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March 14, 2016
Orlando, Florida
Alejandro Ortega, FCAS, CFA
CAS Ratemaking and Product Management Seminar
Basic Ratemaking
Estimating Claim Liabilities
2
Goal of Estimating Claim Liabilities
• Estimate the Claim Liabilities for setting Loss Reserves
• Claim Liabilities – the amount we need to pay for claims
that have Occurred up to the valuation date
• Reserves – the amount on the balance sheet
• Standard Tool is the Loss Triangle
3
Basics
Estimating Claims Liabilities
Segmentation
of Lines of
Business
Segmentation
of Indemnity
and Expense
Paid vs.
Incurred
Accident
Year
Report Year
Policy Year
Important to Segment Lines into Homogenous Groups
Keep them Large enough to be statistically Credible
Losses can be Split into Indemnity (to client or 3rd party)
and Expense (for handling specific claims)
Reviewed Together
Paid Loss Analysis
Incurred Loss (Paid + Outstanding)
AY is useful for setting reserves
RY is useful for setting reserves for Claims-Made Policies
PY is useful for examining impact of U/W and Rate
Changes
Assume Payment Pattern (or Reporting) of Losses is the same for each
Accident Year
Losses Paid in each Accident Year are Independent of other Years
4
Estimating Claim Liabilities
Development Factor Method
Assume Payment Pattern (or Reporting) of Losses is the same for each
Accident Year
Losses Paid in each Accident Year are Independent of other Years
5
Estimating Claim Liabilities
Development Factor Method
AY  Age 12 24 36 48
2011 30% 75% 90% 100%
2012 30% 75% 90%
2013 30% 75%
2014 30%
Assume Payment Pattern (or Reporting) of Losses is the same for each
Accident Year
Losses Paid in each Accident Year are Independent of other Years
6
Estimating Claim Liabilities
Development Factor Method
AY  Age 12 24 36 48
2011 30% 75% 90% 100%
2012 30% 75% 90%
2013 30% 75%
2014 30%
Cumulative LDF 3.333 1.333 1.111 1.000
12‐24 24‐36 36‐48
Incremental LDF 2.500 1.200 1.111
%
AY  Age 12 24 36 48
2010 643 343 134 26
2011 689 405 180 37
2012 594 602 40
2013 703 294
2014 802
7
Sample Triangle
Incremental Paid Losses
• 703 is the amount Paid for Claims Occurring in 2013, and Paid in that year
• 294 is the amount Paid for Claims Occurring in 2013, and Paid in the following
year
8
Estimating Claims Liabilities
Time
Increments
Claim
Counts
Closure
Rates
In the US – Year by Year is Common
Fast Paying Lines, Quarter by Quarter is useful
You can also do Accident Year by Development Quarter
Useful to Review Claim Count Statistics
– Frequency, Report Rate, Closure Rate
Higher Paid Claims may be due to higher Closure Rate
AY  Age 3 6 9 12 15 Earned
Premium
2014 Q1 63 164 210 210 210 400
2014 Q2 68 171 216 216 420
2014 Q3 71 184 222 440
2014 Q4 75 190 455
2015 Q1 76 470
9
Sample Quarterly Triangle
Cumulative Paid Losses
AY  Age 3 6 3/6 LDF
2014 Q1 63 164 38.4% 2.603
2014 Q2 68 171 39.8% 2.515
2014 Q3 71 184 38.6% 2.592
2014 Q4 75 190 39.5% 2.533
2015 Q1 76
Wtd Avg 39.1% 2.560
10
Sample Quarterly Triangle
Cumulative Paid Losses
AY  Age 6 9 9/6 LDF
2014 Q1 164 210 78.1% 1.280
2014 Q2 171 216 79.2% 1.263
2014 Q3 184 222 82.9% 1.207
