Anti-fraud identification method and apparatus for insurance claim settlement

Anti-fraud identification method and apparatus for insurance claim settlement

The invention relates to an anti-fraud identification method and an apparatus for insurance claim settlement, wherein the method comprises: after a claim settlement anti-fraud system receives a claim settlement application with the claim settlement information, determining the type of the claim sett...

Ausführliche Beschreibung

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Bibliographische Detailangaben
Hauptverfasser: CHU WEIQING, GUO FANG, HAO XIAOLI, CHEN LYU, TIAN XIANGYONG, JIANG YIHUI
Format: Patent
Sprache:chi ; eng
Schlagworte:
CALCULATING
COMPUTING
COUNTING
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES
PHYSICS
SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR
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Beschreibung
Zusammenfassung:The invention relates to an anti-fraud identification method and an apparatus for insurance claim settlement, wherein the method comprises: after a claim settlement anti-fraud system receives a claim settlement application with the claim settlement information, determining the type of the claim settlement case corresponding to the claim settlement application; obtaining a pre-trained and generated anti-fraud identification model corresponding to the claim settlement application; obtaining the risk factors for the anti-fraud identification model corresponding to the claim settlement application; obtaining from a booked financial system the risk factor information of the anti-fraud identification model corresponding to the claim settlement application; inputting the risk factor information to the anti-fraud identification model; outputting the risk index value corresponding to the claim settlement application; based on the risk index value and the preset risk processing rules, determining the risk processing ma