Insurance Claim Decision

    12010

    Decide claim approval based on threshold with conditional payouts

    NOTEModel Overview
    🏥 INSURANCE CLAIMS Models claim decisions: • Claim amount distribution • Approval threshold • Conditional payout
    VARIABLEClaim Amount
    lognormal
    Submitted claim value
    claim
    CONSTANTThreshold
    5000
    Auto-approval limit
    threshold
    CONSTANTCoverage Ratio
    0.8
    80% of approved claims
    coverage
    DECISIONApprove Claim?
    if A is greater than B
    claim
    threshold
    Output
    FORMULAPayout
    approved * claim * coverage
    Actual payment if approved
    approved
    claim
    coverage
    payout
    OUTPUTClaim Payout
    Payout Amount ($)

    About the creator

    The team behind Carlo. We believe everyone deserves tools to reason about risk and uncertainty.

    What is Carlo?

    Carlo is a visual tool for Monte Carlo simulation. Model uncertainty by dragging probability distributions, connecting them visually, and running thousands of scenarios instantly.

    More Simulations