2014 Q4 190
2015 Q1
Wtd Avg 80.1% 1.249
11
Sample Quarterly Triangle
Cumulative Paid Losses
AY  Age 3‐6 6‐9 9‐12 12‐15 Earned
Premium
2014 Q1 2.603 1.280 1.000 1.000 400
2014 Q2 2.515 1.263 1.000 420
2014 Q3 2.592 1.207 440
2014 Q4 2.533 455
Wtd Avg 2.560 1.249 1.000 1.000
Avg 2.561 1.250 1.000 1.000
Median 2.562 1.263 1.000 1.000
12
Sample Quarterly Triangle
Loss Development Factors (LDFs)
AY  Age 3‐6 6‐9 9‐12 12‐15
Selected 2.560 1.249 1.000 1.000
Cumulative LDF 3.197 1.249 1.000 1.000
% Paid 31.3% 80.1% 100% 100%
% Unpaid 68.7% 19.9% 0% 0%
13
Sample Quarterly Triangle
Loss Development Factors (LDFs)
AY  Age Paid to 
Date
Cumulati
ve LDF
DFM Unpaid 
Losses
Earned 
Premium
Loss 
Ratio
2014Q1 210 1.000 210.0 ‐ 400 52.5%
2014 Q2 216 1.000 216.0 ‐ 420 51.4%
2014 Q3 222 1.000 222.0 ‐ 440 50.5%
2014 Q4 190 1.249 237.3 47.3 455 52.2%
2015 Q1 76 3.197 243.0 167.0 470 51.7%
214.3
14
Sample Quarterly Triangle
Development Factor Method
AY  Age Paid to 
Date
Cumulati
ve LDF
DFM Unpaid 
Losses
Earned 
Premium
Loss 
Ratio
2014Q1 210 1.000 210.0 ‐ 400 52.5%
2014 Q2 216 1.000 216.0 ‐ 420 51.4%
2014 Q3 222 1.000 222.0 ‐ 440 50.5%
2014 Q4 190 1.249 237.3 47.3 455 52.2%
2015 Q1
96 3.197 306.9 210.9 470 65.3%
258.2
15
Sample Quarterly Triangle
Development Factor Method
High Leverage on years with a high LDF
16
Methods
Estimating Claim Liabilities
Loss
Development
Method
Bornhuetter
-Ferguson
Cape Cod
Generalized
Cape Cod
Benktander
Assumes Rate at which losses are paid (or incurred) is
constant
Does not handle changing inflation, trend or mix of business
well
Can lead to volatile results
Reduces Volatility in Claim Liability Estimate
Ignores Recent Experience in estimating Claim Liability
Not always clear what to use for a priori
Uses Experience to estimate the a priori Loss Ratio
Allows the a priori to vary by Accident Year
Apply BF. Use the Ultimate from BF as a priori, and apply BF
again
Optimal – in the sense that it has very low MSE of the
estimate vs. the actual result
More Stable then LDF, and considers actual
experience to date
AY  Age Paid 
to 
Date
Cumula
tive LDF
Earned
Premium
% Paid  	
%
2014Q1 210 1.000 400 100% 400.0
2014 Q2 216 1.000 420 100% 420.0
2014 Q3 222 1.000 440 100% 440.0
2014 Q4 190 1.249 455 80.1% 364.5
2015 Q1 96 3.197 470 31.3% 147.1
934 1,771.6
17
Sample Quarterly Triangle
Cape Cod
934
1,771.6
. %
AY  Age Paid to 
Date
Cumulat
ive LDF
Earned 
Premium
a priori BF DFM Unpaid 
Losses
Loss 
Ratio
2014Q1 210 1.000 400 52.5%
2014 Q2 216 1.000 420 51.4%
2014 Q3 222 1.000 440 50.5%
2014 Q4 190 1.249 455 239.8 237.8 237.3 47.8 52.2%
2015 Q1
96 3.197 470 247.7 266.2 306.9 170.2 65.3%
218.0
18
Sample Quarterly Triangle
Bornhuetter‐Ferguson with Cape Cod LR = 52.7% 
BF Ultimate 	96 1
.
⋅ 247.7 266.2
BF Reserve 68.7% ⋅ 247.7 170.2
AY  Age Paid to 
Date
LDF DFM BF Benktan
der
Benktande
r Unpaid
2014Q1 210 1.000 210.0 210.0
2014 Q2 216 1.000 216.0 216.0
2014 Q3 222 1.000 222.0 222.0
2014 Q4 190 1.249 237.3 237.8 237.4 47.4
2015 Q1 96 3.197 306.9 266.2 278.9 182.9
Unpaid 258.2 218.0 230.3
19
Sample Quarterly Triangle
Benktander
Benktander Ultimate 	96 1
.
