DEVICE AND METHOD FOR INSURANCE UNFAIR CLAIM AND UNFAIR PATTERN DETECTION BASED ON ARTIFICIAL INTELLIGENCE

摘要

An artificial intelligence-based insurance claim and unfair pattern detection apparatus according to an embodiment of the present application includes a data preprocessing unit for deriving a characteristic variable by formalizing insurance claim details data, and detection based on an abnormality detection algorithm using the characteristic variable as an input. An outlier detection unit for detecting a normal pattern and an unfair pattern from the abnormal cluster, a new pattern classification unit for detecting a new pattern of unfair claims by performing unsupervised learning by inputting the normal pattern and the unfair pattern, and A new pattern detection unit that detects a pattern of new unfair claims by constructing a supervised learning-based pattern discrimination model that inputs new patterns and pre-classified insurance claim patterns as inputs, and supervised learning base that inputs the characteristic variables and normal claim data It may include an unfair claim determination unit that determines whether or not the details of new insurance claims are unfair by constructing a model for detecting unfair claims.