Detecting insurance fraud using supervised and unsupervised machine learning
نویسندگان
چکیده
Fraud is a significant issue for insurance companies, generating much interest in machine learning solutions. Although supervised fraud detection has long been research focus, unsupervised rarely studied this context, and there remains insufficient evidence to guide the choice between these branches of detection. Accordingly, study evaluates using proprietary claim data. Furthermore, we conduct field experiment cooperation with an company investigate performance each approach terms identifying new fraudulent claims. We derive several important findings. Unsupervised learning, especially isolation forests, can successfully detect fraud. Supervised also performs strongly, despite few labeled cases. Interestingly, claims based on different input information. Therefore, implementation, suggest understanding methods as complements rather than substitutes.
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ژورنال
عنوان ژورنال: Journal of Risk and Insurance
سال: 2023
ISSN: ['1539-6975', '0022-4367']
DOI: https://doi.org/10.1111/jori.12427