Capstone project Guidelines (1)
Capstone project Guidelines (1)
Government of Karnataka
PES Polytechnic
Hanumanthanagara, Bangalore
Format- 1
Capstone project Title: Fraud Detection and Analysis for Insurance Claim Using Machine Learning
Problem Statement: Insurance companies struggle to identify fraudulent claims, leading to financial
losses and decreased trust. Traditional methods are inefficient and prone to errors. The goal is to develop
an automated system that can quickly and accurately detect suspicious claims, reduce false payouts, and
improve overall process integrity.
Objectives: The objective of a "Fraud Detection and Analysis for Insurance Claim Using Machine
Learning" project is to develop a system that leverages machine learning algorithms to identify and
analyze potentially fraudulent insurance claims by analyzing patterns and anomalies within large
datasets of claim information, allowing for early detection of suspicious activities and minimizing
financial losses for insurance companies
Capstone project description: The "Fraud Detection and Analysis for Insurance Claims Using Machine
Learning" project aims to build a machine learning system that automatically detects fraudulent
insurance claims. By analyzing historical claims data, the system will use algorithms to identify patterns
and anomalies that suggest fraud. The goal is to improve fraud detection accuracy, reduce manual
intervention, and minimize financial losses for insurance companies, while ensuring the system adapts
to evolving fraud tactics over time.
1. Project Planning Document: Defines objectives, scope, methodology, and expected outcomes
of the fraud detection project.
2. Data Collection & Preprocessing Report: Details sources of insurance claim data, data
cleaning, and preprocessing steps.
3. Exploratory Data Analysis (EDA) Report: Insights, statistical summaries, and visualizations
to understand fraud patterns.
4. Feature Engineering & Selection Report: Identifies key features influencing fraud detection
and their transformation process.
5. Model Development & Training Code: Implementation of machine learning models trained
for fraud detection.
6. Model Testing & Performance Report: Evaluation of models using accuracy, precision, recall,
F1-score, and other relevant metrics.
7. Fraud Detection System Prototype: A functional system or dashboard demonstrating fraud
prediction capabilities.
8. Final Project Report: Comprehensive documentation covering project methodology, analysis,
results, and conclusions.
Key milestones:
Constraints:
1. Data Availability: Limited or incomplete historical insurance claims data may affect the model’s
accuracy and performance.
2. Data Privacy and Security: Sensitive personal and financial data must be handled securely,
complying with privacy regulations GDPR, HIPAA.
3. Model Interpretability: Some machine learning models deep learning may lack transparency,
making it difficult to explain fraud detection decisions.
4. Real-time Processing: The system might need to process large volumes of claims in real-time,
which can pose challenges in terms of speed and scalability.
5. Imbalanced Data: Fraudulent claims may be much less frequent than legitimate claims, leading
to class imbalance that can impact model performance.
Estimated Capstone project Duration: The project is expected to take approximately 12 weeks
Estimated capstone project cost: the estimated cost for fraud detection in insurance claims using
machine learning is between ₹7000.