An explainable attention network for fraud detection in claims management

DOI10.1016/J.JECONOM.2020.05.021MaRDI QIDQ2673178zbMATH OpenOpenAlexFDO

Authors Helmut Farbmacher, Leander Löw, Martin Spindler

Publication date 9 June 2022

Published in Journal of Econometrics (Search for Journal in Brave)

Copyright license Creative Commons Attribution 4.0 International

Full work available at URL https://doi.org/10.1016/j.jeconom.2020.05.021

zbMATH Keywords

deep learningmachine learninghealth insurancecategorical dataembeddingsfraud detectionclaims management

Mathematics Subject Classification ID

Statistics (62-XX) Game theory, economics, finance, and other social and behavioral sciences (91-XX)

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Cites work

• scientific article; zbMATH DE number 3860199 (Why is no real title available?)
• A neural network demand system with heteroskedastic errors
• An alternative approach to estimating demand: neural network regression with conditional volatility for high frequency air passenger arrivals
• Artificial neural networks: an econometric perspective^∗
• Deep learning
• Detecting management fraud in public companies
• Learning representations by back-propagating errors
• Mixtures of \(t\)-distributions for finance and forecasting
• Multilayer feedforward networks are universal approximators
• Optimal auditing with scoring: theory and application to insurance fraud
• Optimal contracts and competitive markets with costly state verification
• Random forests
• Statistical Medical Fraud Assessment: Exposition to an Emerging Field
• Statistical fraud detection: a review

Cited in

(3)

• Leveraging Weather Dynamics in Insurance Claims Triage Using Deep Learning
• Health care fraud classifiers in practice
• Explainable anomaly detection for procurement fraud identification—lessons from practical deployments

Describes a project that uses

Uses Software

• BERT
• Tensor2Tensor
• Adam
• word2vec

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