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Risk Management in General Insurance Business in India

T Joji Rao* and Krishan K Pandey**


Over the years, the general insurance companies have been undertaking extensive risk management activities to safeguard the investor as well as investment. In the present-day scenario the two aspects which are of great importance to the general insurance industry are: firstly, the opportunities in the Indian general insurance market and the resulting focus of players on achieving business growth and secondly, the ongoing process of calibrated de-tariffing. Though de-tariffing has provided players with significant opportunities in tapping markets and in coming times may provide even more opportunities, it has placed the onus of correct pricing on the players themselves. This has resulted in players preparing and emphasizing more on identifying risk parameters and pricing products based on risks. The players, under the immediate response to the pressure of a free-market scenario, have dropped the rates even in hitherto non-profitable businesses. An efficient risk assessment and management in general insurance industry is very important due to the entry of private players, corresponding policy changes and the present-day fact of unprofitable books and erosion of capital resulting from unmanageable claim ratios. The present study attempts to identify the various risk management tools applied by the general insurance companies in India and performs a time series analysis of the performance of general insurance business in India in the post-liberalization and postprivatization era.

Introduction
Any sunrise industry faces a host of risks, both internal and external, whereas for industries already in existence for long, most of the risks are well identified and emerge from the internal operations of the different players. An evolving industry usually faces higher risks from the competitive and regulatory environment rather than internal operations. In a competitive environment, achieving growth requires focus on sales and rapidly scaling up operations through expansion of channels and increasing geographical presence. A higher amount of focus on sales and business expansion has its own set of risks on business profitability. These risks could adversely affect the business performance and even its survival. The general insurance companies due to their nature of business are at the receiving end both as insurer and insured. The success of the business hence lies in understanding the external and internal risks concerning the general insurance business industry and the techniques adopted by the insurers as well as insured to effectively manage their risks.
* Head CCE-AU, University of Petroleum and Energy Studies, Dehradun 248007, India. E-mail: jojirao2003@gmail.com * * Assistant Dean Research and Associate Professor, University of Petroleum and Energy Studies, Dehradun 248007, India; and is the corresponding author. E-mail: kkpandey@ddn.upes.ac.in . All Rights Reserved. 62 2013 IUP The IUP Journal of Financial Risk Management, Vol. X, No. 3, 2013

