USING KOHONENS SELF-ORGANIZING FEATURE MAP TO UNCOVER AUTOMOBILE BODILY INJURY CLAIMS FRAUD

Citation
Pl. Brockett et al., USING KOHONENS SELF-ORGANIZING FEATURE MAP TO UNCOVER AUTOMOBILE BODILY INJURY CLAIMS FRAUD, The Journal of risk and insurance, 65(2), 1998, pp. 245-274
Citations number
26
Categorie Soggetti
Economics,"Business Finance
ISSN journal
00224367
Volume
65
Issue
2
Year of publication
1998
Pages
245 - 274
Database
ISI
SICI code
0022-4367(1998)65:2<245:UKSFMT>2.0.ZU;2-A
Abstract
Claims fraud is an increasingly vexing problem confronting the insuran ce industry. In this empirical study, we apply Kohonen's Self-Organizi ng Feature Map to classify automobile bodily injury (BT) claims by the degree of fraud suspicion. Feed forward neural networks and a back pr opagation algorithm are used to investigate the validity of the Featur e Map approach. Comparative experiments illustrate the potential usefu lness of the proposed methodology. We show that this technique perform s better than both an insurance adjuster's fraud assessment and an ins urance investigator's fraud assessment with respect to consistency and reliability.