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Fraud Detection Using a Fuzzy Expert System In Motor Insurance [PDF]
Journal of Information Technology Management, 2015 Insurance industry experts believe that fraud is a destructive disaster in the insurance industry. Over the years, many methods have been used in the literature for fraud detection, one of which is expert systems. Fraud detection expert systems are based
Seyed Mohammadtaghi TaghaviFard +1 more
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Insurance cases: analysis by machine learning
Вісник Харківського національного університету імені В.Н. Каразіна: Серія Економіка, 2021 One of the main problems of insurance is fraud, when the client wants to get overpayments by distorting information about the insured event. However, traditional methods of insurance fraud combating require a lot of routine manual work and are not very ...
K. Kononova, M. Tarabanov
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The Evaluation of Distributed Topic Modeling Paradigms for Detection Of Fraudulent Insurance Claims In Healthcare Forum [PDF]
MATEC Web of ConferencesHealthcare fraud is the deliberate misrepresentation of the healthcare industry for the purpose of obtaining unjustified financial gain. There are many different types of healthcare fraud, which can influence patients, healthcare professionals, insurers,
Subbarayudu Yerragudipadu +5 more
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The Effect of Fraud Diamond on Financial Statements of Insurance Companies in Indonesia
Journal of Management and Business Review, 2023 The Jiwasraya corruption scandal and related cases revealed significant financial distress, opportunities for fraud, rationalization of actions, and the ability to manipulate financial statements, emphasizing the importance of research and awareness in ...
Novy Silvia Dewi +1 more
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Motor Vehicle Insurance Anti-Fraud Modeling Based on a Stochastic Differential Game System
Systems, 2023 In this paper, we regard policyholders, insurance companies, and government departments to be an anti-fraud supervision system, and we explore the supervision of motor vehicle insurance fraud from the perspective of a tripartite game.
Meixuan Li +3 more
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Management and reduction of fraud by analysis of the insurer’s internal and external vulnerabilities and contributions [PDF]
Revista de Studii Financiare, 2021 Fraud is a dynamic phenomenon: when the industry discovers a „scam” – a specific pattern of fraud – and sets up barriers to prevent it from recurring, another scam takes place – a new pattern is developed by fraudsters.
Mihai Ovidiu Vădean
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Kecurangan dan Perlindungan Konsumen Asuransi [PDF]
Jurnal Vokasi Indonesia, 2017 Establishing a national economy that can grow suatainably and stable, requires the financial service sectors conducting its business in a well organized, fair, transparent and accountable manner, and be able to protect the consumer’s and public’s ...
Ketut Sendra
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Phenomenon of Causal Fraud Health Insurance in Hospitals: Theory of gear fraud
Asia Pacific Journal of Health Management, 2021 Objective: To describe and explore the experiences of hospital employees with the causes of fraud in the health insurance program at the hospitals. Design And Setting: This research was carried out at government hospitals in the Southeast Sulawesi ...
Haruddin Haruddin +2 more
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ML methods for assessing the risk of fraud in auto insurance [PDF]
Известия Саратовского университета. Новая серия: Математика. Механика. ИнформатикаThe car insurance fraud level assessment is an urgent and complex task, which is largely due to the activities of fraudulent groups. For the confident management of insurance companies in the anti-fraud strategy, a tool to assess the current state of the
Vorobyev, Ivan A.
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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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