Literature Review
Being into the business of covering risks of other business and social entities, the general insurance players are exposed to financial and operative risks of self as well as of the insured. For an effective risk management of the same, proper identification of structural functions, their insurability, adequacy and commercial viability holds the key to success. The risk may further be minimized by risk distribution through pooling of micro-insurance, appropriate quantification and accurate estimation of results in case of occurrence of underwritten peril. In the process of risk management, the importance of information on risk transfer for effective mitigation and adaptation by core business may not be overstated. Incorporating innovation, certification will further provide depth to the instruments. Encouragement of public-private partnership and a strong financial, legal and political framework will provide the muchneeded support to further increase the general insurance penetration and reduce the everincreasing claim ratio. Mendoza (2009) outlines a proposal for a regional risk sharing arrangement, namely, Asian Rice Insurance Mechanism (ARIM) which could form part of the regions long-term response to the food security issue. He proposes that ARIM could serve as a regional public good by helping countries in the region more efficiently by managing the risks related to volatile rice production and trade, arising from emerging structural factors such as the rising and evolving food demand. Further, Lubken and Mauch (2011) discuss environmental risk, risk management and uncertainty, and the dependence of environmental risk on social, scientific, economic, and cultural processes. They propagate that natural catastrophes reportedly derive from past patterns of resilience and vulnerability. Kunreuther and Erwann (2007) study the role of insurance sector in reducing the impacts of global warming and the challenges that insurers and reinsurers face in dealing with the impact of climate change on their risk management strategies. The study examines the issues of attribution and insurability by focusing on natural disaster coverage. Phelan et al. (2011) analyze the adequacy of insurance responses to climate risk and provide novel critiques of insurance system responses to climate change and of the attendant political economy perspective on the relationship between insurance and climate change. A complex adaptive system analysis suggests that ecologically effective mitigation is the only viable approach to manage medium- and long-term climate riskfor the insurance system itself and for human societies more widely. Another important component of commercial viability is studied by Akter et al. (2009). The study concludes that a uniform structure of crop insurance market does not exist in Bangladesh. It emphasizes that the nature of the disaster risks faced by the farm households and the socioeconomic characteristics of the rural farm communities need to be taken into careful consideration while designing such an insurance scheme. Mauelshagen (2011) discusses the nature of adaptation and decision making in the insurance industry. He correlates the historic evaluation with contemporary concerns about global warming and means of adapting insurance to compensate for the associated losses. Erdlenbruch et al. (2009) analyze the consequences for risk distribution of the French Flood Prevention Action Program in France. The results of the survey show that the proposed policies may be financially unviable. Several
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more viable risk-sharing solutions are then discussed, involving insurance schemes, state intervention and local institutions. Spatial pooling of micro-insurance schemes may reduce these capital requirements. A study by Meze-Hausken et al. (2009) suggests that spatial pooling may be an attractive option for micro-insurers, worthy of a detailed case-by-case analysis when designing index-insurance schemes. Further, Botzen et al. (2009) examine the role of insurances in reducing the uncertainty associated with climate change losses for individuals. The estimation results suggest that a profitable flood insurance market could be feasible and the climate change has the potential to increase the profitability of offering flood insurance. Rohland (2011) discusses risk management and quantification of risk in the aftermath of fire in the Swedish and international reinsurance industry. The study asserts that characterization of fire as a man-made hazard misrepresents its overall risk as it ignores natural causes of fire and the associated risks. Another important study by DeMeo et al. (2007) talks about the importance of information on environmental risk transfer and insurance options for potentially responsible parties in case of liability of pollution, cleanup cost cap, and legacy insurance. Further, Phelan (2011) argues that climate change threatens not just measurable, increased likelihoods of extreme events, but over time, wholly unpredictable frequencies for extreme weather events. It also raises concern over the continued provision of insurance in a climate-changed world, for the insurance sector as well as the societies dependent on insurance as a primary tool to manage financial risks. The research argues that ultimately the only viable way to insure against climate risks will be through effective mitigation of climate change. Sato and Seki (2010) emphasize that for the insurance industry, climate change poses a great risk to management since an increase in natural disasters leads to an increase in insurance payments. The study suggests that insurance companies should contribute towards the realization of a low-carbon society and a climate-resilient society through their core business by means of mitigation and adaptation strategies. Further, Owen et al. (2009) discuss the aspects of risk governance in the insurance industry to drive responsible technological innovation. The researchers suggest that innovation drives economic growth, fosters sustainable development, and improves the health and well-being of individuals. The study also highlights the relationship between responsible innovation and financial risk-taking, the role of regulation, and the use of data before market legislation to increase corporate responsibility. Richter et al. (2010) discuss the coverage enhancements of insurers for addressing insurance and risk management exposures in the construction of sustainable buildings. The research states that insurance firms should require Energy and Environmental Certification for several non-traditional exposures such as vegetative roofing, rainwater runoff, and alternative energy generation systems before they provide green coverage. Dlugolecki and Hoekstra (2006) state the reasons for market failure of global general insurance sector as absence of reliable risk data, volatility in the event costs, high prices, misperception of the true risk, expectation of government aid after disasters, and exclusion from financial services. The study proposes that a public-private partnership may prove instrumental in resolving these. Cottle (2007) proposes that despite a low intrinsic fire risk
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across most of Southeast Asia, especially Indonesia, commercial fire losses are unacceptably high, and could be reduced substantially within the current financial, legal and political framework in which the forestry companies operate. Using commercial and unidentified data, the author then demonstrates that commercial growers in Indonesia have a high annual rate of forest fire loss and may also have a significant catastrophe fire exposure. The above discussion shows that the general insurance industry, in its every sphere of activity, is exposed to uncertainty. Hence, there is a need for a comprehensive study of these risk factors, devising an implementable management strategy for the same. The present study aims at identifying the risk factors the general insurance industry is exposed to and the methodology and tools for their effective quantification, mitigation and management.

Objectives
1. To study the various risk management tools applied by the general insurance companies in India; 2. To identify the factors affecting the investment volumes of general insurance companies in India; and 3. To suggest a predictive model for investments.

Data and Methodology


The study performs a time series analysis of the performance of general insurance business in India in the post-liberalization and post-privatization era for a period of eight years from 2000-01 to 2009-10. The data pertains to all public sector and private sector players in the general insurance business dealing with the products in the category of fire, marine and miscellaneous as stipulated by the IRDA. Variables: Keeping in view the overall objectives of determining the different factors that drive the general insurance investments in India and also the factors that govern the risk management profile of the general insurance business, the variables that have been identified and used in the study are: net claims, net premiums, commission, operating expenses, gross underwriting profit or loss, net profit, current assets, current liability, net liquidity, net assets, net liabilities, net solvency, and net investments. Data is analyzed to empirically establish the nature and the degree of interrelationship that exists among the different variables (namely, net investments, net premiums, net claims, commission, operating expenses, underwriting profit, current assets, current liabilities and net profit) that determine the performance of general insurance business in India. An econometric analysis is also performed to identify the most influencing variables that determine the performance of general insurance investments. The techniques that are used for determining the association are correlation, factor analysis and regression analysis.
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Risks in General Insurance Business


