Data Science and Insurance Fraud Detection

Research Initiative (Initiative de Recherche, IdR) created in September 2021 thanks to the support of Thélem Assurances, Laboratoire d’Economie d’Orléans (LEO) and the Louis Bachelier Institute.

Mission of the project

The research initiative "Data Science and Fraud Detection in Insurance" is a research project bringing together specialists in econometrics, data science and economics, whose objective is to develop new prevention and insurance fraud detection techniques. The project thus contributes to the development and dissemination (in the academic and professional fields) of recent advances in Data science applied to the field of insurance fraud detection.

Automatic fraud detection is a specific area of statistical modeling: unlike the detection of anomalies in the industrial field, for example, it aims to detect fraudulent transactions resulting from the rational behavior of agents. Therefore, detecting cases of fraud requires not only skills in data science and econometrics (knowledge of statistical models and their properties), but also economic and legal skills to understand the motivations and the strategic behavior of fraudsters. The main motivations of the project are mainly related to (i) the modeling of the strategic behavior of fraudsters in the field of insurance; (ii) the need to implement effective detection systems given the huge financial losses associated with fraud; (iii) the use of new databases to identify the mechanisms of insurance fraud. 

For each research action, the work conducted within the chair considers the primary challenges in fraud modeling, encountered both in the academic domain and within Thélem Assurances. In this context, several major issues have been identified: i) the development of new technical tools for the real-time prevention/detection of various types of fraud; 2) the utilization of appropriate methods to handle imbalanced databases; 3) the imperative for evaluating fraud detection models; 4) the demand for interpretability in detection models and the exploration of novel databases.

 The project is organized around several actions

Active academic research in the field of insurance fraud detection 

A methodological reflection on algorithms for insurance fraud detection;

Optimization of the processing of positive signals generated by the model;

A reflection on the stability and governance of fraud detection models;

Identification of a typology of fraudsters in non-life insurance;

Reflection on the connections with other types of fraud ans risk models in finance.

Funding of high-quality research proposals     

Organization of regular plenary conferences and a program of visiting researchers

Training of data scientists and academics on the specific issues of fraud detection

Promotion and dissemination of research

2022_affiche_chaire LEO_v1.pdf

Launch ceremony of the project

A ceremony, attended by the local press and representatives of both the University of Orléans and Thélem Assurances, was organized on March 1st, 2022, to formally inaugurate the project and enhance the visibility of the private-public partnership. This event also highlighted the significance of the actions undertaken within the project (see the press release article).


Questions?

Contact denisa.banulescu-radu [at] univ-orleans.fr to get more information on the project

For other details see also HERE and HERE