Explainable artificial intelligence (xai) in insurance

E Owens, B Sheehan, M Mullins, M Cunneen, J Ressel… - Risks, 2022 - mdpi.com
Explainable Artificial Intelligence (XAI) models allow for a more transparent and
understandable relationship between humans and machines. The insurance industry …

[HTML][HTML] Machine learning algorithms for fraud prediction in property insurance: Empirical evidence using real-world microdata

MK Severino, Y Peng - Machine Learning with Applications, 2021 - Elsevier
This paper evaluated fraud prediction in property insurance claims using various machine
learning models based on real-world data from a major Brazilian insurance company. The …

Blockchain and AI-empowered healthcare insurance fraud detection: an analysis, architecture, and future prospects

K Kapadiya, U Patel, R Gupta, MD Alshehri… - IEEE …, 2022 - ieeexplore.ieee.org
Nowadays, health insurance has become an essential part of people's lives as the number
of health issues increases. Healthcare emergencies can be troublesome for people who …

[PDF][PDF] Information and communication technology in Nigeria insurance industry: Developments, challenges and prospects

U Inyang, IV Okonkwo - Journal of Economics, Finance and Management …, 2021 - ijefm.co.in
Insurance industry provides insurance protection/financial guarantee to the insuring public
in a given economy say Nigeria. The existence of risk allowed impetus for the insurance …

Improving healthcare services using source anonymous scheme with privacy preserving distributed healthcare data collection and mining

N Domadiya, UP Rao - Computing, 2021 - Springer
The trends of data mining on healthcare data for improving medical services have increased
because of the electronic healthcare record (EHR) system, which collects a massive amount …

A sequence mining-based novel architecture for detecting fraudulent transactions in healthcare systems

I Matloob, SA Khan, R Rukaiya, MAK Khattak… - IEEE …, 2022 - ieeexplore.ieee.org
With the exponential rise in government and private health-supported schemes, the number
of fraudulent billing cases is also increasing. Detection of fraudulent transactions in …

Sequence mining and prediction-based healthcare fraud detection methodology

I Matloob, SA Khan, HU Rahman - IEEE Access, 2020 - ieeexplore.ieee.org
This article presents a novel methodology to detect insurance claim related frauds in the
healthcare system using concepts of sequence mining and sequence prediction. Fraud …

Blockchain and crypto forensics: Investigating crypto frauds

U Agarwal, V Rishiwal, S Tanwar… - International Journal of …, 2024 - Wiley Online Library
In the past few years, cryptocurrency has gained widespread acceptance because of its
decentralized nature, quick and secure transactions, and potential for investment and …

Sequential pattern mining approach for personalized fraudulent transaction detection in online banking

J Kim, H Jung, W Kim - Sustainability, 2022 - mdpi.com
Financial institutions face challenges of fraud due to an increased number of online
transactions and sophisticated fraud techniques. Although fraud detection systems have …

Framework for analysis and detection of fraud in health insurance

N Rayan - 2019 IEEE 6th International Conference on Cloud …, 2019 - ieeexplore.ieee.org
The health insurance industry generates a wide range of data from patients' information to
provider payment and claims report. The impact of fraud, waste, and abuse (FWA) in medical …