Дисертації з теми "Insurance contract/Risk/Claim"
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Kouki-Zekri, Mériem. "Analyse du risque en assurance automobile : nouvelles approches." Thesis, Paris 2, 2011. http://www.theses.fr/2011PA020012/document.
Повний текст джерелаThis dissertation provides a contribution to the risk analysis on the French automobile insurance market. The objective of this thesis is threefold. The first aim relates to a theoretical framework applied on insurance market. An original model of double asymmetry of information is presented The main result that emerges is the existence of two kinds of contracts at equilibrium :a separating contract and a pooling contract. The second point concerns the past claims and the risk-coverage correlation. Bivariate and trivariate models are applied for this purpose. It results that the assumption of asymmetry of information is not rejected. The third issue is related to the over-premium that insurers apply quasi-systematically to the young drivers. We show, using econometric modeling, that this over-pricing compared to the experienced drivers’premium isnot necessary and its removal does not compromise the sustainability of the insurance company
Brunel, Guillaume. "L'assurance de protection juridique : contribution à l'évolution du modèle assuranciel de l'accès au droit et à la justice." Electronic Thesis or Diss., Perpignan, 2022. http://www.theses.fr/2022PERP0011.
Повний текст джерелаThe legal protection insurance appears to be one of the means of facilitating access to the law and financing access to justice. It is because there is a risk of having to incur costs to assert or defend his rights that, this insurance can meet the need of the insured to be legally and financially protected. The research objective is to determine whether the current system allows legal protection insurance to guarantee real access to law and justice. The first part of the thesis is devoted to the development of legal protection insurance and its contribution to access to law and justice. Our research shows that legal protection insurers have contributed, during the 20th century, to the emergence of an insurance system for access to law and justice. However, positive law has not conferred on this branch of insurance a system capable of answer at the new insurance needs, born of the expectations of litigants in terms of knowledge of the law and access to justice, or expected by the public authorities in terms of funding legal aid. If the analysis of the current system leads us to understand the limits of legal protection insurance, the research results show that a negation of the limits of legal protection insurance would undermine the fundamental principles that govern insurance. Indeed, the insurer selects the risks to determine which ones it will guarantee. Beyond these limits, it is no longer a question of pooling but of solidarity. Solidarity, born from the request of the public authorities for the financing of legal aid, which an outdated approach, based on trial expense insurance, cannot respond. To remedy this, the second part of the thesis endeavors to propose an evolution of the current insurance model to improve access to law and justice. The restrictive approach of the role of the legal protection insurer as a lawsuit insurer is no longer appropriate. It is no longer a question of compensating for damages suffered but of guaranteeing the legal management of a dispute. The legal protection insurer should therefore not no longer be confined in a role of third payer of indemnities ; on the contrary, should be preferred an approach favoring the prevention and the amicable settlement of disputes. After determining the way in which the insurance companies can contribute to this development, our conclusions lead us to propose an adapted model of conflict resolution, resulting from research in comparative law, which justifies not only an evolution of the regimen of legal protection insurance but also that of the insurance model of access to law and justice
Yeo, Keng Leong Actuarial Studies Australian School of Business UNSW. "Claim dependence in credibility models." Awarded by:University of New South Wales. School of Actuarial Studies, 2006. http://handle.unsw.edu.au/1959.4/25971.
Повний текст джерелаMoerup, Casper Jacob. "Prediction of claim cost in general insurance." Master's thesis, Instituto Superior de Economia e Gestão, 2019. http://hdl.handle.net/10400.5/18176.
Повний текст джерелаO trabalho seguinte foi realizado durante uma colocação de estágio na If Industrial P & C Insurance, em Estocolmo, na Suécia. Este relatório destaca e discute algumas das diferenças entre o seguro industrial e privado e percorre o processo de “Análise do Ano Normal”. A análise avalia os dados das reivindicações com o objetivo de projetar as perdas em um ano no futuro. A Teoria do Risco Colectivo e a Estimação da Máxima Verossimilhança são utilizadas para obter uma estimativa da gravidade das reivindicações. Além disso, as reservas são estimadas usando o método Chain-ladder. A seção final do relatório descreve uma análise de sensibilidade de um modelo para as reservas de ajuste de sinistros. Esta análise mostra o impacto da introdução de dois novos parâmetros, o que explica a parte já desenvolvida das reivindicações abertas.
The following work was carried out during an internship placement at If Industrial P&C Insurance in Stockholm, Sweden. This report highlights and discusses some of the differences between Industrial and Private insurance and walks through the “Normal Year Analysis”-procedure. The analysis assesses the claims data with the goal of projecting the losses one year into the future. Collective Risk Theory and Maximum Likelihood Estimation is used to obtain an estimate of the severity of the claims. In addition, the reserves are estimated, using the Chain-ladder method. The final section of the report describes a sensitivity analysis of a model for the Claims Adjustment Reserves. This analysis shows the impact of introducing two new parameters, which accounts for the already developed part of the open claims.
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Chen, Hua. "Contingent Claim Pricing with Applications to Financial Risk Management." Digital Archive @ GSU, 2008. http://digitalarchive.gsu.edu/rmi_diss/22.
Повний текст джерелаAl-Tassan, Fahad. "The importance of ancillary insurance benefits by members of Medicare risk contract insurance plan." Thesis, Boston University, 2000. https://hdl.handle.net/2144/29783.
Повний текст джерелаCorzo, de la Colina Rafael, and Mendoza José Villafuerte. "Great risk insurances and disproportionate protection of insured persons in insurance contract Law." IUS ET VERITAS, 2017. http://repositorio.pucp.edu.pe/index/handle/123456789/122964.
