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   using local outlier factor to detect fraudulent claims in auto insurance  
   
نویسنده khamesian farzan ,esna-ashari maryam ,khanizadeh farbod
منبع journal of mathematics and modeling in finance - 2022 - دوره : 2 - شماره : 1 - صفحه:167 -182
چکیده    Given the significant increase in fraudulent claims and the resulting financial losses‎, ‎it is important to adopt a scientific approach to detect and prevent such cases‎. ‎in fact‎, ‎not equipping companies with an intelligent system to detect suspicious cases has led to the payment of such losses‎, ‎which may in the short term lead to customer happiness but eventually will have negative financial consequences for both insurers and insured‎. ‎since data labeled fraud is really limited‎, ‎this paper‎, ‎provides insurance companies with an algorithm for identifying suspicious cases‎. ‎this is obtained with the help of an unsupervised algorithm to detect anomalies in the data set‎. ‎the use of this algorithm enables insurance companies to detect fraudulent patterns that are difficult to detect even for experienced experts‎. ‎according to the outcomes‎, ‎the frequency of financial losses‎, ‎the time of and the type of incident are the most important factors to in detecting suspicious cases‎.
کلیدواژه unsupervised algorithm ,fraud detection ,auto insurance ,classification
آدرس insurance research center, iran, insurance research center, iran, insurance research center, iran
پست الکترونیکی khanizadeh@irc.ac.ir
 
     
   
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