Datasets:
record_id int64 | country string | year int64 | claim_amount_usd float64 | policy_duration_months int64 | previous_claims_count int64 | reporting_delay_days int64 | document_completeness_score float64 | claimant_age int64 | claim_type string | seasonality_flag int64 | amount_deviation_zscore float64 | duplicate_claim_flag int64 | fraud_label int64 | fraud_probability float64 | fraud_scheme_type string | detection_method string | recovery_amount_usd float64 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | South Africa | 2,024 | 3,470.38 | 107 | 0 | 2 | 0.763 | 35 | property | 0 | 0.287 | 1 | 1 | 0.1163 | inflated_claim | ml_model | 1,749.6 |
2 | South Africa | 2,024 | 512.03 | 94 | 4 | 12 | 0.543 | 40 | health | 1 | -1.188 | 0 | 0 | 0.1042 | none | none | 0 |
3 | South Africa | 2,024 | 4,450.99 | 82 | 2 | 6 | 0.625 | 55 | travel | 1 | 0.776 | 1 | 0 | 0.1512 | none | none | 0 |
4 | South Africa | 2,024 | 4,869.24 | 30 | 5 | 6 | 0.797 | 46 | health | 0 | 0.984 | 0 | 1 | 0.2996 | collusion | rule_based | 2,803.31 |
5 | South Africa | 2,024 | 50 | 75 | 0 | 27 | 0.882 | 40 | life | 0 | -1.419 | 0 | 0 | 0.0802 | none | none | 0 |
6 | South Africa | 2,024 | 50 | 99 | 1 | 33 | 0.675 | 43 | motor | 0 | -1.419 | 0 | 0 | 0.0738 | none | none | 0 |
7 | South Africa | 2,024 | 3,081.25 | 9 | 2 | 2 | 0.709 | 65 | motor | 0 | 0.093 | 0 | 0 | 0.1533 | none | none | 0 |
8 | South Africa | 2,024 | 2,104.27 | 22 | 0 | 11 | 0.589 | 26 | property | 1 | -0.394 | 0 | 0 | 0.1255 | none | none | 0 |
9 | South Africa | 2,024 | 2,763.04 | 62 | 1 | 17 | 0.819 | 55 | property | 0 | -0.066 | 0 | 0 | 0.1265 | none | none | 0 |
10 | South Africa | 2,024 | 923.3 | 44 | 1 | 1 | 0.974 | 38 | motor | 0 | -0.983 | 0 | 0 | 0.1047 | none | none | 0 |
11 | South Africa | 2,024 | 4,734.68 | 86 | 2 | 21 | 0.852 | 37 | travel | 0 | 0.917 | 0 | 0 | 0.158 | none | none | 0 |
12 | South Africa | 2,024 | 4,511.14 | 49 | 1 | 2 | 0.889 | 46 | motor | 1 | 0.806 | 0 | 0 | 0.1886 | none | none | 0 |
13 | South Africa | 2,024 | 2,945.27 | 120 | 0 | 2 | 0.692 | 18 | motor | 0 | 0.025 | 0 | 0 | 0.0864 | none | none | 0 |
14 | South Africa | 2,024 | 5,279.93 | 36 | 1 | 26 | 0.819 | 25 | life | 0 | 1.189 | 0 | 0 | 0.1909 | none | none | 0 |
15 | South Africa | 2,024 | 3,828.52 | 44 | 0 | 14 | 0.677 | 43 | health | 0 | 0.465 | 0 | 0 | 0.1725 | none | none | 0 |
16 | South Africa | 2,024 | 909.56 | 1 | 0 | 49 | 0.623 | 43 | health | 0 | -0.99 | 0 | 0 | 0.1319 | none | none | 0 |
17 | South Africa | 2,024 | 3,611.25 | 30 | 2 | 3 | 0.556 | 45 | crop | 1 | 0.357 | 0 | 0 | 0.1798 | none | none | 0 |
18 | South Africa | 2,024 | 690.46 | 29 | 3 | 6 | 0.947 | 47 | health | 0 | -1.099 | 0 | 0 | 0.1285 | none | none | 0 |
19 | South Africa | 2,024 | 4,732.59 | 92 | 4 | 29 | 0.587 | 62 | motor | 1 | 0.916 | 0 | 0 | 0.1833 | none | none | 0 |
20 | South Africa | 2,024 | 2,690.16 | 41 | 2 | 3 | 0.722 | 30 | travel | 0 | -0.102 | 0 | 0 | 0.1312 | none | none | 0 |
21 | South Africa | 2,024 | 2,393.3 | 25 | 0 | 4 | 0.75 | 43 | property | 0 | -0.25 | 1 | 1 | 0.15 | provider_fraud | ml_model | 1,461.25 |
