Description: The reinsurance market is experiencing unprecedented growth in both frequency and severity of catastrophic medical claims. Most experts identify specialty drugs, new gene therapies and high-intensity hospital in-patient stays as contributing factors. With Rx claims, high-cost drug protocols are creating chronic high-cost cases over multiple years. What can actuaries do to rapidly identify these cases? If identified, what techniques can be used to reduce or manage cost? Panel will include a nationally recognized consulting actuary, health plan executive and reinsurance executive.

Description: The U.S. health care industry has gone through a dramatic change during the past several years. The business model has moved from a risk selection model to a risk management model. People can shop online for their health care coverage. Everyone is welcome! Annual and lifetime dollar limits, underwriting and the pre-existing conditions exclusion are all in the history book now. Facing the challenges of the post-reform era, many health insurance carriers began using big data analytics on all aspects of their decision-making processes. The goal is to be able to compete on analytics in this quickly changing environment. However, becoming an analytics competitor is not easy. It requires the belief from the leadership and a group of dedicated analytical professionals to solve emergent business problems that existing strategies cannot address in an evolving market. These problems include marketing for acquisition and retention, coding accuracy, revenue growth, health care disparity, payment integrity, quality of care, health care cost reduction and, ultimately, personalized care management. In this section, audience will learn a basic understanding of the role of predictive analytics in US Healthcare marketplace.

Description: Artificial Intelligence (AI) is expected to change the insurance industry more in the next 10 years than it has changed in the past 100 years. Rapid advancements in computing power and the exponential growth of Big Data are creating more opportunities to incorporate AI techniques and methodologies into actuarial work. This session is for the practicing actuary who would like to learn more about AI and how to use it to analyze insurance data. At the conclusion of the session, attendees will be able to understand the fundamentals of AI, to build an AI model and to identify AI opportunities in their work.

Description: This speech shares the practical experience of platform construction in the actuarial practice work of Ping An People Life, at the same time, shares the development mode of the actuarial system combining online and offline, and summarizes and expounds the advantages and disadvantages of this mode.

Description: This paper looks at the problem of valuing and managing the ALM risks associated with insurance liabilities that are too long to be matched by available investments. Two options were explored and the paper concludes by arguing that the Static Control Model leads to more useful ALM strategies for long liabilities.

Description: 2011 Enterprise Risk Management Symposium, Chicago. This presentation discusses how real world Grey Swan scenarios are excellent choices for stress and resiliency testing. In addition, an example is provided of a set of Grey Swan scenarios which correspond to the RBC C-3, Phase II.

Description: 2011 SOA Enterprise Risk Management Symposium, Chicago. The stated purpose of this paper is to consider whether a more comprehensive and timely measurement framework for risk exposure is now needed and to examine one possible approach. This paper proposes a new approach to risk measurement that, along with capital measurement and more rigorous oversight, will allow banks an ability to manage risk.

Description: Producing a crystal-clear balance roll-forward on time, obtaining a fresh model output the first time or providing model results for your business partners with a tight turnaround all depend on one thing: how fast the model engine runs. Authors explored various reasons behind significant computational power consumption, and discussed different ways to speed the computational process such as in-force population compression, model use case consolidation, code simplification and streamlining, and infrastructure automation, etc.

Description: The presentation will outline the different possibilities insurance companies have to hedge their equity risk for the various products.

Description: This chapter introduces a few probability distributions that play an important role in understanding and analyzing healthcare data. While theoretical in nature, these distributions model real life if appropriately chosen. Probability distributions are mathematical representations of how statistical data behave.