Повний текст джерелаEn el presente artículo, los autores nos hablan de los seguros de grandes riesgos y describen su tratamiento en la legislación extranjera. Luego, señalan que el rol protector del Estado en la relación de consumo es reducir las asimetrías informativas, pero no existe una obligación total de divulgación de información en el mercado. Por lo tanto, la asimetría informativa deja de ser relevante cuando el usuario del servicio tenga capacidad de negociación y recursos suficientes para tomar una decisión informada. Concluyen que es pertinente equiparar la aplicación de la Ley del Contrato de Seguro peruana a estándares internacionales.
Trayhorn, Benjamin. "Power plant system reliability analysis : applications to insurance risk selection and pricing." Thesis, Cranfield University, 2012. http://dspace.lib.cranfield.ac.uk/handle/1826/7906.
Повний текст джерелаDelgado, Marta Marina Santos. "Car renting? Risk mitigation at the end of the contract." Master's thesis, Instituto Superior de Economia e Gestão, 2016. http://hdl.handle.net/10400.5/13015.
Повний текст джерелаO renting é uma solução face à compra de uma frota completa. Nos dias de hoje é visto como uma opção flexível que permite uma melhor gestão e redução de custos, repassando os riscos associados à desvalorização dos carros para o locador. O renting de automóveis oferece vários serviços aos seus clientes, tais como: manutenção, seguro, cartão de combustível, assistência em viagem e veículo de substituição, gestão de sinistros, serviços administrativos, impostos entre outros. No entanto, no final do contrato, os clientes são muitas vezes confrontados com custos elevados não enquadráveis no desgaste habitual de uma viatura. Por outro lado, as locadoras ao receberem os veículos com danos, assumem uma perda no valor da venda. É assim fundamental encontrar um ponto de equilíbrio entre as duas partes - cliente e locadora. O objectivo do presente trabalho final de mestrado é desenvolver uma solução que ajude a minimizar e a gerir os riscos associados a um contrato de renting, nomeadamente no final do contrato. Tendo por base informação histórica, vamos apresentar uma cobertura de seguro que irá proteger os clientes dos custos elevados e permitirá às empresas de renting aumentarem a sua rentabilidade, não só através do resultado técnico da cobertura mas também através de uma carteira de investimentos.
Renting is a solution regarding the purchase of an entire fleet. Nowadays it is known as a flexible option which allows cost reductions, rationalization plans and passing of associated risks facing the car value - depreciation and used car sales. The car renting offers a lot of services as: maintenance, insurance, fuel card, road side assistance and replacement car, claim handling and administrative services, taxes, tyres and so on. However, in the end of the contract the customers are sometimes surprised with extra costs from damages not included on vehicle normal usage. On the other point of view, the renting companies also lose on the sales results. Thus, it is crucial finding a balance for the two involved parties - the customer and the renting company. The aim of the present master final work is to develop a solution which helps to minimize and to manage the inherent risks of a renting contract, particularly in the end of the contract. Based on historical data we'll present an insurance cover that can protect the customers from the "big costs" and also allows renting companies to improve the results not even by a profitability cover but also combined with different financial investments.
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Zimmermann, Pavel. "General Insurance Reserve Risk Modeling Based on Unaggregated Data." Doctoral thesis, Vysoká škola ekonomická v Praze, 2004. http://www.nusl.cz/ntk/nusl-77092.
Повний текст джерелаSeo, Sangtaek. "Effects of federal risk management programs on investment, production, and contract design under uncertainty." Texas A&M University, 2004. http://hdl.handle.net/1969.1/3117.
Повний текст джерелаVala, Marek. "Pojistné podvody." Master's thesis, Vysoké učení technické v Brně. Ústav soudního inženýrství, 2015. http://www.nusl.cz/ntk/nusl-233197.
Повний текст джерелаMahfuz, Mahfuz. "A research to develop English insurance law to accommodate Islamic principles." Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/a-research-to-develop-english-insurance-law-to-accommodate-islamic-principles(ba9df8a6-58e2-4506-b62e-431238740e73).html.
Повний текст джерелаCetinkaya, Sirzat. "Valuation Of Life Insurance Contracts Using Stochastic Mortality Rate And Risk Process Modeling." Master's thesis, METU, 2007. http://etd.lib.metu.edu.tr/upload/3/12608214/index.pdf.
Повний текст джерелаEgelius, Eric, and Anna Methander. "Evaluation of the Variance in the Premium Provision Estimate : Handling Inhomogeneous and Decreasing Risk in Premium Provision Purposes." Thesis, Umeå universitet, Institutionen för matematik och matematisk statistik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-184554.
Повний текст джерелаKostnader som uppkommer på grund av skador inom skadeförsäkring är stokasiska och en förusättning för att kunna bedriva ett framgångsrikt försäkringsbolag är att kunna prediktera risk och framtida kostnader. Utifrån ett såväl försäkrings- som reglatoriskt perspektiv är det av stor vikt att ha en gedigen förståelse av både precisionen och känsligheten i de skattade estimaten. Denna uppsats syftar till att ta fram ett alternativt tillvägagångssätt till hur kostnader relaterade till framtiden ska predikteras, med fokus på att utvärdera variationen i estimaten, vid fallet av en inhomogen och avtagande risk. Tillvägagångssättet bygger på en uppdelning mellan antalet skador och kostnaden för skador, vilka modelleras separat för att sedan kombineras och ge en totalkostnadsfördelning för den avsedda tidsperioden. De historiska kostnaderna modelleras utifrån ett parametriskt- och ett ickeparametriskt tillvägagångssätt. Skadefrekvensen modelleras med hjälp av bland annat samplingsmetoden bootstrap samt genom användandet av scenarier. Uppsatsen görs i samarbete med skadeförsäkringsbolaget, Anticimex Försäkringar, vilka har bidragit med data och expertkunskap inom det aktuariella området. Arbetets resultat visar att det föreslagna tillvägagångssättet är en framgångsrik strategi för att utvärdera de första två momenten av de predikterade totalkostnadsfördelningarna, även vid fallet av en inhomogen och avtagande risk.
