Fraud between companies can interrupt the flow of business and destroy their reputations and it is becoming increasingly difficult to identify and stop criminals from committing fraud: PYMNTS.com's 2019 yearly report, "Securing B2B Payments," relates that global markets lost $4.2 trillion in 2019 alone due to fraud. However, machine learning can identify fraud accurately before it has occurred.
B2C fraud includes insurance fraud, payment fraud, identity theft, etc. and reviewing claims is so time-consuming and difficult that many insurers do little more than a cursory review on small claims. Fraudsters know this and will file—and win—small claims for losses that didn't really occur.
Insurance fraud can be committed by either the buyer or the seller of an insurance policy.
The seller may offer policies from non-existent companies, fail to submit premiums, and churn policies to create more commissions. The buyer exaggerate claims, falsify medical history, post-date policies, sell their policy to for cash when they are diagnosed with a terminal disease, or fake their death or kidnapping. We will focus on the buyer insurance fraud in this post.