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Application of Reinforcement Learning in Detecting Fraudulent Insurance Claims

  • Choi, Jung-Moon;Kim, Ji-Hyeok;Kim, Sung-Jun
    • International Journal of Computer Science & Network Security
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    • v.21 no.9
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    • pp.125-131
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    • 2021
  • Detecting fraudulent insurance claims is difficult due to small and unbalanced data. Some research has been carried out to better cope with various types of fraudulent claims. Nowadays, technology for detecting fraudulent insurance claims has been increasingly utilized in insurance and technology fields, thanks to the use of artificial intelligence (AI) methods in addition to traditional statistical detection and rule-based methods. This study obtained meaningful results for a fraudulent insurance claim detection model based on machine learning (ML) and deep learning (DL) technologies, using fraudulent insurance claim data from previous research. In our search for a method to enhance the detection of fraudulent insurance claims, we investigated the reinforcement learning (RL) method. We examined how we could apply the RL method to the detection of fraudulent insurance claims. There are limited previous cases of applying the RL method. Thus, we first had to define the RL essential elements based on previous research on detecting anomalies. We applied the deep Q-network (DQN) and double deep Q-network (DDQN) in the learning fraudulent insurance claim detection model. By doing so, we confirmed that our model demonstrated better performance than previous machine learning models.

Efficacy of ramosetron in combination with polyethylene glycol of preparing for a colonoscopy

  • Kang, Min Kyu;Jang, Byung Ik;Park, Jun Suk;Kim, Kyeong Ok
    • Journal of Yeungnam Medical Science
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    • v.36 no.2
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    • pp.99-104
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    • 2019
  • Background: Because of its efficacy and safety, polyethylene glycol (PEG) is generally used to prepare for colonoscopy. However, the side effects of PEG, including nausea, vomiting, abdominal discomfort, pain, and general weakness, tend to decrease patient compliance and satisfaction. The aim of this study is to investigate the efficacy and safety of PEG with 0.1 mg ramosetron on colonoscopy patients who had difficulty taking PEG due to side effects or large volume. Methods: From January to August in 2012, 28 patients who visited Yeungnam University hospital for a colonoscopy were prospectively enrolled. All enrolled patients were previous history underwent colonoscopy using PEG only in our hospital. The efficacy and safety of ramosetron were assessed through the use of a questionnaire, and compared previous bowel preparation. Results: Compared to previous examination, the patients using the ramosetron reported less nausea, vomiting, abdominal discomfort, and abdominal pain, as well as a higher degree of compliance and satisfaction of the patient. There were no side effects reported with the use of ramosetron. However, overall bowel preparation quality was not better than the previous examination. Conclusion: In case of the use of ramosetron in combination with PEG for bowel preparation, patients experienced a higher rate of compliance and tolerance. Looking forward, ramosetron may become an option of pretreatment for bowel preparation.

Benefit Analysis and Profit Business of Fishery Sector about Tidal Power Plant in Garolim Bay (가로림만 조력발전 사업관련 수산부문 수익사업 도출과 편익 분석)

  • Lee, Kwang-Nam;Jung, Jin-Ho
    • Journal of Fisheries and Marine Sciences Education
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    • v.27 no.1
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    • pp.218-229
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    • 2015
  • While promoting a variety of projects by using sea space, there has been a lot of social controversy among the stakeholders based on the results of the analysis. In particular, the benefits of fisheries sector were over-estimated and occurred a lot of opposition from fishermen and environment groups. In order to this solve, we have been studied focussed such as excavation of new projects, the method and result of the estimated benefits for fisheries sector. With regard to the tidal power plant of Garolim, we came up with five kinds of problems such as doing not reflect of the cost of the initial investment, over unit production, over unit price, excessive selection of breed, issues of cost of production in benefits study of fisheries sector derived previously. In order to these problems, we have derived new profitable projects based on the initial materials such as improvement of raising breed, discharge project of fingerlings and a small sea ranch project. As a result, previous study was analyzed in 30.2 billion won(1993), 54.8billion won(2009), but this study was estimated to 26.4 billion won and differences of benefits amount were occurred. In a previous study was calculated benefits by simple method, but this study came up with new projects for fisheries sector and because we estimated benefits considering new project. The method for benefits calculations for fisheries sector was not attempted in previous studies and in this study, we approached for the first time Also, in this study suggested new method to increase incomes fishermen such as development of suitable ranch breeding for the marine environment, ranch license(limited license), development of fisheries resources and the operation of fisheries facility. In the future, we hope to be helpful for the same field of study.

A Study on the Characteristics of Segmental-Feature HMM (분절특징 HMM의 특성에 관한 연구)

  • Yun Young-Sun;Jung Ho-Young
    • MALSORI
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    • no.43
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    • pp.163-178
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    • 2002
  • In this paper, we discuss the characteristics of Segmental-Feature HMM and summarize previous studies of SFHMM. There are several approaches to reduce the number of parameters in the previous studies. However, if the number of parameters decreased, the performance of systems also fell. Therefore, we consider the fast computation approach with preserving the same number of parameters. In this paper, we present the new segment comparison method to speed up the computation of SFHMM without loss of performance. The proposed method uses the three-frame calculation rather than the full(five) frames in the given segment. The experimental results show that the performance of the proposed system is better than that of the previous studies.

