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.
The paper examines stochastic inequalities involving minimum and maximum claim amounts.
problem Investigating stochastic inequalities for claim amounts with random number of claims.
method Analyzing stochastic order and reversed hazard rate order for minimum and maximum claim amounts.
result Strengthening and generalizing existing results in the literature.
Let Xλ1,…,Xλn be a set of dependent and non-negative random variables share a survival copula and let Yi=IpiXλi, i=1,…,n, where Ip1,…,Ipn be independent Bernoulli random variables independent of Xλi's, with E[Ipi]=pi, i=1,…,n. In actuarial scie…
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.
Let Xλ1,…,Xλn be dependent non-negative random variables and Yi=IpiXλi, i=1,…,n, where Ip1,…,Ipn are independent Bernoulli random variables independent of Xλi's, with E[Ipi]=pi, i=1,…,n. In actuarial sciences, Yi corresponds to the claim amo…
We investigate, focusing on the ruin probability, an adaptation of the Cramer-Lundberg model for the surplus process of an insurance company, in which, conditionally on their intensities, the two mixed Poisson processes governing the arrival times of the premiums and of the claims respectively, are independent. Such a …
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.
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.
In the domain of technology startups, biotechnology has often been considered as specific. Their unique technology content, the type of founders and managers they have, the amount of venture capital they raise, the time it takes them to reach an exit as well as the technology clusters they belong to are seen as such un…
We model the influence of sharing large exogeneous losses to the reinsurance market by a bipartite graph. Using Pareto-tailed claims and multivariate regular variation we obtain asymptotic results for the Value-at-Risk and the Conditional Tail Expectation. We show that the dependence on the network structure plays a fu…
Proposes indifference pricing to estimate weak information value.
problem Estimating the value of weak information in financial models.
method Tractable framework quantifying additional information, stability analysis.
result Sharp conditions for stability with counterexamples, including replicable claims.
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…
Study shows subordinated Cramér-Lundberg model increases ruin probability.
problem Analyzing the impact of subordinated time-changed claims on insurance ruin probability.
method Examined a compound Poisson process modified by a Lévy subordinator.
result Probability of ruin decreases slowly with initial capital, despite unchanged total claim amount.
Synthetic telematics dataset created from insurance claims data.
problem Creating a reliable synthetic dataset for usage-based insurance models.
method Three-stage process using machine learning: binary classification, regression, and synthetic oversampling.
result Synthetic dataset remarkably similar to real data in risk assessment models.
The paper calculates ruin probabilities for insurers with phase-type distributed claims.
problem Calculating ruin probabilities for insurers with specific claim distributions.
method Change-of-measure technique applied to phase-type distributed claim amounts.
result The mixture of Erlangs best fits real-world loss data, improving risk assessment.
We consider a financial contract that delivers a single cash flow given by the terminal value of a cumulative gains process. The problem of modelling and pricing such an asset and associated derivatives is important, for example, in the determination of optimal insurance claims reserve policies, and in the pricing of r…
The paper develops new methods to approximate ruin probabilities in a perturbed risk model.
problem Calculating exact ruin probabilities in a perturbed risk model is complex.
method Adapted Cramér-Lundberg model with Wiener process, four approximation methods.
result Four approximation methods provide high accuracy for ruin probabilities.
Interval bankruptcy problems arise in situations where an estate has to be liquidated among a fixed number of creditors and uncertainty about the amounts of the claims is modeled by intervals. We extend in the interval setting the classical results by Curiel, Maschler and Tijs (1987) that characterize division rules wh…
We study an optimal investment control problem for an insurance company. The surplus process follows the Cramer-Lundberg process with perturbation of a Brownian motion. The company can invest its surplus into a risk free asset and a Black-Scholes risky asset. The optimization objective is to minimize the probability of…
Study improves flood loss risk models using historical data and rainfall data.
problem Predicting financial losses from flooding events.
method Used neural networks, decision trees, and kernel-based regressors on NFIP dataset, incorporating rainfall data.
result Extreme Gradient Boosting provided the best results, and bias correction improved model performance.
Study claims trading to rescue banks in distress.
problem Rescue a bank in distress using claims trading.
method Formalize claims trading in financial networks, study decision and optimization problems, provide efficient algorithms for creditor-positive trades.
result No trade can strictly improve both banks' assets; provide efficient algorithms for creditor-positive trades.
Consider two insurance companies (or two branches of the same company) that receive premiums at different rates and then split the amount they pay in fixed proportions for each claim (for simplicity we assume that they are equal). We model the occurrence of claims according to a Poisson process. The ruin is achieved wh…
Research aims to make fact-checking models more transparent.
problem Making fact-checking models explainable in a complex field.
method Combines fact-checking methods with explainable AI techniques.
result Developed initial solutions for explainable fact-checking.