Petersen, Luiza Linhares Moreira. "Risco como elemento do contrato de seguro." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/165148.
Повний текст джерелаThe insurance contract is polarized by risk. In order to neutralize the effects of the risk which threatens the insurable interest, this contractual type is structured from the exchange between premium and coverage: while the insured undertakes to pay the premium, the insurer undertakes to guarantee the unsurable interest, committing itself to carrying out a specified duty in case of loss. As an event adverse to the insurable interest, the risk justifies the purchase of insurance. In addition, it conforms the structure and economic base of the contract, as well as the development of the entire contractual relationship. This paper is structured in three parts, and its purpose is to analyze the risk in the insurance contract. In the first part, the historical path, the elements, the cause and the legal nature of the insurance are examined. In the second part, the characteristics of the insurable risk and the role of the risk in the conformation of the economic base of the contract are identified. In the third part, risk is examined as an element in the development of the contractual relationship, taking into account the rights and obligations of both contractors, whether in the pre-contractual stage (misrepresentation and nondisclosure) or in the performance of the contract (aggravation-reduction of risk).
Doláková, Hana. "Pojištěnost města Třešť." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2008. http://www.nusl.cz/ntk/nusl-221722.
Повний текст джерелаPukk, Härenstam Karin. "Learning from patient injury claims : an assessment of the potential of patient injury claims to a safety information system in healthcare /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-153-1/.
Повний текст джерелаNovotná, Svatava. "Problematika pojištění majetku obce Vrbátky." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2009. http://www.nusl.cz/ntk/nusl-222072.
Повний текст джерелаDyntar, Lukáš. "Problematika pojištění vozového parku vybraného podnikatelského subjektu." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2008. http://www.nusl.cz/ntk/nusl-221735.
Повний текст джерелаHolan, Michal. "Pojištění individuální výstavby rodinného domu." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2013. http://www.nusl.cz/ntk/nusl-225949.
Повний текст джерелаNiščáková, Jana. "Problematika pojistné ochrany majetku obce Nový Malín." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2008. http://www.nusl.cz/ntk/nusl-221714.
Повний текст джерелаGoulart, Úrsula Santos de Ávila. "O agravamento do risco no contrato de seguro." Universidade do Estado do Rio de Janeiro, 2010. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=2320.
Повний текст джерелаThe objective of this thesis is to list and explain the requisites adopted by both the doctrine and the jurisprudence for the application of the principle of risk aggravation (as prescribed in articles n. 768 and 769 of the Civil Code) to insurance contracts as well as its legal implications. Hence, the insurance contract was scrutinized in an attempt to discover the exact dimension that this business document has par excellence to the detriment of part of the doctrine still restricted to an isolated and individualistic reading of such a contract. Besides, it was assumed that good faith (be it seen from an objective or subjective perspective) is qualified in the insurance contract, for this type of contract is entirely grounded on it. The principle of good faith is a two-way relationship that gives rise to obligations for both parties, whose information and behaviour wil be essential to delimit the object of the insurance and to accomplish the social function of this sort of contractual instrument. Good faith will be incisively present and shaping the obligation based relation in all of the contract phases: before the conclusion of the contract, on the presentation of the contract proposal, during the business relation, in the necessary statements concerning eventual alterations in the risk (such as its aggravation), and, also, in the post-contractual phase, always taking into consideration the community nature of the insurance. Also examined were some polemical issues involving the use of certain clauses in the insurance contract, deemed contrary to good faith, such as the profile clause, whose validity has to be evaluated in concrete terms, and which bears close relation to the risk aggravation.
Geaves, Linda Helen. "Public priorities and public goods : the drivers and responses to transitions in flood risk management." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:6a5de60c-1920-403e-aaf7-0c8b8655edef.
Повний текст джерелаChrástová, Šárka. "Stanovení výše pojistného plnění za škodu na rodinném domě v Ivančicích způsobenou požárem." Master's thesis, Vysoké učení technické v Brně. Ústav soudního inženýrství, 2013. http://www.nusl.cz/ntk/nusl-232740.
Повний текст джерелаTomaštík, Václav. "Návrh pojistného portfolia pro vybraný podnikatelský subjekt." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2008. http://www.nusl.cz/ntk/nusl-221716.
Повний текст джерелаVondráková, Ivana. "Pojistně technické rezervy komerčních pojišťoven." Master's thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-81942.
Повний текст джерелаZajíček, Jakub. "Matematické modelování v neživotním pojištění." Master's thesis, Vysoká škola ekonomická v Praze, 2015. http://www.nusl.cz/ntk/nusl-206672.
Повний текст джерелаČáp, Radim. "Modelování ceny stavebního díla v závislosti na reálných smluvních vztazích." Doctoral thesis, Vysoké učení technické v Brně. Fakulta stavební, 2012. http://www.nusl.cz/ntk/nusl-392283.
