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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 ...

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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
  • 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 ...

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    • 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
  • Risk Management
    Sanders, and Gary Wells discusses the need for a direct treatment of liquidity risk. The authors argue ... exam material counts toward SOA CPD credit. Our primary needs are in question writing and devel- opment ...

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    • Authors: Ross Bowen
    • Date: Aug 2012
    • Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Risk Management
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Finance & Investments>Investment strategy - Finance & Investments
  • Enterprise Risk Management at the U.K. Pension Protection Fund
    and setting the fund’s investment strategy. A primary driver for conferring these powers on the board ... March 31, 2011, £7 billion of assets were under direct PPF management, with a further £7 billion of assets ...

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    • Authors: Martin Clarke, Jean Pierre Charmaille
    • Date: Apr 2012
    • Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Risk Management
    • Topics: Enterprise Risk Management
  • Pension Investing and Corporate Risk Management
    securities. Since they can easily adjust, they don’t care if these decisions increase or reduce the risk of ... restored. If they renegotiate for increases in direct compensation, or fringe benefits, expected future ...

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    • Date: Jun 2015
    • Competency: Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Risk Management; The Pension Forum
    • Topics: Pensions & Retirement>Pension investments & asset liability management
  • Risk Management, March 2017
    Offi- cer, Application of ERM National Long-Term Care Needs and Parameter Uncertainty. Finally, be on ... have a clearer picture of the future of health care. Brexit will eventually get moving along. Teresa ...

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    • Authors: Society of Actuaries
    • Date: Mar 2017
    • 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
  • A Review of Root Cause in Insurer Insolvencies and Impairments
    liability; Life & Annuity, Health, including long- term care (LTC); and Health cooperatives. Figure 1 Number ... circumstances. Some insurer insolvencies point to one primary causal driver, such as fraud. However, a majority ...

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    • Authors: David Heppen, Veronika Cooper
    • Date: Aug 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Practice expertise; 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>Operational risks; Enterprise Risk Management>Risk measurement - ERM; Finance & Investments>Investments
  • A Framework for Pension Risk Management
    as credit risk and longevity risk, could have a direct and meaningful impact on a plan’s current funding ... Additional plan risks exist beyond those whose direct impact is primarily financial, including those ...

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    • Authors: David Cantor, Brett Dutton
    • Date: Mar 2014
    • Competency: Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Risk Management
  • Developing a Robust Risk Appetite Statement
    strategic goals are linked with the company’s primary corporate financial objectives, for example to ... a Black- Scholes model 1. Board oversite via direct reports from Trading Desk Manager 2. Formal ...

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    • Authors: Jim Toole, Matthew Stahl
    • Date: Jan 2016
    • Competency: Communication>Written communication; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Risk Management
    • Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Risk measurement - ERM
  • The Complications of Cyber Risk Quantification
    set of losses associated with cyber attacks…The direct revenue losses for the companies involved in a ... unlikely. Alli- anz’s Donavan sees a “standard of care” evolving along the lines of the National Institute ...

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    • Authors: Society of Actuaries
    • Date: Mar 2017
    • 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