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Dissertations / Theses on the topic 'Insurance claims Insurance'

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Published: 4 June 2021
Last updated: 6 February 2022

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1

Wan, Lai-mei. "Ruin analysis of correlated aggregate claims models." Thesis, Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/B30705708.

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2

Magee, David Douglas. "Comparative analysis of neural networks and traditional actuarial methods for estimating casualty insurance reserve liability /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.

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3

Hagsjö, Renberg Oscar, and Oscar Hermansson. "Large claims in non-life insurance." Thesis, KTH, Matematisk statistik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-215492.

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It is of outmost importance for an insurance company to apply a fair pricing policy. If the price is too high, valuable customers are lost to other insurance companies while if it’s too low – it nets a negative profit. To achieve a good pricing policy, information regarding claim size history for a given type of customer is required. A problem arises as large extremal events occur and affects the claim size data. These extremal events take shape in individually large claim sizes that by themselves can alter the distribution for what certain groups of individuals are expected to cost. A remedy
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4

Huangfu, Dan. "Data Mining for Car Insurance Claims Prediction." Digital WPI, 2015. https://digitalcommons.wpi.edu/etd-theses/383.

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A key challenge for the insurance industry is to charge each customer an appropriate price for the risk they represent. Risk varies widely from customer to customer, and a deep understanding of different risk factors helps predict the likelihood and cost of insurance claims. The goal of this project is to see how well various statistical methods perform in predicting bodily injury liability Insurance claim payments based on the characteristics of the insured customer’s vehicles for this particular dataset from Allstate Insurance Company.We tried several statistical methods, including logisti
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5

Barnholdt, Jacob, and Josefin Grafford. "Predicting Large Claims within Non-Life Insurance." Thesis, KTH, Matematisk statistik, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-228983.

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This bachelor thesis within the field of mathematical statistics aims to study the possibility of predicting specifically large claims from non-life insurance policies with commercial policyholders. This is done through regression analysis, where we seek to develop and evaluate a generalized linear model, GLM. The project is carried out in collaboration with the insurance company If P&C Insurance and most of the research is conducted at their headquarters in Stockholm. The explanatory variables of interest are characteristics associated with the policyholders. Due to the scarcity of large
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6

Rohrbeck, Christian. "Statistical methods for weather-related insurance claims." Thesis, Lancaster University, 2017. http://eprints.lancs.ac.uk/85903/.

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Severe weather events, for instance, heavy rainfall, snow-melt or droughts, cause large losses of lives and money every year. Insurance companies offer some form of protection against such undesirable outcomes, and decision makers want to take precautions to prevent future catastrophes. Both, decision makers and insurance companies, are hence interested to understand which weather events induce a high risk. This information then allows the insurance companies to set premiums for their policies by predicting future losses. Further, the relationship between damages and weather is also important
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7

Zheng, Rui. "Fraudulent claims in commercial insurance law : a legal and economic analysis." Thesis, Swansea University, 2012. https://cronfa.swan.ac.uk/Record/cronfa42644.

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Insurance fraud is perhaps one of the most pressing problems challenging the insurance industry. The judiciary plays a significant role in tackling insurance fraud: the burden is on their shoulders to identify the appropriate legal rules governing fraudulent claims and determining the consequences of fraud. However, regrettably, this process has long remained elusive and in the recent decades the courts have tried but failed to formulate clear principles for the treatment of insurance fraud, so the process is, still, continuing. This judicial process is not free from difficulty particularly wi
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8

Webb, Jared Anthony. "A Topics Analysis Model for Health Insurance Claims." BYU ScholarsArchive, 2013. https://scholarsarchive.byu.edu/etd/3805.

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Mathematical probability has a rich theory and powerful applications. Of particular note is the Markov chain Monte Carlo (MCMC) method for sampling from high dimensional distributions that may not admit a naive analysis. We develop the theory of the MCMC method from first principles and prove its relevance. We also define a Bayesian hierarchical model for generating data. By understanding how data are generated we may infer hidden structure about these models. We use a specific MCMC method called a Gibbs' sampler to discover topic distributions in a hierarchical Bayesian model called Topics Ov
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9

Hjalmarsson, Johanna. "Fraudulent insurance claims : legal definition and judicial consequences." Thesis, University of Southampton, 2016. https://eprints.soton.ac.uk/397148/.

