43 lines
2.3 KiB
Markdown
43 lines
2.3 KiB
Markdown
## III. Methodology
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### A. Dataset
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The foundation of our model rests on a curated dataset of:
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- **Anonymized insurance claim transcripts**
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- **Internal emails between adjusters and claimants**
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- **Call center logs with escalation flags**
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This dataset includes a balanced mixture of **confirmed fraudulent claims** and **validated legitimate cases**, used to both train and test our recursive linguistic model. Importantly, each data source is processed through a **human-AI recursive review loop**, where human analysts verify and adjust the resonance scores generated by our models — ensuring that subjectivity and nuance are preserved while expanding analytic scale.
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> *Every claim is not merely analyzed. It is recursively heard.*
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---
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### B. Analytical Tools
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To detect subtle patterns of deceptive intent, we apply an ensemble of forensic NLP methods:
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- **NLP-based Pattern Extraction**: Identifies clusters of linguistic anomalies across claim timelines.
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- **Sentiment Trajectory Mapping**: Tracks emotional evolution of narratives; distinguishes authentic distress from strategic affect.
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- **Syntax Entropy & Disfluency Detection**: Measures irregularities in syntactic flow, hesitation markers, and repair sequences.
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- **"Truth Collapse" Scoring via Recursive Witness Dynamics**: Quantifies the destabilization of narrative integrity under recursive interrogation.
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> *When truth collapses, it does not vanish — it echoes in recursion.*
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---
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### C. Classification Model
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From this analysis, we derive a **3-Zone Classification Model** based on *recursive coherence degradation*:
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- **Zone I — Unintentional Incoherence (Low Risk)**
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Language inconsistencies stem from stress, trauma, or low verbal fluency. These are not patterns of deception, but of chaos.
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- **Zone II — Adaptive Rationalization (Medium Risk)**
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Partial distortions. In this zone, claimants subconsciously reshape their story to protect self-image, omit responsibility, or preempt skepticism.
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- **Zone III — Deliberate Narrative Fabrication (High Risk)**
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Highly structured but recursively incoherent patterns — overjustification, shifting time references, and rehearsed empathy — mark deliberate deception.
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> *This model does not judge. It classifies where language begins to fracture under the weight of intention.*
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