Повний текст джерелаSoldán, Petr. "Pojištění budovaného díla." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2012. http://www.nusl.cz/ntk/nusl-225638.
Повний текст джерелаSouza, Thelma de Mesquita Garcia e. "O dever de informar e sua aplicação ao contrato de seguro." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/2/2132/tde-07062013-143302/.
Повний текст джерелаThe purpose of this dissertation is to analyze the importance of information in contract law, the disclosure duties and its application to insurance contracts, from legal and economic perspectives. Since Law and Economics are social sciences applied to the same environment and are mutually complementary, this bifocal approach leads to a more accurate portrait of reality seen from different but correlated points of view. The analysis of the role of information reveals that if it concerns the contract essential element, it becomes part of it and determines the legal rules that should be applied to it. The inquiry of information distribution patterns shows that it can eventually bring about detrimental effects which induce the discussion of the criteria underlying the legal regime of information in contract law. Asymmetric information can be harmful if it encourages opportunism, increases transaction costs and grants one party undue gains from the contract. In spite of the usefulness of standards to regulate conducts not reached by rules, this study shows that good faith, due to its idiosyncrasies, is not an efficient standard to govern information in contracts. Thus, it should be assigned a residual function. The application of the duty to inform with the purpose of imposing full disclosure and accuracy to the parties ensures more objectivity to the information regime in contracts. However, good faith was the standard chosen by the legal system to rule the parties interaction, despite its recognized inefficiency to induce information exchange among agents. Due to the particular features of the insurance contract, and to the harmful effects of informational asymmetry in this context, law imposes the parties a higher standard of good faith. If the legal standard is the utmost good faith, eventual exceptions to this pattern should be restrictively interpreted. Since information is connected with the economic mechanism of the insurance contract because it affects risk and premium evaluation, it is strictly related to the function and purpose of the contract. Therefore, condescending interpretation of nondisclosure, misrepresentation and fraud would violate the principle of utmost good faith. Its mitigation will affect the contract balance and its economic and social purposes. This dissertation demonstrates the inadequacy of the information legal regime, especially regarding the requirement of proving bad faith related to nondisclosure, misrepresentation or fraud. It also criticizes the dogmatic application of the presumption of good faith that lays upon the insurer the burden of proving bad faith of the insureds conduct, nullifying the sanctioning effect of the imposition of the duty to inform.
Andrlová, Barbara. "Management efektivního jištění stavebních zakázek z pohledu veřejného investora." Doctoral thesis, Vysoké učení technické v Brně. Fakulta stavební, 2020. http://www.nusl.cz/ntk/nusl-433609.
Повний текст джерелаOliveira, Marcia Cicarelli Barbosa de. "O interesse segurável." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/2/2131/tde-10092012-162636/.
Повний текст джерелаThe present work aims the legal study of the insurable interest, a essencial element of the insurance contract, understood as the relationship between a person and a thing or another person subject to risk. The subject will be developed from the structural and functional analysis of the insurable interest, its legislative developments in Brazil and its consequences in the insurance contract, both regarding indemnity and non-indemnity insurance contracts. The analysis is guided, in particular, by the Brazilian Civil Code and former Code of 1916. Considering the lack of specific national literature on the subject, the study is illustrated, as far as possible, with examples of foreign Law, case law and the Law Project n. 3.555/2004.
Jay, Caroline. "Le risque santé et la souscription d’assurance du crédit." Thesis, Université de Lorraine, 2017. http://www.theses.fr/2017LORR0395.
Повний текст джерелаHealth is a risk. The main purpose of insurance is to cover individuals against life’s uncertainties. However, because of the economic nature of this activity, insurers discard more and more the highest risks from their mutuality. This practice, named segmentation, is perfectly allowed. The insurer may, at the time of precontractual discussions, carry out a risk assessment by investigating the personal and intimate situation of the applicant. Several observations can be made. Evidence of discrimination is no longer precise. The techniques for information gathering emancipate themselves from a secure legal framework. The existence of an increased risk has unreasonable consequences on the insurance contract. In France, more than 2.7 million people are, in the sense of insurers, increased risks profiles due to their health status. Those are people living with diabetes, Parkinson's disease or other cancerous pathologies. For them, access to insurance rhymes with refusal, exclusion or additional premia. This phenomenon contributes to a real social injustice, especially when the insurance contract is necessary to be granted a mortgage. For this reason, and under pressures from associations, some measures have been implemented to limit the intrusion of the insurer into the policyholder’s privacy; and in parallel, to strengthen the obligations lying on the professionals to provide information, advice and warning, prior to any contract subscription
Azevedo, Luis Augusto Roux. "A comutatividade do contrato de seguro." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/2/2132/tde-25082011-134415/.
Повний текст джерелаLegal institutions have a close relationship with their economic fundaments. In the insurance contract, this statement is of great importance as it is the legal face of a complex economic operation. The development of the institution has led to the acknowledgment of the entrepreneurial side of the insurance as an essential attribute of the contract. There is a strong dispute on the nature of the contract, if it is an aleatory contract or a certain contract. The main point of this essay is in the sense that the Civil Code of 2002 has adopted the guarantee as the main obligation of the insurer, which represents the acknowledgement of its nature of a certain contract. This nature of the contract permits the examination of the obligations and duties of the parties in a context of equilibrium. The essay finally proposes that the interpretation and construction of the insurance contract observe both the character of a certain contract and its technical fundaments.
Demont, Bruno. "L'aléa dans le contrat d'assurance." Thesis, Paris 2, 2012. http://www.theses.fr/2012PA020112.
