Claims fraud detection
Insurance claims and applications for government benefits or
entitlements, such as unemployment or medical assistance, can also
be a source of online fraud. Common techniques include "padding"
(claiming more than one is legitimately owed), submitting claims for
nonexistent injuries or conditions, and identity theft (submitting a
claim for another person without their consent).
Amazon SageMaker can be used to help detect fake or fraudulent
claims at the time of submission. This allows you to flag these
claims for close review or inspection or to prompt for action to
validate applicant details. Using machine learning to identify
fraudulent claims can help you prevent financial loss and
discourage repeat offenders.
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