arXiv:2509.18739stat.MLcs.LG2025-09

提出随机化选案策略,解决保险欺诈检测中因选案偏差导致的模型学习不一致问题。

Consistency of Selection Strategies for Fraud Detection

  • 用随机化方法替代高概率优先选案,避免选案偏差影响模型更新
  • 仿真显示传统策略可能不一致,新方法可保证学习一致性
  • 适合需要稳定模型性能的保险反欺诈系统

本文研究保险公司如何选择需调查的理赔案件以识别欺诈。通常仅调查预测欺诈概率最高的案件,但这可能导致学习过程不一致。我们指出,在选择性观察下,数据不再独立同分布(iid),因此应考虑历史选择对参数估计的影响。在二分类回归框架中,我们证明可通过特定方法使模型更新等效于随机调查。定义了选案策略的一致性,并提出充分条件。仿真表明,常用策略可能不一致,而提出的随机策略具有一致性。进一步与汤普森采样对比,发现后者在学习低欺诈概率时效率较低。

原文摘要 · Abstract (English)

This paper studies how insurers can chose which claims to investigate for fraud. Given a prediction model, typically only claims with the highest predicted propability of being fraudulent are investigated. We argue that this can lead to inconsistent learning and propose a randomized alternative. More generally, we draw a parallel with the multi-arm bandit literature and argue that, in the presence of selection, the obtained observations are not iid. Hence, dependence on past observations should be accounted for when updating parameter estimates. We formalize selection in a binary regression framework and show that model updating and maximum-likelihood estimation can be implemented as if claims were investigated at random. Then, we define consistency of selection strategies and conjecture sufficient conditions for consistency. Our simulations suggest that the often-used selection strategy can be inconsistent while the proposed randomized alternative is consistent. Finally, we compare our randomized selection strategy with Thompson sampling, a standard multi-arm bandit heuristic. Our simulations suggest that the latter can be inefficient in learning low fraud probabilities.

欺诈检测模型一致性随机化策略多臂赌博机

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