Beruflich Dokumente
Kultur Dokumente
Insurance Industry
(The Town and The Gown)
February, 2015
Content
1. Introduction
2. Overview of the Insurance Industry
1. The Concept of Insurance
2. Insurance Products
3. The Industry Operators and their Role
4. How an Insurance Company Operates
Insurance
Insurance Brokers
Insurance Agents
Insurance Loss Adjusters
Actuaries
Reinsurance
Industry Regulation
The National Insurance Commission in Nigeria (NAICOM) is
charge by the constitution with the responsibility of regulating
the operations of the industry in conjunction with the Central
Bank of Nigeria.
Why Regulate?
The rationale for regulation includes;
Insurers collect payment in advance
Insurance transactions are often complex and opaque
To protect the insured, the government monitor and regulate
the industry operators
Formation
Investments
Operations
Prices
Policy forms
Sales practices
Regulatory Function
The National Insurance Commission regulates the following;
Solvency
Accounting Standard
Rates
Policy Forms
Sales Practices
How Insurance Company Operates
Insurance companies are like all other
businesses in that their primary objective is
to make a profit. Any business makes a profit
when revenues exceed expenditures. In the
case of an insurance company, this means when
premiums are greater than the combined cost of
paying claims and the cost of doing business, the
company makes a profit.
How Insurance Company Operates
Lets look at the earlier example of a N1,000
premium for N200,000 of property coverage in
a homeowners policy. It may seem
impossible for the insurance company to
make money. If there is a total loss of the
home within a 200-year span. The insurance
company loses money. That is why insurance
companies write a lot of different homes in
different areas.
How Insurance Company Operates
The operation of an insurance company is based
on two basic concepts:
the concept of independent losses, and
the concept of spreading risk
Under the concept of independent losses, an
insurance company looks for one loss that is not
likely to affect a large number of different
policyholders.
How Insurance Company Operates
An insurance policy is a type of contact. And in this
contract both parties are expected to act in good
faith.
This means that the policyholders should not file
false or fraudulent claims and the insurance
company should pay claims promptly and
accurately. In order for any insurance company,
or the entire insurance industry, to be profitable,
all parties must act in good faith. Insurance is,
above all, a contract of good faith
How Insurance Company Operates
An example of this is robbery/burglary. One
policyholder may suffer a large burglary loss, but
this affects only the one policyholder. So the
cost of this one loss spread among a large
group of policyholders. Under the concept of
spreading risk, the insurance company tries
to spread the risk among a large number of
policyholders so that one type of loss wont
affect the entire group of policyholders.
How Insurance Company Operates
This is why an insurance company does not write
all of their homeowners coverages in a
coastal area. Otherwise, one hurricane could
destroy all of their policyholders homes,
resulting in huge payouts for the insurance
company. Again, the losses experienced by a
few policyholders will be paid for by the
majority of policyholders who do not
experience any losses.
How Insurance Company Operates
These two concepts are closely related. By
successfully achieving both of these on a large
scale, premiums can be kept low, and the
insurance company can make a profit. It is
important to understand how insurance
companies operate so that you can better
understand the reasons behind why they do
what they do.
Insurance Company Structure
Rate making
Underwriting
Production
Claim settlement
Reinsurance
Investments & Finance
General Administration
6-27
Rate making
Rate making refers to the pricing of insurance
Total premiums charged must be adequate for
paying all claims and expenses during the policy
period
Rates and premiums are determined by an
actuary, using the companys past loss experience
and industry statistics
6-28
Underwriting
Underwriting refers to the process of selecting, classifying, and
pricing applicants for insurance
The objective is to produce a profitable book of business
A statement of underwriting policy establishes policies that are
consistent with the companys objectives, such as
Acceptable classes of business
Amounts of insurance that can be written
A line underwriter makes daily decisions concerning the
acceptance or rejection of business
Underwriting
There are three important principles of underwriting:
The underwriter must select prospective insureds
according to the companys underwriting standards
Underwriting should achieve a proper balance within each
rate classification
In class underwriting, exposure units with similar loss-producing
characteristics are grouped together and charged the same rate
Underwriting should maintain equity among the
policyholders
6-30
Underwriting
Underwriting starts with the agent in the field
Information for underwriting comes from:
The application
The agents report
An inspection report
Physical inspection
A physical examination and attending physicians report
MIB report
After reviewing the information, the underwriter can:
Accept the application
Accept the application subject to restrictions or modifications
Reject the application
6-31
Production
Production refers to the sales and marketing activities
of insurers
Agents are often referred to as producers
Life insurers have an agency or sales department
Property and liability insurers have marketing departments
An agent should be a competent professional with a
high degree of technical knowledge in a particular
area of insurance and who also places the needs of
his or her clients first
6-32
Claim Settlement
The objectives of claims settlement include:
Verification of a covered loss
Fair and prompt payment of claims
Personal assistance to the insured
Some laws prohibit unfair claims practices, such as:
Refusing to pay claims without conducting a reasonable
investigation
Not attempting to provide prompt, fair, and equitable
settlements
Offering lower settlements to compel insureds to institute
lawsuits to recover amounts due
6-33
Claim Settlement
The claim process begins with a notice of loss
Next, the claim is investigated
A claims adjustor determines if a covered loss has occurred
and the amount of the loss
The adjustor may require a proof of loss before the
claim is paid
The adjustor decides if the claim should be paid or
denied
Policy provisions address how disputes may be resolved
6-34
Reinsurance
Reinsurance is an arrangement by which the primary
insurer that initially writes the insurance transfers to
another insurer part or all of the potential losses
associated with such insurance
The primary insurer is the ceding company
The insurer that accepts the insurance from the ceding
company is the reinsurer
The retention limit is the amount of insurance retained by
the ceding company
The amount of insurance ceded to the reinsurer is known as
a cession
6-37
Reinsurance Alternatives
Some insurers use the capital markets as an alternative to
traditional reinsurance
Securitization of risk means that an insurable risk is
transferred to the capital markets through the creation of a
financial instrument, such as a futures contract
Catastrophe bonds are corporate bonds that permit the issuer
of the bond to skip or reduce the interest payments if a
catastrophic loss occurs
6-38
Investments
6-39
Other Insurance Company Functions
The electronic data processing area maintains information on
premiums, claims, loss ratios, investments, and underwriting
results
The accounting department prepares financial statements and
develops budgets
In the legal department, attorneys are used in advanced
underwriting and estate planning
Property and liability insurers provide numerous loss control
services
6-40
The Relevance of Mathematics
Insurance?