22 | South Africa | 2,024 | 1,301.96 | 38 | 1 | 7 | 0.493 | 47 | motor | 1 | -0.794 | 0 | 0 | 0.1194 | none | none | 0 |
23 | South Africa | 2,024 | 5,489.59 | 68 | 3 | 34 | 0.839 | 42 | motor | 0 | 1.294 | 0 | 1 | 0.2233 | provider_fraud | ml_model | 2,773.38 |
24 | South Africa | 2,024 | 2,460.04 | 95 | 3 | 8 | 0.741 | 37 | health | 0 | -0.217 | 0 | 0 | 0.1211 | none | none | 0 |
25 | South Africa | 2,024 | 1,857.68 | 118 | 0 | 2 | 0.735 | 29 | travel | 1 | -0.517 | 0 | 1 | 0.0804 | staged_accident | manual_review | 1,228.05 |
26 | South Africa | 2,024 | 2,025.31 | 6 | 1 | 4 | 0.403 | 36 | health | 0 | -0.434 | 0 | 0 | 0.1448 | none | none | 0 |
27 | South Africa | 2,024 | 3,971.08 | 101 | 1 | 15 | 0.786 | 54 | health | 0 | 0.536 | 0 | 0 | 0.1304 | none | none | 0 |
28 | South Africa | 2,024 | 3,603.98 | 47 | 1 | 3 | 0.444 | 64 | health | 0 | 0.353 | 0 | 0 | 0.1426 | none | none | 0 |
29 | South Africa | 2,024 | 3,708.01 | 97 | 1 | 7 | 0.544 | 18 | motor | 1 | 0.405 | 0 | 0 | 0.1086 | none | none | 0 |
30 | South Africa | 2,024 | 3,747.81 | 5 | 3 | 4 | 0.809 | 38 | health | 0 | 0.425 | 0 | 0 | 0.2162 | none | none | 0 |
31 | South Africa | 2,024 | 7,511.62 | 76 | 2 | 36 | 0.641 | 18 | motor | 1 | 2.302 | 0 | 1 | 0.2127 | inflated_claim | ml_model | 3,306.63 |
32 | South Africa | 2,024 | 1,905.89 | 112 | 2 | 0 | 0.551 | 29 | travel | 0 | -0.493 | 0 | 0 | 0.0833 | none | none | 0 |
33 | South Africa | 2,024 | 1,673.07 | 5 | 2 | 16 | 0.462 | 41 | motor | 0 | -0.609 | 0 | 0 | 0.1437 | none | none | 0 |
34 | South Africa | 2,024 | 1,009.7 | 95 | 1 | 1 | 0.783 | 24 | health | 0 | -0.94 | 0 | 0 | 0.0741 | none | none | 0 |
35 | South Africa | 2,024 | 4,155.15 | 14 | 2 | 28 | 0.762 | 33 | property | 0 | 0.628 | 1 | 0 | 0.1886 | none | none | 0 |
36 | South Africa | 2,024 | 5,283.74 | 118 | 0 | 11 | 0.681 | 31 | health | 0 | 1.191 | 0 | 1 | 0.1426 | inflated_claim | manual_review | 2,971.72 |
37 | South Africa | 2,024 | 2,549.32 | 90 | 2 | 0 | 0.804 | 40 | travel | 0 | -0.172 | 0 | 0 | 0.113 | none | none | 0 |
38 | South Africa | 2,024 | 951.66 | 110 | 0 | 11 | 0.903 | 33 | motor | 1 | -0.969 | 0 | 0 | 0.0744 | none | none | 0 |
39 | South Africa | 2,024 | 986.14 | 108 | 1 | 35 | 0.601 | 52 | motor | 1 | -0.952 | 0 | 1 | 0.0791 | staged_accident | tip_off | 156.81 |
40 | South Africa | 2,024 | 4,231.3 | 38 | 2 | 62 | 0.488 | 37 | health | 1 | 0.666 | 0 | 0 | 0.1787 | none | none | 0 |
41 | South Africa | 2,024 | 4,435.16 | 50 | 1 | 5 | 0.848 | 27 | health | 0 | 0.768 | 0 | 0 | 0.1614 | none | none | 0 |
42 | South Africa | 2,024 | 3,994.94 | 83 | 0 | 1 | 0.411 | 19 | crop | 0 | 0.548 | 1 | 0 | 0.1221 | none | none | 0 |
43 | South Africa | 2,024 | 1,335.88 | 21 | 1 | 41 | 0.769 | 28 | motor | 0 | -0.778 | 0 | 0 | 0.1134 | none | none | 0 |
44 | South Africa | 2,024 | 3,310.75 | 37 | 2 | 4 | 0.819 | 35 | travel | 0 | 0.207 | 0 | 0 | 0.1535 | none | none | 0 |
45 | South Africa | 2,024 | 3,056.71 | 12 | 2 | 28 | 0.685 | 44 | motor | 0 | 0.08 | 0 | 0 | 0.1767 | none | none | 0 |
