- Understanding the Determine Fraud Likelihood Percentage Ruleset
- Understanding the Determine Fraud Likelihood Percentage Ruleset
- You must have a solid working knowledge of Oracle SOA Suite, Oracle BPM Suite, and Oracle Business Rules before modifying any business rules. For information on these products, see:
- Oracle Fusion Middleware User's Guide for Oracle Business Rules
- Oracle Fusion Middleware Administrator's Guide for Oracle SOA and Oracle Business Process Management Suite
- Oracle Insurance Claim Management uses Calculate Fraud For Lower Claimant Age and Calculate Fraud For Higher Claimant Age rules in the Determine Fraud Likelihood Percentage Ruleset, each of which includes a condition (IF) statement and an action (THEN) statement. By default, this ruleset determines the likelihood of fraud. If Oracle ICM is configured to use a predictive model, then the predictive model is used instead.
- The condition of Calculate Fraud For Lower Claimant Age rule specifies that the claimant is under 30 years of age. The action sets the fraud likelihood to 60 percent.
- The condition of Calculate Fraud For Higher Claimant Age rule specifies that the claimant is 30 or older. The action sets the fraud likelihood
- to 40 percent.
- For example, a claimant is 25 years of age. The fraud likelihood for his claim is set to 60 percent because he us under 30 years of age.
- You can modify the existing r
- uleset
- uleset
- To modify the r
- uleset
- Oracle Fusion Middleware User's Guide for Oracle Business Rules.