SUGI26PredictiveModelingintheInsuranceIndustry-SAS.pdfVIP

SUGI26PredictiveModelingintheInsuranceIndustry-SAS.pdf

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SUGI26PredictiveModelingintheInsuranceIndustry-SAS

Advanced Tutorials Paper 13-26 Predictive Modeling in the Insurance Industry Using SAS Software Terry J. Woodfield, Ph.D., SAS Institute Inc., Irvine, CA ABSTRACT CLAIMANT FRAUD Insurance companies, third party insurance administrators, state When a worker is injured while performing the duties of his or her insurance funds, state regulatory agencies, insurance industry job, the nature of the workers’ compensation insurance system consultants, and application service providers (ASP) use SAS assumes liability of the employer while also placing limits of software in a variety of predictive modeling situations. SAS liability depending on the circumstances. The injured party Enterprise Miner provides tools for modeling continuous whose accident is covered by an insurance policy is called the responses, such as monetary losses and time off work, and claimant. A claimant can commit fraud in a number of ways. The discrete responses, such as fraud, third party subrogation, and litigation. Enterprise Miner includes a rich set of menu driven claimant can fake an accident. The claimant can exaggerate the modeling solutions as well as an underlying array of SAS severity of the injury. The claimant can misrepresent the injury procedures for modeling insurance data. This paper will address to presume coverage, such as the worker who breaks a leg skiing two problems, predicting losses and detecting fraud. Two on Sunday, then reports to work on Monday and within a few possible solutions will be presented for each problem, and minutes claims to

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