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Fraud Detection
Insurance fraud is a significant challenge for the insurance industry, with billions of dollars lost each year. Detecting and preventing fraud is essential for insurers to remain profitable and protect their customers. In this case study, we will explore how an insurance company used data analytics and machine learning to detect fraudulent claims and save money.
Fraud detection is one of the most important and useful insurance service for machine learning and big data. Every year, insurance fraud costs insurance companies a great deal of money. However, companies can now identify fraudulent activities, suspicious relationships, and subtle behavioral patterns utilizing various methods with the help of data science in insurance industry platforms and software.
A steady stream of data should be provided to the algorithm to enable this recognition. Statistical models are typically used by insurance firms to detect fraud effectively. Such models are based on prior instances of fraud and examine them using sampling techniques.
Additionally, methods for predictive modeling are used in this case for the study and filtration of fraud cases. Finding connections between questionable actions aids in spotting previously undetected fraud schemes.