An explainable attention network for fraud detection in claims management

DOI10.1016/J.JECONOM.2020.05.021OpenAlexW3091163231MaRDI QIDQ2673178FDOQ2673178

Authors: Helmut Farbmacher, Leander Löw, Martin Spindler 

Publication date: 9 June 2022

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

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

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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)

Cites Work

• Title not available (Why is that?)
• Artificial neural networks: an econometric perspective^∗
• Random forests
• Learning representations by back-propagating errors
• Deep learning
• Statistical fraud detection: a review
• Optimal contracts and competitive markets with costly state verification
• Multilayer feedforward networks are universal approximators
• Mixtures of \(t\)-distributions for finance and forecasting
• 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
• Optimal auditing with scoring: theory and application to insurance fraud
• Detecting management fraud in public companies
• Statistical Medical Fraud Assessment: Exposition to an Emerging Field

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

Uses Software

• word2vec
• Adam
• Tensor2Tensor
• BERT

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