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While much of the narrative of this thesis chips away at imperceptible changes in case law, this is ultimately a text as much about legal policy as about law. The author will assert that it is time for a tectonic shift in the manner in which insurance is considered under the law of England and Wales, and sets out the basis for this view. Chapter 1 is a brief general introduction. Chapter 2 sets out the background of the reform project against which this work has been undertaken and its ongoing reform of insurance contract law, underlining how the research has been undertaken in a context of mo
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10

Cole, Edward David Terence. "Establishing 'loss of possession' in marine insurance claims." Thesis, Durham University, 2016. http://etheses.dur.ac.uk/11787/.

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To what extent should insureds expect compensation on interruption to their voyage by loss of possession or free use or disposal of their property where it remains undamaged? Marine insurance does not compensate for partial losses occasioned by delay. Recent authority (Masefield v Amlin Corporate Member) confirmed an insured could not recover for an actual total loss following capture where pirates would accept ransom then release the property. Property was not an actual total loss even after condemnation by a foreign tribunal (Panamanian Oriental Steamship Corporation v Wright), although cond
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11

Lo, Chi-ho. "Estimation of structural parameters for panel data in credibility context." Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/B31557442.

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12

Lindblad, Kalle. "How big is large? : A study of the limit for large insurance claims in case reserves." Thesis, KTH, Matematisk statistik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-102795.

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A company issuing an insurance will provide, in return for a monetary premium, acceptance of the liability to make certain payments to the insured person or company if some beforehand specified event occurs. There will always be a delay between occurrence of this event and actual payment from the insurance company. It is therefore necessary for the company to put aside money for this liability. This money is called the reserve. When a claim is reported, a claim handler will make an estimate of how much the company will have to pay to the claimant. This amount is booked as a liability. This typ
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13

Carreira, Inês Duarte. "Modelling dependence between frequency and severity of insurance claims." Master's thesis, Instituto Superior de Economia e Gestão, 2017. http://hdl.handle.net/10400.5/14631.

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Mestrado em Actuarial Science<br>A estimação da perda individual é uma importante tarefa para calcular os preços das apólices de seguro. A abordagem padrão assume independência entre a frequência e a severidade dos sinistros, o que pode não ser uma suposição realística. Neste texto, a dependência entre números e montantes de sinistros é explorada, num contexto de Modelos Lineares Generalizados. Um modelo de severidade condicional e um modelo de Cópula são apresentados como alternativas para modelar esta dependência e posteriormente aplicados a um conjunto de dados fornecido por uma seguradora
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14

Saribekir, Gozde. "The Turkish Catastrophe Insurance Pool Claims Modeling 2000-2008 Data." Master's thesis, METU, 2013. http://etd.lib.metu.edu.tr/upload/12615755/index.pdf.

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After the 1999 Marmara Earthquake, social, economic and engineering studies on earthquakes became more intensive. The Turkish Catastrophe Insurance Pool (TCIP) was established after the Marmara Earthquake to share the deficit in the budget of the Government. The TCIP has become a data source for researchers, consisting of variables such as number of claims, claim amount and magnitude. In this thesis, the TCIP earthquake claims, collected between 2000 and 2008, are studied. The number of claims and claim payments (aggregate claim amount) are modeled by using Generalized Linear Models (GLM). Obs
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15

Nilsson, Mattias. "Tail Estimation for Large Insurance Claims, an Extreme Value Approach." Thesis, Linnaeus University, School of Computer Science, Physics and Mathematics, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-7826.

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<p>In this thesis are extreme value theory used to estimate the probability that large insuranceclaims are exceeding a certain threshold. The expected claim size, given that the claimhas exceeded a certain limit, are also estimated. Two different models are used for thispurpose. The first model is based on maximum domain of attraction conditions. A Paretodistribution is used in the other model. Different graphical tools are used to check thevalidity for both models. Länsförsäkring Kronoberg has provided us with insurance datato perform the study.Conclusions, which have been drawn, are that bot
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16

Liu, Riyao. "The assured's remedies for late payment in indemnity insurance claims." Thesis, University of Exeter, 2016. http://hdl.handle.net/10871/23750.

