INSURANCES

Fraud detection

#Antifraude
#Dataiku
#Assurances

#Ambition

Ambition
of the mission

Insurance fraud weighs on margins and penalizes honest policyholders. To deal with this phenomenon, systematic control by humans based on intuition is unviable and unproductive. Our client commissioned us to boost productivity in the detection of fraudulent files.

#Method

Our
approach

Think

Smart detection

Although better than a random choice, the process in place used sophisticated but static business rules, thus limiting the ability to distinguish new fraud patterns. We have innovated by proposing to include advanced learning algorithms in the process of detecting fraud on treatment files.

Make

Advanced predictive models

The success story begins with a “Proof of Value” conducted by Eulidia and its partners: Dataiku & Teralab, providers of a sovereign environment for storing sensitive data and a studio, a productivity factor for our teams in developing the model. In a few weeks, our client had access to a descriptive analysis allowing a better understanding of the variables that explain fraud in order to manage its network of partners, as well as a risk model for scoring new treatment files.

Scale

Customer managed process

The infrastructure and the model are now deployed in production. The internal team was trained to update the model via the DSS Dataiku studio as well as to supervise the predictive process to allow auditors to prioritize their controls and significantly reduce the impact of this phenomenon.

#Benefits

Indicators
of success

x10 on detection performance

Reliability of the partner network

Transfer from skills to teams

#DataStories

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other use cases

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