Concepedia

Predictive Claims Modeling

Predictive Claims Modeling is a computational analytics framework within health insurance analytics that employs statistical and machine learning techniques to forecast the likelihood, cost, or risk profile of future insurance claims based on historical claims and patient data.

78

Publications

2.9K

Citations

321

Authors

160

Institutions

Publications per year

2017–2026

42

Parents

Publications

78

Predicting Initial Claims for Unemployment Benefits

Hyunyoung Choi · SSRN Electronic Journal · 2009 · 206 citations · Full text

, , +16

Selecting a patient characteristics index for the prediction of medical outcomes using administrative claims data

Catherine A. Melfi, E. Holleman, Dionne Arthur et al. · Journal of Clinical Epidemiology · 1995 · 140 citations

, , +12

Predictive Distributions of Outstanding Liabilities in General Insurance

Peter D. England, Richard Verrall · Annals of Actuarial Science · 2006 · 111 citations

, , +17

Predicting drug-resistant epilepsy — A machine learning approach based on administrative claims data

Sungtae An, Kunal Malhotra, Cynthia Dilley et al. · Epilepsy & Behavior · 2018 · 100 citations

, , +13

A non-homogeneous Poisson process predictive model for automobile warranty claims

Karl D. Majeske · Reliability Engineering & System Safety · 2006 · 97 citations

, , +13

1–5 of 78

Authors

321

  1. MV
    Mario V. Wüthrich

    ETH Zurich, Switzerland

    5 publications · 246 citations

    5

    h-index

  2. YX
    Yang Xie

    The University of Texas Southwestern Medical Center, United States

    2 publications · 65 citations

    2

    h-index

  3. DC
    David C. Chang

    Massachusetts General Hospital, United States

    2 publications · 65 citations

    2

    h-index

  4. GS
    G. Schreier

    Austrian Institute of Technology, Austria

    2 publications · 65 citations

    2

    h-index

  5. SN
    Sandra Neubauer

    Austrian Institute of Technology, Austria

    2 publications · 65 citations

    2

    h-index

1–5 of 321

Institutions

160

  1. ETH Zurich

    Zurich, Switzerland

    5 h-index

    6 publications

    306 citations

  2. University of Maryland, Baltimore

    Baltimore, United States

    2 h-index

    2 publications

    40 citations

  3. Universität Hamburg

    Hamburg, Germany

    2 h-index

    3 publications

    100 citations

  4. Wilmington University

    New Castle, United States

    2 h-index

    9 publications

    177 citations

  5. Stockholm University

    Stockholm, Sweden

    2 h-index

    2 publications

    35 citations

  6. Wayne State University

    Detroit, United States

    2 h-index

    3 publications

    131 citations

  7. Yale University

    New Haven, United States

    2 h-index

    2 publications

    47 citations

  8. The University of Tokyo

    Tokyo, Japan

    2 h-index

    4 publications

    78 citations

1–8 of 160

Venues

  1. Insurance Mathematics and Economics

    4 publications · 75 citations

    4

    h-index

  2. PubMed

    Repository · 3 publications · 61 citations

    3

    h-index

  3. Reliability Engineering & System Safety

    3 publications · 156 citations

    3

    h-index

  4. Risks

    3 publications · 183 citations

    3

    h-index

  5. SSRN Electronic Journal

    Repository · 3 publications · 271 citations

    3

    h-index

1–5