Fraudulent Claims | Tableau Exchange

Fraudulent Claims

by Tableau

Description

The Tableau Accelerator for Fraudulent Claims gives actuaries a jumpstart to getting data-driven insights into your exposure to fraudulent claims declarations by brokers and policyholders.

Answer key business questions

  • How are we exposed to Fraudulent Claims?
  • Which Product Groups are affected the most by Fraudulent Claims?
  • Which Brokers have exposed us most to Fraudulent Claims?

Monitor and improve KPIs

  • Average Policy Limit
  • Claims Amount
  • Number of Claims
  • Suspected Fraud Amount
  • Suspected Fraud Claims #
  • Suspected Fraud Amount % : [Suspected Fraud Amount] / [Claims Amount]
  • Suspected Fraud Claims % : [Suspected Fraud Claims #] / [Number of Claims]

Required attributes

  • Event Date (date)
  • Claim Number (string)
  • Product Group (string)
  • Broker (string)
  • Policy Holder (string)
  • Suspected Fraud Flag (string) ← expected values: 'Y', 'N'. 'Y' means that the claim is suspicious.
  • Policy Limit (numeric)
  • Paid Claim Amount (numeric)

Tech Specifications

Supported Layouts

Security and Legal

Accelerator