Group Insurance - ACS 631

Medical quality measures; Group vs. individual product vs. government financed products in terms of underwriting and pricing; Techniques used for claims and disease management; Insurer claim reserving techniques (Estimating Incurred but not reported claims, IBNR); Limitations of valuation methods such as lag methods, tabular methods, case reserves, projection methods and loss ratio methods; Test adequacy of reserves vs. actual reserves.