Of late, insurance fraud detection has assumed immense significance owing to the huge financial & reputational losses fraud entails and the phenomenal success of the fraud detection techniques. Insurance is majorly divided into two categories: (i) Life and (ii) Non-life. Non-life insurance in turn includes health insurance and auto insurance among other things. In either of the categories, the fraud detection techniques should be designed in such a way that they capture as many fraudulent transactions as possible. Owing to the rarity of fraudulent transactions, in this paper, we propose a chaotic variational autoencoder (C-VAE to perform one-class classification (OCC) on genuine transactions. Here, we employed the logistic chaotic map to generate random noise in the latent space. The effectiveness of C-VAE is demonstrated on the health insurance fraud and auto insurance datasets. We considered vanilla Variational Auto Encoder (VAE) as the baseline. It is observed that C-VAE outperformed VAE in both datasets. C-VAE achieved a classification rate of 77.9% and 87.25% in health and automobile insurance datasets respectively. Further, the t-test conducted at 1% level of significance and 18 degrees of freedom infers that C-VAE is statistically significant than the VAE.
翻译:最近,保险欺诈探测工作由于巨大的财务和声誉损失欺诈以及欺诈探测技术的惊人成功而具有巨大意义。保险主要分为两类:(一)人寿和(二)非生命。非人寿保险包括健康保险和汽车保险等。在这两类保险中,欺诈探测技术的设计方式应当能够捕捉尽可能多的欺诈交易。由于欺诈交易的罕见性,我们在本文件中提议对真实交易进行混乱的变异自动编码器(C-VAE进行单级分类)。这里,我们使用后勤混乱图在潜在空间产生随机噪音。C-VAE的效力在健康保险欺诈和汽车保险数据集中得到了证明。我们认为,在这两个类别中,欺诈探测技术的设计方式应当能够捕捉尽可能多的欺诈交易。由于欺诈交易的罕见性,我们在本文件中提议对两个数据集进行混乱的自动自动编码处理。C-VAE的分类率分别为77.9%和87.25%,在健康与汽车保险数据库中,C.VA.VA.和18级的重要程度为C.VA.VA.VA.