Results 211 to 220 of about 577,934 (272)

Comparative Analysis of Vehicle Insurance Fraud Detection using EfficientNet, ResNet50, and MobileNet

2024 Asia Pacific Conference on Innovation in Technology (APCIT)
A study provides detailed test data comparing three leading edge deep learning models, EfficientNet, ResNet50 and MobileNet, determining how well they can detect insurance fraud in automobiles.
Retinderdeep Singh, Neha Sharma, Priyanshi Aggarwal, Mukesh Singh   +3 more
semanticscholar   +1 more source

Health Insurance Fraud Detection

2011
Health insurance fraud detection is an important and challenging task. Traditional heuristic-rule based fraud detection techniques can not identify complex fraud schemes. Such a situation demands more sophisticated analytical methods and techniques that are capable of detecting fraud activities from large databases.
Yong Shi, Yingjie Tian, Gang Kou, Yi Peng, Jianping Li   +4 more
openaire   +1 more source

A Novel Hybrid Method for Imbalanced Automobile Insurance Fraud Detection

International Conference on Knowledge and Smart Technology
This paper addresses fraud detection in the automobile insurance sector, which experiences the highest rate of fraudulent claims in the industry. The study proposes a methodology that combines resampling techniques and backward elimination for feature ...
Phannana Aiemsuwan, Supawadee Srikamdee
semanticscholar   +1 more source

Healthcare Insurance Fraud Detection Powered by Blockchain and Machine Learning: An Analysis and Framework

2024 IEEE International Conference on Smart Power Control and Renewable Energy (ICSPCRE)
Targeting the increasing incident of fraudulent ac-tivities in health care claims processing, this article introduces Machine Learning (ML) with blockchain technology The im-mediate importance of this effort is to improve the security and reliability of ...
Shruthi K, Poornima A. S, A. D, S. R, Yoganandini J   +4 more
semanticscholar   +1 more source

Insurance Fraud: US Initiatives

The Journal of Asset Protection and Financial Crime, 1994
The petty level insurance fraud, apparently committed by ordinary members of the community, is costing insurance companies millions of pounds a year. Those losses are passed on to the consumer. So it is everyone's loss. This problem appears to be prevalent in all Western countries However, it is in the USA where they appear to have both learnt and lost
openaire   +1 more source

Insurer vs. Insurance Fraud: Characteristics and Detection [PDF]

Journal of Insurance Issues, 1999
Despite concern over insurance fraud by customers, the federal Insurance Fraud Prevention Act primarily targets internal fraud, or insurer fraud, in which criminal acts such as embezzlement could trigger an insurer’s insolvency, rather than fraud perpetrated by policyholders such as filing false or inflated claims—insurance fraud.
Jerry D. Todd, Sandra T. Welch, Orion J. Welch, Sarah A. Holmes   +3 more
openaire  

Analysis of the Possibility of Fraud in the National Health Insurance Program in Indonesia

International Journal of Health and Pharmaceutical (IJHP)
The study focused on the purpose of finding out the effect and covering fraud in the National Health Insurance. Fraud is an act carried out intentionally to gain financial gain from the JKN program in the National Social Security System, through ...
Purwanti Agustini, Romauli Veranica, D. Dickson, Erlina Puspitaloka Mahadewi   +3 more
semanticscholar   +1 more source

Fraud in car insurance [PDF]

Theoretical and Applied Economics, 2015
Insurance and Reinsurance Market in Romania has continued to decline both in nominal terms and in real terms, the evolution being influenced by the events and trends of the external financial markets. Of the total gross net retained premiums for general insurance, the largest share was owned by the vehicle liability insurance, the fully comprehensive ...
openaire  

Insurance Fraud: The Case in Turkey

2020
Insurance frauds deeply affect insurance companies, policyholders, and the insurance industry as a whole. The cost of fraudulent damage affects the profitability of companies, and has negative effects on the society in terms of moral values. Increases in insurance costs can lead to increases in the premiums paid by policyholders, each family, and ...
openaire   +2 more sources

MDD-based Domain Adaptation Algorithm for Improving the Applicability of the Artificial Neural Network in Vehicle Insurance Claim Fraud Detection

Optimizations in Applied Machine Learning
Insurance fraud detection is a critical task for insurance companies, as fraudulent claims result in financial losses and increased premiums for honest policyholders.
Alan Wilson, Jiahuai Ma
semanticscholar   +1 more source