⋅ 266.2 278.9
AY  Age Paid to 
Date
LDF DFM BF Benktan
der
Benktande
r Unpaid
2015 Q1 96 3.197 306.9 266.2 278.9 182.9
20
Sample Quarterly Triangle
Benktander
A priori = 247.7 							 %	 31.3%
• BF is the weighted average of DFM and the Loss Ratio Method
• Benktander is weighted average of DFM and BF
• In both cases DFM gets the weight %	
306.9 ⋅ 31.3% 247.7 ⋅ 68.7% 266.2
306.9 ⋅ 31.3% 266.2 ⋅ 68.7% 278.9
21
Methods
Estimating Claim Liabilities
Loss
Development
Method
Bornhuetter
-Ferguson
Cape Cod
Generalized
Cape Cod
Benktander
Assumes Rate at which losses are paid (or incurred) is
constant
Does not handle changing inflation, trend or mix of business
well
Can lead to volatile results
Reduces Volatility in Claim Liability Estimate
Ignores Recent Experience in estimating Claim Liability
Not always clear what to use for a priori
Uses Experience to estimate the a priori Loss Ratio
Allows the a priori to vary by Accident Year
Apply BF. Use the Ultimate from BF as a priori, and apply BF
again
Optimal – in the sense that it has very low MSE of the
estimate vs. the actual result
More Stable then LDF, and considers actual
experience to date
22
Advanced
Estimating Claim Liabilities
Inflation
CY Trend
Changing
Patterns
Know Your
Market
DFM method assumes constant inflation historically and into
the future
Cannot handle changing CY Trend
If LDF Patterns are changing – Find out Why
Speak to Claims and Product
Focus on Recent Experience
Read Articles, Journals about your Industry
Keep informed of market trends
Know your general economic environment
23
Estimating Claims Liabilities
Exposures
Bases
Talk to
Business
May be reasonable
to remove
They can have an
outsize impact on
the Weighted LDF
Earned Premium is often used (maybe adjust for Net Trend
(Premium – Loss)
# of Vehicles, # of Homes
Workers Compensation - $ of Wages, # of Employees – or a mix of
both
If you see anomalies in the triangle, ask
They know what is happening with their Portfolio Mix and
Claims
Better to find out something change before you
submit results, then after
ULAE
Outliers
May be reasonable to remove
They can have an outsize impact on the Weighted LDF
Earned Premium is often used, maybe adjust for Net Trend:
	 	 	
Paid to Paid Method
Claim Counts Methods
24
Estimating Claim Liabilities
Fisher-Lange
Estimating
the Tail
3 way
Parameters
Given: Mean and Variance for Incremental Loss in each Cell
Residuals: for each historical cell
Sample the residuals to create a sampled historical triangle
Forecast Claim Liability based on the historical triangle (DFM,
BF, etc.)
Do this multiple times to determine a distribution
of the Claim Liability
Curves
Extrapolation
Model 3 Dimensions: Row (AY), Column (Age), Diagonal (CY)
Able to handle changes in CY Trend and portfolio mix
Difficult to fit – since there can be so many parameters
Bootstrapping
Forecast # of Unpaid Claims & Severity; Multiply
Severity depends on Accident Year and Age
Explicit Inflation assumptions can be used
25
Estimating Claim Liabilities
Talk to
Claims
Notes to the
Actuary
Notes to the
Product
Manager
Segmentati
on Within a
Line of
Business
They are the closest to any changes in loss trends
Inform you of any changes to their process
Can work with them to gain knowledge of the Life of a Claim
Listen to Product Management. They know changes to their
product better than anyone else
It’s not good enough to say the LDF is higher – Why is it
higher?
