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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- 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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A Review of Root Cause in Insurer Insolvencies and Impairments
A Review of Root Cause in Insurer Insolvencies and Impairments The article is based on a study of causes of insolvency and decisions made by management, regulators, and policyholders over the ...- 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
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Recent Publications in Risk Management
Recent Publications in Risk Management Other articles that will be of interest to readers. Enterprise Risk Management = ERM;Own Risk Solvency Assessment = ORSA 6442485742 12/01/2018 06:00:00 ...- Authors: Society of Actuaries
- Date: Dec 2018
- Competency: 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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Recent Publications in Risk Management
Recent Publications in Risk Management Other articles that will be of interest to readers. Own Risk Solvency Assessment = ORSA;Enterprise Risk Management = ERM 6442482133 03/01/2018 06:00:00 ...- Authors: Society of Actuaries
- Date: Mar 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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2016 Asset Allocation Contest Winners Announced!
2016 Asset Allocation Contest Winners Announced! The winners of the Investment Section's 2016 Asset Allocation Contest are announced, along with a recap of the contest and market ...- Authors: James Kosinski
- Date: Feb 2017
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Risks & Rewards
- Topics: Finance & Investments>Investment strategy - Finance & Investments
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Asset Adequacy Analysis for the Long Term Care Product: A Case Study
Asset Adequacy Analysis for the Long Term Care Product: A Case Study Discussion of Asset Adequacy Analysis for one company's Long Term Care Product. Includes a discussion of the need for ...- Authors: Amy Pahl
- Date: Nov 2004
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Small Talk
- Topics: Enterprise Risk Management>Portfolio management - ERM; Finance & Investments>Investment policy; Finance & Investments>Investment strategy - Finance & Investments
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Small Talk, March 2017, Issue 47
Small Talk, March 2017, Issue 47 Read the March 2017 issue of Small Talk published by Smaller Insurance Company Section. Practical information on trends that impact sections and activities. Risk ...- Authors: Society of Actuaries
- Date: Mar 2017
- Competency: 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: Small Talk
- Topics: Technology & Applications>Analytics and informatics
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The Individual ACA Market—What’s Next?
The Individual ACA Market—What’s Next? This article explores the changing risk profile between the transitional Affordable Care Act (ACA) period (2014-2016) and under the final ACA period (beyond ...- Authors: Kurt Wrobel
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Pensions & Retirement>Risk management; Public Policy
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New & Noteworthy: Change is Constant
New & Noteworthy: Change is Constant Industry briefings and SOA news Financial management, ;Risk measurement;Data mining=Big data 6442466934 02/01/2016 06:00:00 ...- Authors: Society of Actuaries
- Date: Feb 2016
- Competency: External Forces & Industry Knowledge>General business skills; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: The Actuary Magazine
- Topics: Enterprise Risk Management; Technology & Applications>Analytics and informatics
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The Modeling Platform, December 2016, Issue 4
The Modeling Platform, December 2016, Issue 4 Read the December 2016 issue of The Modeling Platform published by the Modeling Section. Newsletters provide practical information for the working ...- Authors: Society of Actuaries
- Date: Dec 2016
- Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: The Modeling Platform
- Topics: Enterprise Risk Management>Governance; Modeling & Statistical Methods