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International Scientific Journal of Contemporary Research in

Engineering Science and Management

|ISSN Approved Journal | Impact factor: 7.521 | Follows UGC CARE Journal Norms and Guidelines|
|Monthly, Peer-Reviewed, Refereed, Scholarly, Multidisciplinary and Open Access Journal|Impact
factor 7.521 (Calculated by Google Scholar and Semantic Scholar| AI-Powered Research Tool| Indexing)
in all Major Database & Metadata, Citation Generator

Abstract

FRAUD DETECTION AND ANALYSIS FOR INSURANCE CLAIM USING MACHINE LEARNING

B.Raghupathi, Dr.P.Satish Reddy, Asif Ahmed Algur, KARNE ANUSHKA

Abstract

Insurance Company working as commercial enterprise from last few years have been experiencing fraud cases for all type of claims. Amount claimed by fraudulent is significantly huge that may causes serious problems, hence along with government, different organization also working to detect and reduce such activities. Such frauds occurred in all areas of insurance claim with high severity such as insurance claimed towards auto sector is fraud that widely claimed and prominent type, which can be done by fake accident claim. So, we aim to develop a project that work on insurance claim data set to detect fraud and fake claims amount. The project Implement machine learning algorithms to build model to label and classify claim. Also, to study comparative study of all machine learning algorithms used for classification using confusion matrix in term soft accuracy, precision, recall etc. For fraudulent transaction validation, machine learning model is built using PySpark Python Libra

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