A comparative analysis of decision trees vis-a-vis other computational data mining techniques in automotive insurance fraud detection

The development and application of computational data mining techniques in financial fraud detection and business failure prediction has become a popular cross-disciplinary research area in recent times involving financial economists, forensic accountants and computational modellers. Some of the computational techniques popularly used in the context of - financial fraud detection and business failure prediction can also be effectively applied in the detection of fraudulent insurance claims and therefore, can be of immense practical value to the insurance industry. We provide a comparative analysis of prediction performance of a battery of data mining techniques using real-life automotive insurance fraud data. While the data we have used in our paper is US-based, the computational techniques we have tested can be adapted and generally applied to detect similar insurance frauds in other countries as well where an organized automotive insurance industry exists

Data Mining Techniques for Fraud Detection

The paper presents application of data mining techniques to fraud analysis. We present some classification and prediction data mining techniques which we consider important to handle fraud detection. There exist a number of data mining algorithms and we present statistics-based algorithm, decision tree-based algorithm and rule-based algorithm. We present Bayesian classification model to detect fraud in automobile insurance. Naïve Bayesian visualization is selected to analyze and interpret the classifier predictions. We illustrate how ROC curves can be deployed for model assessment in order to provide a more intuitive analysis of the models. Keywords: Data Mining, Decision Tree, Bayesian Network, ROC Curve, Confusion Matri

Data Mining Techniques in Fraud Detection

The paper presents application of data mining techniques to fraud analysis. We present some classification and prediction data mining techniques which we consider important to handle fraud detection. There exist a number of data mining algorithms and we present statistics-based algorithm, decision treebased algorithm and rule-based algorithm. We present Bayesian classification model to detect fraud in automobile insurance. Naïve Bayesian visualization is selected to analyze and interpret the classifier predictions. We illustrate how ROC curves can be deployed for model assessment in order to provide a more intuitive analysis of the models

Improved adaptive genetic algorithm for the vehicle insurance fraud identification model based on a BP neural network

With the development of the insurance industry, insurance fraud is increasing rapidly. The existence of insurance fraud considerably hinders the development of the insurance industry. Fraud identification has become the most important part of insurance fraud research. In this paper, an improved adaptive genetic algorithm (NAGA) combined with a BP neural network (BP neural network) is proposed to optimize the initial weight of BP neural networks to overcome their shortcomings, such as ease of falling into local minima, slow convergence rates and sample dependence. Finally, the historical automobile insurance claim data of an insurance company are taken as a sample. The NAGA-BP neural network model was used for simulation and prediction. The empirical results show that the improved genetic algorithm is more advanced than the traditional genetic algorithm in terms of convergence speed and prediction accuracy

Predicting automobile insurance fraud using classical and machine learning models

Insurance fraud claims have become a major problem in the insurance industry. Several investigations have been carried out to eliminate negative impacts on the insurance industry as this immoral act has caused the loss of billions of dollars. In this paper, a comparative study was carried out to assess the performance of various classification models, namely logistic regression, neural network (NN), support vector machine (SVM), tree augmented naïve Bayes (NB), decision tree (DT), random forest (RF) and AdaBoost with different model settings for predicting automobile insurance fraud claims. Results reveal that the tree augmented NB outperformed other models based on several performance metrics with accuracy (79.35%), sensitivity (44.70%), misclassification rate (20.65%), area under curve (0.81) and Gini (0.62). In addition, the result shows that the AdaBoost algorithm can improve the classification performance of the decision tree. These findings are useful for insurance professionals to identify potential insurance fraud claim cases

A Comprehensive Survey of Data Mining-based Fraud Detection Research

This survey paper categorises, compares, and summarises from almost all published technical and review articles in automated fraud detection within the last 10 years. It defines the professional fraudster, formalises the main types and subtypes of known fraud, and presents the nature of data evidence collected within affected industries. Within the business context of mining the data to achieve higher cost savings, this research presents methods and techniques together with their problems. Compared to all related reviews on fraud detection, this survey covers much more technical articles and is the only one, to the best of our knowledge, which proposes alternative data and solutions from related domains.Comment: 14 page

A framework for internal fraud risk reduction at it integrating business processes : the IFR² framework

Fraud is a million dollar business and it is increasing every year. Both internal and external fraud present a substantial cost to our economy worldwide. A review of the academic literature learns that the academic community only addresses external fraud and how to detect this type of fraud. Little or no effort to our knowledge has been put in investigating how to prevent ánd to detect internal fraud, which we call ‘internal fraud risk reduction’. Taking together the urge for research in internal fraud and the lack of it in academic literature, research to reduce internal fraud risk is pivotal. Only after having a framework in which to implement empirical research, this topic can further be investigated. In this paper we present the IFR² framework, deduced from both the academic literature and from current business practices, where the core of this framework suggests to use a data mining approach.El fraude es un negocio millonario y está aumentando cada año. Tanto el fraude interno como el externo presentan un coste considerable para nuestra economía en todo el mundo. Este artículo sobre la literatura académica enseña que la comunidad académica solo se dirige al fraude externo, y cómo se detecta este tipo de fraude. Que sepamos, se ha hecho poco o ningún esfuerzo en investigar cómo evitar y detectar el fraude interno, al que llamamos ‘reducción del riesgo de fraude interno’. Teniendo en cuenta la urgencia de investigar el fraude interno, y la ausencia de ello en la literatura académica, la investigación para reducir este tipo de fraude es esencial. Este tema puede ser aún investigado con mayor profundidad solo después de tener un marco, en el que implementar investigación empírica. En este artículo, presentamos el marco IFR, deducido tanto de la literatura académica como de las prácticas empresariales actuales, donde el foco del marco sugiere usar un enfoque de extracción de datos