46 | South Africa | 2,024 | 3,281.11 | 107 | 3 | 6 | 0.743 | 46 | property | 0 | 0.192 | 1 | 0 | 0.1391 | none | none | 0 |
47 | South Africa | 2,024 | 4,717.14 | 30 | 1 | 3 | 0.663 | 49 | life | 1 | 0.908 | 0 | 0 | 0.2048 | none | none | 0 |
48 | South Africa | 2,024 | 3,291.91 | 50 | 0 | 34 | 0.763 | 45 | motor | 1 | 0.198 | 0 | 0 | 0.1576 | none | none | 0 |
49 | South Africa | 2,024 | 4,293.61 | 55 | 3 | 4 | 0.716 | 50 | motor | 1 | 0.697 | 0 | 0 | 0.1949 | none | none | 0 |
50 | South Africa | 2,024 | 2,948.67 | 46 | 1 | 8 | 0.975 | 34 | property | 0 | 0.027 | 0 | 0 | 0.1384 | none | none | 0 |
51 | South Africa | 2,024 | 3,436.06 | 94 | 2 | 20 | 0.968 | 36 | property | 1 | 0.27 | 1 | 1 | 0.1235 | provider_fraud | manual_review | 1,584.85 |
52 | South Africa | 2,024 | 4,188.83 | 110 | 4 | 23 | 0.971 | 31 | travel | 0 | 0.645 | 0 | 0 | 0.1607 | none | none | 0 |
53 | South Africa | 2,024 | 50 | 69 | 3 | 12 | 0.519 | 28 | property | 1 | -1.419 | 0 | 0 | 0.0847 | none | none | 0 |
54 | South Africa | 2,024 | 2,096.72 | 101 | 2 | 21 | 0.907 | 54 | health | 1 | -0.398 | 0 | 0 | 0.0964 | none | none | 0 |
55 | South Africa | 2,024 | 1,765.18 | 14 | 3 | 5 | 0.9 | 36 | travel | 0 | -0.563 | 0 | 0 | 0.1527 | none | none | 0 |
56 | South Africa | 2,024 | 1,394.47 | 116 | 1 | 2 | 0.577 | 24 | health | 1 | -0.748 | 0 | 0 | 0.0717 | none | none | 0 |
57 | South Africa | 2,024 | 2,194.69 | 14 | 2 | 0 | 0.601 | 28 | motor | 0 | -0.349 | 0 | 0 | 0.1341 | none | none | 0 |
58 | South Africa | 2,024 | 6,088.87 | 8 | 3 | 28 | 0.878 | 63 | crop | 0 | 1.592 | 0 | 0 | 0.2714 | none | none | 0 |
59 | South Africa | 2,024 | 895.17 | 3 | 1 | 19 | 0.879 | 41 | health | 1 | -0.997 | 0 | 0 | 0.1282 | none | none | 0 |
60 | South Africa | 2,024 | 4,930.21 | 30 | 1 | 3 | 0.758 | 43 | health | 0 | 1.015 | 0 | 0 | 0.2145 | none | none | 0 |
61 | South Africa | 2,024 | 50 | 101 | 0 | 1 | 0.885 | 31 | travel | 0 | -1.419 | 0 | 1 | 0.0654 | phantom_claim | ml_model | 16.29 |
62 | South Africa | 2,024 | 2,063.25 | 37 | 1 | 8 | 0.506 | 18 | crop | 0 | -0.415 | 1 | 0 | 0.1087 | none | none | 0 |
63 | South Africa | 2,024 | 3,158.06 | 95 | 2 | 15 | 0.784 | 23 | motor | 0 | 0.131 | 0 | 0 | 0.1048 | none | none | 0 |
64 | South Africa | 2,024 | 4,089.69 | 51 | 4 | 1 | 0.626 | 30 | motor | 0 | 0.596 | 0 | 0 | 0.2001 | none | none | 0 |
65 | South Africa | 2,024 | 4,364.7 | 13 | 1 | 8 | 0.838 | 30 | property | 0 | 0.733 | 0 | 0 | 0.1906 | none | none | 0 |
66 | South Africa | 2,024 | 4,545.36 | 57 | 0 | 25 | 0.663 | 38 | property | 0 | 0.823 | 0 | 1 | 0.1747 | inflated_claim | rule_based | 731.25 |
67 | South Africa | 2,024 | 2,032.8 | 28 | 3 | 14 | 0.79 | 48 | life | 0 | -0.43 | 0 | 0 | 0.1578 | none | none | 0 |
68 | South Africa | 2,024 | 1,782.83 | 35 | 1 | 3 | 0.847 | 38 | crop | 0 | -0.555 | 1 | 1 | 0.1251 | staged_accident | manual_review | 799.13 |
69 | South Africa | 2,024 | 4,687.55 | 63 | 0 | 3 | 0.887 | 43 | motor | 0 | 0.894 | 0 | 0 | 0.1814 | none | none | 0 |
