Reporting Quality for Comorbidity Adjustment in Studies Using Korean Health Insurance Claim Data: A Scoping Review [PDF]
Journal of Preventive Medicine and Public HealthObjectives Adjustment for comorbidity is essential in observational studies using administrative data to ensure the reproducibility and transparency of research findings.
Kyoung-Hoon Kim
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Analysis of Insurance Claim Settlement Process with Markovian Arrival Processes [PDF]
Risks, 2016 This paper proposes a model for the claim occurrence, reporting, and handling process of insurance companies. It is assumed that insurance claims occur according to a Markovian arrival process.
Jiandong Ren
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Measurement Claim Reserving Insurance Contract in Accordance with IFRS 17 using Stochastic State Space Model [PDF]
ITM Web of ConferencesInternational Financial Reporting Standard 17 (IFRS 17) is a global accounting standard developed by the International Accounting Standards Board (IASB). It guides the accounting treatment of insurance contracts in financial statements. In IFRS 17, claim
Ronnie Effendie Adhitya +1 more
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Exploring the Role of Pseudodeductibles in Auto Insurance Claims Reporting [PDF]
Journal of Insurance Issues, 2012 Many who purchase insurance understand that by reporting covered losses to their insurers they increase the chances of future premium increases or reductions in insurance coverage. If under such circumstances a policyholder decides not to report an otherwise covered loss, the policyholder is effectively displaying the presence of a “pseudodeductible ...
Kerr, Dana A., PhD
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Prediction of outstanding IBNR liabilities using delay probability [PDF]
Mathematics and Modeling in Finance, 2021 An important question in non life insurance research is the estimation of number of future payments and corresponding amount of them. A loss reserve is the money set aside by insurance companies to pay policyholders claims on their policies.
Fatemeh Atatalab +1 more
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A hierarchical reserving model for reported non-life insurance claims [PDF]
Insurance: Mathematics and Economics, 2022 Traditional non-life reserving models largely neglect the vast amount of information collected over the lifetime of a claim. This information includes covariates describing the policy, claim cause as well as the detailed history collected during a claim's development over time.
Crevecoeur, Jonas +2 more
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US Antiarrhythmic Drug Treatment for Patients With Atrial Fibrillation: An Insurance Claims–Based Report [PDF]
Journal of the American Heart Association, 2021 Background Current American Heart Association/American College of Cardiology/Heart Rhythm Society guidelines and European Society of Cardiology guidelines recommend antiarrhythmic drugs (AADs) for maintenance of sinus rhythm in patients with atrial fibrillation. We assessed the concordance between healthcare provider real‐world
Jonathan G. Tardos +4 more
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Insurable Losses, Pre-filled Claims Forms and Honesty in Reporting [PDF]
SSRN Electronic Journal, 2020 We design a series of laboratory experiments to investigate the effects of purchasing insurance and of pre-filled claim forms on dishonesty in loss reporting. In our experiment, participants report the outcome of privately rolling two dice where the numbers rolled map to a payoff distribution with the possibility of losses in earned income.
Bradley J. Ruffle, William Morrison
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The Economic Consequences review of Modified Audit Reporting: Testing the Theories of Audit Assumptions [PDF]
مجله دانش حسابداری, 2021 Objective: This is very important for managers and investors of the company and other stakeholders to investigate the consequences of publishing modified audit reports in Iran. There are many factors affecting the modified audit report and the purpose of
Shiva Hassanpour +2 more
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Automatic analysis of insurance reports through deep neural networks to identify severe claims [PDF]
Annals of Actuarial Science, 2021 AbstractIn this paper, we develop a methodology to automatically classify claims using the information contained in text reports (redacted at their opening). From this automatic analysis, the aim is to predict if a claim is expected to be particularly severe or not.
Cohen Sabban, Isaac +2 more
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