~/talk

Finding Fraud Indicators in Medical Insurance Claims

on YouTube 38m
TalkinRussianat РИТ++ 2017 · 2017-06-05..06-06· [machine-learning]

speaker

name:Vasiliy Ryazanov
links:none on file

resources

video:https://youtu.be/OSk83rfWh1Q
slides:none on file

summary

The talk addresses detecting fraud in claimed losses for medical insurance by automating checks that insurers now do manually. It discusses using machine learning on growing insurance claim datasets to identify suspicious claims so experts don’t have to review every case.

AI-written summary · about

chapters (10)

  1. 0:00Introduction
  2. 3:00Medical insurance fraud
  3. 7:58Model evolution
  4. 11:12Data structure and issues
  5. 15:52Text cleaning and processing
  6. 18:03Analysis pipeline
  7. 21:39Service grouping into cases
  8. 24:50Model validation and metrics
  9. 27:42Results and business impact
  10. 29:33Q&A

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