Results 11 to 20 of about 216,890 (268)
Why Not Blow the Whistle on Health Care Insurance Fraud? Evidence from Jiangsu Province, China [PDF]
Risk Management and Healthcare Policy, 2022 Dandan Wang, Changchun Zhan School of Management, Jiangsu University, Zhenjiang, People’s Republic of ChinaCorrespondence: Changchun Zhan, Tel +86-15952808385, Email Zcc1973@126.comPurpose: To identify the factors that influence whistleblowing behavior ...
Wang D, Zhan C
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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
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IEEE AccessInsurance fraud is a prevalent issue that insurance companies must face, particularly in the realm of automobile insurance. This type of fraud has significant cost implications for insurance firms and can have a long-term impact on pricing strategies and
Ahmed A. Khalil +4 more
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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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An expert system for detecting automobile insurance fraud using social network analysis
Expert Systems With Applications, 2011 The article proposes an expert system for detection, and subsequent investigation, of groups of collaborating automobile insurance fraudsters. The system is described and examined in great detail, several technical difficulties in detecting fraud are ...
Lovro Šubelj
exaly +3 more sources
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
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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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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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