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It is well known that in English law the indemnity insurers stand in a better position than the assureds and this is especially true when a claim is delayed: in that scenario, the insurer is neither liable for the damage caused by the late payment, nor for the compound interest. In Sprung v. Royal Insurance ([1999] 1 Lloyd's Rep IR 111) this unfair situation was justified by the Court of Appeal, naturally, it brought an opportunity for the Law Commission to reconsider the law. Recently, the new Insurance Act 2015 has been enacted and subsequently amended by the Enterprise Act 2016 in regards t
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17

Pereira, Ana Luísa Mendes Lima. "Analysis of the claims data of a life insurance portfolio." Master's thesis, Instituto Superior de Economia e Gestão, 2016. http://hdl.handle.net/10400.5/12112.

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Mestrado em Ciências Actuariais<br>A graduação de mortalidade é um problema há muito estudado nas ciências atuariais, utilizando muitas abordagens diferentes. Para este estudo, vamos focar-nos em alguns exemplos específicos de graduação: a lei de Gompertz's; uma abordagem empírica em que as taxas de mortalidade são ajustadas a uma exponencial; graduação por tábua de mercado; modelos lineares generalizados; três tipos diferentes de árvores de regressão - árvores de classificação e regressão, árvores de inferência condicional e florestas aleatórias. Além disso, seguindo (Guo et al., 2002), serão
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18

Xu, Xiaochen. "Estimation of structural parameters in credibility context using mixed effects models." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/b4020361x.

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19

Lo, Chi-ho, and 盧子豪. "Estimation of structural parameters for panel data in credibility context." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B31557442.

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20

Björkwall, Susanna. "Stochastic claims reserving in non-life insurance : Bootstrap and smoothing models." Doctoral thesis, Stockholms universitet, Matematiska institutionen, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-55347.

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In practice there is a long tradition of actuaries calculating reserve estimates according to deterministic methods without explicit reference to a stochastic model. For instance, the chain-ladder was originally a deterministic reserving method. Moreover, the actuaries often make ad hoc adjustments of the methods, for example, smoothing of the chain-ladder development factors, in order to fit the data set under analysis. However, stochastic models are needed in order to assess the variability of the claims reserve. The standard statistical approach would be to first specify a model, then find
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21

Pillai, Divya P. "Clinical trend discovery and analysis of Taiwanese health insurance claims data." Thesis, Massachusetts Institute of Technology, 2016. http://hdl.handle.net/1721.1/105967.

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Thesis: M. Eng., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2016.<br>This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.<br>Cataloged from student-submitted PDF version of thesis.<br>Includes bibliographical references (pages 61-62).<br>Data-driven analysis can improve our understanding of medicine, and data from electronic health records and labs has been used successfully in predictive tasks. Less advanced analysis has been done on health insur
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22

Piao, Zhenhui. "INTERACTIVE CLINICAL EVENT PATTERN MINING AND VISUALIZATION USING INSURANCE CLAIMS DATA." UKnowledge, 2018. https://uknowledge.uky.edu/cs_etds/70.

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With exponential growth on a daily basis, there is potentially valuable information hidden in complex electronic medical records (EMR) systems. In this thesis, several efficient data mining algorithms were explored to discover hidden knowledge in insurance claims data. The first aim was to cluster three levels of information overload(IO) groups among chronic rheumatic disease (CRD) patient groups based on their clinical events extracted from insurance claims data. The second aim was to discover hidden patterns using three renowned pattern mining algorithms: Apriori, frequent pattern growth(FP-
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23

Lin, Erlu. "Analysis of dividend payments for insurance risk models with correlated aggregate claims." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/b40203992.

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24

Akinbola, Oluwakemi Ejide, and Isaac Likali Tsowa. "ETHICAL ISSUE : A PROBLEM IN NIGERIA INSURANCE COMPANIES." Thesis, Blekinge Tekniska Högskola, Sektionen för management, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-1146.

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The study aimed to investigate and critically analyze claims management, an ethical issue in insurance companies in Nigeria, to find out if these insurance companies recognize it to be an ethical issue and also to find out how they handle insured’s claims. A qualitative research method was used in carrying out this study; data was sourced through interviews and by secondary data using literatures from books, journals, articles, and electronic websites. The researchers used purposive sampling to select some top insurance companies in Nigeria; in these insurance companies basically personnel wor
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Akinbola, Isaac Likali Tsowa &amp, and Oluwakemi Ejide. "ETHICAL ISSUE : A PROBLEM IN NIGERIA INSURANCE COMPANIES." Thesis, Blekinge Tekniska Högskola, Sektionen för management, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-1148.