Players in the general insurance business are likely to be exposed to a variety of financial and non-financial risks arising out of the nature of business and the socioeconomic environment in which they operate. Financial Risk: Insurance business basically being financial business in nature attracts financial risks in the form of capital risk, asset/liability management risk, insurance risk, and credit risk. Insurance business undertakes various plans to manage the financial risk by adopting techniques like interest rate hedging and reserving determined through financial modeling with the inherent model risk, given that such financial models may fail to predict the real outcomes within an acceptable range of error. Non-Financial Risk: Non-financial risk management has assumed greater significance in the recent years due to: (1) the growing volume of operational losses; (2) the industrys increasing reliance on sophisticated financial technology with the latters associated probability of failure at times; (3) the ever increasing pace of changes in the deregulated insurance regime; and (4) the globalization process paving the way for the entry of global players. In addition to these, the volatility factor which affects the future cash inflows of the general insurance business and consequently its value, given that the value of an insurance company is the present value of its future net cash inflows adjusted for the risks it undertakes, is the other dimension of non-financial risk that the insurance business is confronted with. Studies have proved that a major source of volatility is not related to financial risks but the way in which the company operates. Hence, operating risk may arise either from inadequate
Figure 1: Financial and Non-Financial Risks Affecting General Insurance Business in India
Risk Factors Financial Risk
Capital Risk Capital Structure Risk Capital Adequacy Risk Asset/ Liability Management Risk Exchange Rate Risk Interest Rate Risk Investment Risk Insurance Risk Underwriting Risk Catastrophic Risk Reserve Risk Pricing Risk Claims Management Risk Credit Risk Reinsurance Risk Policyholders Risk Brokers Risk Claims Recovery Risk Other Debtors Risk

Non-Financial Risk

Enterprise Risk Reputation Risk Parent Risk Competitor Risk

Operational Risk Regulatory Risk Business Continuity Risk IT Obsolescence Risk Process Risk Regulatory Compliance Risk Outsourcing Risk

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or failed internal processes, such as employment practices, workplace safety, and internal fraud or from external events, such as external fraud and damage of physical assets from natural disaster and other uncontrollable events. The different types of financial and nonfinancial risks faced by the general insurance industry are presented in Figure 1.

Risk Management Mechanism in General Insurance Business


The risk management mechanism adopted by the insured in the general insurance business broadly takes the form of enterprise risk management, whereas that of the insurer assumes risk-based capital management and reserving. The details of these risk management techniques are given in Figure 2.
Figure 2: Risk Management Techniques
Risk Management Mechanism

Insured

Insurer Risk-Based Capital Management Managements Role Capital and Solvency Margins Risk-Based Capital Reserving Unearned Premium Reserves Unexpired Risk Reserves Outstanding Claims Reserve Incurred but not Reported Reserves Catastrophe Reserves Claims Equalization Reserves

Enterprise Risk Management Planning Risk Tracking and Reporting Implementation Tools Risk Management

Risk Management Mechanism Adopted by the Insured


It is of utmost importance for any organization to minimize its exposure to risk of loss arising out of unforeseen events like the natural calamities, earthquake, flood, fire, theft, and so on. To ensure that a risk minimization and mitigation mechanism is in place, the insured need to go for an effective risk management drive. The technique available to the insured for such risk management is known as Enterprise Risk Management (ERM).

Enterprise Risk Management


ERM is the process of planning, organizing, leading, and controlling the activities of an organization in order to minimize the effects of risk on an organizations capital and earnings. As regulators and markets around the world judge companies on their risk management effectiveness, ERM is rapidly becoming a standard industry practice for managing risk.
Risk Management in General Insurance Business in India 67

Scope of ERM
ERM takes a vast field of loss possibility and breaks it down into a number of more manageable categories. Apart from the core financial risks inherent to the business, enterprise risk for an insured may be classified into strategic risk and operational risk: Strategic Risk: Strategic risk occurs based on corporate decisions that have an impact over time. Growth strategy, executive decision making, mergers and acquisitions, and approaches to capital management are all areas of strategic risk. The very act of strategic planning represents an attempt to manage strategic risk, but such efforts can be greatly enhanced by ERM approach. A simple example of strategic risk is the entrance by a player into a new product line with inadequate operational expertise. The failure to anticipate the strategic moves of competitors is itself a strategic risk. Strategic risk management may include riskadjusted pricing, capital budgeting, hedging, investments, and risk-adjusted performance measurement through the creation and use of financial reporting systems. Operational Risk: Operations refer to all the day-to-day activities of a company. Operational risk arises out of activities that may hinder or bring a companys operations to a halt such as natural disasters, labor problems, fraud perpetrated from within the company, and data problems. In India, there is an increasing awareness of the need to manage operational risk as it is intimately related to the other areas of risk.

