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,The Insurance Value Chain Primary Activities- Marketing and Distribution,
Underwriting, and Claims
Support Activities- Legal and compliance,
customer service, actuarial, reinsurance, premium
auditing, human resources, special investigation
units, information technology, accounting and
finance, investments, risk control
Q) What are some ways predictive modeling based
on data-driven decision making benefits an
insurer?
A) Predictive modeling improves underwriting
accuracy, pricing precision, claims processing,
fraud detection, and a variety of other business
activities.
Results produced through data science are useful
only if they are relevant to the business context. For
example, unless insurers gain knowledge that helps
them compete more effectively, they aren't
receiving any benefits from data science. Similarly,
to make data science a worthwhile endeavor for
risk managers, they must be able to realize the
benefits of employing new technologies, such as
wearable devices, to improve safety or obtain
insights about risk that will help them manage it
more efficiently.
,Through data-driven decision - Automating decision making for improved
making, data science helps insurers accuracy and efficiency—Providing online quotes
and risk managers improve their for personal auto insurance based on a computer
business results by: algorithm has become commonplace.
To achieve their operational goals - Organizing large volumes of new data—By
and effectively use data science to organizing data according to various
enhance their performance and characteristics, an insurer could, for example, use
profitability, insurers rely on internal telematics data to examine speed, braking
and external data, which can be patterns, left turns, and distance traveled.
structured or unstructured, from a
variety of sources. - Discovering new relationships in data—For
example, a risk manager could identify the
characteristics of workers who never had a
workplace accident and determine whether
correlations could be gleaned to improve safety
for all workers. ANOTHER EXAMPLE Risk manager
Mustafa uses data science to improve his business
results. Data science helps him to discover new
relationships in data, automate decision making,
organize large volumes of data, and explore new
sources of data. Which one of the following factors
of data science allows Mustafa to identify
correlations in health and lifestyle that indicate a
life insurance applicant is more prone to certain
diseases
- Exploring new sources of data—An insurer could
use text mining to analyze claims adjusters' notes
for various purposes, such as developing an
automated system to predict high-severity claims,
and then assign resources as appropriate.
, Risk Management and Insurance Define risk management or insurance problem
Data Analytics Decision-Making
Model Data >>>Analysis and Modeling >>> Insights >>>
Actionable Decisions
Traditionally, actuaries have been the
professionals who analyze data and Insights give feedback to Data
make predictions based on those
analyses for insurers. With strong
backgrounds in mathematics and There are two basic approaches to data-driven
statistics, they focus primarily on decision making:
pricing, ratemaking, and claim
reserving. 1) descriptive- The descriptive approach is helpful
when an insurer or risk manager has a specific
Data scientists, meanwhile, explore problem that can be solved through data science.
previously underused sources of Once that problem is solved, the exact analysis is
data, such as social networks and typically no longer needed.
new technology. Rather than being For example, let's say that an insurer changed its
concerned directly with pricing and underwriting guidelines for auto insurance,
reserving, their work may lead to reducing the accident-free time period required for
new insurance products and risk coverage from five to three years. In this scenario,
management techniques, as well as the insurer may use a descriptive approach to
the refinement of existing products. decision making the following year to determine
There is no clear division between whether this was a sound business decision.
the roles of actuary and data
scientist, however. Many actuaries 2) predictive- The predictive approach to data
are acquiring advanced computer- analytics creates a reusable method of providing
programming skills by using new information for data-driven decision making by
data-analysis programming humans, computers, or both.
languages, such as R or Python, to For example, automated underwriting for personal
supplement their mathematical and auto insurance is a predictive approach that's used
statistical knowledge. each time a person applies for insurance. The
computer makes the underwriting decision and
issues a price quote.
Q) For which one of the following is it difficult to
rely solely on traditional underwriting guidelines?