35
REAL WORLD USES OF BIG DATA: INSURER OPERATIONAL APPLICATIONS PRESENTED BY : LESLEY BOSNIACK, FCAS, CERA, MAAA LISA G. CHANZIT , FCAS, MAAA, ARM

REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA: INSURER OPERATIONAL APPLICATIONS

PRESENTED BY: LESLEY BOSNIACK, FCAS, CERA, MAAALISA G. CHANZIT, FCAS, MAAA, ARM

Page 2: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA: INSURER OPERATIONAL APPLICATIONS

Insurers use predictive modeling to improve operations:PricingUnderwritingMarketingClaimsStrategyCapital modelingOther

2©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 3: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

Regulatory encounters with predictive modeling:Loss cost/rate filingsRule filingsFinancial examsORSA filings“Hidden” encounters?

3©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 4: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

Case Studies:#1: Strategy#2: Underwriting#3: Marketing#4: Claims

4©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 5: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

Case Study #1:

Strategy

5©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 6: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

Strategic QuestionsWhat key variables are relatable to the performance and risk of a company?Are these variables economic, insurance, behavioral,…in nature?Are variables leading indicators, is there a causal relationship, do variables and performance outcomes have common drivers?

6©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 7: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #1: STRATEGY (CONTD.)

Strategic Example – Drivers of Performance

Define a model that identifies leading indicators of company performance.

Identify and test potential drivers

7©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

PotentialDrivers

Unemploy-ment Rate

Interest Rate

Construct Price Index

Insured Age Commute

to WorkEstimates

Occupation Injury &

Illness Rate

Claims Inflation

Rate

Smart Home Device Sales

Juris-dictional

Changes in Leading States

Estimates Demog &

Population Home Ownership

RateLabor Productivity

Index

Social Media

Sentiment Data

House Afford Data

Currency Strength

Small Business Lending

Index

Page 8: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #1: STRATEGY (CONTD.)

8©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Strategic Example – Drivers of Performance

Use of findings

Driver Monitoring Business Plan Stress Testing

-8.0%

-6.0%

-4.0%

-2.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

Une

mpl

oym

ent R

ate

Quarter

Unemployment Rate

Unemployment Rate Unemployment Tolerance Level Deviation from Target LR

Unemployment RateBusiness

Plan Levels0.5%

Above BP1.0%

Above BP1.5%

Above BPPremium 100 . . .Total Reserves 135 . . .Investible Assets 175 . . .Net Income 45 . . .Surplus 415 . . .ROE 10.8% . . .

Unemployment Rate Scenarios

Page 9: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #1: STRATEGY (CONTD.)

Strategic Example – Drivers of Performance VolatilityDefine a model that identifies key drivers of volatility and estimates volatility of account performance based on these drivers.

Volatility defined by standard deviationTarget metric is deviation from expected result

9©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 10: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #1: STRATEGY (CONTD.)

Strategic Example – Drivers of Performance VolatilitySample multiplicative algorithm based on base case volatility assumption

adjusted for three key drivers:

10©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Base Case Account Standard Deviation 0.40Line of Business Relativity Commercial Auto 1.30 Property (Base) 1.00 Workers Compensation 1.10

Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market (Base) 1.00 Soft Market 1.30 Transitioning to Hard Market 0.90

Age of Insured Business Relativity New Business 1.50 One Year 1.40 Two Years 1.30 Three Years 1.10 Greater Than Three Years (Base) 1.00

Page 11: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #1: STRATEGY (CONTD.)

11©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Strategic Example – Drivers of Performance VolatilityApplication of Algorithm to Sample Account:Sample AccountNew WC entrant as market appears to be hardening.

Calculation of Account Volatility Measure

Translated into Required Capital for Account:Required Capital: 0.31

Account requires 31 cents of capital per dollar of premium written.

Base Case Account Standard Deviation 0.40Workers Compensation Relativity 1.10Transitioning to Hard Market Relativity 0.90New Business Relativity 1.50Sample Account Standard Deviation 0.59

Page 12: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #1: STRATEGY (CONTD.)