Components of ERM Strategy


The components of ERM strategy include planning, risk tracking and reporting, implementation, and the tools of ERM implementation. Planning: Irrespective of the companys strategy to hire a risk management team, outsource enterprise risk management, or simply work with a team of current employees, ERM begins with an audit of an organizations potential liabilities with special attention to their severity. This risk plan is reviewed periodically and adjusted in the light of changing conditions and ongoing risk management efforts. Another element of planning is to define a companys risk tolerance and propagate it to decision makers throughout the enterprise. If a risk is highly unlikely and not particularly severe, it may be just left alone. Risk Tracking and Reporting: Another key element of ERM is to track risks over time to see how well they are being managed and to deal with the trends early. Comparing them to each other is not as important as establishing a baseline that can be tracked across reporting periods. The insured need to continually remind them that just because a risk cannot be effectively quantified or compared to others does not mean it should be discounted or excluded from the ERM plan. Even if the financial impact of a risk is difficult to measure, its occurrence can still be recorded and tracked. After the relative severity and likelihood of various risks is assessed, a mitigation plan is developed. In other cases, a mitigation strategy for one risk could actually increase the likelihood or severity of another risk, and in such case, the tradeoff must be examined carefully.
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While ERM might increase a companys reserve or liability coverage requirements, its goal is to provide the optimum preparation for adverse events. In some cases, an ERM framework will reduce certain costs by reducing the double-counting of risks by previously undertaken risk management efforts. In any case, under ERM a broader variety of risks is likely to be considered. Implementation: The insured takes into account the objectives, scope, organization and tools of ERM to establish an ERM framework and its implementation. For an ERM strategy to be successful, it is important to prioritize the objective according to the companys needs. Tools: Some of the specific tools that are important for implementing ERM are: Risk Audit Guides: These guides can be used for risk mapping of individual risks, risk assessment workshops, and risk assessment interviews. The risk assessment interviews are very effective at uncovering how the business actually works. Stochastic Risk Models: Stochastic model is a rigorous mathematical model used to simulate the dynamics of a specific system by developing cause-effect relationships between all the variables of that system. This plays a vital role in quantifying the risk components, its severity and the required risk management efforts to offset the risk. Risk Monitoring Reports: These can include regular reports to managers, boards, and relevant external stakeholders such as the regulators and investors. This may be more formal where the reports are more likely to go to the executive committee and the board of directors, and may be informal when such reports are likely to go for frequent adjustment in actions.

Risk Management Process: Having defined the risk management mechanism as above, it would be appropriate to highlight the processes of risk management that may be adopted by the insured to make it more effective. The logical sequence of such a risk management process, depicted in Figure 3 is an attempt in this direction. It clearly indicates that an effective risk management process from the insureds point of view should necessarily include risk identification, risk assessment, risk avoidance and retention, risk improvement and mitigation using appropriate techniques, implementation of the recommendations and periodic review of the risk management programs. Risk Identification: The risk identification activity broadly involves an in-depth understanding of the industry, the areas and markets it serves, its activities, range of products, social, legal and economic environment in which it operates and other physical and natural hazards associated with the companys operations. Developing and exercising proper checklist for identifying these hazards is a part of risk management process. Risk identification is important in managing the risk, which deals with source and problem analysis as depicted in Figure 4. When either source or problem is known, the events that a source may trigger or the events that can lead to a problem can be investigated. For example,
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Figure 3: Risk Management Process

Underwriting

Risk Avoidance

Risk Assessment

Risk Retention

Risk Identification

Role of Risk Manager

Loss Investigation

Loss Prevention Techniques

Risk Control

Cause Analysis and Feedback

major explosion in a mini steel plant may affect business continuity of the unit; the stakeholders withdrawal during a project may endanger funding of the project; fire damage caused to a chemical firm due to missing lightening arrestor may result in major material damage; flood damage to a pump station of irrigation project due to the facility located in a low-lying area might delay the project completion schedules; and delayed or missed inspections may result in failure to identify these factors. As risk identification process involves identifying the risk factors and evaluating the potential loss that might take place, it is more important for the insured to pay special attention on the following two most important components as contained in the risk identification chart: 1. Maintenance Procedures: The risk identification procedure must take into account the identification of the nature and extent of maintenance procedures, their regularity, and the skills of the technicians undertaking the work. It is equally important to conduct nondestructive testing along with the regular maintenance testing. A study of moral factors by means of appropriate interviewing of the people in plant or by observations may be undertaken to obtain multiple indicators of moral hazards in the risk.
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Figure 4: Risk Identification Chart


