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Mutandavari, Mainford
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Computer Science & IT Engineering

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Journal : Computer Science and Information Technologies

 1 
Predictive model for high-risk healthcare clients and claims frequency Zhou, Lenias; Mutandavari, Mainford; Matondora, Lucia
Computer Science and Information Technologies Vol 6, No 3: November 2025
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/csit.v6i3.p346-354

Abstract

Global healthcare spending surged to approximately USD 9.8 trillion in the aftermath of the COVID-19 pandemic, intensifying the need for effective risk management strategies in healthcare insurance. This study proposes a predictive model designed to identify high-risk clients for timely targeted interventions and to forecast claims frequency for optimized resource allocation. A real-world claims dataset from a healthcare insurance provider was utilized. Bayesian optimization was employed to enhance data labelling. A deep learning (DL) model with sigmoid activation was used to classify high-risk clients, while a regression model forecasted claims frequency. The model was trained and validated, and gave an accuracy of 97%, a precision of 95.2%, a recall of 98.1% and an F1-score of 96.6%. The results confirmed the model’s accuracy in identifying high-risk clients and its ability to provide reliable forecasting of future claims frequency. Importantly, the model also provided the reason behind its classification decision, enhancing transparency and trust. This research provides valuable data-driven insights to both the healthcare insurers and clients, giving them the power to stay ahead in managing key risks, which ultimately reduces the cost of healthcare insurance. This work contributed a scalable and interpretable solution for risk prediction in healthcare insurance.
Optimizing interconnection call routing: a machine learning approach for cost and quality efficiency Mudari, Ivy Anesu; Mutandavari, Mainford; Chiworera, Kenneth
Computer Science and Information Technologies Vol 7, No 1: March 2026
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/csit.v7i1.p56-65

Abstract

This study presents the design and development of an automated least cost routing (LCR) model for telecommunications interconnection calls using machine learning. Leveraging a random forest regressor, the model predicts the most cost-effective call routing path based on pricing and network latency. Trained on real-world call detail records (CDRs) from TelOne Zimbabwe, the model achieved a high R² score of 0.851, with a mean absolute error (MAE) of $0.0482 per minute. Evaluation results demonstrate an average cost reduction of 46.75% compared to traditional routing methods, with prediction times under 0.1 seconds and latency remaining within acceptable thresholds. This work provides a practical, scalable, and efficient solution for telecom. operators seeking to reduce interconnection costs and maintain service quality through intelligent routing automation. The model architecture and performance to make it viable for integration into real-time telecom infrastructure.
Deep learning for sentiment analysis and topic extraction in health insurance Karomo, Muzondiwa; Mutandavari, Mainford; Muzava, Wilton
Computer Science and Information Technologies Vol 7, No 1: March 2026
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/csit.v7i1.p66-73

Abstract

Social media has transformed into a vital channel for real-time, unsolicited feedback in healthcare, yet health insurance providers often lack the tools to mine insights from such data. This study proposes a cloud-based system leveraging deep learning for sentiment analysis and topic modeling tailored to the Commercial and Industrial Medical Aid Society (CIMAS) health insurance in Zimbabwe. Using bidirectional encoder representations from transformers (BERT), a convolutional neural network (CNN), a random forest (RF), and autoencoders, the system processes multilingual data from platforms like Twitter and Facebook, identifying customer concerns in real time. Over 15,000 posts were analyzed, with CNN achieving 91.4% accuracy in sentiment classification and BERTopic extracting coherent themes. The system detected issues such as claim delays, app navigation problems, and unreported anomalies. Findings demonstrate that AI can improve service delivery, customer satisfaction, and responsiveness in African insurance contexts.
Cloud-based predictive analytics for pension fund performance optimization Garaba, Beauty; Mutandavari, Mainford; Chibhabha, Jerita
Computer Science and Information Technologies Vol 7, No 1: March 2026
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/csit.v7i1.p46-55

Abstract

This study introduces a novel, cloud-based predictive analytics framework tailored for pension fund performance management in Zimbabwe. Addressing limitations in traditional actuarial models, the proposed system leverages real-time data pipelines and explainable artificial intelligence (XAI) techniques to enhance forecasting accuracy and transparency. Using regression, classification, and deep learning models, it forecasts member contributions, identifies risks of contribution drops, and predicts member churn. The system’s cloud deployment ensures scalability and interactive integration with tools like Power BI for decision support. This solution significantly advances sustainable pension fund management for emerging economies.
Co-Authors Chibhabha, Jerita Chiworera, Kenneth Garaba, Beauty Karomo, Muzondiwa Matondora, Lucia Mudari, Ivy Anesu Muzava, Wilton Zhou, Lenias