Enemy inside: salesperson fraud detection in the insurance industry

被引:0
|
作者
Turkeli, Serkan [1 ,2 ]
Eti, Tahsin [3 ]
Guney, Yunus [3 ]
Akyuz, Mehmet [3 ]
Cicek, Mustafa Alpkan [2 ]
Cimen, Merve [2 ,4 ]
机构
[1] Istanbul Tech Univ, Dept Control & Automat Engn, Istanbul, Turkey
[2] TESODEV, Istanbul, Turkey
[3] Vakif Emeklilik, Istanbul, Turkey
[4] Yildiz Tech Univ, Dept Enviromental Engn, Istanbul, Turkey
关键词
Machine learning; insurance; fraud; C-SVM; architecture;
D O I
暂无
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
In the insurance industry, fraud can be performed because of salesperson's bonuses and commissions. This problem reduces the reputation of the insurance industry. With the decrease of reputation, the trust of the customer to the industry decreases and thus, the acquisition of new customers becomes difficult. This study aims to estimate the probability of salesperson to fraud with historical data by using machine learning methods. The industry's reputation is maintained if fraud can be detected in advance.
引用
下载
收藏
页数:5
相关论文
共 50 条
  • [1] The Insurance Industry Response to Fraud
    Alan Doig
    Bryn Jones
    Ben Wait
    Security Journal, 1999, 12 (3) : 19 - 30
  • [2] A Model for the Detection of Insurance Fraud
    Belhadji E.B.
    Dionne G.
    Tarkhani F.
    The Geneva Papers on Risk and Insurance - Issues and Practice, 2000, 25 (4) : 517 - 538
  • [3] Global pirates: Fraud in the offshore insurance industry
    Clarke, M
    BRITISH JOURNAL OF CRIMINOLOGY, 2004, 44 (01): : 133 - 134
  • [4] Global pirates: Fraud in the offshore insurance industry
    Ericson, RV
    CONTEMPORARY SOCIOLOGY-A JOURNAL OF REVIEWS, 2003, 32 (03) : 376 - 377
  • [5] The impact of insurance fraud detection systems
    Schiller, Joerg
    JOURNAL OF RISK AND INSURANCE, 2006, 73 (03) : 421 - 438
  • [6] FRAUD PROBLEM IN THE INSURANCE INDUSTRY AND THE WAYS TO DEAL WITH THEM
    Gopchar, Y. Y.
    Taraskina, N. V.
    Krivoruchko, L. A.
    FINANCIAL AND CREDIT ACTIVITY-PROBLEMS OF THEORY AND PRACTICE, 2010, 1 (08):
  • [7] A Study of Health Insurance Fraud in China and Recommendations for Fraud Detection and Prevention
    Li, Jie
    Lan, Qiaoling
    Zhu, Enya
    Xu, Yong
    Zhu, Dan
    JOURNAL OF ORGANIZATIONAL AND END USER COMPUTING, 2022, 34 (04)
  • [8] Insurance fraud estimation: More evidence from the Quebec automobile insurance industry
    Caron, L
    Dionne, G
    AUTOMOBILE INSURANCE: ROAD SAFETY, NEW DRIVERS, RISKS, INSURANCE FRAUD AND REGULATION, 1999, : 175 - 182
  • [9] Auto Insurance Fraud Detection with Multimodal Learning
    Yang, Jiaxi
    Chen, Kui
    Ding, Kai
    Na, Chongning
    Wang, Meng
    DATA INTELLIGENCE, 2023, 5 (02) : 388 - 412
  • [10] Framework for Analysis and Detection of Fraud in Health Insurance
    Rayan, Nirmal
    PROCEEDINGS OF 2019 6TH IEEE INTERNATIONAL CONFERENCE ON CLOUD COMPUTING AND INTELLIGENCE SYSTEMS (CCIS), 2019, : 47 - 56