Risk Identification

Source Analysis

Insured Companies Profile

Problem Analysis

Extent and Regularity

Moral Factors

Physical Factors

Maintenance and Safety Standards

Insureds Attitude

Risk Qualification

2. Physical Factors: Physical factors are essentially sensory, visual signs of lack of due care and control of the working environment to avoid damage. A clean, tidy and uncluttered work environment not only denotes pride of possession but more importantly, a culture of loss avoidance. Business interruption susceptibility of an organization depends on the kind of service that the organization provides. Thus, there is a need to conduct periodic hazard and operability study which will help in detecting any predictable undesirable event by using the imagination of members to visualize the ways of conceivable malfunctioning. Risk Assessment: Once risks have been identified, they must then be assessed as to their potential severity of loss and probability of occurrence, called risk quantification. These quantities can be either simple to measure, in the case of the value of a lost building, or impossible to know for sure in the case of the probability of an unlikely event occurring. The fundamental difficulty in risk assessment is determining the rate of occurrence, i.e., the loss frequency. Proper risk assessment helps the underwriter to apply judgment to the risk by securing material information and by determining the actual conditions. The process of risk assessment is depicted in Figure 5. The risk assessment process consists of measuring the extent of physical damage, the consequential loss and quantification of risk after taking into account the maximum probable interruption time. Once risks are identified and assessed, the techniques to manage the risk are applied to avoid or retain the risk. Risk Avoidance and Risk Retention: Risk avoidance is non-performance of an activity that could carry risk. For example, the risk of potential damage to a control room in a petrochemical
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Figure 5: Process of Risk Assessment


Risk Assessment

Extent of Physical Damage

Working Conditions

Consequential Losses

Monitoring of Deviation from Normal Operations

Quantification of Risk

Maximum Probable Interruption Time

complex can be avoided by making the control room blast proof; potential damage by flood to a pharmaceutical warehouse could be avoided by shifting warehouse to a higher elevation. For the insurers, avoidance may seem the answer to all risks. But avoiding risks also means losing out on the potential gain that accepting (retaining) the risk may have resulted in. Not entering a business to avoid the risk of loss also avoids the possibility of earning profits. Risk retention involves acceptance of loss. All risks that are not avoided or not transferred are retained by default. This includes risks that are so large or catastrophic that they either cannot be insured against or the premiums would be infeasible. War is an example, since most property and risks are not insured against war, so the loss attributed by war is retained by the insured. Risk retention is a viable strategy for small risks that can be absorbed and where the cost of insuring against the risk would be greater over time than the total losses sustained. True self insurance is risk retention for an insured. For example, a large and financially strong firm may create a self-insurance fund to which periodic payments are made. Risk retention pools are technically retaining the risk for the group, but spreading it over the whole group involves transfer among individual members of the group. This is different from traditional insurance, in that no premium is exchanged between members of the group up front, but instead losses are assessed to all members of the group. Risk transfer means causing another party to accept the risk, typically by contract or by hedging. Insurance is one type of risk transfer that uses contracts. Risk transfer takes place when the activity that creates the risk is transferred. Other times it may involve contract language that transfers a risk to another party without the payment of an insurance premium. Liability among construction or other contractors is very often transferred in this way. Other examples of risk transfer could be subcontracting a hazardous operation outside the manufacturing facility.
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Risk Reduction and Control: Risk improvement and mitigation is an important task of risk management which involves methods that reduce the severity of the loss. For example, the sprinkler system designed to put out a fire to reduce the risk of loss by fire. For risk reduction, a mitigation plan is prepared. The purpose of the mitigation plan is to describe how this particular risk will be handled and what, when, by whom and how will it be done to avoid it or minimize consequences if it becomes a liability. Loss prevention in risk management further aims to eliminate or to reduce these losses. The process of risk reduction and control is shown in Figure 6.
Figure 6: Process of Risk Reduction and Control
Risk Reduction and Control

Loss Prevention and Avoidance

Loss Control

Loss Minimization

General Techniques and Work Procedures

Causes of Loss Analysis

Structured Planning

Loss Prevention Measures

Policy Conditions

Spare Capacity and Identifying Alternatives

Implementation of the Recommendations: Implementation of the recommendations for risk mitigation should be properly undertaken so as to ensure effective management of risk by the insured. Periodic Review of the Risk Management Programs: Risk is a relative measure and from the insurers perspective it is important to map the risk consequence with probability in a risk coordinate system. Figure 7 highlights the risk coordinate system. It is observed that taking into account the probability of risk occurrence and the consequences, the risk factor can be subjected to four decision-making areas, namely, high consequences and low probability area, low consequences and high probability area, high consequences and high probability area, and low consequences and low probability area.
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Managing the risk in high probability and high consequence is the worst possible case. Total risk value in this case is the highest, because there is increased potential of events with large consequences. Low consequence and high probability is the most common quadrant of risk management, because this is the lowest threshold of a loss which is normal in nature. These may be arising out of minor repairs, replacement and minimum business inconvenience. Low consequence and low probability is the objective of risk-based continuous improvement.
Figure 7: Risk Coordinate System

