IDEAS home Printed from https://ideas.repec.org/a/inm/ormnsc/v63y2017i9p3090-3110.html
   My bibliography  Save this article

GOTCHA! Network-Based Fraud Detection for Social Security Fraud

Author

Listed:
  • Véronique Van Vlasselaer

    (Department of Decision Sciences and Information Management, KU Leuven, 3000 Leuven, Belgium)

  • Tina Eliassi-Rad

    (Network Science Institute, College of Computer and Information Science, Northeastern University, Boston, Massachusetts 02115)

  • Leman Akoglu

    (Department of Computer Science, Stony Brook University, Stony Brook, New York 11794)

  • Monique Snoeck

    (Department of Decision Sciences and Information Management, KU Leuven, 3000 Leuven, Belgium)

  • Bart Baesens

    (Department of Decision Sciences and Information Management, KU Leuven, 3000 Leuven, Belgium; and School of Management, University of Southampton, Highfield, Southampton SO17 1BJ, United Kingdom)

Abstract

We study the impact of network information for social security fraud detection. In a social security system, companies have to pay taxes to the government. This study aims to identify those companies that intentionally go bankrupt to avoid contributing their taxes. We link companies to each other through their shared resources, because some resources are the instigators of fraud. We introduce GOTCHA!, a new approach to define and extract features from a time-weighted network and to exploit and integrate network-based and intrinsic features in fraud detection. The GOTCHA! propagation algorithm diffuses fraud through the network, labeling the unknown and anticipating future fraud while simultaneously decaying the importance of past fraud. We find that domain-driven network variables have a significant impact on detecting past and future frauds and improve the baseline by detecting up to 55% additional fraudsters over time.

Suggested Citation

  • Véronique Van Vlasselaer & Tina Eliassi-Rad & Leman Akoglu & Monique Snoeck & Bart Baesens, 2017. "GOTCHA! Network-Based Fraud Detection for Social Security Fraud," Management Science, INFORMS, vol. 63(9), pages 3090-3110, September.
  • Handle: RePEc:inm:ormnsc:v:63:y:2017:i:9:p:3090-3110
    DOI: 10.1287/mnsc.2016.2489
    as

