Hybrid Generative–Predictive Models for Customer Risk Profiling in Insurance

Hybrid generative–predictive models are increasingly relevant for customer risk profiling in insurance because they connect two complementary capabilities: generative learning for creating realistic, privacy-aware synthetic tabular records and predictive learning for estimating individual risk probabilities used in underwriting, pricing, and claims decisioning. This paper reviews the research landscape and proposes a methodology where a tabular generative module supports a calibrated risk predictor through controlled augmentation, stress testing under portfolio shift, and privacy-risk evaluation. An illustrative experimental template is provided to show how discrimination, calibration, and privacy–utility trade-offs can be reported for insurance risk tasks. The paper concludes by outlining practical future directions for reliable deployment, including governance, distribution shift monitoring, uncertainty quantification, and fairness-aware evaluation.

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Publication Details

Journal
Zenodo (CERN European Organization for Nuclear Research)
Published
2025-12-31
DOI
https://doi.org/10.5281/zenodo.18398224
Primary Topic
Imbalanced Data Classification Techniques
Type
article
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article

Hybrid Generative–Predictive Models for Customer Risk Profiling in Insurance

Satishkumar Rajendran
Zenodo (CERN European Organization for Nuclear Research)
Imbalanced Data Classification Techniques
article

Hybrid Generative–Predictive Models for Customer Risk Profiling in Insurance

Satishkumar Rajendran
article en

Abstract

Hybrid generative–predictive models are increasingly relevant for customer risk profiling in insurance because they connect two complementary capabilities: generative learning for creating realistic, privacy-aware synthetic tabular records and predictive learning for estimating individual risk probabilities used in underwriting, pricing, and claims decisioning. This paper reviews the research landscape and proposes a methodology where a tabular generative module supports a calibrated risk predictor through controlled augmentation, stress testing under portfolio shift, and privacy-risk evaluation. An illustrative experimental template is provided to show how discrimination, calibration, and privacy–utility trade-offs can be reported for insurance risk tasks. The paper concludes by outlining practical future directions for reliable deployment, including governance, distribution shift monitoring, uncertainty quantification, and fairness-aware evaluation.

Zenodo (CERN European Organization for Nuclear Research)
University of Central Missouri (US)
Reduced inequalities
Openalex Percentile: Top 15%
Imbalanced Data Classification Techniques
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