Insurance Fraud Management as an Integrated Part of Business Intelligence Framework

نویسنده

  • Pavel Pešout
چکیده

Frauds in insurance industry are one of the major sources of operational risk of insurance companies and constitute a significant portion of their losses. Every reasonable company on the market aims for improving their processes of uncovering frauds and invests their resources to reduce them. This article is addressing fraud management area from the view of extension of existing Business Intelligence solution. We describe the frame of such solution and would like to share with readers all benefits brought to insurance companies by adopting this approach in their fight against insurance frauds. Keywords—business intelligence, insurance fraud, fraud management

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

An Integrated Enterprise Resources Planning (ERP) Framework forFlexible Manufacturing SystemsUsing Business Intelligence (BI)Tools

Nowadays Business intelligence (BI) tools provide optimal decision making, analyzing, controlling and monitoring of operations in enterprise systems like enterprise resource planning (ERP) and mainly refer to strong decision making methods used in online analytical processing, reporting and data analysis, such as improve internal processes, analysis of resources, information needs analysis, red...

متن کامل

Financial Accounting Fraud Detection Using Business Intelligence

The paper investigates the inherent problems of financial fraud detection and proposes a forensic accounting framework using business intelligence as a plausible means of addressing them. The paper adopts an empirical case study approach to present how business intelligence could be used effectively in the detection of financial accounting fraud. The proposed forensic accounting framework using...

متن کامل

Design of Integrated Business Intelligence System Framework for Insurance Business Processes

Business intelligence is a key means to promote core competence of enterprise. The high construction cost of business intelligence severely limits the popularization and development of business intelligence system. Business process management (BPM) is a key business initiative that enables companies to align strategic and operational objectives with business activities in order to fully manage ...

متن کامل

A conceptual framework of e-fraud control in an integrated supply chain

The integration of supply chains offers many benefits; yet, it may also render organisations more vulnerable to electronic fraud (e-fraud). E-fraud can drain on organisations’ financial resources, and can have a significant adverse effect on the ability to achieve their strategic objectives. Therefore, efraud control should be part of corporate board-level due diligence, and should be integrate...

متن کامل

Insurance Fraud: Issues and Challenges

The insurance industry has positioned itself as a basic pillar of our modern society. It will undoubtedly continue to assume that status in the future, even though, under impulse of technological advancement and trends toward globalization and deregulation of financial and real markets, the nature of the insurance business and its value proposition are likely to undergo considerable changes. In...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2011