Adrienne Lewis & Kyle Hales November 21, 2013 1.  Definition  The process by which a model is created to try to best predict the probability of an outcome.

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Presentation transcript:

Adrienne Lewis & Kyle Hales November 21,

 Definition  The process by which a model is created to try to best predict the probability of an outcome  Limitations  Data – delicate balance between homogeneity and credibility or potential gaps  History cannot always predict the future – model implicitly assumes certain steady-state conditions which usually don’t hold when people are involved  Issue of unknown unknowns – undiscovered variables may be critical to successful model  Manipulation by others 2

 Competitive Intelligence  Research peers in line and/or key state(s)  May provide starting place for variable investigation  Model Building  GLM or tiering approach  Internal company data or external data  Single company or multi-company  Filing Support  Actuarial justification  Create rules to explain model rating steps  Keep proprietary models as confidential as state allows 3

Lines of Business & Model Types Industry News External Data 4

 Commercial Auto  Rating  Businessowners (BOP)  Rating  Workers Compensation (WC)  Rating/Tiering  Underwriting  Claims  General Liability (GL)  Tiering 5

 Generalized Linear Models (GLMs) ◦ Continuous ◦ Random component ◦ Systematic component ◦ Link function ◦ Complex – five or more elements  Tiering Criteria ◦ Discrete ◦ Simple – three to five elements 6

 In order to focus underwriting on the good risks, insurers need a model to determine  Potential variables:  Physician data (area of specialty, location, billing/payment history, practice demographics)  Claims data (experience data, frequency, loss control, fraud)  Third-party databases (MVRs, credit, AMA master file, pharmacy data) "It's the Right Time for Right Pricing in Medical Malpractice Insurance“ Contingencies, July/August

 Provides the best match for predictive modeling due to the data intensity already required for reporting  Uses of predictive modeling for workers compensation:  Prospective identification of high cost claims (reserving, case management, settlement strategy)  Premium auditing (when and whom to audit)  Fraud detection (earlier and more accurately) "Workers' Comp and Predictive Modeling" The CLM, May

 Valen Technologies Inc.  Develops P&C predictive models  Interest increased in the past 18 months  Insurers may look to predictive modeling for a competitive edge in the difficult workers compensation market.  CNA  Created a predictive model and determined which factors make some companies safer than others  Use model in underwriting to predict accidents and determine the quality of an account  Model helps CNA recommend safety measures to insureds to reduce workers compensation losses "Predictive Models Increasingly Being Used as Workers Comp Underwriting Tool" Business Insurance, February

 Bayesian belief based models – model the decision making process of expert underwriters  Design and test with minor investment of time and cost; adjusts over time  Comprised of three elements:  Risk appetite gate – only submissions in the insurer’s risk appetite definitions are evaluated by its underwriters  Risk quality predictive models – one model for each product line to output a score  Bayesian predictive methodology for package submissions – takes scores from each product line to assess the overall score of the account "Using Predictive Modeling to Improve Underwriting Performance for Middle-Market Commercial Insurance Accounts" TNC Management Group, March

 LexisNexis ◦ Commercial Attract Score  Commercial credit data (Dun & Bradstreet and Experian)  Business demographics  Business owner data (including personal credit & claims)  Woods & Poole Economics, Inc. ◦ Database contains 900 economic and demographic variables by state, region, county, metro area  Population data by age, sex and race  Employment and earnings by major industry  Retail sales by kind of business  1970 to

 Pitney Bowes  Business demographics  Includes SIC/NAICS, employee count, sales volume  ISO/Verisk  Environmental Module - Commercial Auto & BOP  Workers Compensation premium audit model  Social Intelligence Corp ◦ Search social media  To properly classify or uncover aspects of businesses missed by traditional underwriting  To expedite and aid in fraud detection 12

 Marshall & Swift/Boeckh  PerilVision – property losses by peril  BVS Commercial – rebuild costs by business type  Hazard data – natural zones (flood, sink hole, wind, etc)  RiskMeter Online  Property location data  Crime report  CoreLogic  Natural hazard risk  Commercial market trends (sales, loan originations, defaults) by segment 13

Frequency Severity Loss Ratio Frequency Severity Loss Ratio Quotes Sales Hit Ratio Quotes Sales Hit Ratio Credit Location Crime Credit Location Crime Competition Demographics Opportunity Competition Demographics Opportunity 14

State Matrix Examples 15

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 Stored on Sharepoint  Company Filings  14 reference filings (Auto, BOP, GL, WC)  If you encounter a filing with a predictive model, save it to Sharepoint for others to reference  Articles  Predictive modeling surveys (Towers Watson, ISO)  Presentations  This document  Filing Support Matrix for Commercial Lines  Technical Papers 17

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