    Download full text from publisher

    File URL: https://doi.org/10.1287/mnsc.2016.2489
    Download Restriction: no

    File URL: https://libkey.io/10.1287/mnsc.2016.2489?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. repec:cup:cbooks:9780511771576 is not listed on IDEAS
    2. B Baesens & T Van Gestel & S Viaene & M Stepanova & J Suykens & J Vanthienen, 2003. "Benchmarking state-of-the-art classification algorithms for credit scoring," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 54(6), pages 627-635, June.
    3. Georges Dionne & Florence Giuliano & Pierre Picard, 2009. "Optimal Auditing with Scoring: Theory and Application to Insurance Fraud," Management Science, INFORMS, vol. 55(1), pages 58-70, January.
    4. G. Dionne & F. Giuliano & P. Picard, 2002. "Optimal auditing for insurance fraud," THEMA Working Papers 2002-32, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.
    5. Bart Baesens & Rudy Setiono & Christophe Mues & Jan Vanthienen, 2003. "Using Neural Network Rule Extraction and Decision Tables for Credit-Risk Evaluation," Management Science, INFORMS, vol. 49(3), pages 312-329, March.
    6. Easley,David & Kleinberg,Jon, 2010. "Networks, Crowds, and Markets," Cambridge Books, Cambridge University Press, number 9780521195331.
    7. Ravi Bapna & Akhmed Umyarov, 2015. "Do Your Online Friends Make You Pay? A Randomized Field Experiment on Peer Influence in Online Social Networks," Management Science, INFORMS, vol. 61(8), pages 1902-1920, August.
    8. Daniel Z. Levin & Rob Cross, 2004. "The Strength of Weak Ties You Can Trust: The Mediating Role of Trust in Effective Knowledge Transfer," Management Science, INFORMS, vol. 50(11), pages 1477-1490, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chao, Xiangrui & Ran, Qin & Chen, Jia & Li, Tie & Qian, Qian & Ergu, Daji, 2022. "Regulatory technology (Reg-Tech) in financial stability supervision: Taxonomy, key methods, applications and future directions," International Review of Financial Analysis, Elsevier, vol. 80(C).
    2. Jaime D. Acevedo-Viloria & Luisa Roa & Soji Adeshina & Cesar Charalla Olazo & Andr'es Rodr'iguez-Rey & Jose Alberto Ramos & Alejandro Correa-Bahnsen, 2021. "Relational Graph Neural Networks for Fraud Detection in a Super-App environment," Papers 2107.13673, arXiv.org, revised Jul 2021.
    3. Carrizosa, Emilio & Guerrero, Vanesa & Romero Morales, Dolores, 2019. "Visualization of complex dynamic datasets by means of mathematical optimization," Omega, Elsevier, vol. 86(C), pages 125-136.
    4. Huirong Zhang & Zhenyu Zhang & Lixin Zhou & Shuangsheng Wu, 2021. "Case-Based Reasoning for Hidden Property Analysis of Judgment Debtors," Mathematics, MDPI, vol. 9(13), pages 1-17, July.
    5. Aslam, Faheem & Hunjra, Ahmed Imran & Ftiti, Zied & Louhichi, Wael & Shams, Tahira, 2022. "Insurance fraud detection: Evidence from artificial intelligence and machine learning," Research in International Business and Finance, Elsevier, vol. 62(C).
    6. Wang, Deshen & Chen, Bintong & Chen, Jing, 2019. "Credit card fraud detection strategies with consumer incentives," Omega, Elsevier, vol. 88(C), pages 179-195.
    7. Ignacio González García & Alfonso Mateos, 2021. "Use of Social Network Analysis for Tax Control in Spain," Hacienda Pública Española / Review of Public Economics, IEF, vol. 239(4), pages 159-197, November.
    8. Lina Bouayad & Balaji Padmanabhan & Kaushal Chari, 2019. "Audit Policies Under the Sentinel Effect: Deterrence-Driven Algorithms," Information Systems Research, INFORMS, vol. 30(2), pages 466-485, June.
    9. Yankol-Schalck, Meryem, 2022. "The value of cross-data set analysis for automobile insurance fraud detection," Research in International Business and Finance, Elsevier, vol. 63(C).
    10. Galeotti, Marcello & Rabitti, Giovanni & Vannucci, Emanuele, 2020. "An evolutionary approach to fraud management," European Journal of Operational Research, Elsevier, vol. 284(3), pages 1167-1177.
    11. Emilio Carrizosa & Cristina Molero-Río & Dolores Romero Morales, 2021. "Mathematical optimization in classification and regression trees," TOP: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 29(1), pages 5-33, April.
    12. Farbmacher, Helmut & Löw, Leander & Spindler, Martin, 2022. "An explainable attention network for fraud detection in claims management," Journal of Econometrics, Elsevier, vol. 228(2), pages 244-258.
    13. Höppner, Sebastiaan & Baesens, Bart & Verbeke, Wouter & Verdonck, Tim, 2022. "Instance-dependent cost-sensitive learning for detecting transfer fraud," European Journal of Operational Research, Elsevier, vol. 297(1), pages 291-300.
    14. Tino Werner, 2022. "Elicitability of Instance and Object Ranking," Decision Analysis, INFORMS, vol. 19(2), pages 123-140, June.
    15. Michele Tumminello & Andrea Consiglio & Pietro Vassallo & Riccardo Cesari & Fabio Farabullini, 2023. "Insurance fraud detection: A statistically validated network approach," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 90(2), pages 381-419, June.
    16. Ka Chung Ng & Ping Fan Ke & Mike K. P. So & Kar Yan Tam, 2023. "Augmenting fake content detection in online platforms: A domain adaptive transfer learning via adversarial training approach," Production and Operations Management, Production and Operations Management Society, vol. 32(7), pages 2101-2122, July.
