Aug 2026· International Journal of AI Electronics and Nexus Energy· Vol 2, pp. 281-288· 0 citations· 7 references
TL;DR
The findings show that correcting class imbalance is essential to enhancing model performance, and handling missing data also helps to produce predictions that are more trustworthy, and the AdaBoost Classifier greatly outperforms current methods.
Abstract
Insurance fraud is a major problem for insurers, especially in the vehicle insurance industry. It affects pricing tactics and causes financial losses. Class imbalance, when fraudulent claims are far less common than legitimate claims, frequently affects fraud detection models, and missing data makes the task even more difficult. Two vehicle insurance datasets—a conventional dataset and an Egyptian real-life dataset—are used in this study to address these problems. In order to improve the accuracy and prediction potential of the model, the AdaBoost Classifier is incorporated into the suggested methodology, which also addresses missing data and class imbalance. The findings show that correcting class imbalance is essential to enhancing model performance, and handling missing data also helps to produce predictions that are more trustworthy. By increasing prediction accuracy and decreasing overfitting, which is frequently a problem in fraud detection models, the AdaBoost Classifier greatly outperforms current methods. This study offers insightful information about how enhancing data quality and utilising cutting-edge algorithms like AdaBoost can improve fraud detection systems, ultimately resulting in more successful identification of fraudulent claims. These improvements can greatly help insurance businesses make better decisions, lower financial losses, and improve pricing strategies.
Today insurance fraud is a big problem for insurance companies since it is challenging to detect potential fraud cases within a large amount of claims data. Traditional rule-based models can detect already known fraud cases, but they often fail to detect new ones and can flag too many false positives. In this paper, se...
Ermira Memeti· INTERNATIONAL CONGRESS FROM...· 0 citations
One major challenge for banks and financial institutions is identifying fraudulent credit card transactions, as criminals can also masquerade as legitimate cardholders. To address the inherent class imbalance problem in a fraud detection problem, resampling techniques such as oversampling, undersampling, and SMOTE are...
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In data environments with severe class imbalances, a machine learning model can be designed as an effective triage tool and its actual value is not only to predict fraud, but also to establish a low-risk release, medium-risk verification, and high-risk manual review of the decision-making process for institutions and t...
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This study compares the performance of several supervised machine learning models for fraud detection, using a unified data preprocessing pipeline, and found that ensemble learning methods generally outperform single classifiers in both accuracy and minority-class recognition.
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The study results show that ensemble techniques enhance the detection of fraudulent credit card transactions significantly and the proposed framework included data preprocessing and imbalanced data handling using SMOTE produced good results in terms of classification performance and reliable detections.
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