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  • The presented paper deals with the possibility of using Rough Sets Theory in insurance industry. Insurance frauds cause significant economic losses. Each insurance company has built a department that specializes in detection insurance frauds. These frauds mean for insurers damages in the millions per year. Department of the liquidation of insurance claims solves two seemingly contradictory tasks. On the one hand it tries to quickly settle claim and to pay to the client insurance settlement. On the other hand it analyzes individual events and detect fraudulent events and this analyze is time-consuming. Given the volume of insurance claims that are handled it is necessary to ensure automated procedure for deciding whether some event may seem characteristics of fraudulent behaviour or not. Using Rough Sets Theory (RST) could help to detect insurance fraud. The first part briefly describes each part of this paper. The following part focuses on Rough Sets Theory (RST) and its concepts and the algorithm for decision-making. The work continues with parts Detection of insurance fraud. And finally it is mentioned using Rough Sets Theory in marketing of insurance companies.
  • The presented paper deals with the possibility of using Rough Sets Theory in insurance industry. Insurance frauds cause significant economic losses. Each insurance company has built a department that specializes in detection insurance frauds. These frauds mean for insurers damages in the millions per year. Department of the liquidation of insurance claims solves two seemingly contradictory tasks. On the one hand it tries to quickly settle claim and to pay to the client insurance settlement. On the other hand it analyzes individual events and detect fraudulent events and this analyze is time-consuming. Given the volume of insurance claims that are handled it is necessary to ensure automated procedure for deciding whether some event may seem characteristics of fraudulent behaviour or not. Using Rough Sets Theory (RST) could help to detect insurance fraud. The first part briefly describes each part of this paper. The following part focuses on Rough Sets Theory (RST) and its concepts and the algorithm for decision-making. The work continues with parts Detection of insurance fraud. And finally it is mentioned using Rough Sets Theory in marketing of insurance companies. (en)
Title
  • THE POSSIBILITY OF USING ROUGH SETS THEORY IN INSURANCE INDUSTRY
  • THE POSSIBILITY OF USING ROUGH SETS THEORY IN INSURANCE INDUSTRY (en)
skos:prefLabel
  • THE POSSIBILITY OF USING ROUGH SETS THEORY IN INSURANCE INDUSTRY
  • THE POSSIBILITY OF USING ROUGH SETS THEORY IN INSURANCE INDUSTRY (en)
skos:notation
  • RIV/00216275:25410/14:39898724!RIV15-MSM-25410___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • S
http://linked.open...vai/riv/dodaniDat
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http://linked.open...iv/duvernostUdaju
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http://linked.open...dnocenehoVysledku
  • 37908
http://linked.open...ai/riv/idVysledku
  • RIV/00216275:25410/14:39898724
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  • Fraud detection; Insurance; Rough Sets Theory (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...ontrolniKodProRIV
  • [937A6B42BDD1]
http://linked.open...v/mistoKonaniAkce
  • Nitra
http://linked.open...i/riv/mistoVydani
  • Nitra
http://linked.open...i/riv/nazevZdroje
  • Scientia iuvenis - Book of Scientific Papers
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http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...iv/tvurceVysledku
  • Papoušková, Monika
http://linked.open...vavai/riv/typAkce
http://linked.open.../riv/zahajeniAkce
number of pages
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  • Univerzita Konštantína Filozofa v Nitre
https://schema.org/isbn
  • 978-80-558-0650-1
http://localhost/t...ganizacniJednotka
  • 25410
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