An artificial bee colony-based kernel ridge regression for automobile insurance fraud identification
Sign Up to like & getrecommendations! Published in 2020 at "Neurocomputing"
DOI: 10.1016/j.neucom.2017.12.072
Abstract: Abstract Automobile insurance fraud is gradually spreading in its global scope, and mining automobile insurance fraud is of increasing interest to society. There are few studies on the application of Kernel Ridge Regression (KRR) to… read more here.
Keywords: kernel ridge; insurance fraud; fraud; automobile insurance ... See more keywords
Sequence Embeddings Help Detect Insurance Fraud
Sign Up to like & getrecommendations! Published in 2022 at "IEEE Access"
DOI: 10.1109/access.2022.3149480
Abstract: Roughly 10 percent of the insurance industry’s incurred losses are estimated to stem from fraudulent claims. One solution is to use tabular data to construct models that can distinguish between claims that are legitimate and… read more here.
Keywords: fraud; insurance fraud; sequence embeddings; insurance ... See more keywords
Machine Learning Based Method for Insurance Fraud Detection on Class Imbalance Datasets With Missing Values
Sign Up to like & getrecommendations! Published in 2024 at "IEEE Access"
DOI: 10.1109/access.2024.3468993
Abstract: Insurance 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… read more here.
Keywords: class imbalance; insurance; fraud; insurance fraud ... See more keywords
Health Insurance Fraud Detection via Multiview Heterogeneous Information Networks With Augmented Graph Structure Learning
Sign Up to like & getrecommendations! Published in 2025 at "IEEE Transactions on Computational Social Systems"
DOI: 10.1109/tcss.2024.3504290
Abstract: With the continuous development of the health insurance system, the problem of health insurance fraud is becoming more and more prominent. Health insurance fraud not only harms health insurance organizations financially but also causes serious… read more here.
Keywords: detection; health; health insurance; insurance fraud ... See more keywords
What are people’s attitudes toward medical insurance fraud whistleblowers? a study from China
Sign Up to like & getrecommendations! Published in 2024 at "BMC Public Health"
DOI: 10.1186/s12889-023-17606-3
Abstract: Medical insurance fraud has caused huge losses to countries around the world, and public reporting has become an important means to combat medical insurance fraud. The attitude of medical insurance fraud whistleblowers affects people’s reporting… read more here.
Keywords: insurance fraud; medical insurance; fraud whistleblowers; insurance ... See more keywords
Research on quantitative evaluation of medical insurance fraud supervision policy based on ‘Antecedents-Process-Outcomes’ framework
Sign Up to like & getrecommendations! Published in 2025 at "PLOS ONE"
DOI: 10.1371/journal.pone.0313618
Abstract: Fraud in medical insurance is a serious problem that threatens the safety and sustainability of medical insurance funds. The process of reducing or even eliminating the impact of fraud is related to maintaining the balance… read more here.
Keywords: supervision; policy; insurance fraud; medical insurance ... See more keywords