Strategic Example – Drivers of Performance VolatilityDrivers of volatility can inform:

Determination of required capitalAllocation of capital to line or accountMonitoring and optimization of portfolio mixIdentification of common drivers of uncertainty across risks (pricing, reserving, investment,…)

12©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 13: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

13©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Case Study #2:

Underwriting

Page 14: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

Case Study #2: Small Commercial Lines Underwriting

BACKGROUND:Predictive underwriting modelDeveloped several years agoUsed for premium debit/creditNot used for underwriting decisionsScope: assess in light of current practices

14©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 15: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #2: UNDERWRITING(CONTD.)

Model Design:GLM: 𝑌𝑌 = 𝛽𝛽𝛽 + Σ 𝛽𝛽𝑖𝑖 𝑋𝑋𝑖𝑖Y = predicted loss ratioX = independent variables

InternalExternal

Limited lossesGrouping of variable valuesCalibration, Deciles

15©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 16: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #2: UNDERWRITING(CONTD.)

Information:Model documentation

ApproachVariablesEquationsCalibrationResults

Additional implementation documentationCalculator for sensitivity testingStatistical analysisModel Lift

16©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 17: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #2: UNDERWRITING(CONTD.)

ConclusionsCertain predictive variables missing/others redundant

External, e.g., economicInternal, e.g., loss control

Consider modelling loss cost/deviation from targetModel needs re-calibration

External, e.g., industry trendsInternal, e.g., operational changes (explicitly include in model)

Consider newer modeling methodologies/non-linear relationships/correlationsTest impact of grouping, missing values, use of averages, limiting losses/premiumUpdate model (not implement current)Involve underwriters in model development

17©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 18: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

Case Study #3:

Marketing

18©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 19: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

19©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Renewal Retention AnalysisCase Study Introduction

Improve customer retention by understanding:Customer buying habitsFactors contributing to customer loyalty (long and short term)Factors contributing to loss of customerLinkage to customer loss experience

Page 20: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

Renewal Retention AnalysisStrategic Questions

What key variables are relatable to the success of binding a policy?How do variables differ in acquiring new business vs retaining renewal business?Are variables general in nature (i.e. younger insureds prefer to buy insurance online) or more specific to individual insured?

20©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 21: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

21©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Renewal Retention AnalysisPotential Drivers

Define a model that provides insight into customers and customers’ buying habits

Number of Years

Insured by Company

Insured Age

Rate History

Insured’s Occupation

Rates vs Competitor

Marketing by Company

Multiline Insured

Insured’s Lifestyle

Market Competitive

-ness

PotentialDrivers

Economic Environ-

ment

Insured Residence

Distribution MechanismInsured’s

Claim Experience

Credit Score

Market Cycle

CoveragePurchased

Distribution Mechanism – Ease of

Use

Policy Terms Selected (e.g.,

Deductible level)

Insured’s Experience

in Submitting a

Claim

Interaction with

Customer/ Survey Results

Page 22: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

Renewal Retention AnalysisA Sample of Potential Sources of Information

Insurer’s Data (Individual and Aggregated)Competitive Rating ToolsInsurance Industry DataEconomic IndicesFacebook, LinkedIn,…

Note: For analysis of new business hit ratios, sources and granularity may differ and rely more on external sources. Results of renewal retention analysis can be leveraged to identify target new customers.

22©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 23: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

Renewal Retention AnalysisWide Spectrum of Variable Representation

The choice of variables and their representation have a significant effect on analysis results.

Example: Rate history is selected as a variable, the data fields can take many forms:Recent Year, 3 Year, 5 Year Rate ChangeNumber of Rate Changes Above 5%, 10%Number of Rate Decreases, -5%, -10%Frequency of Rate ChangesPolicy Term LengthReason for rate change (individual claim activity vs aggregate loss experience)Raw rate change experience as-is

23©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 24: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

Renewal Retention AnalysisSample Findings

24©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

3.03.53.6

4.05.0

5.96.0

6.57.2

7.57.7

9.1

Credit ScoreCoverage

Insured AgeMulti-line Insured

Market CyclePolicy Terms

MarketingInsured's Claim Experience

Number Year's Insured By CompanyMarket Competition

Customer ExperienceRate History

SENSITIVITY RATING (1-10)

