本期目录● Personal taxes, cost of insurer equity capital, and the case of offshore hedge fund reinsurers● Trading and liquidity in the catastrophe bond market● Capital requirements and claims recovery: A new perspective on solvency regulation● Insurance fraud detection: A statistically validated ...
摘要:Fraud is a social phenomenon, and fraudsters often collaborate with other fraudsters, taking on different roles. The challenge for insurance companies is to implement claim assessment and improve fraud detectionaccuracy. We developed an investigative system based on bipartite networks, highlighting th...
摘要:Fraud is a social phenomenon, and fraudsters often collaborate with other fraudsters, taking on different roles. The challenge for insurance companies is to implement claim assessment and improve fraud detection accuracy. We developed an investigative system based on bipartite networks, highlighting ...
Fraud detectionInsurance claimsArtificial neural networksNa?ve Bayes classifierUnbalanced datasetsThe risk of incurring financial losses from fraudulent claims is an issue concerning all insurance companies. The detection of such claims is not an easy task. Moreover, a number of old-school methods have...
Each study, while advancing the understanding of fraud detection mechanisms, encountered limitations. These ranged from the challenges of dealing with highly imbalanced datasets, as in the case of Bauder et al., to the complexities of integrating diverse data sources, such as social media and public...
Insurance fraud detection: A statistically validated network approach 保险欺诈检测:一种通过统计学验证的网络方法 作者 Michele Tumminello (巴勒莫大学),Andrea Consiglio (巴勒莫大学),Pietro Vassallo (意大利银行),Riccardo Cesari (意大利保险监督协会,博洛尼亚大学),Fabio Farabullini(意大利保险监督协会) ...
Read the Case Study Detecting Health Insurance Fraud, Waste, and Abuse We developed a predictive fraud detection model that scored and ranked Medicare and Medicaid dental insurance claims by risk. Having explainable scoring was a key component of success, since the model results would be ...
Large North American insurer increases fraud recoveries and investigative capabilities. View case study Fraud Detection and Avoidance Insurance Large North American insurer increases fraud avoidance, with a ROI of >10x. View case study Supercharge your business decisions with AI ...
On the other hand, with a bond, the surety is liable to the beneficiary even though breach of contract or fraud occurred by the principal. Fidelity Bond Generally, a fidelity bond requires that an employee(s) be investigated to limit the risk of dishonesty for the insured. If the bonded ...
The Future of Insurance Fraud Detection is Predictive Analytics DAP GUIDE What Is a Digital Adoption Platform? Read Now → Subscribe to the Digital Adoption Insider Newsletter Join our monthly newsletter for best practices, insights, and trends on user adoption, technology ROI, digital workplace, an...