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Informing the development of a fraud prevention toolset through a situated analysis of fraud investigation expertise.

Ormerod, TC, Ball, LJ and Morley, NJ (2012) Informing the development of a fraud prevention toolset through a situated analysis of fraud investigation expertise. Behaviour & IT, 31 (4). pp. 371-381.

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Abstract

Insurance fraud is a growing problem. This article describes a project that aimed to specify and develop a suite of computer-based tools to support the early detection and subsequent investigation of potentially fraudulent claims. System requirements were informed by ethnographic studies focusing on: (1) understanding current fraud detection practices and (2) characterising fraud investigation expertise. Tools were designed that sift claims for potential problem cases and assist in the processes of investigation and detection of new fraud types by providing anomaly capture, argumentation and visualisation environments. The resulting tools capitalise upon expertise and embody processes that can subsequently be used by inexperienced claims handlers to detect and deal with fraudulent claims.

Item Type: Article
Divisions : Faculty of Arts and Social Sciences
Authors :
AuthorsEmailORCID
Ormerod, TCUNSPECIFIEDUNSPECIFIED
Ball, LJUNSPECIFIEDUNSPECIFIED
Morley, NJUNSPECIFIEDUNSPECIFIED
Date : 2012
Identification Number : 10.1080/01449291003752906
Additional Information : "This is an Author's Accepted Manuscript of an article published in Behaviour & IT 31 (4), 2012. Copyright Taylor & Francis, available online at: http://www.tandfonline.com/10.1080/01449291003752906
Depositing User : Symplectic Elements
Date Deposited : 17 Mar 2015 13:26
Last Modified : 17 Mar 2015 14:18
URI: http://epubs.surrey.ac.uk/id/eprint/805034

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