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Risk Measurement and Management for Health Insurance
including disability income, long-term care, medical/managed care and group insurance products. From Record ... careers;Health insurance;Health risks;Long-term care insurance=LTCI; 18519 5/1/2004 12:00:00 AM ...- Authors: Thomas Corcoran, James E Drennan, John Stark, Douglas Taylor, Scott Haglund
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management; Health & Disability>Disability insurance
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies ... Health care fraud;Predictive modeling;Medicare;Health insurance;Health economics;Health care costs;Data ...- 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
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Risk Management, August 2018
2017 Actuarial Research Conference (ARC) on health care fraud detection. In the March issue of Risk Management ... health insurance fraud detection method. This health care fraud study aims to develop a pro- phetic modeling ...- Authors: Society of Actuaries
- Date: Aug 2018
- Competency: 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: Enterprise Risk Management
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How to Prevent the Big Mistake
financial hiccups in the life industry in both the primary and reinsurance markets. The cyclical nature of ... a similar risk in another product category, to direct resources to the former and away from the latter ...- Authors: Edward Betteto
- Date: Mar 2003
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Reinsurance News
- Topics: Enterprise Risk Management; Finance & Investments>Asset liability management; Finance & Investments>Portfolio management - Finance & Investments; Finance & Investments>Risk measurement - Finance & Investments; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Stochastic models
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Enterprise Risk Management Specialty Guide
must be an individual, or a small team, whose primary responsibility is to implement ERM. The business ... treaty. A large multi-line carrier with both primary and reinsurance operations was unaware of its ...- Authors: Society of Actuaries
- Date: May 2006
- Competency: Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Enterprise Risk Management
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Enterprise Risk Management Specialty Guide
José Siberón Suzanne Wille Mark Yu Please direct any comments to Jennifer_Bowen@swissre.com. We ... must be an individual, or a small team, whose primary responsibility is to implement ERM. The business ...- Authors: Society of Actuaries
- Date: Aug 2005
- Competency: Professional Values>Practice expertise; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Enterprise Risk Management
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Strategic Management of Insurance Company Risk
management is, but everybody thinks they need to care about it. It was this thought process that led ... information for the Enterprise Risk Report. The primary purpose of this report is to summarize the company’s ...- Authors: Helen Galt, Craig R Raymond, C Nelson Strom, Mary Gottschalk
- Date: Oct 1996
- Competency: Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management
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The New Risk Management Professionals
by the new risk manage- ment professionals. A primary tool used by actuaries for managing risk was conservatism ... They were developed in the context of pricing primary and derivative securities, with variability of ...- Authors: Narayan S Shankar
- Date: Nov 2004
- Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Small Talk
- Topics: Enterprise Risk Management; Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Portfolio management - ERM
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The Actuary Magazine December 2004 - Benchmarking Enterprise Risk Management Practices In A Derivatives Firm
The Actuary Magazine December 2004 - Benchmarking Enterprise Risk Management Practices ... Only one item (monitoring limit violations) has no direct actuarial parallel. The others line up nearly one–for–one ...- Authors: Donald F Mango
- Date: Dec 2004
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: The Actuary Magazine
- Topics: Enterprise Risk Management
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What does ERM mean for Health Practitioners?
Why Care About Enterprise Risk Management? I n late 2008, the health insurance industry faced a number ... Garnett 10 New Member Impact on Medicaid Managed Care Costs By Bela Patel Fernandez and Jeff Smith ...- Authors: Max Rudolph
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Relationship Management>Staff management and motivation; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management; Modeling & Statistical Methods>Forecasting