Повний текст джерелаHazard is well known for being at the heart of the insurance contract. Nonetheless, it does not stop raising questions about its precise role and raison d’être. Firstly, the debate deals with the qualification of contemporary forms of life insurance; Mecca of doctrinal controversy for years, it still remains topical in spite of the impressive number of studies. Meanwhile, contingency is of intense interest in civil contract law, as well as subject to recent seminars and latest books. More than ever, the notions of insurance contract and of aleatory contract appear as being the “core” issues of a controversy which keeps going well, because the debate may be limited by the idea that a contract is necessarily an act that creates obligations. Thus, the imbalance between the parties’ obligations - characteristic of aleatory contracts – is often highlighted before questioning its existence in the insurance contract. However, it may be wondered as whether to know if such an “obligational” approach of the contract is truly relevant. On the contrary, shouldn’t we consider the effects of the contract through a wider point of view, in order to admit – legally – a quite common idea in everyday language: the transfer of risk? Unlike the obligational approach which is solely focused on the performances of both parties (premium paid by the taker; compensation paid out of the claim or even risk covered by the insurer), that “real” approach would be more focused on the risk that is transferred between the contracting parties. Such a real approach, which seems to be highly more attractive than the obligational one, would offer - among others - a different perspective within the debate that is inherent to the contemporary forms of life insurance
Furck, Christiane Hessler. "A cláusula de perfil no contrato de seguro automóvel e os reflexos no Código de Defesa do Consumidor." Pontifícia Universidade Católica de São Paulo, 2008. https://tede2.pucsp.br/handle/handle/8358.
Повний текст джерелаThe technological advance, the scientific progress, the industrial park and the population accumulations have caused the social-economic development, however they have increased the incidence of the patrimonial risks. Insurance contract corresponds to the social-economical development, however it does not translate one legal transaction only as it can mean an infinity of contractual relations, that involve many different people, in innumerable branches of the insurance market. It occurs that the insurance contract can be translated by contract of civil liability insurance, contract of safety from contractual guarantees, contract of residential insurance, contract of health insurance, contract of enterprise insurance, contract of bail insurance, contract of educational insurance, and the contract of vehicule insurance, the target of this study. In this context, the risk should be deeply analyzed, it will have to be declared by the insured, being certain that it is consolidated through the questionnaire of risk evaluation, which should be part of the the insurance proposal. The questionnaire of risk evaluation is also known as a clause of insured profile and its major goal is to personalise and delimit the risk so that the insurer can accept or refuse the insurance proposal and establish the prize of the insurance. This study also analyzes the positive and negative aspects of the clause of profile ahead of the rules established for the Consumer Defense Code
O avanço tecnológico, o progresso científico, o parque industrial, e os aglomerados populacionais acarretaram o desenvolvimento sócio-econômico, contudo aumentaram a incidência dos riscos sobre o patrimônio. O contrato de seguro corresponde ao desenvolvimento sócio-econômico, contudo não traduz apenas um negócio jurídico, uma vez que pode significar uma infinidade de relações contratuais, que envolvem uma diversidade de pessoas, em inúmeros ramos do mercado securitário. Ocorre que o contrato de seguro pode ser traduzido pelo contrato de seguro de responsabilidade civil, contrato de seguro de garantias contratuais, contrato de seguro residencial, contrato de seguro saúde, contrato de seguro empresarial, contrato de seguro fiança, contrato de seguro educacional e o contrato de seguro automóvel, objeto do presente estudo. Nesse contexto, impende analisar com profundidade o risco que deverá ser declarado pelo segurado, sendo certo que atualmente ele se consolida por meio do questionário de avaliação do risco, constante da proposta de seguro. O questionário de avaliação do risco é também conhecido como cláusula de perfil do segurado e tem o objetivo de individualizar e delimitar o risco, para que o segurador possa aceitar ou recusar a proposta de seguro e estabelecer o prêmio do seguro. O presente estudo analisa ainda os aspectos positivos e negativos da cláusula de perfil diante dos preceitos estabelecidos pelo Código de Defesa do Consumidor
Saa, Ngouana Ange Yannick. "Évolution du risque et droit des assurances : étude selon les droits français et CIMA." Thesis, Paris 1, 2015. http://www.theses.fr/2015PA010268.
Повний текст джерелаThe legal treatment of the evolution of the risk tends to alleviate the imbalance arisen from the influence of time on the insurance contract. Rules related to party’s relationship try in priority to address this issue by looking for the restoration of a balance in the insurance contract. This balance is restored automatically when the evolution reaches the base or the value of the risk. The premium and the allowance are directly adjusted in relation to the risk. When the evolution, upward or downward, affects the scale of the risk, that is the probability or intensity of its occurrence, the adaptation of the contract will be negotiated. It is from the attitude of the parties that depends the issue of the negotiations. The contract which cannot be adapted is destroyed in order to contain the misdeeds of the evolution of the risk. That is the reason why its cancellation sanctioned the bad faith of the insured on the occasion of the worsening of the risk. This is because the coverage of the aggravated risk without adaptation of the conditions of the warranty puts in danger the balance of the mutuality. On the other hand, the sunsetting appears to be the only solution to the contract in case of total disappearance of the risk. The insurer not assuming anymore its obligations, this results on the refund prorata temporis of the advanced premium.The breach of contract is not always offered to the parties. Variations proceeding of the legal uncertainty and specific risks in the insurance of persons do not lend parties to the questioning of their relationship. The unsuitability of the contract is therefore absolute. It becomes relative when, in the case of insurance of damages, the insurer loses, subsequently to the evolution of risk, his right to invoke its legal prerogatives, although the contract could have normally been adapted. Giving that contractual impossibility to control the consequences of the evolution of the risk, it is necessary to reach the balance of the insurance technique of mutualizing, both in the interest of insurer and that of mutuality. Insurance company Law allows the insurer to meet its commitments when the risk evolves. The provisioning of all risk variations and the respect of the solvency requirements ensure, in any circumstance, the availability of sufficient funds to ensure its commitments towards policyholders. For mutual insurance companies, the adjustment of premium constitutes, in addition, a major asset to balance, at the end of a year, the contributions of their members on the basis of the charge of disaster
Mostoufi, Mina. "Eléments de théorie du risque en finance et assurance." Thesis, Paris 1, 2015. http://www.theses.fr/2015PA010044/document.
