Risk Profiling in Insurance: Addressing High-Risk Clients and Risk Management Strategies

Mihail Vriscu ()
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Mihail Vriscu: Bucharest University of Economic Studies

A chapter in Smart Solutions for a Sustainable Future, 2025, pp 447-456 from Springer

Abstract: Abstract This paper explores the role of risk profiling in the insurance industry, particularly its application in identifying and addressing high-risk clients. Risk profiling utilizes various data points to assess the likelihood and severity of potential claims for an individual or entity. This information allows insurers to make informed decisions regarding policy issuance, pricing, and, crucially, how to manage the challenges presented by high-risk clients. The paper analyzes the factors that contribute to a high-risk profile, such as driving history, health conditions, or property hazards. It explores the potential negative impacts of high-risk clients on an insurer’s portfolio, including increased claims frequency and severity. Effective risk management strategies are then examined, focusing on methods to mitigate these risks. One strategy involves risk-based pricing, where premiums are tailored to reflect the client's specific risk profile. This ensures a fairer system and discourages high-risk behavior. Additionally, increased deductibles can incentivize risk mitigation by the client, as they are responsible for a larger portion of initial claim costs. Furthermore, insurers can offer discounts or benefits for taking steps to reduce risk, such as installing security systems or completing safety courses. For certain high-risk activities, policy exclusions may be implemented to limit coverage. As a last resort, non-renewal or cancellation may be necessary in cases where the risk is deemed too high. The paper concludes by emphasizing the importance of striking a balance between profitability and access to insurance. By implementing effective risk profiling and risk management strategies, insurers can ensure the sustainability of their business while still offering coverage to a diverse range of clients, including those with higher risk profiles.

Keywords: Risk profiling; High-risk clients; Claims frequency; Claims severity; Risk-based pricing; Risk mitigation; Non-renewal/cancellation (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:spr:prbchp:978-3-031-78179-7_27

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DOI: 10.1007/978-3-031-78179-7_27

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