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.
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%.
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 …
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.
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.
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.
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…
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.
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.
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.
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.
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…
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…
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.
New method simplifies individual claims reserving.
problem Insufficient flexibility and robustness in existing methods.
method Building on classical chain-ladder method, introduces new perspective.
result Advances toward a new standard for micro-level reserving.
Using a suitable change of probability measure, we obtain a novel Poisson series representation for the arbitrage- free price process of vulnerable contingent claims in a regime-switching market driven by an underlying continuous- time Markov process. As a result of this representation, along with a short-time asymptot…
Study tackles imbalanced data in car insurance claims prediction.
problem Predicting rare events (claims) in car insurance with imbalanced data.
method Various machine learning techniques (logistic-regression, decision tree, random forest, xgBoost, feed-forward network) applied to imbalanced dataset.
result Comparison of machine learning algorithms' performance in claim occurrence prediction.
We derive asymptotic expansions for the prices of a variety of European and barrier-style claims in a general local-stochastic volatility setting. Our method combines Taylor series expansions of the diffusion coefficients with an expansion in the correlation parameter between the underlying asset and volatility process…
Time-aware fact-checking improves veracity predictions for time-sensitive claims.
problem Fact-checking decisions should consider temporal information of claims and evidence.
method Investigated four temporal ranking methods to optimize evidence ranking for fact-checking models.
result Time-aware evidence ranking surpasses relevance assumptions and improves veracity predictions for time-sensitive claims.
We consider a classical risk process with arrival of claims following a non-stationary Hawkes process. We study the asymptotic regime when the premium rate and the baseline intensity of the claims arrival process are large, and claim size is small. The main goal of the article is to establish a diffusion approximation …
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 …
Unified methods for hedging impermanent loss in decentralized exchanges.
problem Hedging impermanent loss in liquidity provision at decentralized exchanges.
method Static and dynamic approaches using arbitrage-based methods for valuation and risk management.
result Unified valuation and hedging formulas for IL protection claims.
Wojciech Kamiński disproved a spiral claim for conformal geodesics.
problem Proving that conformal geodesics cannot spiral.
method Provided a counterexample and illustrated proof failure.
result Lemma 4.6 proof was flawed.
Audit shows risk claims from distributional reinforcement learning agents are often false.
problem Evaluating the risk claims made by distributional reinforcement learning agents.
method Combines a decision-relevant screening metric, ground truth from Monte Carlo, and statistical methods to audit risk claims.
result 40-95% of the strongest risk claims are refuted, indicating the learned risk reflects a training artifact rather than environment stochasticity.
Study uses SVM to predict weather-induced home insurance claims and losses.
problem Assessing future weather-induced home insurance claims and losses for disaster preparedness.
method Support Vector Machine (SVM) regression for forecasting future claim dynamics.
result Illustrates SVM approach in forecasting weather-induced home insurance claims in a Canadian city.
Paper proposes deep learning for fake claim detection on social media.
problem Spread of false information on social media.
method Extended LIAR dataset with sentiment analysis; BERT-Base model for classification.
result 70% accuracy in classifying claims as genuine or fake.
The paper deals with bonus-malus systems with different claim types and varying deductibles. The premium relativities are softened for the policyholders who are in the malus zone and these policyholders are subject to per claim deductibles depending on their levels in the bonus-malus scale and the types of the reported…
This paper suggests claim history will be deprecated in future auto insurance rates.
problem The role of historical claim records in auto insurance rates.
method Proposes a new risk variable elimination method and real-time road risk model design.
result Claim history will be considered a 'noise' factor and deprecated in Pay-How-You-Drive models.
Improved disability insurance model with collective health claims.
problem Enhance disability insurance model with collective health claims.
method Expand classic semi-Markov model with collective health claims, solve many-body problem using mean-field approach.
result Mean-field approach simplifies complex model into a transparent pricing method.
This paper deals with the super-replication of non path-dependent European claims under additional convex constraints on the number of shares held in the portfolio. The corresponding super-replication price of a given claim has been widely studied in the literature and its terminal value, which dominates the claim of i…
Study stability of contingent claim solutions under probabilistic perturbations.
problem Stability of solutions to discrete-time contingent-claim problems under uncertainty.
method Use Rockafellian perturbations to analyze stability of solutions.
result Establishes convergence of dual problems and shadow prices.
The article derives a formula for predicting claims uncertainty using the GCC method.
problem Claims reserving uncertainty in non-life insurance modeling.
method Generalized Cape Cod (GCC) method, derived an analytical formula for MSEP.
result Derives an analytical formula for the mean squared error of prediction (MSEP) of the GCC method.
In this paper, we propose the discrete time Compound Beta-Binomial Risk Model with by-claims, delayed by-claims and randomized dividends. We then analyze the Gerber-Shiu function for the cases where the dividend threshold d=0 and d>0 under the assumption that the constant discount rate ν∈(0,1). More specifical…
We study superhedging of contingent claims with physical delivery in a discrete-time market model with convex transaction costs. Our model extends Kabanov's currency market model by allowing for nonlinear illiquidity effects. We show that an appropriate generalization of Schachermayer's robust no arbitrage condition im…
Study optimal hedging for claims with random weights in discrete time.
problem Optimal hedging for claims with random weights in discrete time.
method Explicit recursive representation of optimal hedging strategy, without ND condition.
result Obtained explicit optimal hedging strategy in a recursive form.
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.
The paper analyzes systemic risk in an insurance model with multiple business lines and heterogeneous claims.
problem Analyzing systemic risk in a multi-dimensional insurance model with heterogeneous claims.
method A multi-dimensional Lévy process-based renewal risk model with pairwise asymptotic independence (PAI).
result Asymptotic formulas for tail probabilities and systemic risk measures are derived.
We analyze systems of agents sharing light-tailed risky claims issued by different financial objects. Assuming exponentially distributed claims, we obtain that both agents' and system's losses follow generalized exponential mixture distributions. We show that this leads to qualitatively different results on individual …
SynthETIC simulates insurance claims with customizable features.
problem Lack of synthetic data for insurance claim analysis.
method Develops a new simulator for individual insurance claims with customizable features.
result SynthETIC fills a gap in actuarial toolkit for synthetic data.
Bayesian CART models improve insurance claims frequency prediction and interpretation.
problem Improving accuracy and interpretability in insurance pricing models.
method Introducing Bayesian CART models for claims frequency, implementing MCMC algorithm for posterior tree exploration, and using DIC for model selection.
result Bayesian CART models can better classify policy-holders into risk groups.