Litcius/Paper detail

The Role of Natural Language Processing in Detecting Insurance Fraud

Venkata Ramana Saddi, Bhagawan Gnanapa, Swetha Boddu, J. Logeshwaran

202329 citationsDOI

Abstract

Coverage fraud is an illegal hobby that costs the coverage enterprise billions of bucks yearly and can be difficult to detect without the proper equipment. One technology that could assist in detecting fraud is natural language processing (NLP). NLP is a shape of synthetic intelligence (AI) used to research written claims and locate styles or signs that might advise coverage fraud. NLP uses a mixture of machine-gaining knowledge and algorithms to interpret written text and locate positive keywords or phrases that may be associated with fraudulent claims. This data can create regulations and versions to locate suspicious conduct inside the claims. NLP can provide insurers insights into the claims evaluation manner that are impossible using manual strategies. With the power of NLP, insurers can automate the statistics analysis procedure to detect coverage fraud more quickly and correctly than earlier. It can assist in identifying ability fraud cases fast, without difficulty, and as it should be, and save time and money on labor costs related to manually reviewing claims. Using NLP in insurance fraud detection also enables compliance because it offers insurers higher insight into their enterprise procedures, client conduct, and data integrity.NLP can also help offer context to claims records, and with extra sources, insurers can, in addition, beautify the technique of detecting coverage fraud.

Topics & Concepts

Computer scienceInsurance fraudInternet privacyComputer securityBusinessActuarial scienceImbalanced Data Classification TechniquesCybercrime and Law Enforcement StudiesSentiment Analysis and Opinion Mining