A Comparison of State-of-the-Art Classification Techniques for Expert Automobile Insurance Claim Fraud Detection

2002 ◽  
Vol 69 (3) ◽  
pp. 373-421 ◽  
Author(s):  
Stijn Viaene ◽  
Richard A. Derrig ◽  
Bart Baesens ◽  
Guido Dedene
2021 ◽  
Vol 11 (12) ◽  
pp. 5656
Author(s):  
Yufan Zeng ◽  
Jiashan Tang

Graph neural networks (GNNs) have been very successful at solving fraud detection tasks. The GNN-based detection algorithms learn node embeddings by aggregating neighboring information. Recently, CAmouflage-REsistant GNN (CARE-GNN) is proposed, and this algorithm achieves state-of-the-art results on fraud detection tasks by dealing with relation camouflages and feature camouflages. However, stacking multiple layers in a traditional way defined by hop leads to a rapid performance drop. As the single-layer CARE-GNN cannot extract more information to fix the potential mistakes, the performance heavily relies on the only one layer. In order to avoid the case of single-layer learning, in this paper, we consider a multi-layer architecture which can form a complementary relationship with residual structure. We propose an improved algorithm named Residual Layered CARE-GNN (RLC-GNN). The new algorithm learns layer by layer progressively and corrects mistakes continuously. We choose three metrics—recall, AUC, and F1-score—to evaluate proposed algorithm. Numerical experiments are conducted. We obtain up to 5.66%, 7.72%, and 9.09% improvements in recall, AUC, and F1-score, respectively, on Yelp dataset. Moreover, we also obtain up to 3.66%, 4.27%, and 3.25% improvements in the same three metrics on the Amazon dataset.


1962 ◽  
Vol 2 (1) ◽  
pp. 152-160 ◽  
Author(s):  
Norton E. Masterson

In his comprehensive paper entitled “A General Survey of Problems Involved in Motor Insurance”, Dr. Carl Philipson includes remarks with respect to mathematical reserves. The purpose of this paper is to discuss a method of statistical estimation of Third Party Motor Insurance claim reserves. These methods can also be used for Car Damage Insurance, since reserve determination for these rapid settlement property coverages is simpler than for Third Party lines.Dr. Philipson mentions the two main purposes of claim reservesbalance sheet loss reserves which shall be estimated on the safe side for financial reasons, and those reserves needed for risk statistics. In this paper I shall confine my subject to aggregate loss reserves for financial statements and internal management operating reports.In this paper, it will be convenient to refer to both European and U.S. terminology for Motor Car and Automobile Insurance.The comparable terms are:The accident year is the important fiscal period underlying not only the statistical estimation methods discussed in this paper but it is also the basic grouping of accidents in the official reserve tests required in the Annual Statements of U.S. companies for casualty and property lines. An accident year embraces the entire population of claims incurred with accident dates in a particular calendar year, whether reported to the company in that year or subsequently (i.e., incurred /not reported).


2019 ◽  
Vol 36 (3) ◽  
pp. 2333-2344 ◽  
Author(s):  
Santosh Kumar Majhi ◽  
Subho Bhatachharya ◽  
Rosy Pradhan ◽  
Shubhra Biswal

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