PREDICTIVE FRAUD DETECTION SYSTEM
A computing system can remotely monitor, over one or more networks, a computing device of a potential claimant. Based at least in part on remotely monitoring the computing device, the computing system can generate a predictive fraud score for the claimant, the predictive fraud score indicating whether a subsequent claim filing by the potential claimant will include one or more fraudulent claims.
1 . A computing system comprising:
a network communication interface;
one or more processors; and
a memory storing instructions that, when executed by the one or more processors, cause the computing device to:
remotely monitor, over one or more networks, a computing device of a potential claimant; and
based at least in part on remotely monitoring the computing device, generate a predictive fraud score for the claimant, the predictive fraud score indicating whether a subsequent claim filing by the potential claimant will include one or more fraudulent claims.
2 . The computing system of claim 1 , wherein the executed instructions cause the computing system to remotely monitor the computing device of the potential claimant by monitoring user interactions by the claimant on the computing device of the potential claimant.
3 . The computing system of claim 2 , wherein the user interactions indicate that the potential claimant viewed policy information prior to a claim event, and wherein the executed instructions cause the computing system to further generate the predictive fraud score based on the potential claimant viewing the policy information.
4 . The computing system of claim 1 , wherein the executed instructions cause the computing system to remotely monitor the computing device by monitoring a dynamic location of the computing device.
5 . The computing system of claim 1 , wherein the executed instructions further cause the computing system to:
compile historical claim data in a database, the historical claim data indicating occurrences of fraudulent claim filings and contextual information corresponding to claimant behavior prior to the fraudulent claim filings.
6 . The computing system of claim 5 , wherein the executed instructions further cause the computing system to:
based on the historical claim data, generate a fraud pattern-matching model that links the claimant behavior prior to the fraudulent claim filings.
7 . The computing system of claim 6 , wherein the executed instructions cause the computing system to generate the predictive fraud score for the potential claimant by executing the fraud pattern-matching model on information received from the computing device of the claimant via remotely monitoring the computing device of the potential claimant.
8 . The computing system of claim 7 , wherein the executed instructions further cause the computing system to:
generate a graphical user interface for a policy provider of the potential claimant, the graphical user interface presenting the predictive fraud score of the potential claimant.
9 . The computing system of claim 8 , wherein the graphical user interface further presents a claim view providing contextual information for the predictive fraud score for the policy provider.
10 . A non-transitory computer readable medium storing instructions that, when executed by one or more processors, cause the one or more processors to:
remotely monitor, over one or more networks, a computing device of a potential claimant; and
based at least in part on remotely monitoring the computing device, generate a predictive fraud score for the claimant, the predictive fraud score indicating whether a subsequent claim filing by the potential claimant will include one or more fraudulent claims.
11 . The non-transitory computer readable medium of claim 10 , wherein the executed instructions cause the one or more processors to remotely monitor the computing device of the potential claimant by monitoring user interactions by the claimant on the computing device of the potential claimant.
12 . The non-transitory computer readable medium of claim 11 , wherein the user interactions indicate that the potential claimant viewed policy information prior to a claim event, and wherein the executed instructions cause the one or more processors to further generate the predictive fraud score based on the potential claimant viewing the policy information.
13 . The non-transitory computer readable medium of claim 10 , wherein the executed instructions cause the one or more processors to remotely monitor the computing device by monitoring a dynamic location of the computing device.
14 . The non-transitory computer readable medium of claim 10 , wherein the executed instructions further cause the one or more processors to:
compile historical claim data in a database, the historical claim data indicating occurrences of fraudulent claim filings and contextual information corresponding to claimant behavior prior to the fraudulent claim filings.
15 . The non-transitory computer readable medium of claim 14 , wherein the executed instructions further cause the one or more processors to:
based on the historical claim data, generate a fraud pattern-matching model that links the claimant behavior prior to the fraudulent claim filings.
16 . The non-transitory computer readable medium of claim 15 , wherein the executed instructions cause the one or more processors to generate the predictive fraud score for the potential claimant by executing the fraud pattern-matching model on information received from the computing device of the potential claimant via remotely monitoring the computing device of the potential claimant.
17 . The non-transitory computer readable medium of claim 16 , wherein the executed instructions further cause the one or more processors to:
generate a graphical user interface for a policy provider of the potential claimant, the graphical user interface presenting the predictive fraud score of the potential claimant.
18 . The non-transitory computer readable medium of claim 17 , wherein the graphical user interface further presents a claim view providing contextual information for the predictive fraud score for the policy provider.
19 . A computer-implemented method or predicting fraud, the method being performed by one or more processors and comprising:
remotely monitoring, over one or more networks, a computing device of a potential claimant; and
based at least in part on remotely monitoring the computing device, generating a predictive fraud score for the claimant, the predictive fraud score indicating whether a subsequent claim filing by the potential claimant will include one or more fraudulent claims.
20 . The method of claim 19 , wherein the one or more processors remotely monitor the computing device of the potential claimant by monitoring user interactions by the claimant on the computing device of the potential claimant.