Classification on Participants Renewal Process in Insurance Company: Case Study PT XYZ

D. Utomo, Noperida Damanik, I. Budi
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引用次数: 1

Abstract

Insurance is a form of risk management and one of the fastest-growing businesses. PT XYZ is a company that focuses on health and life insurance. One excellent product owned by PT XYZ is Managed Care (MC) Insurance and it dominates 64.5% of the company's premium income. However, MC has a high claim ratio value. Proven by there were 363 companies that have a claim ratio of more than 76% in 2020. The increase in the total claim ratio is due to the company has not been able to predict the claim ratio when the renewal company applies for an insurance participant. This study focuses on classifying participants on insurance renewal process so that company can be more selective to approve the participants. Participant selection can help a company to reduce the claim ratio. The proposed method is doing classification on insurance participants’ data using 3803 datasets with four attributes and five algorithms and find significant features when generating the model. The models will be validated using k-folds cross-validation with k=10, evaluation results show the accuracy of each algorithm as following, Naïve Bayes 70.00%, Support Vector Machines 67.00%, Decision Tree 95.40%, Logistic Regression 90.20%, and Neural Networks 79.30%. The results of the study recommend the Decision Tree algorithm with an accuracy of 95.40% for the classification of renewal companies that will join as insurance participants because it has a better accuracy value than other algorithms. Decision Tree shows that the most significant features in defining prospective company assessment is the average age.
保险公司参与人续期流程的分类:以XYZ为例
保险是风险管理的一种形式,也是增长最快的业务之一。PT XYZ是一家专注于健康和人寿保险的公司。PT XYZ拥有的一个优秀产品是管理式医疗保险(MC),它占公司保费收入的64.5%。然而,MC具有较高的索赔比率值。经证实,2020年索赔比例超过76%的企业有363家。总赔付比例的增加是由于续保公司在申请参保人时未能预测到赔付比例。本研究的重点是对保险续保过程中的参与者进行分类,以便公司可以更有选择性地批准参与者。选择参与者可以帮助公司降低索赔比例。该方法利用3803个具有4个属性和5种算法的数据集对参保人数据进行分类,并在生成模型时发现显著特征。采用k=10的k-fold交叉验证对模型进行验证,评价结果表明,各算法的准确率分别为Naïve Bayes 70.00%, Support Vector Machines 67.00%, Decision Tree 95.40%, Logistic Regression 90.20%, Neural Networks 79.30%。研究结果推荐决策树算法作为参保人加入续保公司的分类准确率为95.40%,因为它比其他算法具有更好的准确率值。决策树显示,在确定未来公司评估的最重要特征是平均年龄。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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