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A large portion of Cramér's work concerned the field of actuarial science and insurance mathematics. During the period from 1920 to 1929, he was an actuary for the life insurance company Svenska livförsäkringsbolaget. His actuarial work during this time led him to study probability and statistics which became the main area of his research. In 1927 he published an elementary text in Swedish Probability theory and some of its applications. Following his work for Svenska livförsäkringsbolaget, he went on to work for Återförsäkringsaktiebolaget Sverige, a reinsurance company, up until 1948. He was also known for his pioneering efforts in insurance risk theory. After this period, he remained as a consultant actuary to Sverige from 1949 to 1961. Later in his life, he was elected to be the Honorary President of the Swedish Actuarial Society.