Research output: Contribution in Book/Report/Proceedings - With ISBN/ISSN › Chapter
Research output: Contribution in Book/Report/Proceedings - With ISBN/ISSN › Chapter
}
TY - CHAP
T1 - Using Ethnography To Design a Mass Detection Tool(MDT) For The Early Discovery of Insurance Fraud.
AU - Ormerod, Thomas C.
AU - Morley, Nicola J.
AU - Ball, Linden J.
AU - Langley, Charles
AU - Spenser, Clive
PY - 2003
Y1 - 2003
N2 - We describe a Mass Detection Tool (MDT) for early detection of insurance fraud. Ethnography was used to specify needs and process, capture expertise, and design an interface for triggering fraud indicators while capturing unexpected anomalies detected by claims handlers. The MDT uses a dynamic Bayesian Belief Network of fraud indicators, whose weights are determined by how predictive each indicator is of specific types of fraud. The system uses automated knowledge updating to keep pace with dynamically changing fraud, adding new indicators that emerge from patterns of repeated anomalies.
AB - We describe a Mass Detection Tool (MDT) for early detection of insurance fraud. Ethnography was used to specify needs and process, capture expertise, and design an interface for triggering fraud indicators while capturing unexpected anomalies detected by claims handlers. The MDT uses a dynamic Bayesian Belief Network of fraud indicators, whose weights are determined by how predictive each indicator is of specific types of fraud. The system uses automated knowledge updating to keep pace with dynamically changing fraud, adding new indicators that emerge from patterns of repeated anomalies.
KW - Ethnography
KW - Bayesian belief networks
KW - Insurance
KW - Fraud detection
KW - Automated knowledge updating.
M3 - Chapter
BT - CHI 2003: New Horizons Extended Abstracts
A2 - Cockton, G.
PB - ACM Press
CY - New York
ER -