Results 31 to 40 of about 216,890 (268)
Comparative Study of Machine Learning Techniques for Insurance Fraud Detection
Insurance fraud has been a constant presence in the realm of insurance. However, as strategies and methods for committing insurance fraud have evolved, the frequency and volume of such fraudulent activities have also increased.
Navin Duwadi, Anita Sharma
doaj +1 more source
ABSTRACT The Robodebt scheme issued thousand‐dollar debts to an estimated half a million people who had received social security. The debts were largely inaccurate and illegal, with the aim of improving the federal government's budget. The 2023 Royal Commission into the Robodebt Scheme found that the stigmatising political and public language about ...
Ella Kruger, Phillipa Evans
wiley +1 more source
A Mathematical Model for Identifying and Validating Suspicious Clusters Associated with Organized Fraud in Auto Insurance [PDF]
BACKGROUND AND OBJECTIVES: Insurance fraud presents a persistent challenge within the insurance industry, leading to substantial financial losses and eroding public trust.
Asma Hamzeh +1 more
doaj +1 more source
Insurance Fraud: Theoretical Conceptualization and Countermeasures
Ensuring the effective functioning of insurance companies and the proper level of their financial security is impossible without the formation and implementation of an effective system for detecting and countering insurance fraud, which causes negative consequences for the companies themselves, their clients and counterparties, and the country’s ...
V. Shebanin, I. Allakhverdiyeva
openaire +2 more sources
The Cost of the National Disability Insurance Scheme: Australia's Print‐Media Discourse
ABSTRACT This paper examines the way that Australian newspapers have framed the cost of the National Disability Insurance Scheme (NDIS). Introduced in 2013, the NDIS represented a major change in Australia's disability support policy, moving for the first time to a nationwide universal insurance model.
Meera Chinnappa +2 more
wiley +1 more source
In Indonesia, the fraud of healthcare service implementation occurs widely in hospitals, thereby harming the participants of social insurance. The objectives of research were to find out, to analyze, and to give solution to the fraud in the healthcare ...
Pustika Sukma Dara +2 more
doaj +1 more source
Unemployment Insurance Fraud and Optimal Monitoring [PDF]
An important incentive problem for the design of unemployment insurance is the fraudulent collection of unemployment benefits by workers who are gainfully employed. We show how to efficiently use a combination of tax/subsidy and monitoring to prevent such fraud. The optimal policy monitors the unemployed at fixed intervals.
David L. Fuller +2 more
openaire +3 more sources
ABSTRACT While Australia's National Disability Insurance Scheme (NDIS) was founded on principles of choice and control, for people with significant mental health challenges (what the NDIS calls ‘psychosocial disability’) these ideals often remain elusive. Support systems continue to be fractured and in the context of ongoing policy reforms, it is vital
Joel Hollier, Jennifer Smith‐Merry
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Chairman, Insurance Anti-fraud Institute; Adjunct Associate Professor, School of Law, National Chiao Tung University; Ph.D. in Law, National Taiwan University.
黃天牧 Tien-Mu Huang +1 more
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Abstract Health care is shifting towards a digital‐guided system, integrating digital diagnostics, biomarkers and therapeutics in many care pathways. However, despite rapid technological advancement and preliminary adoption accelerated by the COVID‐19 pandemic, a significant implementation gap persists. This narrative review explores the causes of this
Mees H. P. Stoop +3 more
wiley +1 more source

