Explainable artificial intelligence models using SHAP enhanced CatBoost, Bi-GRU with attention, and Tab Transformer

Markapurapu John Dana Ebinezer, Bondalapu Chaitanya Krishna · 2026

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Description

Insurance fraud is hard to catch because claims data are lopsided and messy, with many kinds of information mixed together. The authors compare three model families under one test protocol: CatBoost, a tree-based method; a bidirectional recurrent network with attention; and TabTransformer, built for categorical data. The dataset holds 4,000 life insurance claims described by 83 attributes. All models go through the same cleaning, scaling, and feature selection steps before training.

The study's new element is a shared interpretability framework that pairs SHAP feature attributions with attention analysis, so the models' reasoning can be compared directly. CatBoost proves most precise on honest claims, the recurrent network recalls the most fraud, and TabTransformer balances accuracy, clarity, and cost best. Claim amount, policy tenure, and diagnosis stand out in both explanation methods. The authors offer the setup as a dependable benchmark for fraud detection research.

Catalog record

CREATORMarkapurapu John Dana Ebinezer, Bondalapu Chaitanya Krishna
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE81 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13332054

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