Exam 5 · Unpaid Claim Estimation Techniques · Free Lesson

Trace how changes in claims operations, underwriting, policy provisions, marketing, reinsurance, and recovery handling flow through to unpaid loss estimates.

Free CAS Exam 5 (Basic Ratemaking and Reserving) lesson in Unpaid Claim Estimation Techniques. 15 min read, ~2,239 words.

Every reserving method assumes the future looks like the past. When the company changes how it settles claims, who it insures, or how it recovers money, that assumption breaks, and your unpaid loss estimate quietly goes wrong unless you spot the change.

A chain-ladder (development) method multiplies immature losses by factors derived from history. A Bornhuetter-Ferguson (BF) method blends those factors with an a priori expected loss. Both trust that the data-generating process is stable. An operational change is a break in that process. Your job is to detect it, judge its direction, and either adjust the data or switch to a method that is immune.

Claims departments move two things that reserving methods care about: how adequately open claims are reserved, and how fast claims close.

Case reserve adequacy. If adjusters strengthen case reserves, reported (incurred) losses at recent maturities jump for reasons unrelated to real loss cost. Incurred age-to-age factors were built when reserves were weaker, so applying them to the newly inflated incurred losses double-counts the strengthening.

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Common mistakes

Bottom line

Exam shortcut

If average case reserves outrun severity trend, suspect strengthening: the incurred method overstates, so lean paid or Berquist-Sherman restated. Before you quote a direction from any single diagnostic, ask what else moved: offsetting strengthening and speed-up can flatten the paid-to-reported ratio, and a speed-up can raise average case through open-claim mix. Confirm a consistent claim-count definition before trusting count diagnostics.

The full lesson (about 2,239 words, 15 min read) adds 2 worked examples, all 8 common mistakes, a self-check, free in the app.

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