Consequences

High Consequences and Low Probability

High Consequences and High Probability

Low Consequences and Low Probability

Low Consequences and High Probability

Probability

Risk Management Techniques Adopted by the Insurer


The risk management mechanism adopted by the insurer in the general insurance business broadly falls into two categories: risk-based capital management and reserving. It may not be out of context to mention here again that included in the risk-based capital management technique category are the management role, capital and solvency margins, and risk-based capital, and in the reserve category of risk management techniques are the unearned premium reserves, unexpired risk reserves, outstanding claim reserves, incurred but not reported reserves, catastrophe reserves and claims equalization reserve.

Risk-Based Capital Management Technique


The insurance business, unlike other financial institutions, faces unique challenges in risk management. Assuming the risks of others and guaranteeing the payments of claims based upon perils that are random and uncertain are the kind of operational risks found as additional and unique to the insurance business over and above any other risks inherent to the financial institutions in general. Though the insurance regulatory authority, i.e., the IRDA, does not undertake the responsibility of risk management of the individual players, it gives greater emphasis on monitoring the conduct of the players in dealing with the risks to protect the interest of the customers.
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In the context of risk-based capital management technique, the role of board of directors and the management is worth mentioning.

Role of the Board of Directors


The board of directors of each general insurance player is ultimately responsible for the companys risk management policies and practices. In delegating its responsibility, the board of directors usually empowers the management with developing and implementing risk management programs and ensuring that these programs remain adequate, comprehensive and prudent. The board of directors should ensure that material risks are being appropriately managed. To ensure this, the board should: 1. Review and approve managements risk philosophy, and the risk management policies recommended by the companys management; 2. Review periodically management reports demonstrating compliance with the risk management policies; 3. Review the content and frequency of managements reports to the board or to its committee; 4. Review with management the quality and competency of management personnel appointed to administer the risk management policies; and 5. See that the auditor regularly reviews operations to assess whether or not the companys risk management policies and procedures are being adhered to and to confirm that adequate risk management processes are in place.

Role of Management
The management of each general insurance company is responsible for developing and implementing the companys management program and for managing and controlling the relevant risks and the quality of portfolio in accordance with this program. Although the management responsibilities of one firm usually vary from that of another firm, the managerial responsibilities in common should be: 1. Developing and recommending the managements risk philosophy and policies for approval by the board of directors; 2. Establishing procedures adequate to the operations, and monitoring and implementing the management programs; 3. Ensuring that risk is managed and controlled within the relevant management program; 4. Ensuring the development and implementation of appropriate reporting system, and a prudent management and control of existing and potential risk exposure; 5. Ensuring that the auditor regularly reviews the operation of the management program; and
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6. Developing lines of communication to ensure the timely dissemination of management policies and procedures and other management information to all individuals involved in the process.

Capital and Solvency Margin


The capital for general insurance business does not mean legal capital alone, but also includes valuation margin available with the insurer. The reasons for holding such capital are to enable the company settle the claims, maintain dividends, and invest in potential growth opportunities as well as to support other risks should there be a need. Settlement of the claims depends on the firms solvency margins. The present solvency margin as prescribed by the IRDA, known as the Required Solvency Margin (RSM) is 20% of the net premiums or 30% of net incurred claims whichever is higher, subject to a reduction by 0.5 to 0.9 for reinsurance depending on the insurance segment of fire, marine and miscellaneous. This formula is similar to the provisions applicable under the European Union Legislation during the early 1990s. The European Union Legislation used a three-year average net incurred claims basis for calculation of solvency margin, whereas IRDA does not provide for such averaging. Besides the statutory provision, IRDA requires maintenance of the solvency margin at 150% of the level defined in the regulations as a market practice while granting license. The IRDA solvency norms imply a uniform risk profile across all companies and do not consider the risks to which the individual companies are exposed. The solvency margins are calculated by deducting liabilities from the available assets. Valuation of assets and liabilities for determination of the solvency margin, however is subject to several assumptions relating to the future market conditions. The solvency margin should always be positive and should be at or above the prescribed level to ensure that liabilities are met at all times. The timing of asset proceeds and discharge of liabilities is equally important. In order to achieve a higher solvency margin, measures like charging of appropriate premiums, retaining adequate reserves, investing prudently, and managing risk accumulations may be undertaken by the players.

