Add to ORKGOur objective is to analyse fraud as an operational risk for the insurance company. We study the effect of a fraud detection policy on the insurer's results account, quantifying the loss risk from the perspective of claims auditing. From the point of view of operational risk, the study aims to analyse the effect of failing to detect fraudulent claims after investigation. We have chosen VAR as the risk measure with a non-parametric estimation of the loss risk involved in the detection or non-detection of fraudulent claims. The most relevant conclusion is that auditing claims reduces loss risk in the insurance company
We analyze the empirical relationship between opportunistic fraud and business cycle. We find that r...
This dissertation studies the problem of insurance fraud using a game theoretic model where a policy...
We survey recent developments in the economic analysis of insurance fraud. The paper first sets out ...
Our objective is to analyse fraud as an operational risk for the insurance company. We study the eff...
Some property and casualty insurers use automated detection systems to help to decide whether or not...
The purpose of this paper is to characterize the impact of fraud detection systems on the auditing p...
This paper analyzes the impact of detection systems in an insurance fraud context. In a non-commitme...
Abstract Nonparametric methods combine most of the advantages of parametric alternatives when assess...
[[abstract]]Financial institutions face various cyclical risks, but very few studies have analyzed t...
Purpose - The purpose of this paper is to study effective measures in dealing with the phenomenon of...
Fraudulent automobile insurance claims are not only a loss for insurance companies, but also for the...
Insurance fraud is a significant and costly problem for both policyholders and insurance companies i...
for detecting in the automobile insurance industry claims suspected of fraud. Claim screening system...
There are thousands of companies in the insurance industry globally, and collect premiums totaling m...
Frauds in insurance industry are one of the major sources of operational risk of insurance companies...
We analyze the empirical relationship between opportunistic fraud and business cycle. We find that r...
This dissertation studies the problem of insurance fraud using a game theoretic model where a policy...
We survey recent developments in the economic analysis of insurance fraud. The paper first sets out ...
Our objective is to analyse fraud as an operational risk for the insurance company. We study the eff...
Some property and casualty insurers use automated detection systems to help to decide whether or not...
The purpose of this paper is to characterize the impact of fraud detection systems on the auditing p...
This paper analyzes the impact of detection systems in an insurance fraud context. In a non-commitme...
Abstract Nonparametric methods combine most of the advantages of parametric alternatives when assess...
[[abstract]]Financial institutions face various cyclical risks, but very few studies have analyzed t...
Purpose - The purpose of this paper is to study effective measures in dealing with the phenomenon of...
Fraudulent automobile insurance claims are not only a loss for insurance companies, but also for the...
Insurance fraud is a significant and costly problem for both policyholders and insurance companies i...
for detecting in the automobile insurance industry claims suspected of fraud. Claim screening system...
There are thousands of companies in the insurance industry globally, and collect premiums totaling m...
Frauds in insurance industry are one of the major sources of operational risk of insurance companies...
We analyze the empirical relationship between opportunistic fraud and business cycle. We find that r...
This dissertation studies the problem of insurance fraud using a game theoretic model where a policy...
We survey recent developments in the economic analysis of insurance fraud. The paper first sets out ...