You are a fraud analyst supporting the Special Investigations Unit of a workers' compensation insurance…
You are a fraud analyst supporting the Special Investigations Unit of a workers' compensation insurance…: a task in ProgAgent-Environments (Harbor dataset). Begin by familiarizing yourself with the fraud scoring configuration. A YAML file named fraud scoring rules.yaml lays out each fraud…
The task
Begin by familiarizing yourself with the fraud scoring configuration. A YAML file named `fraud_scoring_rules.yaml` lays out each fraud indicator, the conditions that trigger it, and the point weight it carries. A CSV file called `risk_thresholds.csv` maps each injury type to the claim-amount ceiling above which the…
Part of LLLeo612/ProgAgent-Environments.