• Loss Reserving

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The ultimate settlement and payment for some insurance claims may take a long time and be affected by many factors after occurrence. In the meantime, the insurer or other risk bearing entity must include on their financial statements a reasonable provision for the liability for incurred but unpaid claims cost. Accurately estimating the unpaid claim liability, also referred to as a “reserve,” is critical to any risk bearing entity’s solvency. 

What is Loss Reserving?

An insurance contract is a promise to pay the policyholder, or an injured party on behalf of the policyholder, the cost of insured claims arising from the occurrence of a covered event.  The true cost of claims may not be known for many years because uncertainty can surround the timing and amounts of claim payments.  Nevertheless, the insurance entity must report its financial results on a regular basis. Loss reserving is the process of estimating an entity’s current liabilities for claims that occurred on or prior to a specific date, but that have not yet been paid.

Loss reserves, which in some parts of the world are also known as technical provisions, can be projected using a variety of techniques. Projecting loss reserves can yield a point estimate or a confidence interval that is a range of possible results. Traditional actuarial methods include Loss Development (aka Chain Ladder), Bornhuetter-Ferguson, Frequency/Severity, Backward Recursive, Berquist-Sherman, and Cape Cod. These methods can be used with paid and case incurred data, can be applied to loss and loss adjustment expenses separately or on a combined basis, and capture developments on known claims (case reserve development) as well as anticipated emergence of late reported claims (incurred but not reported, or IBNR).

What is the value of Loss Reserving?

Loss reserves often form the single largest liability on an insurance entity’s balance sheet.  From management’s perspective, accuracy in the estimation of unpaid claims is essential for proper financial reporting, pricing, underwriting, strategic business planning, and financial decision-making.  From an investor’s perspective, accurate reserves are essential for proper valuation of key financial metrics and to measure the company’s overall financial strength.  For insurance regulators, who rely on financial statements to carry out their supervisory role, a material misstatement of loss reserves can result in a misstatement of a company’s true financial position and can delay necessary action to prevent a future insolvency.

How Can Huggins Help?

Huggins actuaries can quantify, evaluate, and monitor reserve estimates. Depending on the detail and availability of historical data, we can use a variety of actuarial methods to estimate ultimate loss and loss adjustment expenses and associated reserves on multiple bases including the following: by line of business, coverage, territory, or other segmentations; gross or net of reinsurance and salvage and subrogation; undiscounted or discounted for the time value of money.  In every case, our work is guided by the Actuarial Standards of Practice and Code of Professional Conduct. We typically provide the following services individually or in combination:

We can provide a reserve estimate of your existing liability obligations as of a certain point in time, depending on your needs and the frequency of reviews. The reserve estimation can be performed on either a full basis, in which all assumptions and development patterns are reviewed, or on an abbreviated basis. For the latter, the analysis may be done on an interim basis, such as between two full analyses, or certain assumptions may not be updated but instead used as before or interpolated as appropriate.

We also perform an analysis of actual realized results versus the expected results, which provides insight on what items are under or overperforming expectations. This analysis may also be done on an interim basis, and compares expected loss development with actual development.  Any favorable or adverse development can then be used to adjust the prior review’s ultimate loss estimates.

We can compute the necessary tax factors for Internal Revenue Service discounting.

We can provide a reserve estimate of your existing DDR liability obligations as of a certain point in time, using your roster of health care providers.

We can estimate loss funding levels, or loss payments, for the coming year or over a multi-year horizon.

The Huggins Advantage

Our firm’s philosophy centers on our commitment to the highest level of quality service delivered by quality people.  Our long tradition of providing responsive, technical excellence to our clients’ needs, through an integrated team approach, requires that we focus on quality in every aspect of every engagement.

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