starting point for harnessing the power of Vertex AI through tools including Cloud Notebooks, Explainable AI, and Vizier.
With the second half of the season upon us, it’s an exciting time to be an MLB fan. With this Kaggle competition, it’s also a perfect opportunity to use data science to help understand baseball fandom and potentially earn some of your own accolades in the process. Step up to the plate!
Major League Baseball trademarks and copyrights are used with permission of Major League Baseball. Visit MLB.com.
Google Cloud Helps Northwell Health to Boost Caregiver Productivity and Access to Right Care Using AI

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Lung cancer is the leading cause of cancer death in the United States and like any cancer, early detection is crucial to survival. Screening at-risk populations is an important part of reducing mortality, and if concerning nodules are found on imaging, further testing may be required. Today, we’ll share how Northwell Health uses Google Cloud products such as Cloud Healthcare APIs and BigQuery to increase caregiver productivity and deliver better care for patients with findings that indicate potential development of lung cancer.
Northwell is New York’s largest healthcare provider
Northwell Health is New York’s largest healthcare provider with 23 hospitals and nearly 800 outpatient facilities. Northwell’s nearly 4,000 doctors care for millions of patients each year, and at this scale, there is an immense amount of healthcare data to manage. To better manage and leverage this data, Northwell Health partnered with Google Cloud starting in 2018.
Enabling caregivers to spend more time with patients
Nic Lorenzen, the lead developer of Northwell Emerging Technology and Innovation team, has a mission to put together data for caregivers in a way that makes sense. It is no secret that inefficient electronic health records systems have a negative impact on a physician’s ability to deliver quality care. Traditional EHRs have information distributed across many tabs, which forces caregivers to spend considerable time at the computer trying to find information. Moreover, speed of care matters. If care is delayed, patients may have to spend more time in the hospital and may suffer worse health outcomes.
To solve this problem, Nic’s team focused on giving caregivers the most relevant pieces of data at the right time by developing an intelligent clinician rounding app. The data needed to derive these insights can depend on the caregiver’s role–a nurse cares about different things than a cardiologist. This system aggregates multiple data sources, and provides patient-specific insights to caregivers.
This system would not have been possible before with traditional EHRs and data warehouses that have proprietary data models and rarely sync data in real time. Now with data easily accessible through Google Cloud’s Healthcare solutions, Nic’s team can deliver the right clinical information to the right people instantly. These days, Nic says, “instead of spending 75% of our time dealing with architecting the underlying platforms, we spend 75% of our time focused on higher value use cases for clinicians and patients. Google Cloud’s Healthcare solutions have greatly improved our developer productivity and time to value.”
Caregivers have found this new system to be a game changer.Before the implementation of this system, caregivers would spend, on average, seven to nine minutes finding the data needed to make medical decisions for one patient. Now, that aggregated information is delivered to a caregiver’s mobile device in less than a second.
Ensuring patients get the right care with the power of AI
There are a number of reasons why patients might not get the care that they need. For example, patients today can go to multiple hospitals and clinics settings, and coordinating care across multiple facilities is complex. Regional hospitals and clinics have their own siloed view of their data, so pertinent information gathered by one clinic might not be seen by another. These gaps in clinical data lead to gaps in patient care.
When a patient gets radiologic imaging, they may have findings unrelated to the reason they initially got the imaging. For example, a chest CT for a car accident might reveal an incidental lung nodule that could be cancerous. Unfortunately, research shows that a large portion of patients do not get follow up for these incidental findings because it isn’t the primary reason why the patient is seeing a doctor. Moreover, social determinants of health are a factor that affects which patients receive follow-up care. Identifying these patients and providing the necessary follow up care prevents adverse events related to delayed detection of cancer.

With Cloud Healthcare solutions, Northwell built an AI model to identify these patients so that oncologists can appropriately follow up with patients who have findings suspicious for lung cancer. The AI model detects incidental pulmonary nodules in radiology reports so that doctors can then contact the patients that need follow-up care. Nic says his team was able to build this system in a week: “Google Cloud did a lot of heavy-lifting for us and allowed us to get to the AI applications much faster. It allowed us to build a platform that just works.”
Healthcare systems can now rapidly generate healthcare insights with one end-to-end solution, Google Cloud Healthcare Data Engine. It builds on and extends the core capabilities of the Google Cloud Healthcare API to make healthcare data more immediately useful by enabling an interoperable, longitudinal record of patient data. Northwell Health uses Google Cloud as the core of their platform, enabling their developers to create solutions to the most pressing healthcare problems.
Special thanks to Kalyan Pamarthy, Product Management Lead on Cloud Healthcare and Natural Language APIs for contributing to this blog post.
Special Identity Parsers in Document AI eases Customer Verification and KYC Processes

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If you’ve opened an account at a bank, applied for a government benefit, or provided a proof of age document on an ecommerce website, chances are you’ve had to share a physical or digital copy of a Driver’s License or a passport as proof of your identity. For businesses or public sector organizations that need this information to provide services, processing images of identity documents has long been a time- and resource-intensive process that requires extensive human intervention. Solutions exist to help digitally capture the data, but they require extensive human intervention that impacts the speed and cost of processing and ultimately the time to service customers.
The Google Cloud Document AI family of solutions has been designed to help solve some of the hardest problems for data capture at scale by extracting structured data from unstructured documents to help reduce processing costs and improve business speed and efficiency. Today, we’re announcing the general availability of identity parsers that bring the power of Document AI to customer verification, KYC, and other identity-based workflows.
With Document AI for Identity, businesses can leverage automation to extract information from identity documents with a high degree of accuracy, without having to bear the cost and turnaround time of manual tasks by a service provider. Document AI for Identity leverages artificial Intelligence to provide a set of pre-trained models that can parse identity and supports US driver’s licenses (generally available), US passports (generally available), French driver’s licenses (preview) and French National ID cards (preview), with more documents to be added from around the world over the coming months.
When our customers process high-volume workloads or complex workflows, they need a high degree of accuracy, since getting the first step wrong can derail the entire workflow. The introduction of special parsers for Identity processing can help solve one of the most commonly required document processing needs that our financial services and public sector customers face.
Along with the identity parsers, Google Cloud is also offering its “Human in the Loop” service, in which verification for a subset of identity documents can be automatically assigned to a pool of humans (internal or external) for manual review, based on confidence scores.
While there are multiple industries and applications that could benefit from Document AI for Identity, we’ve seen two main kinds of applications being adopted during the solution’s preview. One is around processing ID cards uploaded as unstructured images at scale, so that enterprises can have IDs on file. The second use case is to perform advanced checks on identity documents to validate their authenticity and / or to detect fraud. Google Cloud’s fraud detector API (which is currently in preview) can complement Document AI for Identity and apply an extra layer of normalization to help validate the identity as a government-issued ID by checking for suspicious words, image manipulation, and other common issues with forged identity documents. With new versions of driver’s licenses being frequently released, Document AI for identity uses specialized models and constantly-updated training data to help make sure the parsers can offer a high degree of accuracy. For all use cases, Document AI does not retain any customer data after completing the processing request (successfully or with an error).
Check out this demo and visit the Document AI for Identity landing page for more information on how Document AI can help solve your identity processing needs, and ask your Google Cloud account team to help you integrate Identity Document AI into your workflows.
For practitioners who’re interested in trying out Identity DocAI, check out our companion practitioner blog for step by step instructions on how to get started.
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