Description: Level funded products often target the small group market (2-50) and can result in many manual and tedious processes for underwriting to perform risk assessment. Learn how a carrier used technology to help automate risk assessment without the need for paper medical questionnaires, and exposed a risk engine for broker quoting to enable near real-time of pricing for risk-based products. The approach reduced labor and allowed underwriting to focus solely on fallout cases while also improving pricing consistency. Discuss broader trends in the health market for risk assessment, including new machine learning cost predictions that can be used for automation and better predictions of future costs. Discussion topics will include underwriting guidelines, business rules, risk scores, and machine learning. By attending this session, you will have a better idea of new trends in risk assessment for small groups where no claims experience is available. And, better understand business rules that are common in underwriting for flags for review as well as how risk scores and machine learning can be used during the underwriting process.

Description: Asset liability management is an important task for any insurer, where tools like Excel play an important role from an analytics perspective. Dashboard tools like Power Bi and Tableau can supercharge an organization’s ability to perform ALM with real-time precision and monitoring of risk/imbalances. The dashboard can provide insights into potential risks posed by asset allocation and concentration, allowing for informed decision-making to mitigate those risks. The presenters will walk the audience through an example of ALM use case, including how to build key performance indicators such as cash flow, asset allocation, and risk exposure. Additionally, we will demonstrate how these types of dashboards can be customized to fit the specific needs of your organization.

Description: Actuarial Standards of Practice (ASOP) #12 on Risk Classification is being revised while the Academy of Actuaries Issue Brief on Discrimination, published in August 2023, is shaping how bias and discrimination are thought through as actuaries. Individual states like Colorado and New York are suggesting approaches, and the Society of Actuaries, the Casualty Actuarial Society and other actuarial associations are providing the actuaries the tools to address practical cases.

Description: The session begins with a brief introduction to Gen AI, including “what it is” and how to optimize outputs. Then, we will to provide some insight into what we are seeing within the Actuarial space – this would include the extent to which actuaries are using Gen AI on a day-to-day basis, how they are going about using it, and some predictions as to where this will go.

Description: This is the first in a series of calls for essays on the impact of AI on mortality and longevity. For this call for essays, we are interested in the impact of AI on mortality and longevity modeling, forecasting and prediction.

Description: Actuarial projects have become more intricate, involving external resources and requests beyond the Actuarial team’s purview. Whether a task appears minor or exceptionally complex, adept project and change management play a pivotal role in successful execution. In this session, we explore practical strategies for tailoring implementation management approaches. Our presenters draw from both corporate and consulting experiences, sharing valuable lessons. Additionally, they highlight effective collaboration with the Project Management Office, model developers, and model users

Description: CMS has required hospitals to publish their chargemaster rates, cash discounts and negotiated rates as of January 1, 2021. Our panel is comprised of a data strategist, an executive from a large hospital system and an actuary.

Description: This session will examine bias from a social science perspective. It will discuss the three types of systemic biases using the National Institute of Standards and Technology (NIST) model. The NIST model details the three types as historical bias, societal bias, and institutionalbias. The session will also provide several examples of each type to provide a framework for identifying the social structure of bias.

Description: Discuss various analytics and use cases using payer published reimbursement contract data under federal mandate of Transparency in Coverage. These contract rates are publicly available in machine readable format (MRF) starting July 1, 2022, and refreshed monthly. By attending the session, you will have a better understanding of the state-of-art development and analytics using MRF data, including the technologies used to extract and analyze huge MRF files, validation and limitations of published rates, and their use cases.

Description: In this session, we will do a deep dive into the potential of large language models; we will explore how new AI tools can be combined with traditional modeling to automate aspects of risk assessment. Industry experts focused on operationalizing this technology will talk through their approaches, lessons learned and demo use cases. We will also share insights around creating a robust AI strategy based on business objectives and regulatory considerations. Learning Outcomes: • Applications of large language models in risk assessment use cases • Regulatory considerations around the use of generative AI