70 | South Africa | 2,024 | 2,379.13 | 95 | 4 | 6 | 0.786 | 49 | motor | 0 | -0.257 | 0 | 0 | 0.141 | none | none | 0 |
71 | South Africa | 2,024 | 50 | 71 | 0 | 4 | 0.517 | 55 | motor | 1 | -1.419 | 0 | 0 | 0.078 | none | none | 0 |
72 | South Africa | 2,024 | 306.77 | 27 | 2 | 8 | 0.613 | 27 | health | 1 | -1.291 | 0 | 0 | 0.0925 | none | none | 0 |
73 | South Africa | 2,024 | 777.2 | 87 | 0 | 16 | 0.591 | 43 | motor | 0 | -1.056 | 0 | 1 | 0.088 | identity_fraud | manual_review | 479.53 |
74 | South Africa | 2,024 | 3,893.75 | 84 | 1 | 5 | 0.63 | 43 | property | 0 | 0.498 | 0 | 0 | 0.1472 | none | none | 0 |
75 | South Africa | 2,024 | 3,113.34 | 29 | 1 | 4 | 0.762 | 41 | life | 0 | 0.109 | 0 | 0 | 0.162 | none | none | 0 |
76 | South Africa | 2,024 | 4,319.07 | 103 | 3 | 4 | 0.859 | 33 | property | 0 | 0.71 | 0 | 0 | 0.1513 | none | none | 0 |
77 | South Africa | 2,024 | 1,860.04 | 102 | 0 | 18 | 0.618 | 26 | property | 0 | -0.516 | 0 | 1 | 0.0842 | phantom_claim | cross_validation | 932.17 |
78 | South Africa | 2,024 | 3,148.79 | 73 | 5 | 11 | 0.679 | 36 | life | 0 | 0.126 | 0 | 0 | 0.1889 | none | none | 0 |
79 | South Africa | 2,024 | 4,176.3 | 36 | 1 | 3 | 0.827 | 41 | health | 1 | 0.639 | 0 | 0 | 0.1847 | none | none | 0 |
80 | South Africa | 2,024 | 2,119.44 | 43 | 3 | 13 | 0.75 | 50 | motor | 1 | -0.387 | 0 | 0 | 0.1475 | none | none | 0 |
81 | South Africa | 2,024 | 3,804.91 | 53 | 3 | 2 | 0.721 | 36 | health | 0 | 0.454 | 0 | 0 | 0.1769 | none | none | 0 |
82 | South Africa | 2,024 | 1,343.76 | 23 | 2 | 21 | 0.942 | 24 | health | 0 | -0.774 | 0 | 1 | 0.1086 | staged_accident | manual_review | 216.24 |
83 | South Africa | 2,024 | 2,001.28 | 37 | 2 | 7 | 0.559 | 26 | motor | 0 | -0.446 | 0 | 0 | 0.1155 | none | none | 0 |
84 | South Africa | 2,024 | 1,960.18 | 17 | 2 | 6 | 0.731 | 23 | life | 0 | -0.466 | 0 | 0 | 0.1221 | none | none | 0 |
85 | South Africa | 2,024 | 169.15 | 19 | 2 | 2 | 0.758 | 37 | property | 0 | -1.359 | 1 | 1 | 0.1026 | provider_fraud | ml_model | 76.64 |
86 | South Africa | 2,024 | 3,871.34 | 90 | 1 | 28 | 0.713 | 21 | property | 0 | 0.487 | 0 | 0 | 0.1181 | none | none | 0 |
87 | South Africa | 2,024 | 1,767.31 | 16 | 3 | 1 | 0.759 | 28 | health | 0 | -0.562 | 0 | 0 | 0.1415 | none | none | 0 |
88 | South Africa | 2,024 | 2,827.49 | 57 | 0 | 14 | 0.803 | 57 | property | 0 | -0.034 | 0 | 0 | 0.1284 | none | none | 0 |
89 | South Africa | 2,024 | 3,857.64 | 52 | 1 | 4 | 0.753 | 36 | property | 0 | 0.48 | 0 | 1 | 0.158 | collusion | manual_review | 1,966.97 |
90 | South Africa | 2,024 | 3,782.37 | 6 | 1 | 15 | 0.195 | 39 | motor | 0 | 0.442 | 0 | 0 | 0.1936 | none | none | 0 |
91 | South Africa | 2,024 | 4,263.85 | 100 | 0 | 4 | 0.879 | 22 | motor | 0 | 0.682 | 0 | 0 | 0.1214 | none | none | 0 |
92 | South Africa | 2,024 | 2,583.33 | 119 | 1 | 23 | 0.663 | 37 | health | 0 | -0.156 | 0 | 0 | 0.0971 | none | none | 0 |
93 | South Africa | 2,024 | 1,868.74 | 77 | 3 | 4 | 0.728 | 18 | property | 0 | -0.512 | 0 | 0 | 0.1007 | none | none | 0 |