Повний текст джерелаThis thesis deals with the risk theory in Finance and Insurance. Application of the Comonotonicity concept, the strongest risk dependence, is described for identifying the Pareto optima and Individually Rational Pareto optima allocations, option pricing and quantification of risk. Furthermore it is shown that the left monotone risk aversion, a meaningful refinement of strong risk aversion, characterizes Yaari’s decision makers for whom deductible insurance is optimal. The concept of Comonotonicity is introduced and discussed in Chapter 1. In case of multiple risks, the idea that a natural way for insurance companies to optimally share risks is risk by risk Pareto-optimality is adopted. Moreover, the Pareto optimal and individually Pareto optimal allocations are characterized. The Chapter 2 investigates the application of the Comonotonicity concept in option pricing and quantification of risk. A novel control variate Monte Carlo method is introduced and its application is explained for basket options, Asian options and TVaR. Finally in Chapter 3 the strong risk aversion is refined by introducing the left-monotone risk aversion which characterizes the optimality of deductible insurance within the Yaari’s model. More importantly, it is shown that the computation of the deductible is tractable
CHIOU, JIUN FEI, and 丘駿飛. "The Contingent Claim Valuation of Property-Liability Insurance Contract." Thesis, 1995. http://ndltd.ncl.edu.tw/handle/86907356527402421632.
Повний текст джерела國立中山大學
企業管理研究所
83
The conventional actuarial models tend to reflect the loss distribution of the supply side on the insurance market i.e., the price of the insurance contract is determined unilaterally by the insurers so as to meet the least requirement that the insurers will not go bankrupt. However, there also exist some defectsin most of the fiancial pricing models.In order to regul- ate the pricing of property-liability insurance contracts, this study , based on the theory of contingent claim valuation, devel- ops the insurance pricing formulas, which will lead to fair insurnce pricing . Firstly, this stdy constructs a general valua- tion model for property-liability insurance contracts, which takes into account the cash flows consisting of both the claim indemnity and the investment income. Secondly, to obtain a closed form solution of the pricing formula , this study considers the specific case which the insurer confronts with the frgequency and the severity risk , and thence derives a pricing formula , into which the jumps incurred in claim indemnity are considered. The results show that the pricing of property-liability insurance contracts will depend on the ratio of the claim indemnity relat- ive to the the investment income. Furthermore, the jumps incurred in claim indemnity will exert significant impact upon both the assets and liabities of the insurer.Hence, the price of property- liability insurance contracts will also increase drastically with these jumps.
ZhangJian, Shu-Mei, and 張簡淑美. "Health Insurance Claim Risk Assessment based on Machine Learning." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/4negb7.
Повний текст джерела國立臺灣大學
資訊管理學研究所
107
Taiwan has officially entered the stage of an aged society, and the demand for medical care has also increased. The health care insurance market has grown stronger. However, the loss rate of long-term health insurance policies is high, and insurance companies cannot accurately assess the risks of the insured and give them the corresponding price is an issue that we want to solve. Therefore, this study uses the machine learning classification algorithm, eXtreme Gradient Boosting classifier, to find out the important factors of predicting claims risk and evaluates the model performance by AUC, K-S statistics and average precision over recall. In order to facilitate the application of the prediction model to assist the underwriting process, the forecast given by the model are classified into low risk, medium risk, and high risk, and the prediction precision in the high-risk group is 79.05%. The important factors identified are body mass index, postal code, insured amount, age. The special one is the postal code. The insurance company just collect this information for sending the bill. However, it is found in this study that it is quite helpful for predicting the risk. After the analysis, the variable can be broken down into income, education degree, and regional medical resources. The factor age is found in addition to the high risk of the elderly population, the risk for infants from zero to five years old is also very noticeable, especially in the zero-year-old and one-year-old babies are even higher than the elderly. These factors should be taken into consideration of the underwriting price. This study uses open data released by the government as additional information to understand the factor zip code. Regional medical resources, income, and education level are inferred based on the postal code. The results show that these three kinds of information are helpful factors. If the actual education level and income of the insured are obtained, these factors may be more helpful in assessing the insured''s risk of claiming. According to the data set of this study, the longer-term the insurance policy is tracked, the more accurate the prediction model is. However, since the policy data is only available after 2011, there is a lack of long-term tracking of insurers, so long-term risk prediction and lifelong value evaluation is where could be future research direction.
Chang, Yu-Hua, and 張祐華. "A Study on Claim Risk Factors of Health Insurance." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/wevc2t.