    17. Óskarsdóttir, María & Bravo, Cristián, 2021. "Multilayer network analysis for improved credit risk prediction," Omega, Elsevier, vol. 105(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Höppner, Sebastiaan & Baesens, Bart & Verbeke, Wouter & Verdonck, Tim, 2022. "Instance-dependent cost-sensitive learning for detecting transfer fraud," European Journal of Operational Research, Elsevier, vol. 297(1), pages 291-300.
    2. Tingting Song & Qian Tang & Jinghua Huang, 2019. "Triadic Closure, Homophily, and Reciprocation: An Empirical Investigation of Social Ties Between Content Providers," Information Systems Research, INFORMS, vol. 30(3), pages 912-926, September.
    3. Hoffmann, F. & Baesens, B. & Mues, C. & Van Gestel, T. & Vanthienen, J., 2007. "Inferring descriptive and approximate fuzzy rules for credit scoring using evolutionary algorithms," European Journal of Operational Research, Elsevier, vol. 177(1), pages 540-555, February.
    4. Wang, Le & Luo, Xin (Robert) & Li, Han, 2022. "Envy or conformity? An empirical investigation of peer influence on the purchase of non-functional items in mobile free-to-play games," Journal of Business Research, Elsevier, vol. 147(C), pages 308-324.
    5. Martens, David & Baesens, Bart & Van Gestel, Tony & Vanthienen, Jan, 2007. "Comprehensible credit scoring models using rule extraction from support vector machines," European Journal of Operational Research, Elsevier, vol. 183(3), pages 1466-1476, December.
    6. Jean-Marc Bourgeon & Pierre Picard, 2014. "Fraudulent Claims and Nitpicky Insurers," American Economic Review, American Economic Association, vol. 104(9), pages 2900-2917, September.
    7. Tianshu Sun & Sean J. Taylor, 2020. "Displaying things in common to encourage friendship formation: A large randomized field experiment," Quantitative Marketing and Economics (QME), Springer, vol. 18(3), pages 237-271, September.
    8. John Bone & Dominic Spengler, 2014. "Does Reporting Decrease Corruption?," Journal of Interdisciplinary Economics, , vol. 26(1-2), pages 161-186, January.
    9. Dionne, Georges & Wang, Kili, 2011. "Does opportunistic fraud in automobile theft insurance fluctuate with the business cycle?," Working Papers 11-4, HEC Montreal, Canada Research Chair in Risk Management.
    10. Casado Yusta, Silvia & Nœ–ez Letamendía, Laura & Pacheco Bonrostro, Joaqu’n Antonio, 2018. "Predicting Corporate Failure: The GRASP-LOGIT Model || Predicci—n de la quiebra empresarial: el modelo GRASP-LOGIT," Revista de Métodos Cuantitativos para la Economía y la Empresa = Journal of Quantitative Methods for Economics and Business Administration, Universidad Pablo de Olavide, Department of Quantitative Methods for Economics and Business Administration, vol. 26(1), pages 294-314, Diciembre.
    11. Appelgren, Leif, 2020. "A survey of models for determining optimal audit strategies," Advances in accounting, Elsevier, vol. 48(C).
    12. John E. Murray, 2011. "Asymmetric Information and Countermeasures in Early Twentieth‐Century American Short‐Term Disability Microinsurance," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 78(1), pages 117-138, March.
    13. Jing Ai & Patrick L. Brockett & Linda L. Golden & Montserrat Guillén, 2013. "A Robust Unsupervised Method for Fraud Rate Estimation," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 80(1), pages 121-143, March.
    14. Nicola Gennaioli & Rafael La Porta & Florencio Lopez-de-Silanes & Andrei Shleifer, 2022. "Trust and Insurance Contracts," The Review of Financial Studies, Society for Financial Studies, vol. 35(12), pages 5287-5333.
    15. Berkin, Anil & Aerts, Walter & Van Caneghem, Tom, 2023. "Feasibility analysis of machine learning for performance-related attributional statements," International Journal of Accounting Information Systems, Elsevier, vol. 48(C).
    16. Michael Ludkovski & Virginia R. Young, 2010. "Ex Post Moral Hazard and Bayesian Learning in Insurance," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 77(4), pages 829-856, December.
    17. Abe Dunn & Joshua D. Gottlieb & Adam Shapiro & Daniel J. Sonnenstuhl & Pietro Tebaldi, 2021. "A Denial a Day Keeps the Doctor Away," NBER Working Papers 29010, National Bureau of Economic Research, Inc.
    18. Chamal Gomes & Zhuo Jin & Hailiang Yang, 2021. "Insurance fraud detection with unsupervised deep learning," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 88(3), pages 591-624, September.
    19. Pierre Picard, 2012. "Economic Analysis of Insurance Fraud," Working Papers hal-00725561, HAL.
    20. E Lima & C Mues & B Baesens, 2009. "Domain knowledge integration in data mining using decision tables: case studies in churn prediction," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 60(8), pages 1096-1106, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:inm:ormnsc:v:63:y:2017:i:9:p:3090-3110. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Asher (email available below). General contact details of provider: https://edirc.repec.org/data/inforea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.