Concepedia

Claims Analytics

Claims Analytics is a specialized field within Insurance Analytics that systematically applies quantitative methods and data analysis techniques to evaluate, monitor, and optimize the claims management process by identifying patterns, detecting fraud, and improving decision-making in claim adjudication.

174

Publications

7.1K

Citations

555

Authors

273

Institutions

Publications per year

2017–2026

88

Variants

Claim Analytics

Parents

Children

Publications

174

Use of claims data systems to evaluate health care outcomes. Mortality and reoperation following prostatectomy

John E. Wennberg · JAMA · 1987 · 287 citations

, , +14

An Algorithm for the Use of Medicare Claims Data to Identify Women with Incident Breast Cancer

Ann B. Nattinger, Purushottam W. Laud, Ruta Bajorunaite et al. · Health Services Research · 2004 · 195 citations · Full text

, , +15

Specificity and Sensitivity of Claims‐Based Algorithms for Identifying Members of Medicare+Choice Health Plans That Have Chronic Medical Conditions

Thomas S. Rector, Steven L. Wickstrom, Mona Shah et al. · Health Services Research · 2004 · 189 citations · Full text

, , +15

A Secure AI-Driven Architecture for Automated Insurance Systems: Fraud Detection and Risk Measurement

Najmeddine Dhieb, Hakim Ghazzai, Hichem Besbes et al. · IEEE Access · 2020 · 183 citations · Full text

, , +17

Fitting insurance claims to skewed distributions: Are the skew-normal and skew-student good models?

Martin Eling · Insurance Mathematics and Economics · 2012 · 167 citations

, , +15

1–5 of 174

Authors

555

  1. MV
    Mario V. Wüthrich

    ETH Zurich, Switzerland

    11 publications · 457 citations

    10

    h-index

  2. EA
    Emiliano A. Valdez

    University of Connecticut, United States

    5 publications · 211 citations

    5

    h-index

  3. ML
    Mathias Lindholm

    Stockholm University, Sweden

    4 publications · 71 citations

    4

    h-index

  4. PS
    Peng Shi

    University of Wisconsin–Madison, United States

    4 publications · 235 citations

    4

    h-index

  5. BW
    Bernard Wong

    UNSW Sydney, Australia

    3 publications · 52 citations

    3

    h-index

1–5 of 555

Institutions

273

  1. ETH Zurich

    Zurich, Switzerland

    12 h-index

    15 publications

    586 citations

  2. University of Wisconsin–Madison

    Madison, United States

    7 h-index

    12 publications

    529 citations

  3. UNSW Sydney

    Sydney, Australia

    5 h-index

    19 publications

    488 citations

  4. Harvard University

    Cambridge, United States

    5 h-index

    16 publications

    680 citations

  5. Brigham and Women's Hospital

    Boston, United States

    5 h-index

    17 publications

    301 citations

  6. Universitat de Barcelona

    Barcelona, Spain

    4 h-index

    6 publications

    537 citations

  7. University of Connecticut

    Storrs, United States

    4 h-index

    10 publications

    242 citations

  8. Stockholm University

    Stockholm, Sweden

    4 h-index

    4 publications

    71 citations

1–8 of 273

Venues

  1. Insurance Mathematics and Economics

    20 publications · 920 citations

    16

    h-index

  2. Risks

    10 publications · 482 citations

    10

    h-index

  3. Astin Bulletin

    8 publications · 258 citations

    8

    h-index

  4. SSRN Electronic Journal

    Repository · 6 publications · 136 citations

    6

    h-index

  5. Scandinavian Actuarial Journal

    5 publications · 225 citations

    5

    h-index

1–5