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Research PaperResearchia:202601.12ae0125

Reinforcement Learning for Micro-Level Claims Reserving

Benjamin Avanzi

Abstract

Outstanding claim liabilities are revised repeatedly as claims develop, yet most modern reserving models are trained as one-shot predictors and typically learn only from settled claims. We formulate individual claims reserving as a claim-level Markov decision process in which an agent sequentially updates outstanding claim liability (OCL) estimates over development, using continuous actions and a reward design that balances accuracy with stable reserve revisions. A key advantage of this reinforc...

Submitted: January 12, 2026Subjects: Data Science; Data Science

Description / Details

Outstanding claim liabilities are revised repeatedly as claims develop, yet most modern reserving models are trained as one-shot predictors and typically learn only from settled claims. We formulate individual claims reserving as a claim-level Markov decision process in which an agent sequentially updates outstanding claim liability (OCL) estimates over development, using continuous actions and a reward design that balances accuracy with stable reserve revisions. A key advantage of this reinforcement learning (RL) approach is that it can learn from all observed claim trajectories, including claims that remain open at valuation, thereby avoiding the reduced sample size and selection effects inherent in supervised methods trained on ultimate outcomes only. We also introduce practical components needed for actuarial use -- initialisation of new claims, temporally consistent tuning via a rolling-settlement scheme, and an importance-weighting mechanism to mitigate portfolio-level underestimation driven by the rarity of large claims. On CAS and SPLICE synthetic general insurance datasets, the proposed Soft Actor-Critic implementation delivers competitive claim-level accuracy and strong aggregate OCL performance, particularly for the immature claim segments that drive most of the liability.

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Date:
Jan 12, 2026
Topic:
Data Science
Area:
Data Science
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