This paper proposes an original architecture for a fraud management system (FMS) for convergent. Next-generation networks (NGNs), which are based on the Internet protocol (IP). The architecture has the potential to satisfy the requirements of flexibility and application-independency for effective fraud detection in NGNs that cannot be met by traditional FMSs. The proposed architecture has a tho...

In this study, the author discusses one of problems regarding Urgency Criminalization Fraud in Implementation Health Insurance Program Indonesia. The purpose study is to determine urgency criminalization fraud implementation health insurance programs Indonesia and ideal concept research method uses normative legal research, which a process for finding rules, principles, doctrines order answer i...

This paper examines risk in the insurance industry, discusses some initial thoughts on how intelligent applications can be used to model, understand and control risk and describes a recent use of natural language processing in insurance underwriting. elements. Not surprisingly risk and the mathematics associated with risk namely probability and statistics were accepted and advanced at insurance...

GSM (Global Services of Mobile Communications) 1800 licenses were granted in the beginning of the 2000’s in Turkey. Especially in the installation phase of the wireless telecom services, fraud usage can be an important source of revenue loss. Fraud can be defined as a dishonest or illegal use of services, with the intention to avoid service charges. Fraud detection is the name of the activities...

This study examines the application of cluster analysis in the accounting domain, particularly discrepancy detection in audit. Cluster analysis groups data so that points within a single group or cluster are similar to one another and distinct from points in other clusters. Clustering has been shown to be a good candidate for anomaly detection. The purpose of this study is to examine the use of...

Fraud is causing huge losses to our financial world. This work describes the use of a committee decision system using genetic programming to evolve fuzzy logic rules capable of detecting suspicious home insurance claims. Details of the evolutionary-fuzzy system, the committee decision maker and the data preprocessing are provided. Finally, a series of experiments are described, showing that the...

In the last decade, high profile financial frauds committed by large companies in both developed and developing countries were discovered and reported. This study compares the performance of five popular statistical and machine learning models in detecting financial statement fraud. The research objects are companies which experienced both fraudulent and non-fraudulent financial statements betw...

this paper proposes a HMM (Hidden Markov Model) based fraud detection system for credit card fraud detection. The method works on the statistical behavior of user’s transactions. Since the original transactions are not available due to privacy policies of bank we used here synthetically generated data for a credit card user, and then HMM model is trained using different size of sample of genera...