Katrien Antonio

Bavo D. C. Campo, Katrien Antonio

Traditionally, the detection of fraudulent insurance claims relies on business rules and expert judgement which makes it a time-consuming and expensive process (Óskarsdóttir et al., 2022). Consequently, researchers have been examining ways to develop efficient and accurate analytic strategies to flag suspicious claims. Feeding learning methods with features engineered from the social network of parties involved in a claim is a particularly promising strategy (see for example Van Vlasselaer et al. (2016); Tumminello et al. (2023)). When developing a fraud detection model, however, we are confronted with several challenges. The uncommon nature of fraud, for example, creates a high class imbalance which complicates the development of well performing analytic classification models. In addition, only a small number of claims are investigated and get a label, which results in a large corpus of unlabeled data. Yet another challenge is the lack of publicly available data. This hinders not only the development of new methods, but also the validation of existing techniques. We therefore design a simulation machine that is engineered to create synthetic data with a network structure and available covariates similar to the real life insurance fraud data set analyzed in Óskarsdóttir et al. (2022). Further, the user has control over several data-generating mechanisms. We can specify the total number of policyholders and parties, the desired level of imbalance and the (effect size of the) features in the fraud generating model. As such, the simulation engine enables researchers and practitioners to examine several methodological challenges as well as to test their (development strategy of) insurance fraud detection models in a range of different settings. Moreover, large synthetic data sets can be generated to evaluate the predictive performance of (advanced) machine learning techniques.

Freek Holvoet, Katrien Antonio, Roel Henckaerts

Insurers usually turn to generalized linear models for modeling claim frequency and severity data. Due to their success in other fields, machine learning techniques are gaining popularity within the actuarial toolbox. Our paper contributes to the literature on frequency-severity insurance pricing with machine learning via deep learning structures. We present a benchmark study on four insurance data sets with frequency and severity targets in the presence of multiple types of input features. We compare in detail the performance of: a generalized linear model on binned input data, a gradient-boosted tree model, a feed-forward neural network (FFNN), and the combined actuarial neural network (CANN). The CANNs combine a baseline prediction established with a GLM and GBM, respectively, with a neural network correction. We explain the data preprocessing steps with specific focus on the multiple types of input features typically present in tabular insurance data sets, such as postal codes, numeric and categorical covariates. Autoencoders are used to embed the categorical variables into the neural network, and we explore their potential advantages in a frequency-severity setting. Model performance is evaluated not only on out-of-sample deviance but also using statistical and calibration performance criteria and managerial tools to get more nuanced insights. Finally, we construct global surrogate models for the neural nets' frequency and severity models. These surrogates enable the translation of the essential insights captured by the FFNNs or CANNs to GLMs. As such, a technical tariff table results that can easily be deployed in practice.

Ho Ming Lee, Katrien Antonio, Benjamin Avanzi et al.

Ensuring equitable treatment (fairness) across protected attributes (such as gender or ethnicity) is a critical issue in machine learning. Most existing literature focuses on binary classification, but achieving fairness in regression tasks-such as insurance pricing or hiring score assessments-is equally important. Moreover, anti-discrimination laws also apply to continuous attributes, such as age, for which many existing methods are not applicable. In practice, multiple protected attributes can exist simultaneously; however, methods targeting fairness across several attributes often overlook so-called "fairness gerrymandering", thereby ignoring disparities among intersectional subgroups (e.g., African-American women or Hispanic men). In this paper, we propose a distance covariance regularisation framework that mitigates the association between model predictions and protected attributes, in line with the fairness definition of demographic parity, and that captures both linear and nonlinear dependencies. To enhance applicability in the presence of multiple protected attributes, we extend our framework by incorporating two multivariate dependence measures based on distance covariance: the previously proposed joint distance covariance (JdCov) and our novel concatenated distance covariance (CCdCov), which effectively address fairness gerrymandering in both regression and classification tasks involving protected attributes of various types. We discuss and illustrate how to calibrate regularisation strength, including a method based on Jensen-Shannon divergence, which quantifies dissimilarities in prediction distributions across groups. We apply our framework to the COMPAS recidivism dataset and a large motor insurance claims dataset.

María Óskarsdóttir, Waqas Ahmed, Katrien Antonio et al.

Insurance fraud occurs when policyholders file claims that are exaggerated or based on intentional damages. This contribution develops a fraud detection strategy by extracting insightful information from the social network of a claim. First, we construct a network by linking claims with all their involved parties, including the policyholders, brokers, experts, and garages. Next, we establish fraud as a social phenomenon in the network and use the BiRank algorithm with a fraud specific query vector to compute a fraud score for each claim. From the network, we extract features related to the fraud scores as well as the claims' neighborhood structure. Finally, we combine these network features with the claim-specific features and build a supervised model with fraud in motor insurance as the target variable. Although we build a model for only motor insurance, the network includes claims from all available lines of business. Our results show that models with features derived from the network perform well when detecting fraud and even outperform the models using only the classical claim-specific features. Combining network and claim-specific features further improves the performance of supervised learning models to detect fraud. The resulting model flags highly suspicions claims that need to be further investigated. Our approach provides a guided and intelligent selection of claims and contributes to a more effective fraud investigation process.

Roel Henckaerts, Katrien Antonio, Marie-Pier Côté

Highly regulated industries, like banking and insurance, ask for transparent decision-making algorithms. At the same time, competitive markets are pushing for the use of complex black box models. We therefore present a procedure to develop a Model-Agnostic Interpretable Data-driven suRRogate (maidrr) suited for structured tabular data. Knowledge is extracted from a black box via partial dependence effects. These are used to perform smart feature engineering by grouping variable values. This results in a segmentation of the feature space with automatic variable selection. A transparent generalized linear model (GLM) is fit to the features in categorical format and their relevant interactions. We demonstrate our R package maidrr with a case study on general insurance claim frequency modeling for six publicly available datasets. Our maidrr GLM closely approximates a gradient boosting machine (GBM) black box and outperforms both a linear and tree surrogate as benchmarks.

Roel Henckaerts, Marie-Pier Côté, Katrien Antonio et al.

Pricing actuaries typically operate within the framework of generalized linear models (GLMs). With the upswing of data analytics, our study puts focus on machine learning methods to develop full tariff plans built from both the frequency and severity of claims. We adapt the loss functions used in the algorithms such that the specific characteristics of insurance data are carefully incorporated: highly unbalanced count data with excess zeros and varying exposure on the frequency side combined with scarce, but potentially long-tailed data on the severity side. A key requirement is the need for transparent and interpretable pricing models which are easily explainable to all stakeholders. We therefore focus on machine learning with decision trees: starting from simple regression trees, we work towards more advanced ensembles such as random forests and boosted trees. We show how to choose the optimal tuning parameters for these models in an elaborate cross-validation scheme, we present visualization tools to obtain insights from the resulting models and the economic value of these new modeling approaches is evaluated. Boosted trees outperform the classical GLMs, allowing the insurer to form profitable portfolios and to guard against potential adverse risk selection.