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A Study on the sound localization system using Subband CPSP Algorithm (Subband CPSP를 이용한 음원 추적 시스템에 관한 연구)

  • 오상헌;박규식;박재현;이현정;온승엽
    • Proceedings of the IEEK Conference
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    • 2000.06d
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    • pp.102-105
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    • 2000
  • This paper propose new sound localization algorithm that calculates TDOA(Time Difference Of Arrival) between the two received signals via two microphone array, The proposed Subband CPSP is a development of Previous CPSP method using subband approach. It first split the received microphone signals into three frequency bands and then calculates subband CPSP with corresponding SNR weights. This type of algorithm, Subband CPSP, can provide more accurate TDOA estimation results because it limits the effects of environmental noise within each subband. To verify the performance of the proposed Subband CPSP algorithm, computer simulation was conducted and it was compared with previous CPSP method. From the both simulation results, the proposed Subband CPSP is superior to previous CPSP algorithm more than accuracy for TDOA estimation.

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A Term Importance-based Approach to Identifying Core Citations in Computational Linguistics Articles

  • Kang, In-Su
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.9
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    • pp.17-24
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    • 2017
  • Core citation recognition is to identify influential ones among the prior articles that a scholarly article cite. Previous approaches have employed citing-text occurrence information, textual similarities between citing and cited article, etc. This study proposes a term-based approach to core citation recognition, which exploits the importance of individual terms appearing in in-text citation to calculate influence-strength for each cited article. Term importance is computed using various frequency information such as term frequency(tf) in in-text citation, tf in the citing article, inverse sentence frequency in the citing article, inverse document frequency in a collection of articles. Experiments using a previous test set consisting of computational linguistics articles show that the term-based approach performs comparably with the previous approaches. The proposed technique could be easily extended by employing other term units such as n-grams and phrases, or by using new term-importance formulae.

The effect of Previous Cutting Process on Surface Roughness in Surface Rolling (표면로울링에서 전가공이 표면조도에 미치는 영향)

  • Yuck, Kweng-Soo;Park, Byung-Sung;Choi, Byung-Kwon
    • Journal of the Korean Society for Precision Engineering
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    • v.5 no.3
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    • pp.91-100
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    • 1988
  • Surface rolling which is one of the plastic deformation have advantages to imporve surface roughness, hardness and fatigue strength with relatively simple processes. In this study, the effect of previous cutting process before rolling on the surface roughness in surface rolling for mild steel was investigated. The results obtained are as follows. (1) Waveness of the previous process has the effect on the precision of the works and coarse waveness resulted in less improvement of the surface roughness. (2) The reduction of diameter and increase of hardness can be obtained at the first rolling process.

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An Alternative Approach in Analyzing the Impacts of Online Feedback System;A Bayesian Inference Model

  • Yoo, Byung-Joon;Lee, Gun-Woong
    • 한국경영정보학회:학술대회논문집
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    • 2007.06a
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    • pp.395-400
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    • 2007
  • Previous studies present the mixed results on online reputation mechanism. In this study, we have found that an approach based on Bayesian statistics can explain most results of previous studies which are conflicting with each others. With this model, we explain why negative ratings have more significant marginal impacts on sellers' reputation than positive ones do. Furthermore, we even show why the feedbacks with a few negative ratings may increase the value of the item and final prices by confirming buyers' prior beliefs on the sellers' reputation much more than those without negative ratings. Also, we explain why there are not many negative ratings. Even though some studies suggest this because of generosity of users, our model shows that the reason is that the existence of FS itself prevents bad sellers from participating to the market as a signal itself. Even further, we show how this extreme tendency of positive ratings gets even stronger as markets evolve. Finally, to validate our analytical results, we examine the previous studies and see what factors effect the outcomes of their analyses.

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Influence of Radioactive Contamination to Agricultural Products Due to Rain During a Nuclear Accident

  • Won Tae Hwang;Eun Han Kim;Kyung Suk Suh;Moon Hee Han;Han Soo Lee
    • Nuclear Engineering and Technology
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    • v.34 no.5
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    • pp.415-420
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    • 2002
  • The previous dynamic food chain model was improved for the consideration of the influence of radioactive contamination to agricultural products due to rain during the environmental releases of radionuclides in a nuclear accident Wet interception coefficients for the agricultural plants were derived as a function of radionuclide and rainfall amount, and mathematical formulations of the previous model were modified. As a result, rain during accidental releases was influential in agricultural contamination. The contamination level of agricultural products decreased dramatically according to increasing rainfall amount. It means that predictive concentrations in agricultural products using the previous model, in which dry interception to the agricultural plants is only considered, can be overestimated. The influence of rainfall in agricultural contamination was the most sensitive for $^{131}$ I, and the least sensitive for $^{90}$ Sr among the radionuclides considered in this study.

Performance Analysis of the Viscous-driven Micropump with Tandem Rotating Cylinders (한 쌍의 실린더를 가지는 점성구동 마이크로 펌프의 성능 해석)

  • Choi, Hyung-Il;Cho, Sung-Chan;Maeng, Joo-Sung
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.27 no.9
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    • pp.1256-1261
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    • 2003
  • Since the viscous effect increases as the size of device decreases, viscous-driven micropump is a promising mechanism in microscale applications. In the present study, a dual-rotor type pump which contains two counter-rotating cylinders for improving performance characteristics is proposed. First, for flows in the single-rotor type pump, the present unstructured grid simulation method is validated by comparing its results to the previous results. Next, the performance of the dual-rotor type pump is evaluated by the parametric studies and is compared to that of the previous single-rotor type pump. The flow characteristics are qualitatively similar to those of single-rotor type pump. However, the performance of the micropump with tandem rotors is still better than that of previous pumping type, e.g. much larger flow rate, smaller driving region, higher efficiency, and wider operation range.