Certified Professional in Health Care Risk Management (CPHRM) Practice Exam 2025 - Free CPHRM Practice Questions and Study Guide

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What is the primary role of an actuary in the context of insurance?

a professional who uses statistics to compute loss probabilities

The primary role of an actuary in the context of insurance is to use statistical methods and mathematical models to compute loss probabilities. Actuaries analyze data to assess the financial implications of risk and uncertainty, which is crucial for determining premium rates, setting reserves to pay future claims, and ensuring the overall financial stability of an insurance company. Their expertise helps in predicting future events, such as the likelihood of policyholder claims, enabling the company to create policies that accurately reflect their risk exposure.

In contrast to the other roles mentioned, an actuary's focus is specifically on the quantitative analysis of risk rather than the administrative aspects of insurance such as managing claims, selling policies, or overseeing regulatory compliance. These latter functions are essential to an insurance company's operations but do not encompass the core analytical work performed by actuaries.

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an individual responsible for managing insurance claims

an agent who sells insurance policies

a supervisor overseeing insurance regulatory compliance

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