IDEAS home Printed from https://ideas.repec.org/a/gam/jrisks/v10y2022i7p132-d844466.html
   My bibliography  Save this article

Unsupervised Insurance Fraud Prediction Based on Anomaly Detector Ensembles

Author

Listed:
  • Alexander Vosseler

    (Allianz Global Corporate & Specialty SE (AGCS), 85774 Unterföhring, Germany)

Abstract

The detection of anomalous data patterns is one of the most prominent machine learning use cases in industrial applications. Unfortunately very often there are no ground truth labels available and therefore it is good practice to combine different unsupervised base learners with the hope to improve the overall predictive quality. Here one of the challenges is to combine base learners that are accurate and divers at the same time, where another challenge is to enable model explainability. In this paper we present BHAD, a fast unsupervised Bayesian histogram anomaly detector, which scales linearly with the sample size and the number of attributes and is shown to have very competitive accuracy compared to other analyzed anomaly detectors. For the problem of model explainability in unsupervised outlier ensembles we introduce a generic model explanation approach using a supervised surrogate model. For the problem of ensemble construction we propose a greedy model selection approach using the mutual information of two score distributions as a similarity measure. Finally we give a detailed description of a real fraud detection application from the corporate insurance domain using an outlier ensemble, we share various feature engineering ideas as well as discuss practical challenges.

Suggested Citation

  • Alexander Vosseler, 2022. "Unsupervised Insurance Fraud Prediction Based on Anomaly Detector Ensembles," Risks, MDPI, vol. 10(7), pages 1-20, June.
  • Handle: RePEc:gam:jrisks:v:10:y:2022:i:7:p:132-:d:844466
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2227-9091/10/7/132/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2227-9091/10/7/132/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Vosseler, Alexander, 2016. "Bayesian model selection for unit root testing with multiple structural breaks," Computational Statistics & Data Analysis, Elsevier, vol. 100(C), pages 616-630.
    2. 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.
    3. Babak Zafari & Tahir Ekin, 2019. "Topic modelling for medical prescription fraud and abuse detection," Journal of the Royal Statistical Society Series C, Royal Statistical Society, vol. 68(3), pages 751-769, April.
    Full references (including those not matched with items on IDEAS)

    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. Alexander Vosseler & Enzo Weber, 2017. "Bayesian analysis of periodic unit roots in the presence of a break," Applied Economics, Taylor & Francis Journals, vol. 49(38), pages 3841-3862, August.
    2. Magris Martin & Iosifidis Alexandros, 2021. "Approximate Bayes factors for unit root testing," Papers 2102.10048, arXiv.org, revised Feb 2021.
    3. 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.
    4. Niels Framroze Møller, 2019. "Decoding unemployment persistence: an econometric framework for identifying and comparing the sources of persistence with an application to UK macrodata," Empirical Economics, Springer, vol. 56(5), pages 1489-1514, May.
    5. Alexander Vosseler & Enzo Weber, 2018. "Forecasting seasonal time series data: a Bayesian model averaging approach," Computational Statistics, Springer, vol. 33(4), pages 1733-1765, December.
    6. Chih-Te Yang & Yensen Ni & Mu-Hsiang Yu & Yuhsin Chen & Paoyu Huang, 2023. "Decoding the Profitability of Insurance Products: A Novel Approach to Evaluating Non-Participating and Participating Insurance Policies," Mathematics, MDPI, vol. 11(13), pages 1-16, June.
    7. Badri Narayan Rath & Vaseem Akram, 2021. "Popularity of Unit Root Tests - A Review," Asian Economics Letters, Asia-Pacific Applied Economics Association, vol. 2(4), pages 1-5.
    8. Serkan Eti & Hasan Dinçer & Hasan Meral & Serhat Yüksel & Yaşar Gökalp, 2024. "Insurtech in Europe: identifying the top investment priorities for driving innovation," Financial Innovation, Springer;Southwestern University of Finance and Economics, vol. 10(1), pages 1-24, December.
    9. Francesco Porro & Mariangela Zenga, 2023. "Decompositions by sources and by subpopulations of the Pietra index: two applications to professional football teams in Italy," AStA Advances in Statistical Analysis, Springer;German Statistical Society, vol. 107(1), pages 73-100, March.
    10. Daniel Bauer & James Tyler Leverty & Joan Schmit & Justin Sydnor, 2021. "Symposium on insure‐tech, digitalization, and big‐data techniques in risk management and insurance," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 88(3), pages 525-528, September.
    11. 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).
    12. Spark C. Tseung & Ian Weng Chan & Tsz Chai Fung & Andrei L. Badescu & X. Sheldon Lin, 2022. "A Posteriori Risk Classification and Ratemaking with Random Effects in the Mixture-of-Experts Model," Papers 2209.15212, arXiv.org.
    13. 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.
    14. Papoutsoglou, Maria & Rigas, Emmanouil S. & Kapitsaki, Georgia M. & Angelis, Lefteris & Wachs, Johannes, 2022. "Online labour market analytics for the green economy: The case of electric vehicles," Technological Forecasting and Social Change, Elsevier, vol. 177(C).
    15. Xiao Lin & Mark J. Browne & Annette Hofmann, 2022. "Race discrimination in the adjudication of claims: Evidence from earthquake insurance," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 89(3), pages 553-580, September.
    16. Angela Zeier Röschmann & Matthias Erny & Joël Wagner, 2022. "On the (future) role of on-demand insurance: market landscape, business model and customer perception," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 47(3), pages 603-642, July.
    17. Berk Wheelock, Lauren & Pachamanova, Dessislava A., 2022. "Acceptable set topic modeling," European Journal of Operational Research, Elsevier, vol. 299(2), pages 653-673.

    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:gam:jrisks:v:10:y:2022:i:7:p:132-:d:844466. 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.