The process of managing risk is highly mathematical
and quantitative. The insurance, pension and social
insurance industry employs certified professionals
called actuaries with the specific skills required to
address risk management. These skills include
advanced analytical and mathematical expertise,
problem solving abilities, and general business
acumen.
How much money does it usually cost to repair his car? (=X)
Price = f*l*(1+p)
The Concept of Mathematics in Insurance
Industry
It is obvious, that S will not be the same for every year, but has a
distribution. The challenge is to find distributions for X~F(x) and N~P.
The Concept of Mathematics in Insurance
Industry
alpha = 1
loss
The Concept of Mathematics in Insurance
Industry
Frequency
Very commonly used is the Poisson distribution
The Outcome
We now have a distribution for the loss size and loss number to represent S.
The aggregated cdf is usually calculated with Monte Carlo methods:
- draw the number of losses per year
- draw the loss amounts and add them up.
Ordered by loss amount of the year one can calculate the aggregated CDF.
The average of these outcomes returns the expected loss.
The Concept of Mathematics in Insurance
Industry
Aggregated CDF
Probability
Agg Loss
The Concept of Mathematics in Insurance
Industry
Liquidity
Profit margin
Brokerage
Recovery
Internal costs
Taxes
The Concept of Mathematics in Insurance
Industry
We calculate distribution of the losses versus the capital we hold for the
whole Swiss Re group.
There is a possibility that we go bankrupt! Otherwise we would be way too
expensive.
The Concept of Mathematics in Insurance
Industry
Research Question
Correlations!
Example : Pandemic will not only trigger many life insurances, but
the stock market will go down, too!
Some Insurance Mathematics
Premium growth rates:
These ratios can be calculated on the basis of written premium or earned
premium or both, gross and net of reinsurance, and by class of business,
business segments (for example, retail compared to commercial business
lines) or for the total portfolio. If information is available, premium growth
rates can also be calculated in terms of new business only.
P1
1 x100%
P0
Equation 1
where
These ratios are more usually calculated on the basis of gross written premiums, and by class of
business, business segments or for the total portfolio.
As renewal rates reflect the relationship between the company and its customers, it is not usual
to examine renewal rates using premium information net of reinsurance.
This ratio is of less relevance for reinsurance business as this business involves a smaller number of
large contracts so it can be expected that the ratio will be volatile in normal circumstances.
GRP1 x100%
GWP
0
Equation 2
where
GRP1 is the gross written premium from renewals in the current accounting period;
and
GWP0 is the total gross written premium for the same class of insurance in the
previous corresponding accounting period.
Other Insurance Mathematics
Mechanisms
PREMIUM GROWTH RATES
RENEWAL RATES
CHANGES IN PER RISK PREMIUMS
REINSURANCE ASSETS
CESSION RATES ASSET MIX
NET RETENTION RATES INVESTMENT ASSETS AND OTHER ASSETS
MAXIMUM EVENT RETENTIONS INADMISSIBLE ASSETS
REINSURANCE RECOVERIES LIQUIDITY
PROFITABILITY LEVEL, QUALITY AND SOURCE SOLVENCY AND CAPITAL
CLAIMS RATIO PREMIUMS AND CAPITAL
EXPENSE RATIO TECHNICAL PROVISIONS AND CAPITAL
COMBINED RATIO SOLVENCY MARGIN
INVESTMENT INCOME RATIO SOLVENCY COVERAGE
OPERATING RATIO QUALITY OF CAPITAL
PROFIT RATIOS
QUALITY OF THE INVESTMENT RESULT
TECHNICAL PROVISIONS THE VIEW OF OTHER STAKEHOLDERS
UNEARNED PREMIUMS RETURN ON CAPITAL
UN-EXPIRED RISK
CLAIMS PAID TO CLAIMS PROVISIONS
IBNR TO REPORTED PROVISIONS
CLAIMS DEVELOPMENT OVER THE YEAR
ALTERNATIVE C LAIMS ESTIMATES
Careers for Mathematics Majors
Actuarial pricing
Actuarial - reserving
Aggregate Modelling
Broking
Capital Modelling
Catastrophe Modelling
Claims
Compliance
Risk Management
Business Analysis
Quatitative Analyst
Research