Evaluation method and device of fraud cases, storage medium and terminal

A technology for evaluating devices and cases, applied in the field of communications, can solve the problems of inability to assign cases to appropriate claims personnel for follow-up, high compensation costs, and achieve the effect of reducing compensation costs and manpower expenditures

Pending Publication Date: 2018-11-02
CHINA PING AN LIFE INSURANCE CO LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] The embodiment of the present invention provides a fraud case evaluation method, device, storage medium and terminal to solve the problem that the case cannot be assigned to the appropriate claim personnel to follow up and the cost of compensation is high during claim settlement

Method used

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  • Evaluation method and device of fraud cases, storage medium and terminal
  • Evaluation method and device of fraud cases, storage medium and terminal
  • Evaluation method and device of fraud cases, storage medium and terminal

Examples

Experimental program
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Effect test

Embodiment 2

[0091] Figure 5 It shows the structure diagram of the device for assessing fraud cases provided by the embodiment of the present invention. For the convenience of description, only the parts related to the embodiment of the present invention are shown.

[0092] In the embodiment of the present invention, the evaluation device of the fraud case is used to realize the above-mentioned figure 1 , figure 2 , image 3 , Figure 4 The method for assessing fraud cases described in the embodiments may be a software unit, a hardware unit or a combination of software and hardware built into the terminal.

[0093] refer to Figure 5 , the evaluation device of the fraud case includes:

[0094] A model building module 51, configured to construct a fraud data mining model based on fraud cases to be evaluated;

[0095] An evaluation module 52, configured to obtain, for each fraud case to be evaluated, the risk probability and fraud label of the fraud case to be evaluated based on the ...

Embodiment 3

[0117] This embodiment provides a computer-readable storage medium, and a computer program is stored on the computer-readable storage medium. When the computer program is executed by a processor, the method for evaluating a fraud case described in Embodiment 1 is implemented. In order to avoid repetition, here No longer. Alternatively, when the computer program is executed by the processor, the functions of the various modules / units in the device for assessing fraud cases described in Embodiment 2 will be realized, and details will not be repeated here to avoid repetition.

Embodiment 4

[0119] Figure 6 It is a schematic diagram of a terminal provided by an embodiment of the present invention, and the terminal includes but is not limited to a server and a mobile terminal. Such as Figure 6 As shown, the terminal 6 of this embodiment includes: a processor 60 , a memory 61 and a computer program 62 stored in the memory 61 and operable on the processor 60 . When the processor 60 executes the computer program 62, the steps in the embodiment of the method for assessing fraud cases mentioned above are realized, for example figure 1 shown in steps S101 to S104, figure 2 Steps S1011 to S1013 described in the embodiment, image 3 Steps S1021 to S1023 described in the embodiment, Figure 4 Steps S1031 to S1033 described in the embodiment; or, when the processor 60 executes the computer program 62, the functions of the various modules / units in the above embodiment of the evaluation device for fraud cases are realized, for example Figure 5 The functions of modules...

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Abstract

The invention provides an evaluation method of fraud cases. The method is applicable to the field of communication technology, and includes: establishing a fraud data mining model on the basis of theto-be-evaluated fraud cases; for each to-be-evaluated fraud case, obtaining risk probability and a fraud label of the to-be-evaluated fraud case on the basis of the fraud data mining model; quantifying a risk level of the to-be-evaluated fraud case according to the risk probability; and sending the to-be-evaluated fraud case and the fraud label to at least one claim handling person corresponding to the risk level. According to the embodiment of the invention, risks and fraud factors of the fraud cases are identified through introducing the mining model and are used for assisting an insurance company in allocating the cases, on-demand allocation of the fraud cases is realized, more appropriate claim handling person following-up is facilitated, and then manpower expenditure and compensationcosts are effectively reduced.

Description

technical field [0001] The invention belongs to the technical field of communication, and in particular relates to an evaluation method, device, storage medium and terminal of a fraud case. Background technique [0002] In the existing claims process, due to the inability to capture the full picture of the behavior of customers and salesmen in each claim case, the insurance company cannot assign the claim case to the appropriate claim personnel for follow-up, resulting in a lot of unnecessary compensation expenses and increasing compensation costs. Contents of the invention [0003] Embodiments of the present invention provide a fraud case assessment method, device, storage medium and terminal to solve the problems that the case cannot be assigned to the appropriate claim personnel to follow up and the compensation cost is high during claim settlement. [0004] An embodiment of the present invention provides an evaluation method of a fraud case, the evaluation method comp...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q40/08
CPCG06Q40/08
Inventor 蔡昀
Owner CHINA PING AN LIFE INSURANCE CO LTD
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