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"Summary: "This text provides a basic foundation of knowledge concerning two fundamental building blocks of property/casualty actuarial work: ratemaking and loss reserving. Although the material is of property/casualty origins, the methods presented have potential application in other insurance areas including health insurance and risk management. The text contains a number of worked examples and end-of-chapter exercises""

"Skripsi ini membahas latar belakang PT Bank ABC, Tbk. berlangganan asuransi Bankers Blanket Bond. Asuransi Bankers Blanket Bond adalah mekanisme sukarela untuk mengalihkan sejumlah risiko perbankan di luar kewajiban yang ditetapkan Bank Indonesia seperti Kewajiban Penyediaan Modal Minimum (KPMM), audit internal, dan strategi anti-fraud. Penelitian ini juga membahas isi polis dan prosedur pembayaran ganti rugi asuransi Bankers Blanket Bond. Meskipun penting, ternyata masih banyak bank di Indonesia yang belum berlangganan asuransi ini. Penelitian ini mencoba menganalisis kemungkinan terjadinya bias psikologis, serta memberikan rekomendasi untuk mendorong asuransi dengan pendekatan libertarian paternalism melalui perubahan aturan standar (default rule).

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This thesis discusses about PT Bank ABC, Tbk. attitude towards fraud as the reason to take out Bankers Blanket Bond. Bankers Blanket Bond itself is a voluntary mechanism for transferring banking risks, beside such obligations as setting aside reserve, internal audit, and anti-fraud strategy required by Bank Indonesia. The insurance policy and claim procedures are elaborated as well. Despite its significance, this insurance has not attracted Indonesian banks due to some possible psychological biases. To correct error in judgment and decision-making, a libertarian paternalistic policy recommendation is offered. Banks are "nudged" to obtain the insurance through changing the default rule."

""Understanding Health Insurance, Twelfth Edition, is the essential learning tool you need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The Twelfth Edition has been updated to include new legislation that affects health care, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), the medical review process, and more. Practice exercises in each chapter provide plenty of review, and the accompanying workbook provides even more application-based assignments and additional case studies for reinforcement,. Purchase of this text includes access to free online SimClaim CMS-1500 claims completion software and free-trial access to Optum?s EncoderPro.com - Expert encoder software" -- p. [4] of cover."

"ABSTRAKBerdasarkan lama proses penyelesaian klaim, perusahaan asuransi terdiri dari dua kelas bisnis, yakni short-tail business penyelesaian klaim. Dalam bisnis long tail, penting bagi perusahaan asuransi untuk memiliki cadangan klaim untuk menyelesaikan klaim di kemudian hari. Prediksi pemesanan klaim diharapkan akurat. Secara umum, pemesanan klaim dilakukan dengan metode chain ladder yang didasarkan pada tren klaim berbayar. Cara lain yang sering digunakan adalah Bornhuetter Ferguson yang didasarkan pada klaim berbayar dan juga premi. Dalam makalah ini, diperkenalkan metode yang disebut Benktander yang menggabungkan tangga rantai dan Bornhuetter Ferguson menggunakan kredibilitas optimal. Kredibilitas optimal diperoleh melalui minimum mean squared error dan minimum variance. Oleh karena itu, pemesanan klaim dengan metode Benktander diharapkan lebih akurat bagi perusahaan. Pada akhir makalah ini, ketiga metode tersebut dibandingkan berdasarkan mean squared errornya sehingga akan ditentukan metode terbaik di antara ketiga metode tersebut.

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ABSTRACTBased on the settlement period for insurance claim, insurance is divided into 2 types of business which are short tail business settlement period 1 year and long tail business settlement period ge 1 year. In long tail business, it is important for insurance company to have claim reserve in order to settle claims in the future. Claim reserving prediction is expected to be accurate. In general, claim reserving is done using chain ladder method that is based on the trend of paid claims. Another method that is often used is Bornhuetter Ferguson which is based on paid claims and also premium. In this paper, a method called Benktander that combines chain ladder and Bornhuetter Ferguson using optimal credibility is introduced. Optimal credibility is obtained through minimum mean squared error and minimum variance. Therefore, claim reserving based on Benktander method is expected to be more accurate for company. In the end of this paper, those three methods are compared based on their mean squared errors hence the best method among those three methods will be determined."