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The article proposes an expert system for detection, and subsequent investigation, of groups of collaborating automobile insurance fraudsters. The system is described and examined in great detail, several technical difficulties in detecting…

Artificial Intelligence · Computer Science 2011-04-21 Lovro Šubelj , Štefan Furlan , Marko Bajec

Insurance fraud occurs when policyholders file claims that are exaggerated or based on intentional damages. This contribution develops a fraud detection strategy by extracting insightful information from the social network of a claim.…

Social and Information Networks · Computer Science 2020-09-18 María Óskarsdóttir , Waqas Ahmed , Katrien Antonio , Bart Baesens , Rémi Dendievel , Tom Donas , Tom Reynkens

Fraudulent claim detection is one of the greatest challenges the insurance industry faces. Alibaba's return-freight insurance, providing return-shipping postage compensations over product return on the e-commerce platform, receives…

Cryptography and Security · Computer Science 2020-03-02 Chen Liang , Ziqi Liu , Bin Liu , Jun Zhou , Xiaolong Li , Shuang Yang , Yuan Qi

Traditionally, the detection of fraudulent insurance claims relies on business rules and expert judgement which makes it a time-consuming and expensive process (\'Oskarsd\'ottir et al., 2022). Consequently, researchers have been examining…

Machine Learning · Computer Science 2024-10-08 Bavo D. C. Campo , Katrien Antonio

With an increase in financial accounting fraud in the current economic scenario experienced, financial accounting fraud detection has become an emerging topics of great importance for academics, research and industries. Financial fraud is a…

Other Computer Science · Computer Science 2013-09-05 H. Lookman Sithic , T. Balasubramanian

Insurance fraud detection represents a pivotal advancement in modern insurance service, providing intelligent and digitalized monitoring to enhance management and prevent fraud. It is crucial for ensuring the security and efficiency of…

Cryptography and Security · Computer Science 2025-06-26 Yining Pang , Chenghan Li

Generative AI is supercharging insurance fraud by making it easier to falsify accident evidence at scale and in rapid time. Insurance fraud is a pervasive and costly problem, amounting to tens of billions of dollars in losses each year. In…

Artificial Intelligence · Computer Science 2025-10-24 Amir Hever , Itai Orr

In the contemporary era, online social networks have become integral to social life, revolutionizing the way individuals manage their social connections. While enhancing accessibility and immediacy, these networks have concurrently given…

Social and Information Networks · Computer Science 2023-11-22 Vertika Singh , Naman Tolasaria , Patel Meet Alpeshkumar , Shreyash Bartwal

Financial fraud is an issue with far reaching consequences in the finance industry, government, corporate sectors, and for ordinary consumers. Increasing dependence on new technologies such as cloud and mobile computing in recent years has…

Cryptography and Security · Computer Science 2015-10-27 J. West , Maumita Bhattacharya , R. Islam

Social reviews have dominated the web and become a plausible source of product information. People and businesses use such information for decision-making. Businesses also make use of social information to spread fake information using a…

Machine Learning · Computer Science 2023-01-05 Saeedreza Shehnepoor , Roberto Togneri , Wei Liu , Mohammed Bennamoun

The detection of frauds in credit card transactions is a major topic in financial research, of profound economic implications. While this has hitherto been tackled through data analysis techniques, the resemblances between this and other…

Social and Information Networks · Computer Science 2017-06-08 Massimiliano Zanin , Miguel Romance , Santiago Moral , Regino Criado

Frauds severely hurt many kinds of Internet businesses. Group-based fraud detection is a popular methodology to catch fraudsters who unavoidably exhibit synchronized behaviors. We combine both graph-based features (e.g. cluster density) and…

Cryptography and Security · Computer Science 2018-06-26 Yikun Ban , Xin Liu , Tianyi Zhang , Ling Huang , Yitao Duan , Xue Liu , Wei Xu

Automatically scene understanding using machine learning algorithms has been widely applied to different industries to reduce the cost of manual labor. Nowadays, insurance companies launch express vehicle insurance claim and settlement by…

Computer Vision and Pattern Recognition · Computer Science 2018-05-01 Pei Li , Bingyu Shen , Weishan Dong

This study investigates fraud detection in ride hailing platforms through Graph Neural Networks (GNNs),focusing on the effectiveness of various models. By analyzing prevalent fraudulent activities, the research highlights and compares the…

The UK anti-fraud charity Fraud Advisory Panel (FAP) in their review of 2016 estimates business costs of fraud at 144 billion, and its individual counterpart at 9.7 billion. Banking, insurance, manufacturing, and government are the most…

Machine Learning · Computer Science 2022-05-11 Tuan Tran

Financial fraud refers to the act of obtaining financial benefits through dishonest means. Such behavior not only disrupts the order of the financial market but also harms economic and social development and breeds other illegal and…

Machine Learning · Computer Science 2025-12-16 Yuxin Dong , Jianhua Yao , Jiajing Wang , Yingbin Liang , Shuhan Liao , Minheng Xiao

The insurance industry has been creating innovative products around the emerging online shopping activities. Such e-commerce insurance is designed to protect buyers from potential risks such as impulse purchases and counterfeits. Fraudulent…

Cryptography and Security · Computer Science 2020-03-13 Cen Chen , Chen Liang , Jianbin Lin , Li Wang , Ziqi Liu , Xinxing Yang , Xiukun Wang , Jun Zhou , Yang Shuang , Yuan Qi

Accounting fraud is a global concern representing a significant threat to the financial system stability due to the resulting diminishing of the market confidence and trust of regulatory authorities. Several tricks can be used to commit…

Machine Learning · Statistics 2018-05-09 Maria Jofre , Richard Gerlach

Fraud detection is to identify, monitor, and prevent potentially fraudulent activities from complex data. The recent development and success in AI, especially machine learning, provides a new data-driven way to deal with fraud. From a…

Machine Learning · Statistics 2023-05-19 Biao Xu , Yao Wang , Xiuwu Liao , Kaidong Wang

Credit card fraud is an ongoing problem for almost all industries in the world, and it raises millions of dollars to the global economy each year. Therefore, there is a number of research either completed or proceeding in order to detect…

Machine Learning · Computer Science 2020-07-30 Yusuf Yazici
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