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Insurance Claim Fraud Detection

Beginner 90 min 41 views 0 solutions

Overview

A health insurance company noticed unusual patterns in 5,000 cashless claims worth Rs. 50 crores from 50 hospitals. Students will identify statistical outliers and develop fraud scoring systems.

Case Details

NA

What You'll Learn

  • Problem-solving and analytical thinking
  • Data-driven decision making
  • Business strategy development
  • Professional report writing
0
Solutions Submitted
Difficulty Beginner
Estimated Time 90 minutes
Relevance Fresh
Source Based on IRDAI reported health insurance fraud patterns