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6家险企去年共赔付超千亿

证券时报 ·  Jan 22, 2020 03:00

Recently, various insurance companies have successively released their 2019 annual claims reports. According to statistics from the Securities Times reporter, medical claims and compensation for serious illnesses are still the majority of claims.

Among the top ten compensation cases of various companies of the year, the number of death from illness and serious illness compensation cases was the highest. The maximum compensation amount was 16.96 million yuan, which was death insurance benefits due to illness paid by Ping An Life Insurance. In the compensation for serious illnesses, thyroid cancer has become the biggest risk factor for cancer, and the family is the backbone of the population with a high incidence of cancer. In terms of payment efficiency, in 2019, various insurance companies' claims services became more intelligent, and the speed of claims processing time increased significantly.

The six companies paid a total of 118.6 billion yuan

Recently, various insurance companies have successively released their 2019 claims reports. According to statistics from the Securities Times reporter, the total compensation amount of the six insurance companies China Life Insurance, Ping An Life, Xinhua Insurance, Pacific Insurance, Taiping Life, and Huaxia Insurance reached 118.55 billion yuan. Among them, China Life Insurance's annual payments exceeded 18 million, and the amount of compensation exceeded 47 billion yuan, ranking first in the list. The annual compensation amounts of Ping An Life Insurance, Xinhua Insurance, Pacific Life Insurance, Taiping Life Insurance, and Huaxia Insurance were 33.8 billion yuan, 11.1 billion yuan, 15 billion yuan, 7.76 billion yuan, and 3.89 billion yuan respectively.

According to the top ten compensation cases disclosed by various companies, the maximum amount of compensation was 16.96 million yuan, which was death insurance benefits due to illness paid by Ping An Life Insurance Company. The maximum claim amounts for China Life Insurance and Pacific Life Insurance were 11.79 million yuan and 106.658 million yuan, respectively. A reporter from the Securities Times · Broker China combed through the top ten compensation cases of various companies of the year and found that the number of cases of death from illness and compensation for serious illnesses was the highest.

Among them, Ping An Life Insurance data shows that of the risk factors for death, 17% were accidental deaths, and 83% were deaths due to illness. Among the risk of death from illness, cancer is still the number one killer, accounting for 23%, followed by heart disease and cerebrovascular disease.

In 2019, the National Cancer Center published “Big Data on Cancer in China”. Malignant tumors, heart disease, and cerebrovascular disease are the top three invisible killers of Chinese life expectancy. Among them, men have a higher risk of cancer than women, and the incidence of thyroid cancer in women has increased markedly.

Claim processing time has been significantly accelerated

In 2019, the speed of claim processing time for many insurance companies increased, and some claims have already achieved “instant compensation”.

Taiping Life Insurance uses technology such as UnionPay verification, face recognition, and electronic signatures to refresh the “second claims” statute of limitations. “second claims” accounts for about 66% of claims acceptance.

Xinhua Insurance has created “smart” claims processing. The AI intelligent claims automation rate has reached 58%, and the average claim processing time is 0.58 days.

The average processing time for China Life Insurance claims is 0.56 days, and the processing time for small claims is 0.2 days. Claims were directly paid for in seconds of discharge, serving more than 3.4 million customers, and mobile mobile claims, opening up a new model of video investigation and interview services. In addition, China Life Insurance also provides door-to-door service for special customers, providing door-to-door compensation services for specific customers who are highly disabled and bedridden.

Pacific Life Insurance has a processing time of 0.21 days for small claims. AI makes intelligent decisions, gives claims decisions in 3.6 seconds per case, and interacts with medical data from more than 20 provinces and cities. Nearly 1,000 hospital customers are exempt from medical data for claims.

Fude Life has launched “Quick Claim” and “Cloud Claim” services. It uses paperless claims applications, smart claims processing, and real-time medical data sharing to make claims processing more convenient and efficient.

The translation is provided by third-party software.


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