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The study aimed to investigate and critically analyze claims management, an ethical issue in insurance companies in Nigeria, to find out if these insurance companies recognize it to be an ethical issue and also to find out how they handle insured’s claims. A qualitative research method was used in carrying out this study; data was sourced through interviews and by secondary data using literatures from books, journals, articles, and electronic websites. The researchers used purposive sampling to select some top insurance companies in Nigeria; in these insurance companies basically personnel wor
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26

Moerup, Casper Jacob. "Prediction of claim cost in general insurance." Master's thesis, Instituto Superior de Economia e Gestão, 2019. http://hdl.handle.net/10400.5/18176.

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Mestrado em Actuarial Science<br>O trabalho seguinte foi realizado durante uma colocação de estágio na If Industrial P & C Insurance, em Estocolmo, na Suécia. Este relatório destaca e discute algumas das diferenças entre o seguro industrial e privado e percorre o processo de “Análise do Ano Normal”. A análise avalia os dados das reivindicações com o objetivo de projetar as perdas em um ano no futuro. A Teoria do Risco Colectivo e a Estimação da Máxima Verossimilhança são utilizadas para obter uma estimativa da gravidade das reivindicações. Além disso, as reservas são estimadas usando o método
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Lin, Erlu, and 林尔路. "Analysis of dividend payments for insurance risk models with correlated aggregate claims." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40203992.

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28

Smith, Etienne Roche. "A critical analysis of current vs proposed risk underwriting and claims management procedures at Sasguard Insurance Company Ltd." Thesis, Stellenbosch : University of Stellenbosch, 2007. http://hdl.handle.net/10019.1/847.

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Thesis (MBA (Business Management))--University of Stellenbosch, 2007.<br>ENGLISH ABSTRACT: Since its inception in 1998 as a wholly owned captive insurer, Sasguard has successfully supplied the short-term insurance needs of its parent company, Pioneer Foods Pty Ltd. Although the financial results of Sasguard increased steadily over this entire period, the insurer has never investigated the quality of its service regarding the perceptions of its internal support staff, who represent Sasguard to its client Pioneer. The objective of this research report was to critically analyse the insurer’s c
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Xu, Xiaochen, and 徐笑晨. "Estimation of structural parameters in credibility context using mixedeffects models." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B4020361X.

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Törnqvist, Gustav. "Modelling insurance claims with spatial point processes : An applied case-control study to improve the use of geographical information in insurance pricing." Thesis, Umeå universitet, Institutionen för matematik och matematisk statistik, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-108431.

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An important prerequisite for running a successful insurance business is to predict risk. By forecasting the future in as much detail as possible, competitive advantages are created in terms of price differentiation. This work aims at using spatial point processes to provide a proposal for how the geographical position of the customer can be used in developing risk differentiation tools. For spatial variation in claim frequency an approach is presented which is common in spatial epidemiology by considering a group of policyholders, with and without claims, as a realisation of a multivariate Po
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McCulloch, Matthew, and Alysson Baumgart. "A Comparison of Two Methods of Medication Reconciliation." The University of Arizona, 2008. http://hdl.handle.net/10150/624320.

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Class of 2008 Abstract<br>Objectives: To compare the completeness of patient medication history collected upon admission at the University Medical Center (UMC) in Tucson, Arizona with that collected by RxAccordTM insurance claims database. Methods: An inferential retrospective chart review. A random list of 300 patients admitted to UMC from January 1, 2007 to June 30, 2007 who utilized specific insurance companies was obtained. Of those 300 patients, the first 100 patients found in the RxAccordTM database were included in this study. UMC recorded admission medication history was noted for eac
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Ferraz, Cordeiro Isabel Maria. "A stochastic model for the analysis of permanent health insurance claims by cause of disability." Thesis, Heriot-Watt University, 1998. http://hdl.handle.net/10399/1207.

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33

Navrátilová, Tereza. "Revision of Reporting Insurance Events in the Company ING Životní Pojišťovna N.V." Master's thesis, Vysoká škola ekonomická v Praze, 2011. http://www.nusl.cz/ntk/nusl-125132.

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The aim of my thesis is to clarify several processes in the settlement of claims in ING Life Insurance NV, Czech Republic branch, the analysis of the current situation of reporting claims, processing, analysis, presenting some recommendations for improvement of the current situation. Another goal of my diploma thesis is to present the project eLikvidace (eClaims), which helped to simplify the reporting claims and evaluating the benefits of the project. The work is divided into three main chapters. The first is theoretical and the two others are more practical. The contribution of this thesis i
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Parker, Bobby I. Mr. "Assessment of the Sustained Financial Impact of Risk Engineering Service on Insurance Claims Costs." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/math_theses/100.