If Product fights you, you will do better if you understand their
business
Engage the actuary in discussions about your book
You don’t always know which bit of information is useful to her
Be Respectful and Honest. The actuary will value your opinion
Coverages may have different behavior (Auto PD vs TPL)
A group of similar policies may have undue influence
on the rest of the book
Questions & Discussion
Casualty Actuarial Society
4350 North Fairfax Drive, Suite 250
Arlington, Virginia 22203
www.casact.org

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Estimating Claim Liabilities - CAS RPM 2016

  • 1. March 14, 2016 Orlando, Florida Alejandro Ortega, FCAS, CFA CAS Ratemaking and Product Management Seminar Basic Ratemaking Estimating Claim Liabilities
  • 2. 2 Goal of Estimating Claim Liabilities • Estimate the Claim Liabilities for setting Loss Reserves • Claim Liabilities – the amount we need to pay for claims that have Occurred up to the valuation date • Reserves – the amount on the balance sheet • Standard Tool is the Loss Triangle
  • 3. 3 Basics Estimating Claims Liabilities Segmentation of Lines of Business Segmentation of Indemnity and Expense Paid vs. Incurred Accident Year Report Year Policy Year Important to Segment Lines into Homogenous Groups Keep them Large enough to be statistically Credible Losses can be Split into Indemnity (to client or 3rd party) and Expense (for handling specific claims) Reviewed Together Paid Loss Analysis Incurred Loss (Paid + Outstanding) AY is useful for setting reserves RY is useful for setting reserves for Claims-Made Policies PY is useful for examining impact of U/W and Rate Changes
  • 4. Assume Payment Pattern (or Reporting) of Losses is the same for each Accident Year Losses Paid in each Accident Year are Independent of other Years 4 Estimating Claim Liabilities Development Factor Method
  • 5. Assume Payment Pattern (or Reporting) of Losses is the same for each Accident Year Losses Paid in each Accident Year are Independent of other Years 5 Estimating Claim Liabilities Development Factor Method AY  Age 12 24 36 48 2011 30% 75% 90% 100% 2012 30% 75% 90% 2013 30% 75% 2014 30%
  • 6. Assume Payment Pattern (or Reporting) of Losses is the same for each Accident Year Losses Paid in each Accident Year are Independent of other Years 6 Estimating Claim Liabilities Development Factor Method AY  Age 12 24 36 48 2011 30% 75% 90% 100% 2012 30% 75% 90% 2013 30% 75% 2014 30% Cumulative LDF 3.333 1.333 1.111 1.000 12‐24 24‐36 36‐48 Incremental LDF 2.500 1.200 1.111 %
  • 7. AY  Age 12 24 36 48 2010 643 343 134 26 2011 689 405 180 37 2012 594 602 40 2013 703 294 2014 802 7 Sample Triangle Incremental Paid Losses • 703 is the amount Paid for Claims Occurring in 2013, and Paid in that year • 294 is the amount Paid for Claims Occurring in 2013, and Paid in the following year
  • 8. 8 Estimating Claims Liabilities Time Increments Claim Counts Closure Rates In the US – Year by Year is Common Fast Paying Lines, Quarter by Quarter is useful You can also do Accident Year by Development Quarter Useful to Review Claim Count Statistics – Frequency, Report Rate, Closure Rate Higher Paid Claims may be due to higher Closure Rate
  • 9. AY  Age 3 6 9 12 15 Earned Premium 2014 Q1 63 164 210 210 210 400 2014 Q2 68 171 216 216 420 2014 Q3 71 184 222 440 2014 Q4 75 190 455 2015 Q1 76 470 9 Sample Quarterly Triangle Cumulative Paid Losses
  • 10. AY  Age 3 6 3/6 LDF 2014 Q1 63 164 38.4% 2.603 2014 Q2 68 171 39.8% 2.515 2014 Q3 71 184 38.6% 2.592 2014 Q4 75 190 39.5% 2.533 2015 Q1 76 Wtd Avg 39.1% 2.560 10 Sample Quarterly Triangle Cumulative Paid Losses