94 | South Africa | 2,024 | 2,624.62 | 81 | 2 | 2 | 0.513 | 39 | property | 0 | -0.135 | 0 | 0 | 0.1179 | none | none | 0 |
95 | South Africa | 2,024 | 50 | 28 | 0 | 2 | 0.793 | 23 | property | 0 | -1.419 | 0 | 0 | 0.0851 | none | none | 0 |
96 | South Africa | 2,024 | 50 | 102 | 1 | 3 | 0.877 | 53 | health | 0 | -1.419 | 0 | 0 | 0.0688 | none | none | 0 |
97 | South Africa | 2,024 | 50 | 95 | 1 | 10 | 0.628 | 61 | health | 1 | -1.419 | 0 | 0 | 0.066 | none | none | 0 |
98 | South Africa | 2,024 | 606.06 | 53 | 0 | 28 | 0.631 | 30 | motor | 0 | -1.141 | 1 | 0 | 0.0887 | none | none | 0 |
99 | South Africa | 2,024 | 3,679.5 | 85 | 0 | 0 | 0.866 | 19 | travel | 0 | 0.391 | 0 | 0 | 0.115 | none | none | 0 |
100 | South Africa | 2,024 | 807.95 | 115 | 1 | 28 | 0.735 | 32 | motor | 0 | -1.041 | 0 | 0 | 0.0703 | none | none | 0 |
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⚠️ Synthetic dataset — Parameterized from published SSA literature, not real observations. Not suitable for empirical analysis or policy inference.
African Insurance Fraud Detection
Synthetic insurance claims dataset for fraud detection across 12 Sub-Saharan African countries, covering three operational scenarios.
Variables
| Variable | Type | Description |
|---|---|---|
record_id |
int | Unique row identifier |
country |
str | Country name |
year |
int | Reporting year |
claim_amount_usd |
float | Claim value in USD |
policy_duration_months |
int | Months since policy inception |
previous_claims_count |
int | Prior claims on the policy |
reporting_delay_days |
int | Days between incident and report |
document_completeness_score |
float | Completeness of submitted docs (0–1) |
claimant_age |
int | Age of claimant (18–85) |
claim_type |
str | motor, health, property, life, travel, crop |
seasonality_flag |
int | 1 if festive-season month (Nov–Jan) |
amount_deviation_zscore |
float | Z-score of claim amount vs country mean |
duplicate_claim_flag |
int | Potential duplicate claim detected |
fraud_label |
int | 1 = fraudulent, 0 = legitimate |
fraud_probability |
float | Modelled probability of fraud (0–1) |
fraud_scheme_type |
str | Scheme category (or "none") |
detection_method |
str | How fraud was identified (or "none") |
recovery_amount_usd |
float | Amount recovered from fraudster |
Scenarios
| Scenario | Fraud rate | Description |
|---|---|---|
baseline |
~12 % | Typical operational conditions |
enhanced_detection |
~12 % | Same fraud rate, higher detection power |
fraud_wave |
~22 % | Elevated fraud across all countries |
Files
data/baseline.csvdata/enhanced_detection.csvdata/fraud_wave.csv
Intended Use
Training and benchmarking tabular classification models for insurance fraud detection in African markets. Suitable for gradient-boosted trees, logistic regression, and neural network approaches.
Limitations
Synthetic data with simplified correlations; does not capture real-world inter-claim dependencies, organised fraud networks, or temporal dynamics beyond a single year.
License
CC-BY-4.0
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