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This research paper creates a comprehensive statistical model, relating financial impact of risk engineering activity, and insurance claims costs. Specifically, the model shows important statistical relationships among six variables including: types of risk engineering activity, risk engineering dollar cost, duration of risk engineering service, and type of customer by industry classification, dollar premium amounts, and dollar claims costs. We accomplish this by using a large data sample of approximately 15,000 customer-years of insurance coverage, and risk engineering activity. Data sample
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Ceglia, Cesarina. "A comparison of parametric and non-parametric methods for detecting fraudulent automobile insurance claims." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10147317.

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<p> Fraudulent automobile insurance claims are not only a loss for insurance companies, but also for their policyholders. In order for insurance companies to prevent significant loss from false claims, they must raise their premiums for the policyholders. The goal of this research is to develop a decision making algorithm to determine whether a claim is classified as fraudulent based on the observed characteristics of a claim, which can in turn help prevent future loss. The data includes 923 cases of false claims, 14,497 cases of true claims and 33 describing variables from the years 1994 to 1
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Pothon, Adrien. "Seismic loss modelling in insurance industry : towards a new model for better claims management." Thesis, Université Grenoble Alpes, 2020. https://tel.archives-ouvertes.fr/tel-02862122.

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Plusieurs rapports scientifiques ont mis en évidence que, tant sur l’historique des pertes liées aux catastrophes naturelles, que sur le coût moyen attendu pour les années à venir, le risque sismique est celui pour lequel la perte non-assurée est la plus forte parmi l’ensemble des catastrophes naturelles. Dans ce contexte, le sujet retenu pour ma thèse est : « Modélisation du risque sismique en assurance : étude d’un nouveau modèle pour une meilleure gestion assurantielle ». Les travaux s’organisent en trois parties : 1° présentation des différents systèmes assurantiels contre le risque sismiq
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Luk, Joyce Si Man. "Is mandatory mediation suitable for personal injury claims in Hong Kong?" access abstract and table of contents access full-text, 2007. http://libweb.cityu.edu.hk/cgi-bin/ezdb/dissert.pl?ma-slw-b22052215a.pdf.

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Thesis (M.A.)--City University of Hong Kong, 2007.<br>Title from PDF t.p. (viewed on Sept. 7, 2007) "Master of Arts in arbitration and dispute resolution 2006-2007, LW 6409 dissertation" Includes bibliographical references.
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Pukk, Härenstam Karin. "Learning from patient injury claims : an assessment of the potential of patient injury claims to a safety information system in healthcare /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-153-1/.

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Suh, Raphael Won-Pil. "Arbeitgeberhaftung wegen Diskriminierung, sexueller Belästigung und fehlerhafter Kündigung in den USA : Möglichkeiten zur Versicherung solcher Risiken und das Allgemeine Gleichbehandlungsgesetz /." Hamburg : Kovač, 2008. http://www.verlagdrkovac.de/978-3-8300-3536-7.htm.

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Mann, Eric M. "A comparison of stochastic claim reserving methods." Kansas State University, 2011. http://hdl.handle.net/2097/13125.

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Master of Science<br>Department of Statistics<br>Haiyan Wang<br>Estimating unpaid liabilities for insurance companies is an extremely important aspect of insurance operations. Consistent underestimation can result in companies requiring more reserves which can lead to lower profits, downgraded credit ratings, and in the worst case scenarios, insurance company insolvency. Consistent overestimation can lead to inefficient capital allocation and a higher overall cost of capital. Due to the importance of these estimates and the variability of these unpaid liabilities, a multitude of methods have b
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Hanson, Clair Elizabeth. "A cyclone climatology of the North Atlantic and its implications for the insurance market." Thesis, University of East Anglia, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365137.

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Baosuwan, Kunthorn. "The study to determine customers preference of using claims system via the internet at National Insurance Company Limited, Thailand." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2939.

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黃皓暉. "On Rating Claims-Made Insurance Policies." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/53143962425533989842.

