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  • A Renewal Model for Medical Malpractice
    professional negligence by act or omission by a health care provider in which the treatment provided falls ... of the main factor is the type of work a health-care provider does. Some specialties have a significantly ...

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    • Authors: Ghislain Leveille, Emmanuel Hamel
    • Date: Dec 2012
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability
  • Claim Processing Technology
    honest about submitting claims, Now that managed care is here and the physician arc reacting to it, there ... economic reasons as well. Therein lies why you should care about expert systems. What you really need is the ...

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    • Authors: Leslie Levy, Clifford L Bateman
    • Date: Apr 1989
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Health & Disability>Electronic medical record
  • Health Topics
    steep, so much so that this whole area of health care and health insurance is again reaching the crisis ... types of benefits, such as accident and intensive care, where there tends to be antiselection in the ...

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    • Authors: E Paul Barnhart, Kriss Cloninger, Karen L Gervasoni, David E Olsho
    • Date: Jan 1991
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Topics: Health & Disability
  • Current Topics in Employer Stop Loss
    three-and-a-half years, and before that I was on the direct side for 20 years. I’ve been involved with this ... MGU. There’s less control of the underwriting. A direct carrier that has a significant amount of the risk ...

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    • Authors: Raymond J Marra, Michael McLean, Jerome Winkelstein, Daniel Wolak
    • Date: May 2001
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Group ASO and Minimum Premium Plans
    problems for them to charge back to a specific job any direct-claim payments in a month where the claims had ... arrange the plan so that it is second and not primary? MR. BARKSDALE: Quality of claims control varies ...

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    • Authors: Application Administrator, William Cunningham, Richard G Murdock, Richard J Barksdale
    • Date: Jun 1978
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Management Strategies In Today's Group Insurance Environment
    administrative business or the investment business, as primary activities. It is, therefore, our desire to be ... claims and expenses. Mmking money in the Medical Care area, however, has posed a more serious challenge ...

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    • Authors: Philip Briggs, James D Chapman, Paul R Fleischacker, Ronald L Wobbeking
    • Date: Oct 1982
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Life Insurance>Group plans - Life Insurance
  • Group Coverage
    these reserves would be far from adequate to take care of the holocaust accompanying all-out atomic warfare ... it became apparent they were insufficient to take care of deferred maternity obligations. 2. To stabilize ...

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    • Authors: Society of Actuaries
    • Date: Sep 1951
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability; Life Insurance
  • Selection of Demographic Assumptions
    is not participating in Social Security. The primary consideration I have in working with a very large ... impairment criteria had some effect, but it was not the primary factor contributing to the 50% increase in inci- ...

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    • Authors: Application Administrator, Stephen Goss, Marilyn Miller Oliver
    • Date: Jun 1995
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Pensions & Retirement>Defined benefit plans
  • Executive Compensation
    and enhance the total compensation package. Our primary focus will be on the techniques used to fund these ... nonqualified plan is the "salary continuation" plan. The primary purpose of a salary continuation plan is to provide ...

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    • Authors: Lane West, William Witt, JAMES F MCJOHN, JANE L LOONEY
    • Date: Apr 1984
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Life Insurance; Pensions & Retirement
  • Session 115: Predictive Analytics in the Canadian Life & Health Insurance Industry
    entities were selected to participate • Mix of direct writers, reinsurers and bank-owned insurance subsidiaries ... that reinsurers have less centralized data than direct insurers. 22% 27% 19% 14% 18% By Average ...

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    • Authors: Benjamin Marshall, Jean-Yves Rioux
    • Date: Feb 2020
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health information technology; Health & Disability>Electronic medical record