Risk-Based Capital (RBC)


The RBC concept emerged in the global insurance market in the early 1960s, especially in the US. At present, as a part of the RBC model, an Authorized Capital Level (ACL) is prescribed by the regulator to be observed by each insurer. The regulator has also prescribed corrective and remedial actions in case of any failure on the part of the insurer to observe the stipulation depending on the level of the ratio between the insurers actual free capital and the ACL. For example, when the insurers actual free capital to the ACL ratio falls below 70%, the insurer shall be totally controlled by the regulators and if the ratio falls between 100% and 150%, the regulators shall perform an examination of the insurer and issue necessary corrective orders. The US system of RBC has been criticized on the ground that the actions laid down in the regulations against different action levels are rigid; the policyholders may have to pay
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additional premium to service additional capital; several other risks have not been incorporated in the system; losses due to derivatives is not included; calculation of risk factors is arbitrary; there is no consistent conceptual framework for calculation of risk charges as factors derived from past industry experience may not be suitable for the calculation of future distribution; management risk which is an important component of operational risk has been excluded from the purview of risk assessment; and the solvency levels required to be maintained discourage conservative reserving among insurers. It is worth mentioning that in India a system of RBC is yet to be put in place although a debate for the purpose is on. However, when such a model is developed for use by the Indian general insurance business, care needs to be taken to ensure optimal risk coverage by overcoming the above said limitations associated with the US RBC model. While doing so the developed RBC model be tested by factors such as company size, growth rate, product range, geographical region, reliance on reinsurance and asset portfolio for industry-wide acceptability.

Reserving
The financial condition of an insurance company cannot be adequately assessed without sound loss reserve estimates sufficient to meet any outstanding liabilities at any point of time. The estimation process involves not only complex technical tasks but considerable judgment as well. It is important for the insurance company to understand the data before embarking on the task of estimating loss reserve which has a significant impact on the financial strength and stability of the company. The general insurance companies apart from the general reserves maintain a number of technical reserves which can be divided into six categories, namely, Unearned Premium Reserves (UPR), Unexpired Risk Reserve (URR), Outstanding Claims Reserve (OCR), Incurred But Not Reported (IBNR) Reserves, catastrophe reserves, and claims equalization reserves.

Unearned Premium Reserves


UPR is the proportion of premiums received which relates to the future period. It is assumed that the risk is uniform over the duration of the policy, and the liability arising out of the risk can be met by reserving a pro rata amount of the balance of the premium after deducting initial expenses. In the circumstances of high inflation, changes in expenses and widely fluctuating claims ratio, the expected claims liability under the unexpired risks can differ significantly from the UPR provision. If the UPR is regarded as inadequate, an additional reserve is necessary. The insurer therefore needs to create extra reserve to offset the shortfalls in the UPR by creating an additional unexpired risk reserve.

Unexpired Risk Reserve


URR is created by the insurer to manage the risk arising out of the non-receipt of future premiums. It is estimated by multiplying with unearned premiums the ratio of the claims incurred in the year to the premiums earned in the same year. The probability of collection of premiums over the coming years may be impacted by inflation, experience of risk groups, and
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the proportion of total premium in the earnings. Over and above, a prudent fluctuation margin may be added to the above to minimize the impact of errors associated with the estimation process.

Outstanding Claims Reserve


OCR is maintained by the general insurance companies to meet the outstanding liability for claims which have already been reported and not settled. The commonly used method to estimate OCR is to obtain estimates with respect to all outstanding claims on an accounting date after taking into consideration the following: The certainty of the claim; The likely time needed to complete settlements; The rate of inflation on claims costs between the accounting date and the date of settlement; and The judicial trends in claims settlements.

Incurred But Not Reported Reserves


The IBNR reserve is the estimated liabilities for the unknown claims arising out of incidents occurred prior to the year end but have not been notified to the company during the accounting period. In practice, the provision for future development on known claims, which is called as Incurred But Not Enough Reserved (IBNER) is included in IBNR reserve. The average cost of an IBNR claim often differs from that of currently reported claims. The insurance companies hence develop the ratio of average cost of an IBNR claim to average cost of reported claims, for different classes of business on the basis of historical data in order to measure the effectiveness of the IBNR reserves.

Catastrophe Reserves
The catastrophe reserves are created to meet any unprecedented and/or uncontrollable risk factor affecting the insurer. These reserves are created out of the residual income of the insurance company after taking into account the operating expenditure and provisions. Catastrophe reserve in the long run equates the accumulated catastrophe loadings in premiums without impacting the financial stability of the insurer.

Claims Equalization Reserves


Claims equalization reserves are made to smooth out the effects of year-to-year fluctuations in the incidence of larger claims such as the unusual floods in Mumbai in 2005 and in Surat in 2006. The provision is created based on past experience of the frequency of claims and the probability density function of this risk. Claims equalization reserve is not created to meet an inevitable liability.

