Risk Classification and Health Insurance

Risk Classification and Health Insurance

Risk classification refers to the use of observable characteristics by insurers to group individuals with similar expected claims, compute the corresponding premiums, and thereby reduce asymmetric information. An efficient risk classification system generates premiums that fully reflect the expected cost associated with each class of risk characteristics. This is known as financial equity. In t...

data mining rules and classification methods in insurance: the case of collision insurance

assigning premium to the insurance contract in iran mostly has based on some old rules have been authorized by government, in such a situation predicting premium by analyzing database and it’s characteristics will be definitely such a big mistake. therefore the most beneficial information one can gathered from these data is the amount of loss happens during one contract to predicting insurance ...

the clustering and classification data mining techniques in insurance fraud detection:the case of iranian car insurance

با توجه به گسترش روز افزون تقلب در حوزه بیمه به خصوص در بخش بیمه اتومبیل و تبعات منفی آن برای شرکت های بیمه، به کارگیری روش های مناسب و کارآمد به منظور شناسایی و کشف تقلب در این حوزه امری ضروری است. درک الگوی موجود در داده های مربوط به مطالبات گزارش شده گذشته می تواند در کشف واقعی یا غیرواقعی بودن ادعای خسارت، مفید باشد. یکی از متداول ترین و پرکاربردترین راه های کشف الگوی داده ها استفاده از ر...

HEALTH INSURANCE CLAIMS AND RISK EQUALISATION IN AUSTRALIA Health Insurance Claims and Risk Equalisation in Australia

Risk Classification In Non-Life Insurance

Within the actuarial profession a major challenge can be found in the construction of a fair tariff structure. We discuss both a priori and a posteriori rating systems in light of the statistical techniques that are involved. The article introduces basic concepts, illustrates them with real-life actuarial data and summarizes references to complementary literature. Examples of likelihood-based a...