ADVANCED AI-DRIVEN AUTO INSURANCE FRAUD DETECTION: A TECHNICAL OVERVIEW

Authors

  • SaratBabu Vamkeswaram Acharya Nagarjuna University, Andhra Pradesh, India Author

Keywords:

Insurance Fraud Detection, Artificial Intelligence, Machine Learning, Telematics Integration, Behavioral Analytics

Abstract

This technical article explores the comprehensive implementation of advanced fraud detection systems in auto insurance, focusing on the integration of artificial intelligence and machine learning technologies. It examines various components including supervised and unsupervised learning models, telematics integration, computer vision analysis, natural language processing, and optical character recognition systems. The article investigates the effectiveness of collaborative database systems and real-time processing mechanisms in identifying fraudulent activities while maintaining operational efficiency. It analyzes the implementation of behavioral analytics and fraud scoring systems, demonstrating their impact on claim processing accuracy and customer satisfaction. Through detailed examination of multiple technological approaches and their integration, the article presents a holistic framework for modern insurance fraud detection. It highlights the significance of combining automated systems with human expertise to create robust fraud detection mechanisms while ensuring efficient claims processing and maintaining customer trust.

References

Grand View Research, "Car Insurance Market Size, Share & Trend ReportCar Insurance Market Size, Share & Trend Analysis Report By Coverage, By Distribution Channel, By Vehicle Age, By Application, By Region, And Segment Forecasts, 2024 - 2030," Grand View Research, Industry Analysis Report. Available: https://www.grandviewresearch.com/industry-analysis/car-insurance-market-report

Faheem Aslam et al., "Insurance fraud detection: Evidence from artificial intelligence and machine learning," Research in International Business and Finance, Volume 62, December 2022. Available: https://www.sciencedirect.com/science/article/abs/pii/S0275531922001325

Chamal Gomes, et al., "Insurance Fraud Detection with Unsupervised Deep Learning," Journal of Risk & Insurance, 2021. Available: https://www.researchgate.net/publication/353212085_Insurance_Fraud_Detection_with_Unsupervised_Deep_Learning

Yassine Kouach,et al., "Auto insurance fraud detection using unsupervised learning," Research Gate Publication, 2022. Available: https://www.researchgate.net/publication/365610482_Auto_insurance_fraud_detection_using_unsupervised_learning

Matteo Carbone, "Telematics: The Secret to Lower Combined Ratios and a New Model for Auto Insurance," ValueMomentum, 2023. Available: https://www.valuemomentum.com/blogs/the-secret-to-sub-100-combined-ratios-a-new-auto-telematics-model-for-insurance/

Daivi, "Machine Learning in Insurance: Applications, Use Cases, and Projects," ProjectPro, 2024. Available: https://www.projectpro.io/article/machine-learning-in-insurance/774

Preeti Kulkarni, "How OCR Is Transforming The Insurance Industry," HyperVerge Blog, 2024. Available: https://hyperverge.co/blog/ocr-insurance/

Emilie, "Streamlining Document Verification in the Insurance Industry: KYC and OCR," DataLeon Blog, 2023. Available: https://www.dataleon.ai/en/blog/streamlining-document-verification-in-the-insurance-industry-kyc-and-ocr

Sandip Vyas and Shilpa Serasiya, "Fraud Detection in Insurance Claim System: A Review," Research Gate Publication, 2022. Available: https://www.researchgate.net/publication/359612485_Fraud_Detection_in_Insurance_Claim_System_A_Review

Bruno Deprez et al., "Network analytics for insurance fraud detection: A critical case study," European Actuarial Journal 14(9), 2024. Available: https://www.researchgate.net/publication/380583071_Network_analytics_for_insurance_fraud_detection_a_critical_case_study

Arif Ismail Alrais, "Fraudulent Insurance Claims Detection Using Machine Learning," Rochester Institute of Technology, 2022. Available: https://repository.rit.edu/cgi/viewcontent.cgi?article=12510&context=theses

Carol Hargreaves and Vidyut Singhania, "Analytics for Insurance Fraud Detection: An Empirical Study," Research Gate Publication, 2016. Available: https://www.researchgate.net/publication/291833022_Analytics_for_Insurance_Fraud_Detection_An_Empirical_Study

Dilip Bhatt and Tina P, "Harnessing the Power of Artifical Intelligence in Fraud Detection," Infosys Limited, 2024. Available: https://www.infosys.com/industries/insurance/documents/artificial-intelligence-fraud-detection.pdf

Samantha Rohn, "The Future of Insurance Fraud Detection is Predictive Analytics," Whatfix Blog, 2024. Available: https://whatfix.com/blog/insurance-fraud-detection/

Published

2025-02-13

How to Cite

SaratBabu Vamkeswaram. (2025). ADVANCED AI-DRIVEN AUTO INSURANCE FRAUD DETECTION: A TECHNICAL OVERVIEW. INTERNATIONAL JOURNAL OF RESEARCH IN COMPUTER APPLICATIONS AND INFORMATION TECHNOLOGY (IJRCAIT), 8(1), 2397-2409. https://ijrcait.com/index.php/home/article/view/IJRCAIT_08_01_174