Insurance claims adjusters are under great pressure


Insurance claims adjusters are under great pressure to process insurance claims quickly. Now claims adjusters must determine liability, estimate damages, and deal with false or padded claims in a cost-efficient and timely manner. Extra investigation of a suspicious claim adds expense and delays settlement, but inaction could result in payment of a fraudulent claim and the potential for inviting future bogus claims. It is a difficult dilemma for even the most seasoned claims adjusters as most claims have some suspicious elements. Now you are asked to propose a DSS solution to help the claim adjusters identify and red flag various kinds of fraud. Could you please choose and justify which of the decision technology/approaches, expert systems or neural networks, that should be used and how your solution would work 

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Basic Computer Science: Insurance claims adjusters are under great pressure
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