2002Journal of Risk & InsuranceOpen access

Detection of Automobile Insurance Fraud With Discrete Choice Models and Misclassified Claims

Manuel Artı́s, Mercedes Ayuso, Montserrat Guillén

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Abstract

Abstract The insurance industry is concerned with the detection of fraudulent behavior. The number of automobile claims involving some kind of suspicious circumstance is high and has become a subject of major interest for companies. This article demonstrates the performance of binary choice models for fraud detection and implements models for misclassification in the response variable. A database from the Spanish insurance market that contains honest and fraudulent claims is used. The estimation of the probability of omission provides an estimate of the percentage of fraudulent claims that are not detected by the logistic regression model.

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Abstract The insurance industry is concerned with the detection of fraudulent behavior. The number of automobile claims involving some kind of suspicious circumstance is high and has become a subject of major interest for companies. This article demonstrates the performance of binary choice models for fraud detection and implements models for misclassification in the response variable. A database from the Spanish insurance market that contains honest and fraudulent claims is used. The estimation of the probability of omission provides an estimate of the percentage of fraudulent claims that are not detected by the logistic regression model.

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Available abstract

Abstract The insurance industry is concerned with the detection of fraudulent behavior. The number of automobile claims involving some kind of suspicious circumstance is high and has become a subject of major interest for companies. This article demonstrates the performance of binary choice models for fraud detection and implements models for misclassification in the response variable. A database from the Spanish insurance market that contains honest and fraudulent claims is used. The estimation of the probability of omission provides an estimate of the percentage of fraudulent claims that are not detected by the logistic regression model.

Key concepts: Automobile insurance, Insurance fraud, Actuarial science, Logistic regression, Discrete choice, Estimation, Business, Econometrics

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