Results 11 to 20 of about 215,747 (266)
Optimal Auditing for Insurance Fraud [PDF]
SSRN Electronic Journal, 2003 This article aims at making a bridge between the theory of optimal auditing and current procedures applied to audit files in different markets where scoring is the instrument used to implement an audit strategy. The literature has not yet developed an optimal audit policy for the scoring methodology.
Dionne, Georges +2 more
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Healthcare insurance fraud detection using data mining [PDF]
BMC Medical Informatics and Decision MakingBackground Healthcare programs and insurance initiatives play a crucial role in ensuring that people have access to medical care. There are many benefits of healthcare insurance programs but fraud in healthcare continues to be a significant challenge in ...
Zain Hamid +5 more
doaj +2 more sources
Insurance claims estimation and fraud detection with optimized deep learning techniques [PDF]
Scientific ReportsEstimation and fraud detection in the case of insurance claims play a cardinal role in the insurance sector. With accurate estimation of insurance claims, insurers can have good risk perceptions and disburse compensation within proper time, while fraud ...
P. Anand Kumar, S. Sountharrajan
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Study on Abductive Analysis of Auto Insurance Fraud Based on Network Representation Learning [PDF]
Jisuanji kexue, 2023 Auto insurance fraud detection plays an important role in promoting the healthy development of auto insurance.As the judgment of fraud involves the core content of civil rights,it is necessary for auto insurance experts to check the case and provide the ...
LI Weizhuo, LU Bingjie, YANG Junming, NA Chongning
doaj +1 more source
Interdisciplinary Journal on Law, Social Sciences and Humanities, 2023 In this study, the author discusses one of the problems regarding the Urgency of Criminalization of Fraud in the Implementation of the Health Insurance Program in Indonesia.
Solehuddin Solehuddin
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Unemployment Insurance Fraud [PDF]
Economic Synopses, 2012 Concealed Earnings fraud accounts for almost two-thirds of the total overpayments due to all fraud.
David L. Fuller +2 more
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IEEE Access, 2022 Nowadays, health insurance has become an essential part of people’s lives as the number of health issues increases. Healthcare emergencies can be troublesome for people who can’t afford huge expenses.
Khyati Kapadiya +6 more
doaj +1 more source
Criminal liability for insurance fraud in the Romano-German legal system [PDF]
E3S Web of Conferences, 2020 The article is devoted to the issue of fighting insurance fraud in the states of Romano-German legal system. The aim of the work is to study the experience of the states of Romano-German legal system in field of fighting insurance fraud. For the analysis
Gasanov Amid
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Automobile insurance fraud detection [PDF]
Communications in Statistics: Case Studies, Data Analysis and Applications, 2021 The 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.
Mark Anthony Caruana, Liam Grech
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Prediction of Insurance Fraud Detection using Machine Learning Algorithms
Mehran University Research Journal of Engineering and Technology, 2022 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 availability of extensive knowledge related to insurance.
Laiqa Rukhsar +3 more
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