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Informing the development of a fraud prevention toolset through a situated analysis of fraud investigation expertise

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Informing the development of a fraud prevention toolset through a situated analysis of fraud investigation expertise. / Ormerod, Thomas C.; Ball, Linden J.; Morley, Nicola J.
In: Behaviour and Information Technology, Vol. 31, No. 4, 2012, p. 371-381.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Ormerod TC, Ball LJ, Morley NJ. Informing the development of a fraud prevention toolset through a situated analysis of fraud investigation expertise. Behaviour and Information Technology. 2012;31(4):371-381. doi: 10.1080/01449291003752906

Author

Ormerod, Thomas C. ; Ball, Linden J. ; Morley, Nicola J. / Informing the development of a fraud prevention toolset through a situated analysis of fraud investigation expertise. In: Behaviour and Information Technology. 2012 ; Vol. 31, No. 4. pp. 371-381.

Bibtex

@article{c0238817827e4059ba52c358358eddf0,
title = "Informing the development of a fraud prevention toolset through a situated analysis of fraud investigation expertise",
abstract = "Insurance fraud is a growing problem. This article describes a project that aimed to specify and develop a suite of computer-based tools to support the early detection and subsequent investigation of potentially fraudulent claims. System requirements were informed by ethnographic studies focusing on: (1) understanding current fraud detection practices and (2) characterising fraud investigation expertise. Tools were designed that sift claims for potential problem cases and assist in the processes of investigation and detection of new fraud types by providing anomaly capture, argumentation and visualisation environments. The resulting tools capitalise upon expertise and embody processes that can subsequently be used by inexperienced claims handlers to detect and deal with fraudulent claims.",
keywords = "insurance fraud, cognitive ethnography, anomaly capture, computer-based tools, decision support systems",
author = "Ormerod, {Thomas C.} and Ball, {Linden J.} and Morley, {Nicola J.}",
year = "2012",
doi = "10.1080/01449291003752906",
language = "English",
volume = "31",
pages = "371--381",
journal = "Behaviour and Information Technology",
issn = "0144-929X",
publisher = "Taylor and Francis Ltd.",
number = "4",

}

RIS

TY - JOUR

T1 - Informing the development of a fraud prevention toolset through a situated analysis of fraud investigation expertise

AU - Ormerod, Thomas C.

AU - Ball, Linden J.

AU - Morley, Nicola J.

PY - 2012

Y1 - 2012

N2 - Insurance fraud is a growing problem. This article describes a project that aimed to specify and develop a suite of computer-based tools to support the early detection and subsequent investigation of potentially fraudulent claims. System requirements were informed by ethnographic studies focusing on: (1) understanding current fraud detection practices and (2) characterising fraud investigation expertise. Tools were designed that sift claims for potential problem cases and assist in the processes of investigation and detection of new fraud types by providing anomaly capture, argumentation and visualisation environments. The resulting tools capitalise upon expertise and embody processes that can subsequently be used by inexperienced claims handlers to detect and deal with fraudulent claims.

AB - Insurance fraud is a growing problem. This article describes a project that aimed to specify and develop a suite of computer-based tools to support the early detection and subsequent investigation of potentially fraudulent claims. System requirements were informed by ethnographic studies focusing on: (1) understanding current fraud detection practices and (2) characterising fraud investigation expertise. Tools were designed that sift claims for potential problem cases and assist in the processes of investigation and detection of new fraud types by providing anomaly capture, argumentation and visualisation environments. The resulting tools capitalise upon expertise and embody processes that can subsequently be used by inexperienced claims handlers to detect and deal with fraudulent claims.

KW - insurance fraud

KW - cognitive ethnography

KW - anomaly capture

KW - computer-based tools

KW - decision support systems

U2 - 10.1080/01449291003752906

DO - 10.1080/01449291003752906

M3 - Journal article

VL - 31

SP - 371

EP - 381

JO - Behaviour and Information Technology

JF - Behaviour and Information Technology

SN - 0144-929X

IS - 4

ER -