Повний текст джерела淡江大學
保險學系保險經營碩士在職專班
106
To evaluate the risks of information asymmetry and adverse selection, this empirical study included 1,680,898 insureds’ information which were registered in the full sales period from 1999 to 2017 and the 185,835 claim which claimed actual hospitalization from 2010 to 2017. In this study, the elements of insured population, the factors of seeing doctors, the rate of claims, the days of claims, and the payment of claims were thoroughly analyzed with the descriptive statistics, the Logistic regression and OLS models. The factors of treatment reasons which usually brought in a claim, were meanwhile, particularly discussed with the geographic information of hospitals, classification of hospitals, and the code of ICD-9-CM. After analysis is found that the claim rate, claim days and the claim payments were empirically revealed a high relevance with the elements of insured population, such as the insuance amount, the insured gender, the insured age, the insured state of marriage, the premium type, the insured conditions, the education of insured, and the insured occupation classes. Furthermore, compared with other areas, the northern Taiwan has proposed higher claim payments in average if we look into the geographic information of insured habitation and hospitals. On the contrast, the claim rate, the claim days and the claim payments were comparatively low in the non-metropolitan areas. When it comes to the hospital classification, it comes up with longer claim days in medical centre and much claim payments in Clinics. As far as the ICD-9-CM was concerned, there are three codes which claim longer days, and they are mental and behavioral disorders, diseases of the nervous system, and the diseases of the circulatory system. Mentioning the factors of high claim payments, the top five factors are malignant neoplasms, mental and behavioral disorders, pregnancy, childbirth and the puerperium, diseases of the musculoskeletal system and connective tissue, congenital malformations. Above all, this essay proposes the improving suggestions in underwriting and in the management of claim. It also gives words in producing new certain medical insurance. It is expected to adjust the marketing strategy upon the actual medical use patterns, and it is also expected to put an end to improper claim and moreover to achieve the insurance company balance of payments and performance.
Chang, Shu-Ya, and 張淑雅. "The Study of Risk Insurance in Construction Contract." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/p76x6c.
Повний текст джерела國立雲林科技大學
營建工程系
105
Construction project exists lots of uncertain factors during fulfil contract, division of work becomes complicated. Proprietor needs to get the risk insurance in construction contract before to move on and property and Casualty Company usually know the risk so make the proprietor taking a great loss in the construction project, indifferent from the construction contract. When it happened to disaster or damage, proprietor usually can’t afford it, and the expired of validity period of construction contract also cost proprietor dangerous problems. Nowadays research for insurance of construction project are some, but the construction essentially exist high risk and the process can’t be copy, may cost the accident in the per- formance stage, and so on, the relationship between proprietor and contract performance stage. This thesis explores the engineering insurance mechanism in the performance of the project. First of all, by reviewing the literature and related to engineering insurance,It also presents the mechanism of disaster cognition and disaster prevention in project im- plementation, and analyzes the main factors influencing engineering insurance. Second,the above-mentioned results, as the basis of questionnaire survey design, are concerned with the engineering loss factor. The impact of engineering insurance on the degree of identification of the questionnaire survey and assessment, and the results of the assessment as follow-up are not be neglect so does the importance of engineer- inginsurance countermeasures and the basis of disaster prevention; finally, by the research conclusion of experts and scholars and the experience and seniority of the factors on the provision of appropriate countermeasures and measures.. The results of the study show that the 23 loss factors in the performance of the project insurance.The impact of the degree of occurrence of the highest probability of "neighborhood protest complaints," the greatest impact is the project insurance. "The biggest problem is the complexity of the contract and the collapse of the financial difficulties of the manufacturers. After finishing this study asked the tone, check the views of the works in theimplementation of the project insurance mechanism of application of engineering insurance to prevent and suppress the main, some can be transferred through non-insurance, but most have the possibility of retention
Wu, Jin-Han, and 吳晉漢. "Claim Risk of Dread Disease Insurance Application of Survival Analysis and Quantile Regression." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/86750567562398405841.
Повний текст джерела國立高雄第一科技大學
風險管理與保險所
95
For the past years, dread-disease insurance business is rapidly developed in every insurance company in Taiwan. However, this area is lack of research interest so far, so this research focuses on investigating the real cases of insurees’ premium in relation to insurance claims and the termination of insurance contracts, for the reference of insurance companies to design this kind of product and to assess the risk of new contract. This helps to lower the cost in signing new contracts and avoid anti-selection caused by the lack of information of dread diseases, and furthermore, to protect the profit and solvency. This research uses truncated data and employs variance analysis, to examine the variables of the days of insurance claims and those of the days of the termination of insurance contract. After the variance analysis reveals significant data, Scheffe multiple comparison is employed to test those variables. Next, Logistic Regression Model and Censored Tobit Model are used to analyze the data and compare the result of these two models. Finally, Censored Quantile Regression(CQR) is applied to explain the days of insurance claims in relation to each variable.
Zhi-Jia, Chen, and 陳志嘉. "A Study on the Insurance Claim Risk form the Characteristics of Insured Object ~ An Insurance Company as Evidence." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/22544273329687358701.
Повний текст джерела國立高雄應用科技大學
商務經營研究所
98
There are agency problems (information asymmetry and moral crisis) between insurance company and insured. If the insured has moral crisis, then the insurance company will face significant losses. Therefore, the insured risk control is necessary. This study uses an insurance company in Taiwan as sample, and sampling 240 observations to analyze what characteristics will affect the occurrence and amount of insurance claims. The results show: (1) Gender has no correlation with the occurrence and amount of insurance claim. (2) Age is associated with insurance claims, especially for youth stage, age 30-39. (3) Occupational class is associated with insurance claims. White-collar workers with high revenue and the identification of insurance will have higher insurance rate, so the possibility of insurance claim will be higher. (4) Age of the vehicle has no correlation with the occurrence of insurance claim, but negative correlation with the amount of insurance claim.
