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Reseach Article

AI-Driven Real-Time Benefits Administration with Intelligent Agents

by Soumya Chattopadhyay
Journal of Advanced Artificial Intelligence
Foundation of Computer Science (FCS), NY, USA
Volume 2 - Number 6
Year of Publication: 2026
Authors: Soumya Chattopadhyay

Soumya Chattopadhyay . AI-Driven Real-Time Benefits Administration with Intelligent Agents. Journal of Advanced Artificial Intelligence. 2, 6 ( May 2026), 1-8. DOI=None

@article{ None,
author = { Soumya Chattopadhyay },
title = { AI-Driven Real-Time Benefits Administration with Intelligent Agents },
journal = { Journal of Advanced Artificial Intelligence },
issue_date = { May 2026 },
volume = { 2 },
number = { 6 },
month = { May },
year = { 2026 },
pages = { 1-8 },
numpages = {9},
url = { https://jaaionline.phdfocus.com/archives/volume2/number6/ai-driven-real-time-benefits-administration-with-intelligent-agents/ },
publisher = {Foundation of Computer Science (FCS), NY, USA},
address = {New York, USA}
}
%0 Journal Article
%1 2026-05-31T02:56:50.124264+05:30
%A Soumya Chattopadhyay
%T AI-Driven Real-Time Benefits Administration with Intelligent Agents
%J Journal of Advanced Artificial Intelligence
%V 2
%N 6
%P 1-8
%D 2026
%I Foundation of Computer Science (FCS), NY, USA
Abstract

Traditional employee benefits administration systems rely on scheduled batch processes running on dedicated infrastructure for eligibility verification, enrollment processing, and carrier file submissions, incurring continuous operational costs regardless of actual enrollment volumes. This paper presents an AI-driven, agent-based framework for real-time benefits administration using managed container services (MCS) integrated with machine learning for intelligent eligibility determination, document verification, and compliance validation. Through empirical analysis of 72 enterprise implementations processing 5,000-250,000 monthly enrollment events, the study demonstrates that hybrid MCS architectures combined with AI agents achieve 73% cost reduction compared to traditional approaches while improving enrollment accuracy by 97% and reducing compliance violations by 94%. A quantitative decision framework is introduced, incorporating enrollment volume, plan complexity, and AI agent selection to optimize container resource allocation and ML service integration. Comparative analysis across AWS ECS Fargate with Amazon Rekognition and Comprehend Medical, Azure Container Instances with Azure AI Document Intelligence, and Google Cloud Run with Vertex AI reveals platform-specific performance and accuracy trade-offs. Real-world validation with a mid-market employer processing 85,000 annual enrollment events demonstrates a monthly infrastructure cost reduction from $6,842 to $1,842 while achieving 99.4% enrollment accuracy and zero HIPAA/ERISA compliance violations over a 180-day period [1][6][7].

References
  1. Society for Human Resource Management, "2024 Benefits Administration Benchmarking Survey," SHRM Research, 2024.
  2. P. Castro, V. Ishakian, V. Muthusamy, and A. Slominski, "The rise of serverless computing," Commun. ACM, vol. 62, no. 12, pp. 44-54, Dec. 2019.
  3. Amazon Web Services, "Amazon Rekognition Developer Guide," 2024. [Online]. Available: https://docs.aws.amazon.com/rekognition/
  4. Microsoft Azure, "Azure AI Document Intelligence Documentation," Microsoft Corporation, 2024. [Online]. Available: https://learn.microsoft.com/azure/ai-services/document-intelligence/
  5. Google Cloud, "Document AI Documentation," Google LLC, 2024. [Online]. Available: https://cloud.google.com/document-ai/docs
  6. U.S. Department of Labor, "ERISA Compliance Guidelines for Employee Benefits," 29 CFR Part 2520, 2024.
  7. U.S. Department of Health and Human Services, "HIPAA Privacy Rule," 45 CFR Part 164, 2024.
  8. Amazon Web Services, "Amazon DynamoDB Developer Guide," 2024. [Online]. Available: https://docs.aws.amazon.com/dynamodb/
  9. D. Sculley et al., "Hidden Technical Debt in Machine Learning Systems," in Proc. NIPS, 2015.
  10. Amazon Web Services, "Amazon SageMaker Developer Guide," 2024. [Online]. Available: https://docs.aws.amazon.com/sagemaker/
  11. E. Breck, S. Cai, E. Nielsen, M. Salib, and D. Sculley, "The ML Test Score: A Rubric for ML Production Readiness and Technical Debt Reduction," in Proc. IEEE Int'l Conf. on Big Data (BigData), pp. 1123-1132, 2017.
  12. Employee Benefit Research Institute, "2024 Employee Benefits Compliance Best Practices," EBRI Publications, 2024.
  13. Microsoft Azure, "Azure Machine Learning Documentation," 2024. [Online]. Available: https://learn.microsoft.com/azure/machine-learning/
  14. D. Bermbach, A.-S. Karakaya, and S. Buchholz, "Using application knowledge to reduce cold starts in FaaS services," in Proc. 35th ACM Symp. on Applied Computing (SAC), pp. 134-143, 2020.
  15. Amazon Web Services, "AWS ECS Best Practices Guide," 2024. [Online]. Available: https://docs.aws.amazon.com/AmazonECS/latest/bestpracticesguide/
Index Terms

Computer Science
Information Sciences

Keywords

Managed Container Service Benefits Administration Machine Learning AI Agents Document Intelligence Eligibility Verification HIPAA Compliance Event-Driven Architecture