Insurance fraud detection: Evidence from artificial intelligence and machine learning

F Aslam, AI Hunjra, Z Ftiti, W Louhichi… - Research in International …, 2022 - Elsevier
This study proposes a framework for fraud detection in the auto insurance industry by using
predictive models. The feature selection is performed utilizing a publicly available car …

Prediction of insurance fraud detection using machine learning algorithms

L Rukhsar, WH Bangyal, K Nisar… - … Research Journal of …, 2022 - search.informit.org
In current era, people are influenced with various types of insurance such as health
insurance, automobile insurance, property insurance and travel insurance, due to the …

Automobile insurance fraud detection in the age of big data–a systematic and comprehensive literature review

B Benedek, C Ciumas, BZ Nagy - Journal of Financial Regulation and …, 2022 - emerald.com
Purpose The purpose of this paper is to survey the automobile insurance fraud detection
literature in the past 31 years (1990–2021) and present a research agenda that addresses …

Detecting insurance claims fraud using machine learning techniques

R Roy, KT George - 2017 international conference on circuit …, 2017 - ieeexplore.ieee.org
The insurance industries consist of more than thousand companies in worldwide. And
collect more than one trillions of dollars premiums in each year. When a person or entity …

[PDF][PDF] Detecting auto insurance fraud by data mining techniques

R Bhowmik - Journal of Emerging Trends in Computing and …, 2011 - Citeseer
The paper presents fraud detection method to predict and analyze fraud patterns from data.
To generate classifiers, we apply the Naïve Bayesian Classification, and Decision Tree …

Insurance fraud detection with unsupervised deep learning

C Gomes, Z Jin, H Yang - Journal of Risk and Insurance, 2021 - Wiley Online Library
The objective of this paper is to propose a novel deep learning methodology to gain
pragmatic insights into the behavior of an insured person using unsupervised variable …

[HTML][HTML] Machine learning algorithms for fraud prediction in property insurance: Empirical evidence using real-world microdata

MK Severino, Y Peng - Machine Learning with Applications, 2021 - Elsevier
This paper evaluated fraud prediction in property insurance claims using various machine
learning models based on real-world data from a major Brazilian insurance company. The …

Detecting insurance fraud using supervised and unsupervised machine learning

J Debener, V Heinke, J Kriebel - Journal of Risk and Insurance, 2023 - Wiley Online Library
Fraud is a significant issue for insurance companies, generating much interest in machine
learning solutions. Although supervised learning for insurance fraud detection has long …

Gradient boosted decision tree algorithms for medicare fraud detection

JT Hancock, TM Khoshgoftaar - SN Computer Science, 2021 - Springer
Abstract Employing Machine Learning algorithms to identify health insurance fraud is an
application of Artificial Intelligence in Healthcare. Insurance fraud spuriously inflates the cost …

Using Kohonen's self-organizing feature map to uncover automobile bodily injury claims fraud

PL Brockett, X Xia, RA Derrig - Journal of Risk and Insurance, 1998 - JSTOR
Claims fraud is an increasingly vexing problem confronting the insurance industry. In this
empirical study, we apply Kohonen's Self-Organizing Feature Map to classify automobile …