Random Rough Subspace Based Neural Network Ensemble for Insurance Fraud Detection
Authors:
- Wei XuWXWei Xu
- Shengnan WangSWShengnan Wang
- Dailing ZhangDZDailing Zhang
- Bo YangBYBo Yang
- 1 April 2011
- conference paper
- Published by Institute of Electrical and Electronics Engineers (IEEE)
- p. 1276-1280
Abstract
In this paper, a random rough subspace based neural network ensemble method is proposed for insurance fraud detection. In this method, rough set reduction is firstly employed to generate a set of reductions which can keep the consistency of data information. Secondly, the reductions are randomly selected to construct a subset of reductions. Thirdly, each of the selected reductions is used to train a neural network classifier based on the insurance data. Finally, the trained neural network classifiers are combined using ensemble strategies. For validation, a real automobile insurance case is used to test the effectiveness and efficiency of our proposed method with two popular evaluation criteria including the percentage correctly classified (PCC) and the receive operating characteristic (ROC) curve. The experimental results show that our proposed model outperforms single classifier and other models used in comparison. The findings of this study reseal that the random rough subspace based neural network ensemble method can provide a faster and more accurate way to find suspicious insurance claims, and it is a promising tool for insurance fraud detection.Keywords
This publication has 17 references indexed in Scilit:
- EROS: Ensemble rough subspacesPattern Recognition, 2007
- A process-mining framework for the detection of healthcare fraud and abuseExpert Systems with Applications, 2006
- A case study of applying boosting naive bayes to claim fraud diagnosisIEEE Transactions on Knowledge and Data Engineering, 2004
- Multiple classifier combination for face-based identity verificationPattern Recognition, 2004
- Minority report in fraud detectionACM SIGKDD Explorations Newsletter, 2004
- Detection of Automobile Insurance Fraud With Discrete Choice Models and Misclassified ClaimsJournal of Risk and Insurance, 2002
- A Model for the Detection of Insurance FraudThe Geneva Papers on Risk and Insurance - Issues and Practice, 2000
- Using Kohonen's Self-Organizing Feature Map to Uncover Automobile Bodily Injury Claims FraudJournal of Risk and Insurance, 1998
- The random subspace method for constructing decision forestsIEEE Transactions on Pattern Analysis and Machine Intelligence, 1998
- Application of neural networks to detection of medical fraudExpert Systems with Applications, 1997