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48 results for Claims Settlement

The study analyzes how bonus-malus systems and delayed claims settlement affect insurance companies' financial stability.

problem Analyzing the impact of bonus-malus systems and delayed claims settlement on insurance companies' financial stability.
method Examined a discrete-time risk model with time-varying premiums, evaluating two types of claims and settlement delays.
result Delayed settlement of by-claims leads to lower ruin probabilities under specific assumptions.

Reinforcement learning improves insurance claims reserving by learning from all claim trajectories.

problem Traditional reserving models learn only from settled claims, missing valuable data from ongoing claims.
method Formulated as a Markov decision process, uses reinforcement learning to update OCL estimates sequentially.
result Soft Actor-Critic implementation achieves competitive claim-level accuracy and strong aggregate performance.

In his book with Alan Jolis, Vers un monde sans pauvreté (1997) Yunus gives the example of a microcredit loan of 1000BDT reimbursed via 50 weekly settlements of 22BDT and correctly claims that this corresponds to the annual interest rate of 20%. But this is without taking into account that if the borrower has good reas…

2013-12-08abs ↗pdf ↗

Traditional non-life reserving models largely neglect the vast amount of information collected over the lifetime of a claim. This information includes covariates describing the policy, claim cause as well as the detailed history collected during a claim's development over time. We present the hierarchical reserving mod…

2019-10-28abs ↗pdf ↗

Detecting and mapping informal settlements encompasses several of the United Nations sustainable development goals. This is because informal settlements are home to the most socially and economically vulnerable people on the planet. Thus, understanding where these settlements are is of paramount importance to both gove…

2018-11-30abs ↗pdf ↗

We analyse the importance of international relations between countries on the financial stability. The contagion effect in the network is tested by implementing an epidemiological model, comprising a number of European countries and using bilateral data on foreign claims between them. Banking statistics of consolidated…

2019-01-22abs ↗pdf ↗

Prediction markets can be manipulated by traders who can move contract settlements, harming price discovery.

problem Manipulation of settlement times in prediction markets leads to unfair wealth transfer and harms price discovery.
method Developed a model showing how settlement manipulation transfers wealth and harms price discovery, and observed real-world effects on Polymarket's Bitcoin contract.
result Manipulators capture significant profits from retail traders, especially when settlement times are short.

We introduce a class of financial contracts involving several parties by extending the notion of a two-person game option (see Kifer (2000)) to a contract in which an arbitrary number of parties is involved and each of them is allowed to make a wide array of decisions at any time, not restricted to simply `exercising t…

2014-05-12abs ↗pdf ↗

Actuaries tackle loss of earning capacity in Denmark, balancing public benefits and private insurance.

problem Balancing public benefits and private insurance for loss of earning capacity in Denmark.
method Innovative approaches from researchers and practitioners, leveraging actuarial expertise.
result Development of equitable, data-driven solutions to mitigate risk and enhance societal well-being.

Develop gradient boosting for estimating covariate-dependent GP distributions in insurance.

problem Estimating covariate-dependent Generalized Pareto distributions in insurance.
method Developing a statistical learning theory for gradient boosting.
result Deriving non-asymptotic error bounds for the boosting estimator.

PredictionMarketBench benchmarks trading agents on prediction markets.

problem Evaluating trading agents on prediction markets with realistic conditions.
method Deterministic replay of historical data, execution-realistic simulator, agent interface.
result Fee-aware algorithmic strategies outperform naive agents in volatile episodes.

Study cash-flow forecasting for derivatives, aligning with replication strategy and addressing timing frictions.

problem Inconsistencies in cash-flow forecasting under different measures and stochastic payment times.
method Use discounting sensitivities (funding-curve hedge ratios) for replication and propose a liquidity valuation adjustment.
result Aligns forecasting with replication strategy and avoids measure-mixing issues.

One possible way of risk management for an insurance company is to develop an early and appropriate alarm system before the possible ruin. The ruin is defined through the status of the aggregate risk process, which in turn is determined by premium accumulation as well as claim settlement outgo for the insurance company…

2010-06-28abs ↗pdf ↗

Paper introduces Cycles Protocol to integrate trade credit into market clearing.

problem Liquidity embedded in trade credit outside formal settlement infrastructures.
method Distributed, multilateral clearing mechanism based on double-entry accounting.
result Cycles Protocol maximizes balance sheet compression without redistributing counterparty risk.

This study categorizes RWA tokenization challenges and solutions.

problem Navigating the gap between on-chain deterministic code and off-chain probabilistic reality.
method Taxonomy and comparative analysis of RWA protocols, legal and technical standards.
result RWA tokenization requires overcoming legal and technical interoperability issues.

Deep Claim predicts payer responses from claims data using deep learning.

problem Predicting payer responses from claims data to improve healthcare performance.
method Learning complex dependencies in claim inputs to create a compact representation, then using deep learning to predict responses.
result Deep Claim improves claim denial prediction by 22.21%.

The tail of the distribution of a sum of a random number of independent and identically distributed nonnegative random variables depends on the tails of the number of terms and of the terms themselves. This situation is of interest in the collective risk model, where the total claim size in a portfolio is the sum of a …

2007-03-01abs ↗pdf ↗

Two machine learning models detect anomalies in ER claims, saving up to 40% in improper payments.

problem Improper health insurance payments from fraud and upcoding.
method Two machine learning models: an upcoding model based on severity code distributions and a random forest model for claim sorting.
result Random forest model saved 12% to 40% in improper payments compared to a baseline approach.

Using open source data, we observe the fascinating dynamics of nighttime light. Following a global economic regime shift, the planetary center of light can be seen moving eastwards at a pace of about 60 km per year. Introducing spatial light Gini coefficients, we find a universal pattern of human settlements across dif…

2013-03-12abs ↗pdf ↗

This study compares the largest claims from two insurance portfolios using stochastic orderings.

problem Comparing the largest claims from two heterogeneous insurance portfolios.
method Used various stochastic orderings and established sufficient conditions associated with model parameters.
result Established sufficient conditions for comparing the largest claims from two insurance portfolios.

Model detects insurance fraud using social network analysis.

problem Fraudulent insurance claims by exaggeration or intentional damage.
method Network construction linking claims and parties, BiRank algorithm for fraud score computation, feature extraction from network and claims, supervised model building.
result Network features improve fraud detection performance.

Model predicts individual insurance claim reserves using activation patterns.

problem Accurately predicting individual claim reserves in insurance contracts.
method Multinomial logistic regression to model claim activation and development.
result The model generates accurate predictions of total and per coverage reserves.

A new method for modeling insurance claim frequencies using random proportions.

problem Inaccurate fitting of classical distributions to insurance claim frequency data.
method Modeling claim frequencies using random proportions of insurance contracts and applying goodness-of-fit tests.
result A new statistical approach for better modeling insurance claim frequencies.

The paper introduces BCART models for aggregate claim amount, improving frequency-severity and joint modeling.

problem Modeling aggregate claim amount with frequency-severity and joint dependencies.
method Developed three types of BCART models: frequency-severity, sequential, and joint models. Used various distributions for claim severity data.
result Weibull distribution outperforms gamma and lognormal for right-skewed, heavy-tailed claim severity data.

In this work, we focus on fine-tuning an OpenAI GPT-2 pre-trained model for generating patent claims. GPT-2 has demonstrated impressive efficacy of pre-trained language models on various tasks, particularly coherent text generation. Patent claim language itself has rarely been explored in the past and poses a unique ch…

2019-07-01abs ↗pdf ↗