oesai comprehensive life insurance technical training

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OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

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Page 1: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Page 2: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Predictive UnderwritingHow insurers can use statistics models to make sales process

easier

OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Ezekiel MachariaGroup Actuary - Jubilee Holdings Limited

Day 1, Wednesday 11th November, 2015

Page 3: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

AGENDA

• Predictive Underwriting• Making a Life Insurance Sale• What are predictive models• Usage of predictive models• Sample scoring• Developing an predictive model• Conclusion

Page 4: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Type “statistics” on eBay and an advertisement comes related to your search – how did they know what you like or if you will click on the advertisement

Page 5: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Predictive Underwriting

• Using predictive models to give insights into the day-to-day underwriting processes of a life insurer

• For example, determine the profile of the client beforehand and determine which people are fast tracked and those that require a medical report

Page 6: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Making a Life Insurance Sale

• Ten people want to buy a life insurance policy with a sum assured of $100,000• Each requires a medical report as per the underwriting guidelines for the sum assured requested• Also required to fill in 10 page questionnaire

Before underwriting (High Sum Assured)

Page 7: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Making a Life Insurance Sale

• Five people give up!!• Three people are ok•One requires premium to be adjusted with exclusions•One is rejected

After underwriting (High Sum Assured)

Load OK OKDeclin

eOK

Page 8: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Making a Life Insurance Sale

• Sale process was unsuccessful due to the following:-

•Process is cumbersome for client but critical for insurer–Requires a third-party medical exam

•Broadcast approach – check everyone (we don’t now who is a high risk and who is a low risk)

•Blame Others: Our agents made a hard sale? Was this the right customer? The product is expensive, if the price was lower – could they have bought the product?

Page 9: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

What are predictive models

• Example - Models that use statistics to score the risk profiles of potential clients and provide insights as to which clients require further investigation, e.g medical checkup•We can now require less people to go through the rigorous process of underwriting & verification – improving the sale process• In the example below – 5 people do not need to take medical examinations after risk scoring

Page 10: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

What are predictive models

• The predictive models can be automated in the IT system

Page 11: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Possible usage of predictive models for life insurance companies

Agent SelectionShortlisting productive agents

Customer SegmentationWhich customers will buy life insurance

Cross-SellingWhich term assurance clients can buy endowment?

Sales Others

Risk SelectionRisk scoring, ordering underwriting requirements

Price OptimizationDifferent prices for different channels

FraudOver-insurance and anti-selection

PricingReflect risk more effectively

ReservingSetting the right technical provisions

Page 12: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Sample Scoring – Underwriting requirements

Pass Refer to underwrite

r

MedicalTest Reject

Page 13: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Key requirements for predictive model

•Data, data, data….•Historical data (preferable in suitable format)•Data Warehouse

•Rating Factors: Age, Gender, Smoking status, Sum Assured, Admitted family history, BMI, Negative admitted personal medical history , current findings on blood (haemoglobin), lipids (e.g fats), Liver test (GGTP), etc

•Configuration with experience (need regular updates)

Page 14: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Developing a Predictive Model

1. Data Mining - Establish Patterns•Collect data, clean data and assign data distribution

2. Logic & Algorithm•Develop decision trees & identify factors and predictors

3. Build Model (can be repetitive)•Build, Test & Calibrate

4. Validate5. Implement & Document6. Monitor and Recalibrate

Page 15: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Popular Predictive Models

1. Decision Trees 2. Regression Trees3. Cox Model 4. Generalized Linear Model5. Logistic Regression6. Regression Spline7. Neural Networks8. k-Nearest Neighbour

Page 16: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Disadvantage

1. The model may be wrong– If not checked/updated/calibrated regularly with

recent data– Overfitting/wrong predictors– May not make sense (common sense)

2. Black box – nobody knows what is inside it

3. May depend on modeller (biased by perceptions)

4. Requires IT infrastructure, data (lots of it) and human capital

Page 17: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Advantages1. Prediction– Customers are happy if the sale process is

shortened or the sale is warmer (selling to a client already looking for a particular product)

2. Some prediction models require minimal statistical knowledge – neural nets

3. Various statistical methods available for prediction models

4. Usage of already collected data to improve business process – insurers with rich history, strong data integrity can leverage – perfect for online business

Page 18: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

Conclusion

• Predictive underwriting uses data analytics to give insights into the customer

• These insights can be used to provide competitive advantage for an insurer – this can be in sales, claims, pricing or reserving

• Prediction models can be build but require data

• Expected to grow with more adoption of big data and data mining techniques

• Perfect for online business

Page 19: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING

?QUESTIONS

[email protected]+254 722 540 045

Page 20: OESAI COMPREHENSIVE LIFE INSURANCE TECHNICAL TRAINING