Fraud is a major concern in the insurance industry. Time after time, spectacular incidents become
public of individuals trying to scam tremendous indemnifications from their insurance companies. The
majority of claims, however, particularly those seeking low to medium indemnification, exhibit no obvious
signs of fraudulent activity thereby leading the insurer to believe they were legitimate. In this study, we
therefore focus on determining the characteristics that make an accurate distinction between fraudulent
and legitimate claims possible. In addition to identifying dishonest cases more systematically, applying
a criteria catalog would enable an efficient use of the limited resources with which fraud investigation
divisions are usually endowed.