Fraud Claim Detection Framework
There are several fraud claims in insurance industry. The manufacturing industry also suffers with similar fraud claims. The manufacturers sells the product in the market with warranty or guarantee of good quality. They also promise to replace or repair the product according to the agreed policy. Based on the extent of risk and product life pricing of the selling product is decided. Manufacturers receive several warranty/guarantee claims in a year. Many of them are fraud claims. Identifying the authenticity of claims is rigorous and laborious process. But in the era of the machine learning and data analysis the cost and time of above process can be reduced. I am discussing here a process that can be used to identify the veracity of the claim. This process framework is based on the machine learning algorithms. I believe that this framework has capability to reduce the time and cost required to investigate any claim manually. The process flow of th...