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Business process adoption is one of the factors that determine an organisation's performance. While there are various factors that can have an impact on business processes adoption, this paper focuses on the impact of individual, process and organisational factors when adopting business processes in a large insurance organisation. Given evidence of non-optimal adoption, this paper investigates the...
Fraud is widespread and very costly to the healthcare insurance system. Fraud involves intentional deception or misrepresentation intended to result in an unauthorized benefit. It is shocking because the incidence of health insurance fraud keeps increasing every year. In order to detect and avoid the fraud, data mining techniques are applied. This includes some preliminary knowledge of health care...
Data mining has been recently used in the field of car insurance to help the insurance companies in predicting the customers' choices in order to provide more competitive services. In this composition, the random forest was used to develop a classification model that could be applied in predicting which of the insurance policies would likely to be chosen by the customers. The performance of the developed...
Micro finance is the process of formation of groups to support the poverty incapacitated people by extending money without any collateral security. Micro finance includes savings accounts, insurance products and credit provided to low income unbanked people to increase their economic status in the society. Micro-insurance is a shelter against the hazards of low-income people in exchange of a premium...
Business environment has shifted into a customer-oriented one, changing the way customers take part in creating value towards organizational increase of competitive advantages. More than ever, customers are considered as knowledge, leading to insights, innovations, and new ideas within a company. Knowledge acquisition, such as customer knowledge, is proven to be very difficult. This leads us to explore...
Ensuring compliance to laws and regulations in their business processes is a burdensome obligation for today's companies. Compliance requirements cover many areas of business and IT, including process design, deployment and run-time. Past approaches only covered some of these aspects. In this work we introduce a generic compliance descriptor, integrating different technical compliance implementations...
Sentence similarity methods are used to assess the degree of likelihood between phrases. Many natural language applications such as text summarization, information retrieval, text categorization, and machine translation employ measures of sentence similarity. The existing approaches for this problem represent sentences as vectors of bag of words or the syntactic information of the words in the phrase...
Empirical studies show that there is a clear pro-cyclicality in China's financial system, which consists of commercial banks, securities firms, insurance companies and investment funds. The pro-cyclicality promotes the vulnerability of financial system and amplifies the volatility of macroeconomic cycles in China. China should accelerate the construction of a complete macro-prudential supervision...
In general, managers have different opinions from those advocated by CIOs in relation to Information Systems, especially with regard to their importance and value to the business as well as in terms of investment needs. Here, we discuss and study new approaches to methods and tools for assessing the relative importance of each information system for business, focusing on the insurance companies. We...
Currently, insurance policy holders will be notified for their premium payment by means of postal mail. Thereafter, the customers can make the payment through the channels provided by the company. These channels are entirely the company's business competitors, though. The process of paying the insurance premium through these channels will therefore disclose the information of the target customers...
It's not surprising that when most employees hear the term "compensation" they typically think of the money that they receive in their paycheck. Total compensation, however, extends beyond salary. Total compensation may be defined as "the package of quantifiable rewards that an employee receives for his or her labors." (Gomez-Mejia et. al, 2012, pg. 312) It is the resources that...
An insurance industry as the financial services has gone through a tremendous transformation over the past decade. Insurance company's management is facing challenges of innovative information and communication technologies, so implementation of their bodily processes into the new electronic marketplace environment is needed. Transfer to e-insurance will lead to market expansion and will straighten...
With governments worldwide striving to digitize the healthcare sector beyond the institutional level of individual hospitals, many countries have developed national programs to implement eHealth technologies that increase treatment efficiency and effectiveness. However, it cannot be neglected that these programs have often been longsome, costly and have been met with considerable resistance from various...
In the pre-reform era, Life Insurance Corporation of India (L.I.C.I) dominated the Indian Life Insurance market. But the situation drastically changed since the beginning of the year 2000. With he development of the IRDA Act in 1999, private players started entering into the life insurance market. At the end of the FY 2011–12, there were 24 life insurance companies (inclusive of 1 public sector player,...
Sequence data are increasingly shared to enable mining applications, in various domains such as marketing, telecommunications, and healthcare. This, however, may expose sensitive sequential patterns, which lead to intrusive inferences about individuals or leak confidential information about organizations. This paper presents the first permutation-based approach to prevent this threat. Our approach...
Westfield Insurance operates a call center that handles billing and claims calls. The call center has resources dedicated to each call type and hybrid resources that can handle both call types. The use of hybrid resources makes it challenging to predict what impact a staffing change will have on service level metrics. This paper documents the approach, lessons learned, and business impacts of modeling...
Abandonment is a key indicator of performance and a driver of service level in a call center. Calls that abandon affect the wait times of the remaining calls in the queue and the ability of call center resources to service the remaining calls. This interaction is further complicated when the call center has multiple arrival channels, handled by two groups of resources with a shared pool of resources...
In order to study the influence of insurance intervene SME financing, by selecting the industrial SME data and property insurance company credit guarantee insurance data of 31 provinces, autonomous regions and municipalities from 2005 to 2011, build individual fixed effect panel data model, use insurance this factor as the explanatory variable, to consider the impact on insurance intervene SME financing...
In order to solve moral hazard caused by induced consumption of care provider in the long-term care insurance market, a "risk-sharing, benefit-sharing" incentive mechanism is suggested by referring to foreign medical insurance management pattern in paper. However, that need to establish an appropriate form which can secures mutual profit sharing. The paper uses cooperative game model in...
Sustainable operation of agricultural insurance companies is crucial for the sustainable development of agricultural insurance in China, and whether agricultural insurance companies can operate sustainably is fully reflected in their operating performance. Grey correlation analysis is a method that can do effective treatment for "small sample", "little data", "uncertainty",...
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