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  • Validating a Novel Health Insurance Fraud Detection Method
    detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection ... detection in Medicare. Enterprise Risk Management = ERM;Own Risk Solvency Assessment = ORSA; Health care ...

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    • Authors: Robert D Lieberthal, Elias
    • Date: Aug 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Risk Management
    • Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
  • Calibrating Risk Score Model with Partial Credibility
    Calibrating Risk Score Model with Partial Credibility This article describes a method that can be useful ... useful when re-fitting a risk score model to a population of only moderate size. Learn how to use concepts ...

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    • Authors: Sheamus Parkes, Bradley Armstrong
    • Date: Jul 2015
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis; Predictive Analytics
  • The First SOA Annual Predictive Analytics Symposium
    The First SOA Annual Predictive Analytics Symposium Summary of the first annual predictive analytics ... to take it to the next level of expertise. Predictive modeling;Regression analysis;Risk modeling 6442477396 ...

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    • Authors: David Snell
    • Date: Jun 2017
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Predictive Analytics
  • Predictive Model Building 101
    Predictive Model Building 101 Process of building a predictive model and related considerations. Predictive ...

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    • Authors: Dorothy Andrews
    • Date: Jun 2017
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Predictive Analytics
  • Case 3: Improving LTC Projections with Predictive Analytics
    Case 3: Improving LTC Projections with Predictive Analytics Third ... article in a series on how to use predictive analytics to improve the development of long-term care projection ...

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    • Authors: Missy Gordon, Joseph Long
    • Date: Aug 2018
    • Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Long-Term Care News
    • Topics: Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care>Long-term care insurance; Modeling & Statistical Methods>Regression analysis; Predictive Analytics
  • Using Predictive Modeling to Risk-Adjust Primary Care Panel
    Modeling to Risk-Adjust Primary Care Panel This article discusses techniques used to create risk scores to ... for a provider organization. Predictive modeling;Risk adjustment;Health care payment models 6442477394 ...

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    • Authors: Anders Larson
    • Date: Jun 2017
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Health & Disability>Payment models; Predictive Analytics
  • Why Actuaries Should Welcome Automation
    business—Uber and Lyft shaking up the taxi industry, robots replacing workers on the auto produc- tion line, self-checkout ... being phased out. It’s a lot to take in, and the thought of technology replacing people can be unsettling ...

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    • Authors: Nathan Dennis Pohle, Darryl Wagner
    • Date: Aug 2018
    • Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Competencies; Actuarial Profession>Professional development; Actuarial Profession>Traditional careers; Predictive Analytics
  • Accelerated Underwriting: A Transformational Trend
    Accelerated Underwriting: A Transformational Trend Defines Accelerated Underwriting programs ... outlines a process for evaluating mortality implications of such programs. Accelerated Underwriting;Business ...

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    • Authors: Richard Pretty
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Product Matters!
    • Topics: Life Insurance>Underwriting - Life Insurance; Predictive Analytics
  • Improvement of Core Financial Processes with Data Science
    Improvement of Core Financial Processes with Data Science Interesting ways for financial reporting stakeholders ... reporting and related processes by borrowing the bag-of-words model from Natural Language Processing ...
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge>General business skills; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: CompAct
    • Topics: Financial Reporting & Accounting; Predictive Analytics; Technology & Applications>Analytics and informatics
  • Modelling Process
    Modelling Process An introduction of predictive modeling techniques that are applicable to insurance ...

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    • Authors: Qichun Xu
    • Date: Dec 2013
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Regression analysis; Predictive Analytics