  • 11. AY  Age 6 9 9/6 LDF 2014 Q1 164 210 78.1% 1.280 2014 Q2 171 216 79.2% 1.263 2014 Q3 184 222 82.9% 1.207 2014 Q4 190 2015 Q1 Wtd Avg 80.1% 1.249 11 Sample Quarterly Triangle Cumulative Paid Losses
  • 12. AY  Age 3‐6 6‐9 9‐12 12‐15 Earned Premium 2014 Q1 2.603 1.280 1.000 1.000 400 2014 Q2 2.515 1.263 1.000 420 2014 Q3 2.592 1.207 440 2014 Q4 2.533 455 Wtd Avg 2.560 1.249 1.000 1.000 Avg 2.561 1.250 1.000 1.000 Median 2.562 1.263 1.000 1.000 12 Sample Quarterly Triangle Loss Development Factors (LDFs)
  • 13. AY  Age 3‐6 6‐9 9‐12 12‐15 Selected 2.560 1.249 1.000 1.000 Cumulative LDF 3.197 1.249 1.000 1.000 % Paid 31.3% 80.1% 100% 100% % Unpaid 68.7% 19.9% 0% 0% 13 Sample Quarterly Triangle Loss Development Factors (LDFs)
  • 14. AY  Age Paid to  Date Cumulati ve LDF DFM Unpaid  Losses Earned  Premium Loss  Ratio 2014Q1 210 1.000 210.0 ‐ 400 52.5% 2014 Q2 216 1.000 216.0 ‐ 420 51.4% 2014 Q3 222 1.000 222.0 ‐ 440 50.5% 2014 Q4 190 1.249 237.3 47.3 455 52.2% 2015 Q1 76 3.197 243.0 167.0 470 51.7% 214.3 14 Sample Quarterly Triangle Development Factor Method
  • 15. AY  Age Paid to  Date Cumulati ve LDF DFM Unpaid  Losses Earned  Premium Loss  Ratio 2014Q1 210 1.000 210.0 ‐ 400 52.5% 2014 Q2 216 1.000 216.0 ‐ 420 51.4% 2014 Q3 222 1.000 222.0 ‐ 440 50.5% 2014 Q4 190 1.249 237.3 47.3 455 52.2% 2015 Q1 96 3.197 306.9 210.9 470 65.3% 258.2 15 Sample Quarterly Triangle Development Factor Method High Leverage on years with a high LDF
  • 16. 16 Methods Estimating Claim Liabilities Loss Development Method Bornhuetter -Ferguson Cape Cod Generalized Cape Cod Benktander Assumes Rate at which losses are paid (or incurred) is constant Does not handle changing inflation, trend or mix of business well Can lead to volatile results Reduces Volatility in Claim Liability Estimate Ignores Recent Experience in estimating Claim Liability Not always clear what to use for a priori Uses Experience to estimate the a priori Loss Ratio Allows the a priori to vary by Accident Year Apply BF. Use the Ultimate from BF as a priori, and apply BF again Optimal – in the sense that it has very low MSE of the estimate vs. the actual result More Stable then LDF, and considers actual experience to date
  • 17. AY  Age Paid  to  Date Cumula tive LDF Earned Premium % Paid  % 2014Q1 210 1.000 400 100% 400.0 2014 Q2 216 1.000 420 100% 420.0 2014 Q3 222 1.000 440 100% 440.0 2014 Q4 190 1.249 455 80.1% 364.5 2015 Q1 96 3.197 470 31.3% 147.1 934 1,771.6 17 Sample Quarterly Triangle Cape Cod 934 1,771.6 . %
  • 18. AY  Age Paid to  Date Cumulat ive LDF Earned  Premium a priori BF DFM Unpaid  Losses Loss  Ratio 2014Q1 210 1.000 400 52.5% 2014 Q2 216 1.000 420 51.4% 2014 Q3 222 1.000 440 50.5% 2014 Q4 190 1.249 455 239.8 237.8 237.3 47.8 52.2% 2015 Q1 96 3.197 470 247.7 266.2 306.9 170.2 65.3% 218.0 18 Sample Quarterly Triangle Bornhuetter‐Ferguson with Cape Cod LR = 52.7%  BF Ultimate 96 1 . ⋅ 247.7 266.2 BF Reserve 68.7% ⋅ 247.7 170.2
  • 19. AY  Age Paid to  Date LDF DFM BF Benktan der Benktande r Unpaid 2014Q1 210 1.000 210.0 210.0 2014 Q2 216 1.000 216.0 216.0 2014 Q3 222 1.000 222.0 222.0 2014 Q4 190 1.249 237.3 237.8 237.4 47.4 2015 Q1 96 3.197 306.9 266.2 278.9 182.9 Unpaid 258.2 218.0 230.3 19 Sample Quarterly Triangle Benktander Benktander Ultimate 96 1 . ⋅ 266.2 278.9
  • 20. AY  Age Paid to  Date LDF DFM BF Benktan der Benktande r Unpaid 2015 Q1 96 3.197 306.9 266.2 278.9 182.9 20 Sample Quarterly Triangle Benktander A priori = 247.7 % 31.3% • BF is the weighted average of DFM and the Loss Ratio Method • Benktander is weighted average of DFM and BF • In both cases DFM gets the weight % 306.9 ⋅ 31.3% 247.7 ⋅ 68.7% 266.2 306.9 ⋅ 31.3% 266.2 ⋅ 68.7% 278.9
