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Author

Jyoti Lele

Department of Electrical and Electronics Engineering, Dr. Vishwanath Karad MIT World Peace University, Pune, India
1 article in our journals

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Research ArticleOpen accessIdentification of Fraud in Accidental and Healthcare Insurance Using Local Outlier Factor: A Machine Learning ApproachJyoti Lele, Vaidehi Deshmukh, Abhinav Chandra, Radhika DesaiAn unsupervised machine learning model that uses the mechanism of the Local Outlier Factor to flag and detect ambiguous as well as potentially fraudulent claims in Accidental and Healthcare insurance is proposed in this paper. It entirely automates the manual investigation of claims by claim appraisers in any organization. The ethos of this model is to comprehensively automate and expedite … …Journal of Computer Science, Vol. 21, Issue 12 · 22 Jan 2026 · 1,575 accessesView PDFCite