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
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.