Machine Learning For An Explainable Cost Prediction of Medical Insurance

Predictive modeling in healthcare continues to be an active actuarial research topic as more insurance companies aim to maximize the potential of Machine Learning approaches to increase their productivity and efficiency. In this paper, the authors deployed three regression-based ensemble ML models that combine variations of decision trees through Extreme Gradient Boosting, Gradient-boosting Machine, and Random Forest) methods in predicting medical insurance costs. Explainable Artificial Intelligence methods SHapley Additive exPlanations and Individual Conditional Expectation plots were deployed to discover and explain the key determinant factors that influence medical insurance premium prices in the dataset. The dataset used comprised 986 records and is publicly available in the KAGGLE repository. The models were evaluated using four performance evaluation metrics, including R-squared, Mean Absolute Error, Root Mean Squared Error, and Mean Absolute Percentage Error. The results show that all models produced impressive outcomes; however, the XGBoost model achieved a better overall performance although it also expanded more computational resources, while the RF model recorded a lesser prediction error and consumed far fewer computing resources than the XGBoost model. Furthermore, we compared the outcome of both XAi methods in identifying the key determinant features that influenced the PremiumPrices for each model and whereas both XAi methods produced similar outcomes, we found that the ICE plots showed in more detail the interactions between each variable than the SHAP analysis which seemed to be more high-level. It is the aim of the authors that the contributions of this study will help policymakers, insurers, and potential medical insurance buyers in their decision-making process for selecting the right policies that meet their specific needs.

Using Data Analytics to Derive Business Intelligence: A Case Study

The data revolution experienced in recent times has thrown up new challenges and opportunities for businesses of all sizes in diverse industries. Big data analytics is already at the forefront of innovations to help make meaningful business decisions from the abundance of raw data available today. Business intelligence and analytics has become a huge trend in todays IT world as companies of all sizes are looking to improve their business processes and scale up using data driven solutions. This paper aims to demonstrate the data analytical process of deriving business intelligence via the historical data of a fictional bike share company seeking to find innovative ways to convert their casual riders to annual paying registered members. The dataset used is freely available as Chicago Divvy Bicycle Sharing Data on Kaggle. The authors used the RTidyverse library in RStudio to analyse the data and followed the six data analysis steps of ask, prepare, process, analyse, share, and act to recommend some actionable approaches the company could adopt to convert casual riders to paying annual members. The findings from this research serve as a valuable case example, of a real world deployment of BIA technologies in the industry, and a demonstration of the data analysis cycle for data practitioners, researchers, and other potential users.