Towards a Data-Driven Approach for Fraud Detection in the Social Insurance Field: A Case Study in Upper Austria

摘要

The Social Insurance industry can be considered as a basic-pillar of the welfare state in many countries around the world. However, there is not much public research work on how to prevent social fraud. And the few published works are oriented towards detecting fraud on the side of the employees or providers. In this work, our aim is to describe our experience when designing and implementing a data-driven approach for fraud detection but in relation to employers not meeting their obligations. In fact, we present here a case study in Upper Austria but from which interesting lessons can be drawn to be applied in a wide range of different situations.