Sap_SAP Fraud Management

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  • SAP Sigortaclk Zirvesi 2015

    Raffles Hotel, Istanbul 22 Mays 2015, Cuma

  • 2015 SAP AG. All rights reserved. 2

    Agenda

    SAP Fraud Management Genel Anlatm

    DEMO

    Q & A

  • 2015 SAP AG. All rights reserved. 3

    SAP Fraud Management

    Genel Anlatm

  • 2015 SAP AG. All rights reserved. 4

    SAP Suistimal ve Sahte Hasar Ynetimi Trkiye Sigorta Sektrne zel Kurallar

    TAHKKAT

    DNEM ECZANE

    HASTA

    RCU ORANI

    MADUR

    MUALLAK

    TEMNAT

    POLE TANZM

    SAHTE HASAR

    ALINTI TAMRHANE

    TANIK

    POLE

    DOKTOR

    SRC

    ZEYL TARH

    PERT

    HBAR TARH

    HASAR TARH

    HASAR TUTARI KARA LSTE

    YA

    ARA MODELI PLAKA NO

  • 2015 SAP AG. All rights reserved. 5

    SAP Suistimal ve Sahte Hasar Ynetimi EN Y YNTEM: TEK BR YNTEME BALI KALMAMAK !

    CASE MANT

    Hybrid Model

    PREDICTIVE ANALYSIS RULE BASED

    MECHANISM

    CALIBRATION &

    SIMULATION

    Fraud Monitoring & Performance Optimization

    NETWORK

    ANALYSIS

    WORKLOAD

    MANAGEMENT

    MASS / ONLINE

    DETECTION

    DETECTION STRATEGY

    ALERTS ARE CREATED

    TIMELINE

    DECISION DETECTION

    SUMMARY

  • 2015 SAP AG. All rights reserved. 6

    SAP Suistimal ve Sahte Hasar Ynetimi UTAN UCA Suistimal YNETM Sadece HASAR deil !

    MOTOR INTERNAL

    HOSPITALS

    PHARMACY

    OPTICAL

    MEDICAL

    FIRE

    Fraud Monitoring & Performance Optimization

    CATEGORY A

    EMERGENCY CASES

    NON-MOTOR HEALTH

    PROPERTY

    MARINE

    MoD

    MTPL

    PROCUREMENT

    TRAVEL &

    EXPENSE

  • 2015 SAP AG. All rights reserved. 7

    SAP Suistimal ve Sahte Hasar Ynetimi Gerek Zamanl Veri Platformu - HANA

    Gl Arama Motoru Geo-spatial Online Tespit

    Gerek Zamanl Kalibrasyon & Simlasyon

    In-memory Computing

  • 2015 SAP AG. All rights reserved. 8

    SAP Suistimal ve Sahte Hasar Ynetimi Geniletilmi nceleme ve Analiz Sreleri

    Ek Rapor ve Analiz Aralar

    Analitik Uygulamalar

    zel nceleme Birimlerine zel Ekranlar

    irkete zel Vaka Ynetimi

  • 2015 SAP AG. All rights reserved. 9

    SAP Fraud Management Alert Creation - Motor

    SAP Fraud Management SAP Fraud Management

    Detection Strategy Motor Claims Threshold:

    20

    Detection Method Claim Location = East Anatolia Weighting:

    10

    Detection Method Recourse rate %10 < x < %30 Weighting:

    15

    Detection Method Claim Type = stolen or salvage Weighting:

    25

    Alert

  • 2015 SAP AG. All rights reserved. 10

    SAP Fraud Management

    DEMO

  • 2015 SAP SE or an SAP affiliate company. All rights reserved.

    Thank you

    Contact information:

    F name MI. L name

    Title

    Address

    Phone number