Page 25: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

Renewal Retention AnalysisCarryover of Findings to Target New Customer Profile

25©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Sentiment Positive Neutral NegativeLocation Local Intermediate Broad WorldFrequency Low Med High UltraTime of Day Business Non-Business Early/Late AllValues Rating Low Med HighHazard Rating Low Med HighFinancial Rating Poor Med HighProfession Rating Low Med High

TargetAvoid

Target New Customer Profile (Based on Social Media Data)

Page 26: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

Renewal Retention AnalysisLearnings

What is important to customer and how customer makes coverage decisionWhy renewal retention results are what they areWhere to place focus in directing the insurance portfolio profile towards company’s target profile

26©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 27: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

Renewal Retention AnalysisIntegration of Findings

Integration within marketing strategy and customer interaction platformDevelopment loyalty rating methodologyGuidance on implementation of rate changesExpansion of analysis to new business hit ratioPersonalized marketing to target customer

27©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 28: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #3: MARKETING (CONTD.)

Renewal Retention AnalysisPotential Concerns

Use of personal data to target particular profileIndirect incorporation of unfairly discriminatory variables into underwriting and ratemakingOthers?

28©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 29: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

Case Study #4:

Claims

29©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 30: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA:INSURER OPERATIONAL APPLICATIONS

Case Study #4: Claims Predictive Modeling

Background:A commercial auto insurer implemented a claims predictive model for case reserving eighteen months ago.The model predicts ultimate settlement value for each claim based on information available 30 days after the report date.Management believes that the use of the model has resulted in higher case reserve adequacy in the aggregate.Management also believes that it is able to direct more experienced personnel to be assigned to claims with higher potential for adverse outcomes earlier in the life of the claim.

30©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 31: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #4: CLAIMS (CONTD.)

Questions (among others):Can traditional approaches such as Berquist-Sherman be used to estimate the potential change in case reserve adequacy?

If not, are alternative approaches viable?Can tests be devised to validate management’s contention that potential high-value claims will be addressed with appropriate personnel faster?

If so, can those tests also quantify the potential impact on future development and ultimate cost?

31©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 32: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #4: CLAIMS (CONTD.)

Considerations:Case Reserve Adequacy

We do not know if settlement strategy has changed in tandem with the implementation of the model.The assessment of case reserve adequacy should also consider changes in settlement patterns.

Impact of Assigning Experienced Personnel to Potentially High-Value Claims Faster

The model has been in place for only two years.Many claims reserved under the model in both year 1 and year 2 following implementation are yet to settle.This complicates the assessment of the extent to which potential high-value claims are being settled earlier and for less than they otherwise would.

32©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 33: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #4: CLAIMS (CONTD.)

Supplementing Traditional Diagnostics: Claim Transition MatrixBond default probabilities can be viewed through a transition matrix framework, e.g. the likelihood of a bond currently rated AA defaulting in the next year versus a bond currently rated A.Claims could be viewed in a similar manner, e.g. the probability of a claim reserved for $25,000 increasing to $250,000 or more in the next 12 months.Comparing this behavior for claims reported before and after model implementation may be useful in assessing the extent to which the model is having the desired effect.

For example, assume 5% of open claims reserved for $25,000 at 12 months increased to $250,000 or more in the next 12 months prior to the model implementationIf only 2% of open claims reserved for $25,000 at 12 months increase to $250,000 or more in the next 12 months, that could be viewed as support for management’s contention that high potential claims are being addressed sooner.

33©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 34: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

CASE STUDY #4: CLAIMS (CONTD.)

Conclusions:Implementation of a claims predictive model for case reserving is likely to impact numerous behaviors in the claims management process.Quantifying the effects of these changes on ultimate costs is challenging, particularly when the model implementation is relatively recent.Consideration of traditional diagnostics (such as average case reserves) in combination with potentially non-traditional diagnostics (such as a claim transition matrix) may allow for improved judgment in the process of estimating these effects.

34©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent

Page 35: REAL WORLD U BIG ATA NSURER OPERATIONAL ... › sites › default › files › inline...Workers Compensation 1.10 Market Cycle Relativity Hard Market 0.75 Transitioning to Soft Market

REAL WORLD USES OF BIG DATA: INSURER OPERATIONAL APPLICATIONS

Questions and Discussion

35©Risk & Regulatory Consulting LLC - Not to be Duplicated Without Prior Consent