Clustering is ubiquitous in data analysis, including analysis of time series. It is inherently subjective: different users may prefer different clusterings for a particular dataset. Semi-supervised clustering addresses this by allowing the user to provide examples of instances that should (not) be in the same cluster. …
A geometric quantization of a Kähler manifold, viewed as a symplectic manifold, depends on the complex structure compatible with the symplectic form. The quantizations form a vector bundle over the space of such complex structures. Having a canonical quantization would amount to finding a natural (projectively) flat co…
A financial contract's value is determined by a quantum measurement outcome, and a pricing state exists to value it.
problem Valuing financial contracts contingent on quantum measurement outcomes.
method Proving the existence of a pricing state equivalent to the physical state on null spaces, and solving optimization problems for optimal contract payouts.
result There exists a pricing state equivalent to the physical state on null spaces, leading to a pricing function for financial contracts.
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.
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.
New optimal investment strategies for finance and insurance using Hawkes-based models.
problem Optimal investment strategies in finance and insurance for specific models.
method Solving Merton investment problems with Hawkes-based models.
result New optimal investment results for finance and insurance models.
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%.
Image classifiers often suffer from adversarial examples, which are generated by strategically adding a small amount of noise to input images to trick classifiers into misclassification. Over the years, many defense mechanisms have been proposed, and different researchers have made seemingly contradictory claims on the…
New method for individual claims reserving using machine learning.
problem Traditional claims reserving methods are limited in individual claim prediction.
method Restructured data utilization for CL prediction, using multi-period factors.
result Neural networks applied for individual claims reserving.
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 …
This paper addresses recalibration issues in hedging callable assets, proposing a new risk-adjusted approach.
problem The mismatch between dynamic hedging theory and practice due to daily recalibration.
method Extends HVA model risk approach to callable assets, focusing on recalibration and model risks.
result Model risk reserves adjusted for exercise decisions may significantly exceed basic valuation differences.
Optimizes insurance processing capacity to minimize costs.
problem Processing delays and backlogs in insurance claims.
method Optimal capacity selection to minimize delay-adjusted and fixed costs.
result Minimizes claims costs by balancing processing capacity and delays.
New model bridges pricing and reserving for insurance claims.
problem Incomplete claim data due to reporting and settlement delays.
method Develops an occurrence and development model to estimate both claims and premiums.
result Effective resolution of pricing and reserving inconsistencies.
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.
We consider trading in a financial market with proportional transaction costs. In the frictionless case, claims are maximal if and only if they are priced by a consistent price process--the equivalent of an equivalent martingale measure. This result fails in the presence of transaction costs. A properly maximal claim i…
Algorithm removes backdoor watermarks from neural networks robustly.
problem Protecting neural networks from backdoor attacks.
method Neural network laundering algorithm.
result Effective removal of backdoor watermarks with high test accuracy.
Investor maximizes utility from an unknown claim using robust optimization.
problem Maximizing utility from an unknown contingent claim.
method Robust optimization with quantile formulation and variational inequalities.
result Optimal trading strategy and utility indifference price determined.
BERT learns claim descriptions to identify patent novelty.
problem Identifying novel patent claims among existing documents.
method Training BERT on concatenated claims and descriptions, scoring BERT's output.
result BERT identifies relevant X documents for patent novelty.
We discuss a simple extension of the Ho and Lee model with generic time-dependent drift in which: 1) we compute bond prices analytically; 2) the yield curve is sensible and the asymptotic yield is positive; and 3) our analytical solution provides a clean and simple way of separating volatility from the drift in the sho…
Insurance companies must manage millions of claims per year. While most of these claims are non-fraudulent, fraud detection is core for insurance companies. The ultimate goal is a predictive model to single out the fraudulent claims and pay out the non-fraudulent ones immediately. Modern machine learning methods are we…
Paper introduces EEMs for pricing contingent claim returns.
problem Computing expected future prices of contingent claims.
method Dynamic change of measure approach to construct EEMs.
result EEMs provide physical and pricing expectations of contingent claim prices.
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.
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…
FiNCAT tool automatically identifies financial numerals in documents.
problem Differentiating between in-claim and out-of-claim numerals in financial documents.
method Extracts context embeddings of numerals using BERT, then uses Logistic Regression to classify.
result Achieved a Macro F1 score of 0.8223 on validation set.
LLMs help automate extraction of actuarial variables from unstructured claims data.
problem Manual processing of unstructured claims data is time-consuming and inconsistent.
method Two-stage processing architecture using LLMs, modular Python pipeline.
result LLM-based extraction achieved high accuracy and practical actuarial value.