Detecting Abnormal Insurance Claims

Business challenge

  • Insurance company faces many possibly fraudulent and abnormal transactions but does not have the resources to investigate them all
  • Fraud cases missed

Solution

  • A Machine Learning Solution utilizing multiple data sources for the accounts, customers and transactions to identify fraudulent cases, with a given tolerance for false alarms
  • Certain patterns that suggest fraudulent transactions identified

Business benefit

  • Many more fraudulent transactions caught
  • Patterns identified used to set up investigative steps to prevent certain kinds of fraud in the future