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Actuarial Modelling of Claim Counts Risk Classification, Credibility ...

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xvi<br />

<strong>Actuarial</strong> <strong>Modelling</strong> <strong>of</strong> <strong>Claim</strong> <strong>Counts</strong><br />

Even in a pure no-fault motor environment, the police still ask which driver was at fault (or<br />

the degrees to which the drivers shared the fault) because at-fault events cause the insurance<br />

premium to rise at the next policy renewal.<br />

Insurance Ratemaking<br />

Cost-based pricing <strong>of</strong> individual risks is a key actuarial ratemaking principle. The price<br />

charged to policyholders is an estimate <strong>of</strong> the future costs related to the insurance coverage.<br />

The pure premium approach defines the price <strong>of</strong> an insurance policy as the ratio <strong>of</strong> the<br />

estimated costs <strong>of</strong> all future claims against the coverage provided by the insurance policy<br />

while it is in effect to the risk exposure, plus expenses.<br />

The property/casualty ratemaking is based on a claim frequency distribution and a loss<br />

distribution. The claim frequency is defined as the number <strong>of</strong> incurred claims per unit<br />

<strong>of</strong> earned exposure. The exposure is measured in car-year for motor third party liability<br />

insurance (the rate manual lists rates per car-year). The average loss severity is the average<br />

payment per incurred claim. Under mild conditions, the pure premium is then the product<br />

<strong>of</strong> the average claim frequency times the average loss severity. The loss models for motor<br />

insurance are reviewed in Chapters 1–2 (frequency part) and 5 (claim amounts).<br />

In liability insurance, the settlement <strong>of</strong> larger claims <strong>of</strong>ten requires several years. Much <strong>of</strong><br />

the data available for the recent accident years will therefore be incomplete, in the sense that<br />

the final claim cost will not be known. In this case, loss development factors can be used to<br />

obtain a final cost estimate. The average loss severity is then based on incurred loss data. In<br />

contrast to paid loss data (that are purely objective, representing the actual payments made<br />

by the company), incurred loss data include subjective reserve estimates. The actuary has to<br />

carefully analyse the large claims since they represent a considerable share <strong>of</strong> the insurer’s<br />

yearly expenses. This issue will be discussed in Chapter 5, where incurred loss data will be<br />

analysed and appropriately modelled.<br />

<strong>Risk</strong> <strong>Classification</strong><br />

Nowadays, it has become extremely difficult for insurance companies to maintain cross<br />

subsidies between different risk categories in a competitive market. If, for instance, females<br />

are proved to cause significantly fewer accidents than males and if a company disregarded<br />

this variable and charged an average premium to all policyholders regardless <strong>of</strong> gender, most<br />

<strong>of</strong> its female policyholders would be tempted to move to another company <strong>of</strong>fering better<br />

rates to female drivers. The former company is then left with a disproportionate number <strong>of</strong><br />

male policyholders and insufficient premium income to pay for the claims.<br />

To avoid lapses in a competitive market, actuaries have to design a tariff structure that<br />

will fairly distribute the burden <strong>of</strong> claims among policyholders. The policies are partitioned<br />

into classes with all policyholders belonging to the same class paying the same premium.<br />

Each time a competitor uses an additional rating factor, the actuary has to refine the partition<br />

to avoid losing the best drivers with respect to this factor. This explains why so many factors<br />

are used by insurance companies: this is not required by actuarial theory, but instead by<br />

competition among insurers.<br />

In a free market, insurance companies need to use a rating structure that matches the<br />

premiums for the risks as closely as possible, or at least as closely as the rating structures used

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