
Dennis Collaris
Computer Science & Engineering
Uitlegbaarheid van
Machine Learning modellen
Afstudeer project
Uitlegbaarheid van
Machine Learning modellen
Machine Learning

Fraud detectie
bij ziekte verzuim verzekeringen
Fraud detectie model
75% Fraude
Fraude
Detectie
Model
Fraude team
Company | ABC Inc |
Employees | 5 |
Illness duration | 14 days |
Premium rate | 5% |
... | ... |
Verzekeringspolis
Uitleg
Aha!
Duration illness < 14 days
Non-fraud
Yes
No
Premium percentage < 5%
Yes
No
Non-fraud
Fraud
Modellen
-
Decision Tree
-
Random Forest
- 100 Random Forests
(ensemble)
Beslissingen:
2

23
69
12,704




1,312,471

Lastig probleem

Globaal vs Locaal
Algemeen:
Datum melding is verdacht
Voor deze werkgever: Duur Ziekte is belangrijk
Globaal vs Locaal
Mijn oplossing





Dashboards
Feature importance
Technique 1
Techniek 2
Techniek 3
1. Feature importance

Company | ABC Inc |
Employees | 5 |
Illness duration | 14 days |
Premium rate | 5% |
... | ... |
Verzekeringspolis




Techniek 2
Techniek 3
1. Feature importance

Techniek 2
Techniek 3
1. Feature importance
"Onenigheid"




Techniek 2
Techniek 3
1. Feature importance
Demo
Techniek 2
Techniek 3
1. Feature importance
Sensitivity analysis
Technique 2
2. Sensitivity analysis
Technique 3
1. Feature importance
Company | ABC Inc |
Employees | 5 |
Illness duration | 14 days |
Premium rate | 5% |
... | ... |
Verzekeringspolis
300
250
200
150
100
50
1
0%
100%
300
200
100
0
DuurZiekte
Fraude?
Fraude (55%)
Geen fraude (35%)
Company | ABC Inc |
Employees | 5 |
Illness duration | days |
Premium rate | 5% |
... | ... |
Fraude (65%)
Fraude (90%)
Geen fraude (45%)
Geen fraude (40%)
Geen fraude (25%)
2. Sensitivity analysis
Techniek 3
1. Feature importance
Demo
2. Sensitivity analysis
Techniek 3
1. Feature importance
Model simplificatie
Technique 3
2. Sensitivity analysis
3. Model simplification
1. Feature importance
Complex
Model
Company | ABC Inc |
Employees | 5 |
Illness duration | 14 days |
Premium rate | 5% |
... | ... |
Verzekeringspolis
Simpel
Model



2. Sensitivity analysis
3. Model simplification
1. Feature importance
Policy 1 Fraud (88%)
Policy 2 Non-fraud (25%)
2. Sensitivity analysis
3. Model simplification
1. Feature importance
Demo
2. Sensitivity analysis
3. Model simplification
1. Feature importance
Evaluatie
Overdracht presentatie
By iamdecode
Overdracht presentatie
- 30