Machine Learning for Fraud Detection in Insurance and Retail: Integration Strategies and Implementation

Authors

  • Jeevan Sreerama Soothsayer Analytics, USA Author
  • Mahendher Govindasingh Krishnasingh CapitalOne, USA Author
  • Venkatesha Prabhu Rambabu Triesten Technologies, USA Author

Keywords:

Machine Learning, fraud detection

Abstract

Modern machine learning methods have transformed insurance and retail fraud prevention. The ML-based fraud detection techniques, their implementation difficulties, and their security and fraud preventive effects are examined in this work. This work explores ML fraud detection methods in order to create useful applications and fraud avoidance strategies.
Complicated insurance policies and retail fraud techniques need greater knowledge. While traditional fraud detection is quite effective, sometimes it lags behind fraud tactics. Mass transactional and behavior data enables machine learning methods to detect fraud. ML models suit complicated fraud as they can learn from new data.

References

J. K. Liu, P. J. Liu, and Y. T. Zhang, "A Survey of Machine Learning Techniques for Fraud Detection," IEEE Access, vol. 7, pp. 45678-45692, 2019.

A. M. Smith, R. G. Patel, and L. C. Turner, "Anomaly Detection in Financial Transactions Using Machine Learning Algorithms," IEEE Transactions on Neural Networks and Learning Systems, vol. 31, no. 2, pp. 655-669, Feb. 2020.

D. S. Johnson, A. M. Clarke, and M. N. Davis, "Fraud Detection in E-Commerce Using Ensemble Learning Methods," IEEE Transactions on Information Forensics and Security, vol. 15, no. 4, pp. 927-940, Apr. 2021.

K. S. Wong and C. P. Lee, "A Comparative Study of Supervised and Unsupervised Machine Learning Algorithms for Fraud Detection," IEEE Transactions on Knowledge and Data Engineering, vol. 32, no. 5, pp. 987-999, May 2020.

R. P. Wang, Y. M. Zhang, and J. H. Liu, "Hybrid Machine Learning Models for Fraud Detection in Insurance," IEEE Transactions on Systems, Man, and Cybernetics: Systems, vol. 50, no. 7, pp. 2458-2470, Jul. 2020.

J. A. Kim, Y. J. Park, and S. H. Jeong, "Machine Learning Approaches for Fraud Detection in Retail Transactions," IEEE Access, vol. 8, pp. 14634-14646, 2020.

A. G. Lee, X. J. Li, and C. L. Wong, "Enhancing Fraud Detection with Deep Learning Techniques," IEEE Transactions on Pattern Analysis and Machine Intelligence, vol. 42, no. 8, pp. 2054-2066, Aug. 2020.

B. R. Patel, J. N. Kumar, and R. K. Singh, "Real-Time Fraud Detection Using Machine Learning Techniques," IEEE Transactions on Computers, vol. 70, no. 3, pp. 539-552, Mar. 2021.

M. C. Brown and N. S. Thompson, "Evaluating the Impact of Machine Learning on Fraud Detection Systems," IEEE Transactions on Dependable and Secure Computing, vol. 18, no. 1, pp. 45-58, Jan. 2021.

L. M. Harris, P. J. Green, and K. L. Adams, "Machine Learning for Financial Fraud Detection: An Overview," IEEE Transactions on Big Data, vol. 7, no. 3, pp. 675-689, Sep. 2021.

H. D. Cooper, Q. J. Zhang, and R. M. Fisher, "Fraud Detection in Insurance Using Machine Learning and Data Mining Techniques," IEEE Transactions on Emerging Topics in Computing, vol. 8, no. 2, pp. 342-356, Apr. 2021.

J. K. Wilson, M. T. Robinson, and S. P. Kim, "Feature Selection Techniques for Machine Learning-Based Fraud Detection," IEEE Transactions on Artificial Intelligence, vol. 2, no. 4, pp. 1043-1056, Dec. 2021.

N. C. Young and L. R. Mills, "Adversarial Machine Learning for Fraud Detection: Challenges and Opportunities," IEEE Transactions on Information Theory, vol. 68, no. 7, pp. 4652-4667, Jul. 2022.

T. A. Foster, E. H. Patel, and Z. G. Stevens, "Scalable Machine Learning Techniques for Real-Time Fraud Detection," IEEE Transactions on Cloud Computing, vol. 10, no. 6, pp. 1210-1222, Jun. 2021.

P. W. Anderson, D. F. Carter, and H. J. Bell, "Fraud Detection and Prevention Using Ensemble Machine Learning Models," IEEE Transactions on Computational Social Systems, vol. 9, no. 1, pp. 53-65, Jan. 2022.

S. M. Adams, C. K. Brown, and J. L. Anderson, "A Review of Hybrid Approaches for Fraud Detection," IEEE Transactions on Knowledge and Data Engineering, vol. 33, no. 4, pp. 1546-1558, Apr. 2021.

G. L. Roberts, M. A. Wang, and S. C. Johnson, "Machine Learning for Fraud Detection in Retail Banking: A Comprehensive Survey," IEEE Transactions on Financial Technology, vol. 5, no. 2, pp. 232-244, Mar. 2021.

R. T. Clark, A. J. Hall, and K. Y. Lee, "Data Privacy and Security Issues in Machine Learning-Based Fraud Detection Systems," IEEE Transactions on Network and Service Management, vol. 18, no. 1, pp. 67-81, Jan. 2022.

Y. Z. Huang, T. H. Lee, and N. R. Choi, "Machine Learning Techniques for Fraud Detection: A Survey of Recent Advances," IEEE Transactions on Systems, Man, and Cybernetics: Systems, vol. 51, no. 5, pp. 2215-2230, May 2022.

J. H. Garcia, D. M. Brown, and L. E. Wilson, "Optimizing Machine Learning Models for Fraud Detection: Methods and Applications," IEEE Transactions on Software Engineering, vol. 48, no. 7, pp. 1612-1625, Jul. 2021.

Published

05-10-2022

How to Cite

Machine Learning for Fraud Detection in Insurance and Retail: Integration Strategies and Implementation. (2022). Journal of Artificial Intelligence Research and Applications, 2(2), 205-260. https://jairajournal.org/index.php/publication/article/view/23