Insurance

Applicant Risk Assessment

Advanced scoring system that evaluates credit history, income stability, and debt ratios to categorize insurance applicants into risk tiers for optimal underwriting.

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Solution

This automated risk assessment system evaluates insurance applicants across multiple financial dimensions to determine risk categories and appropriate next steps. The system analyzes credit profiles by examining credit scores, payment history, and established credit duration. It then evaluates financial stability through employment tenure, income verification status, and banking history.

The debt analysis component calculates risk based on debt-to-income ratios and existing loan obligations. After processing all factors, the system assigns a comprehensive risk score and classifies applicants as low, medium, or high risk. Each classification triggers specific actions, including automatic approval, manual review requirements, or additional verification processes. The system also determines appropriate interest rate modifications based on risk level, allowing insurers to price policies accurately while streamlining the underwriting process.

How it works

The decision graph contains multiple evaluation nodes that systematically assess risk:

  1. Credit History Scoring: Evaluates credit score, late payment history, and credit history length, assigning points based on predefined thresholds.
  2. Income Stability Assessment: Analyzes employment duration, income verification completeness, and bank account standing to determine financial reliability.
  3. Debt Burden Calculation: Measures debt-to-income ratio and number of outstanding loans to evaluate financial obligations.
  4. Risk Score Aggregation: Combines all component scores and identifies any concerning factors where applicants scored zero points.
  5. Risk Classification: Categorizes applicants into low, medium, or high risk tiers based on total score and number of negative factors.
  6. Action Determination: Assigns appropriate approval status and interest rate adjustments based on risk category.

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