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Applying imputation and statistical learning to predict gamma-glutamyl transferase in underwriting data

Insurance underwriting can be time-consuming and costly for both insurers and customers. However, the insight gained is of critical importance in addressing the information asymmetry between insurers and customers in terms of establishing a customer's risk profile. Consequently, any test that assist...

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Main Author: Perumal, Yevashan
Other Authors: Britz, Stefan
Format: Thesis
Language:Eng
Published: Department of Statistical Sciences 2024
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access_status_str Open Access
author Perumal, Yevashan
author2 Britz, Stefan
author_browse Britz, Stefan
Perumal, Yevashan
author_facet Britz, Stefan
Perumal, Yevashan
author_sort Perumal, Yevashan
collection Thesis
description Insurance underwriting can be time-consuming and costly for both insurers and customers. However, the insight gained is of critical importance in addressing the information asymmetry between insurers and customers in terms of establishing a customer's risk profile. Consequently, any test that assists in providing a risk assessment is critical in allowing insurance companies to manage risk and price their products appropriately. Gamma-glutamyl Transferase (GGT) is an enzyme which has been used by insurers in underwriting medical tests as an indicator of potential adverse outcomes. However, due to complexities such as differing underwriting strategies, data collection and data storage issues, not every customer on an insurer's books will have a GGT value or even a complete data profile. This research investigates if statistical techniques such as imputation and supervised learning can be used in conjunction with available medical, demographic, underwriting and policy data to accurately predict GGT values. A combination of multivariate imputation by chained equations (MICE) and extremegradient boosted trees (XGBoost) offers a 31% improvement in accuracy compared to a naïve prediction. However, there does appear to be a limit to the performance achieved from all implemented techniques with the analysed dataset, with various model combinations yielding root mean squared error (RMSE) values within a narrow range. In addition, when comparing the predictions from a separate, unlabelled dataset to actual data, it appears as though predictions from the models cannot be reliably deemed to be from the same distribution. This indicates that further research is required before insurers can reliably switch out blood-work based GGT results for those from a supervised learning model. Keywords: insurance, underwriting, gamma-glutamyl transferase, imputation, supervised learning
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institution University of Cape Town (South Africa)
language Eng
last_indexed 2026-06-10T12:32:05.102Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2024
publishDateRange 2024
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spelling oai:open.uct.ac.za:11427/39916 Applying imputation and statistical learning to predict gamma-glutamyl transferase in underwriting data Perumal, Yevashan Britz, Stefan Statistical Sciences Insurance underwriting can be time-consuming and costly for both insurers and customers. However, the insight gained is of critical importance in addressing the information asymmetry between insurers and customers in terms of establishing a customer's risk profile. Consequently, any test that assists in providing a risk assessment is critical in allowing insurance companies to manage risk and price their products appropriately. Gamma-glutamyl Transferase (GGT) is an enzyme which has been used by insurers in underwriting medical tests as an indicator of potential adverse outcomes. However, due to complexities such as differing underwriting strategies, data collection and data storage issues, not every customer on an insurer's books will have a GGT value or even a complete data profile. This research investigates if statistical techniques such as imputation and supervised learning can be used in conjunction with available medical, demographic, underwriting and policy data to accurately predict GGT values. A combination of multivariate imputation by chained equations (MICE) and extremegradient boosted trees (XGBoost) offers a 31% improvement in accuracy compared to a naïve prediction. However, there does appear to be a limit to the performance achieved from all implemented techniques with the analysed dataset, with various model combinations yielding root mean squared error (RMSE) values within a narrow range. In addition, when comparing the predictions from a separate, unlabelled dataset to actual data, it appears as though predictions from the models cannot be reliably deemed to be from the same distribution. This indicates that further research is required before insurers can reliably switch out blood-work based GGT results for those from a supervised learning model. Keywords: insurance, underwriting, gamma-glutamyl transferase, imputation, supervised learning 2024-06-19T07:22:12Z 2024-06-19T07:22:12Z 2023 2024-06-06T14:24:12Z Thesis / Dissertation Masters MSc http://hdl.handle.net/11427/39916 Eng application/pdf Department of Statistical Sciences Faculty of Science
spellingShingle Statistical Sciences
Perumal, Yevashan
Applying imputation and statistical learning to predict gamma-glutamyl transferase in underwriting data
thesis_degree_str Master's
title Applying imputation and statistical learning to predict gamma-glutamyl transferase in underwriting data
title_full Applying imputation and statistical learning to predict gamma-glutamyl transferase in underwriting data
title_fullStr Applying imputation and statistical learning to predict gamma-glutamyl transferase in underwriting data
title_full_unstemmed Applying imputation and statistical learning to predict gamma-glutamyl transferase in underwriting data
title_short Applying imputation and statistical learning to predict gamma-glutamyl transferase in underwriting data
title_sort applying imputation and statistical learning to predict gamma glutamyl transferase in underwriting data
topic Statistical Sciences
url http://hdl.handle.net/11427/39916
work_keys_str_mv AT perumalyevashan applyingimputationandstatisticallearningtopredictgammaglutamyltransferaseinunderwritingdata