Using the Verifiability lie Detection Approach in an Insurance Claim Setting

Health Insurance Claim Review Using Information Technologies

OBJECTIVES The objective of this paper is to describe the Health Insurance Review and Assessment Service (HIRA)'s payment request (PARE) system that plays the role of the gateway for all health insurance claims submitted to HIRA, and the claim review support (CRS) system that supports the work of claim review experts in South Korea. METHODS This study describes the two systems' information te...

the test for adverse selection in life insurance market: the case of mellat insurance company

انتخاب نامساعد یکی از مشکلات اساسی در صنعت بیمه است. که ابتدا در سال 1960، توسط روتشیلد واستیگلیتز مورد بحث ومطالعه قرار گرفت ازآن موقع تاکنون بسیاری از پژوهشگران مدل های مختلفی را برای تجزیه و تحلیل تقاضا برای صنعت بیمه عمر که تماما ناشی از عدم قطعیت در این صنعت میباشد انجام داده اند .وهدف از آن پیدا کردن شرایطی است که تحت آن شرایط انتخاب یا کنار گذاشتن یک بیمه گزار به نفع و یا زیان شرکت بیمه ...

A Hybrid Approach to Auto-Insurance Claim Processing System

In this paper, we describe the implementation of auto-insurance claim processing system by using neural network and fuzzy technique. The important factor of compensation rate calculation is determining accident responsibility rate between the injured and the assaulter. Generally, the determination of responsibility rate mainly depends on the expertise of auto-insurance experts and the accident ...

AIDS-related insurance claim experience.

The Regulation of Insurance Claim Practices

Insurance claim practices determine the extent to which insurers will or will not honor their promises. This Article describes the failure in the market for claim practices, the failure of the regulatory responses to that failure, and the ways in which litigation can provide a partial corrective. The Article explains why the market fails to guarantee fair claim practices, how market forces migh...