MDD-based Domain Adaptation Algorithm for Improving the Applicability of the Artificial Neural Network in Vehicle Insurance Claim Fraud Detection
Insurance fraud detection is a critical task for insurance companies, as fraudulent claims result in financial losses and increased premiums for honest policyholders. Traditional fraud detection methods rely on rule-based approaches and manual investigation, which are limited in their ability to adapt to evolving fraud patterns. In this study, we propose a novel approach using an artificial neural network (ANN) combined with Margin Disparity Discrepancy (MDD)-based domain adaptation to improve the generalization ability of fraud detection models across different datasets. We first preprocess the data by applying K-Means clustering to segment source and target domains based on distribution differences. We then compare multiple machine learning models, including decision trees, random forests, k-nearest neighbors, and gradient-boosted decision trees, finding that ANN achieves the best performance. To further enhance generalizability, we introduce MDD-based domain adaptation, aligning feature distributions between the source and target domains. Experimental results demonstrate that the adapted ANN significantly improves fraud detection accuracy, achieving a higher F1-score and recall while reducing the false negative rate. These findings highlight the effectiveness of domain adaptation in addressing distributional shifts in fraud detection, making the proposed model a promising solution for real-world insurance fraud detection systems.
Authors
- Jiahuai Ma
- Alan Wilson (ORCID: https://orcid.org/0000-0001-9106-2765)
Institutions
- University of Florida Health (US)
- University of Florida (US)
- Gainesville Obstetrics & Gynecology (US)
- Impact (CA)
Publication Details
- Journal
- Optimizations in Applied Machine Learning
- Published
- 2025-02-13
- DOI
- https://doi.org/10.71070/oaml.v5i1.76
- Citations
- 2
- Primary Topic
- Imbalanced Data Classification Techniques
- Type
- article
- Field-Weighted Citation Impact
- 4.96