Lin, Hung-Shu, and 林宏樹. "ON THE STUDY OF KEY RISK INDICATORS FOR AUTO INSURANCE CLAIM OPERATION IN TAIWAN." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/40008434434433648933.
Повний текст джерела銘傳大學
風險管理與保險學系碩士在職專班
100
There exists operational risk for any business activities of people. Auto insurance claim highly involves human factors, and thus it exits operational risk among different stages of insurance claim. Due to the huge domestic and international incidents of operational risk cases, financial institutes gradually emphasize the evaluation of operational risk and capital calculation. However, related literature about the operational risk evaluation at the property insurance company is very limited. Thus, in order to improve the competition capability and enhance the solid operation of property insurance business, the management authority should facilitate their monitoring system in a more comprehensive and consistent mechanism to manage the property insurance operational risk. This study examined the potential operational risk evaluation dimensions in the process of practice claim cases. By use of Delphi’s questionnaires, the KRI factors of auto insurance claim operational risk are constracted. The empirical research results are as follows: 1. Operation procedure dimensions mainly involve the company system and compliance. In general, through standard operation procedure and regular policy promotion, the inappropriate or wrong doing can be avoid during the operation procedures of auto insurance claim. 2. Personal dimension regarding the individual operational risk occurred, and it is the most important and hardest one to well control. Thus, through regular professional technical training and work value education, we can improve the personal work attitude and to prevent moral hazards. 3. System dimension indicate the operational risk resulted from the system or computer soft/hard way are not function. Though digit quantity method can reduce the mistake of artificial factors, it is also cost consideration when upgrade the system and computer facility, but the benefits to avoid opterational risk still deserves to do. 4. External incident dimension means the impact of operational risk factor from external environment. To avoid or reduce these risks, it is important to fulfill the good monitoring mechanism and cooperative with the operation procedure dimension.
Cheng, Yu-Chen, and 鄭宇辰. "A Study on Claim Operational Risk Assessment for Auto insurance in Taiwan - A Delphi approach." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/7wm3k4.
Повний текст джерела銘傳大學
風險管理與保險學系碩士班
95
Risk assessment is very important to manage risks. Some risks are easily quantified, however, some risks are quite to be quantified, especially on operational risks because of human factors. A variety of operational risks are inherent in an insurance company’s operation. Auto insurance claim operational risk is one of insurance operational risks. The literature on auto insurance claim operational risk assessment is very few in Taiwan. Therefore, this study places an emphasis on claim operational risk assessment for auto insurance in Taiwan. By use of the Delphi method, some results about variables of auto claim operational risk assessment are summarized as follows: 1.There are technical, economic and Social-political scopes as well as nineteen important factors when assess the Operational Risk of Auto insurance in Taiwan. 2.“Professional knowledge” and “working attitude” are the first two important factors. It also shows the importance of human factors. 3.The first two important factors of technical, economic and Social-political scopes are as follows, “the Building of loss event database” and “the updating of loss data”; “the standardizing of claim process” and “the Internal Control system of claim”; “Professional knowledge” and “working attitude”.
Urbanovich, Ernest. "Identifying high-risk claims within the Workers' Compensation Board of British Columbia's claim inventory by using logistic regression modeling." Thesis, 1999. http://hdl.handle.net/2429/10515.
Повний текст джерелаHSU, CHIA-YU, and 徐嘉佑. "On the Travel Risk Knowledge Discovery: A Case Study of Travel Insurance Contract Dataset." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/2y2xyj.
Повний текст джерела龍華科技大學
資訊管理系碩士班
104
The business of tourism industry has been booming in recent years, and the travel risk is taking into account gradually. How to foresee the risk of travel accident becomes an important issue for the travel industry. The travel risk knowledge acquired by using the knowledge discovery technology can not only help the travel industry business man to prevent the risk events before the accident occurred, but also it can help the travel industry keeping running in the long term. In order to acquire the characteristics of high versus low risk travel groups, this study adopts the classification and regression tree techniques to explore the major/minor factors and values that affect the travel safety from the inbound/outbound travel insurance datasets; so as to elevate the risk sense of traveling and become the reference framework for designing the travel safety insurance policy as well. The results of this work can help the personnel of travel industry to understand the factors and values that affect the travel safety; meanwhile, it can assist the travel industry to take necessary action to avoid the occurring of travel accident, and incorporate the design of travel insurance policies to help the travel industry escaping from the huge losses incurred by travel risk.
CHANG, SHU-HUI, and 張淑惠. "Risk Control of Cross Selling in Bancassurance Business : A Case Study of New Life Insurance Contract." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/cm5ewj.
Повний текст джерела大葉大學
管理學院碩士在職專班
106
The first year premium income of insurance launched by banks in our country has surpassed that of conventional channels by insurance companies since 2009, making banks the important and indispensable business channel. In the process of the soliciting new contracts, bank brokers are the first risk controller - effective risk-selection, to avoiding the occurrence of adverse selection and insurance complaint, which is the key role of promoting contractual quality. While the second controller is the underwriter of insurance company - carry out a risk assessment, underwriting notification according to the lack of the insuring clauses, then complement by the bank brokers. Therefore, both sides are significant in bancassurance cross-marketing. In this study, new policy underwriting notification cases will be the main body of risk control, through the case analysis and depth interviews to in aware of the reasons of the underwriting notification and look for the solution to the problems, expecting to reduce the notification ratio and enhance the steady operation of bancassurance business.