  • 21. 21 Methods Estimating Claim Liabilities Loss Development Method Bornhuetter -Ferguson Cape Cod Generalized Cape Cod Benktander Assumes Rate at which losses are paid (or incurred) is constant Does not handle changing inflation, trend or mix of business well Can lead to volatile results Reduces Volatility in Claim Liability Estimate Ignores Recent Experience in estimating Claim Liability Not always clear what to use for a priori Uses Experience to estimate the a priori Loss Ratio Allows the a priori to vary by Accident Year Apply BF. Use the Ultimate from BF as a priori, and apply BF again Optimal – in the sense that it has very low MSE of the estimate vs. the actual result More Stable then LDF, and considers actual experience to date
  • 22. 22 Advanced Estimating Claim Liabilities Inflation CY Trend Changing Patterns Know Your Market DFM method assumes constant inflation historically and into the future Cannot handle changing CY Trend If LDF Patterns are changing – Find out Why Speak to Claims and Product Focus on Recent Experience Read Articles, Journals about your Industry Keep informed of market trends Know your general economic environment
  • 23. 23 Estimating Claims Liabilities Exposures Bases Talk to Business May be reasonable to remove They can have an outsize impact on the Weighted LDF Earned Premium is often used (maybe adjust for Net Trend (Premium – Loss) # of Vehicles, # of Homes Workers Compensation - $ of Wages, # of Employees – or a mix of both If you see anomalies in the triangle, ask They know what is happening with their Portfolio Mix and Claims Better to find out something change before you submit results, then after ULAE Outliers May be reasonable to remove They can have an outsize impact on the Weighted LDF Earned Premium is often used, maybe adjust for Net Trend: Paid to Paid Method Claim Counts Methods
  • 24. 24 Estimating Claim Liabilities Fisher-Lange Estimating the Tail 3 way Parameters Given: Mean and Variance for Incremental Loss in each Cell Residuals: for each historical cell Sample the residuals to create a sampled historical triangle Forecast Claim Liability based on the historical triangle (DFM, BF, etc.) Do this multiple times to determine a distribution of the Claim Liability Curves Extrapolation Model 3 Dimensions: Row (AY), Column (Age), Diagonal (CY) Able to handle changes in CY Trend and portfolio mix Difficult to fit – since there can be so many parameters Bootstrapping Forecast # of Unpaid Claims & Severity; Multiply Severity depends on Accident Year and Age Explicit Inflation assumptions can be used
  • 25. 25 Estimating Claim Liabilities Talk to Claims Notes to the Actuary Notes to the Product Manager Segmentati on Within a Line of Business They are the closest to any changes in loss trends Inform you of any changes to their process Can work with them to gain knowledge of the Life of a Claim Listen to Product Management. They know changes to their product better than anyone else It’s not good enough to say the LDF is higher – Why is it higher? If Product fights you, you will do better if you understand their business Engage the actuary in discussions about your book You don’t always know which bit of information is useful to her Be Respectful and Honest. The actuary will value your opinion Coverages may have different behavior (Auto PD vs TPL) A group of similar policies may have undue influence on the rest of the book
  • 27. Casualty Actuarial Society 4350 North Fairfax Drive, Suite 250 Arlington, Virginia 22203 www.casact.org