Reserving Provisions and IRDA


The IRDA emphasizes on uniformity in method of reserve estimations wherever sufficient data is available. Besides, standard reporting formats have been devised to analyze current
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years transactions and to build up cumulative data for the amounts and number of claims settled. IRDA further emphasizes on collecting all relevant information for each class of business from all insurers so that the consolidated industry data can be used for reserving purposes for those classes where availability of data is insufficient.

Empirical Evidence of Impact of Investment


The study of risk factors, risk management process and mechanisms adopted by both insurer and insured reinforces the belief that risk management is a dynamic function which needs a flexible approach in line with the changing market, industry and regulatory environment. The impact of external economic factors may lead to imbalance in performance of individual companies in terms of premium, claims, operating expenses and profitability. This in turn may have an impact on the risk management mechanism and tools adopted for mitigation and management of the same. The study undertook an empirical analysis to identify the relation between the variables of performance and investment. A study of correlation over the segments and sectors is conducted to understand the nature of relationship between investment and other variables, and the findings are as follows: Over the sectors, investment has a strong positive correlation with Operating expense Claims (Overall and Public Sector) Underwriting profit Claims (Private Sector)

Over the sectors, investment has a strong negative correlation with

In the empirical study, investment is considered as the dependent variable and premium, claim, commissions, operating expenses, underwriting profit, net profit, liquidity, and solvency as the independent variables. Factor analysis reveals that 92.16% of information has been used in this study. It is a fairly good amount of data contribution to the present study as it involves estimation of investment as well as finding relationship between investment and other macroeconomic variables through regression analysis. Through factor analysis using principle component (varimax rotation) method the variables, premium, claims, commissions, operating expenses, net profit, and solvency are identified as important. In order to analyze the extent to which the factors determine the performance of general insurance business a multiple regression is fitted for the overall general insurance sector dealing with the segments of fire, marine and miscellaneous. This is done to identify the predictive value of the most significant variables as found through factor analysis in determining the investment performance of the insurance business. The regression equation with the corresponding estimated value of the variables determining the investment performance of general insurance business as a whole is as follows: Investment = 1985 + 0.773 Claims + 0.016 Solvency
Risk Management in General Insurance Business in India 79

Table 1: Regression Results (Overall)


Predictor Constant Claims Solvency
2

Coef. 1,985 0.77334 0.0161


2

SE Coef. 1,071 0.07115 0.1917


2

t-Value 1.85 10.87 0.08

p-Value 0.123 0 0.936

VIF 1.226 1.226

S = 658.093; R = 96.7%; R (Adj.) = 95.4%; R (Pred) = 90.13%.

Analysis of Variance
Source Regression Residual Error Total Source Claims Solvency Durbin-Watson Statistic = 2.07415. df 2 5 7 SS 63,132,228 2,165,435 65,297,663 df 1 1 Seq SS 63,129,174 3,054 MS 31,566,114 433,087 F-Value 72.89 p-Value 0.000

The regression output as shown in Table 1 depicts the predictive model. The model explains that investments of the insurance company are impacted by claims made and solvency maintained by the insurance company. The investments of any insurance company in India may be forecasted by using the regression model suggested above. Further, the variance output with a p-value of zero, endorses the model results to be significant. Also note that none of the significant variables as identified by the factor analysis has been omitted in the regression analysis. The predictive model has given the output only on the basis of two most significant variables, namely claims and solvency.

Conclusion
Efficient risk assessment and management in general insurance industry is very important due to entry of private players, corresponding policy changes and the present-day fact of unprofitable books, and erosion of capital resulting from unmanageable claim ratios. The present study was developed to identify the risks to which the insured and the insurer are subject to, especially in India, and the mechanism through which these risk complexities are effectively managed. The study reveals that both the insured and the insurer in India generally face risks ranging from financial to non-financial in nature. The financial risks for both of them are classified as capital risk, asset/liability management risk, insurance risk and credit risk, while the non-financial risk includes enterprise risk and operational risk. The risk management mechanism found prevalent in the general insurance industry for the insured is in the form of enterprise risk management comprising of planning, risk tracking and reporting, implementation, tools, and risk management, whereas for the insurer, it is in the form of risk-based capital management and reserving. Further, regression analysis reveals
80 The IUP Journal of Financial Risk Management, Vol. X, No. 3, 2013

that claims and solvency play an important role in defining the volume of investments and the corresponding risk mitigation strategy to be adopted by the insurance player. Hence, effective management of claims may prove to be a panacea for the companies incurring huge underwriting losses, thus ensuring an edge in the fiercely competitive deregulated environment.

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