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碩士<br>逢甲大學<br>統計學系統計與精算碩士班<br>101<br>Due to high economic and social inflation, as well as increases in claim frequency, loss trends for many liability lines increased dramatically. The industry introduced claims-made coverage to reduce the pricing risk inherent in long-tailed liability. In this study we describe in depth the claims-made concept itself: how it differs from traditional occurrence coverage, what its special features are illustrated by examples and provide more detail as to how pricing risk is reduced. Finally, we propose an approach for rating claims-made coverage and provide ex
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Chen, Sie-Jung, and 陳纈中. "The Factors Influencing Vehicle Demage Insurance Claims." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/6nv367.

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碩士<br>國立高雄第一科技大學<br>風險管理與保險系碩士專班<br>106<br>In Taiwan automobile, liberalization was implemented in April 2009. Thus, the completion among various property insurance companies have become very severe. This study examines the risk factors of affecting the probability of incurring claim for vehicle insurance. This study uses the data from one Taiwanese insurance company that insured the insured’s policy for type B loss insurance from November 2015 to October 2016. My results show that policyholder’s age, claim coefficient, exhaust size, and car brand are positively related to the probability of
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CHANG, CHING-FANG, and 張靜芳. "The Study of Short-term Claims on Lifelong Medical Insurance Claims." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/43568137038399861363.

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碩士<br>銘傳大學<br>風險管理與保險學系碩士在職專班<br>104<br>The life expectancy of people has increased steadily. If it was not the cause of healthy aging, medical claims will be high in probability relatively. In recent years, the life insurance company claimed that the expenditure of health insurance rise year by year. Under such environmental conditions, the medical of short-term claims did not like to be seen in the life insurance companies. This short-term claims may imply improper sales and attract customers to insure bad motives. The purpose of this study was to view from the life insurance company underwr
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CHE-I, LIN, and 林哲毅. "The Research of Long-Term Care Insurance Claims." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/76589192955273697767.

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Lin, Chan Min, and 林展民. "Streamlining Medical Insurance Claims Processing With Smart Contracts." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/55386685759874190278.

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碩士<br>國立政治大學<br>資訊科學系碩士在職專班<br>104<br>Current medical insurance claims application process is complex. It requires the insured to apply for medical diagnosis, and to fill out an application form to the insurance company. The insurance company then reviews the case. If they are unable to approve the claims, they must first obtain the consent form from the insured in order to access to his or her medical records to facilitate subsequent claims review. Throughout the process, the insurance company needs to pay a lot of labor costs; while the insured will have many concerns of information transpar
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48

Lin, Cheng-ching, and 林正清. "DIABETES RESEARCH OF INSURANCE CLAIMS DATA IN TAIWAN." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/48701054134607177725.

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碩士<br>國立臺灣大學<br>預防醫學研究所<br>91<br>Background： Overall accuracy of insurance claims data from the National Health Insurance database is around 64%~82% in other countries. In Taiwan, there has been no study about accuracy of insurance claims data for specific disease yet. Therefore, the objectives of this study are to evaluate accuracy of diabetes insurance claims data in Taiwan, to analyze factors influencing accuracy, to build up a predicting model for diabetes insurance claims data, and to estimate the diabetes prevalence rate in Taiwan based on this model. Methods： We use diabetes
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Urbanovich, Ernest. "Identifying high-risk claims within the Workers' Compensation Board of British Columbia's claim inventory by using logistic regression modeling." Thesis, 1999. http://hdl.handle.net/2429/10515.

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The goal of the project was to use the data in the Workers' Compensation Board (WCB) of British Columbia's data warehouse to develop a statistical model that could predict on an ongoing basis those short-term disability (STD) claims that posed a potential high financial risk to the WCB. We were especially interested in identifying factors that could be used to model the transition process of claims from the STD stratum to the vocational rehabilitation (VR) and long term disability (LTD) strata, and forecast their financial impact on the WCB. The reason for this focus is that claims exper
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LIN, YUN-JOU, and 林芸柔. "The relationship between Demographic Variables and claims decisions of life insurance claimers." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/mbdcrk.

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碩士<br>逢甲大學<br>風險管理與保險學系<br>105<br>With the rise of consumer awareness in recent years, policyholders have more attention to their own claims right which should be obtained. The claims adjusters play a important role in insurance company who made a claims decisions. In accordance with past research indicates that personal traits for ethical decision-making will be affected. This study further explore the personal traits of life insurance claims adjusters (age, gender, education, management, seniority, annual income, spouse) whether unethical claims decisions will be affected.
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