Red Net Moment News, January 12 (Correspondent Wu Wenjie) Recently, Xinhua Insurance released its 2023 annual report on claims service. According to the data, Xinhua Insurance provided claims services for 4.4 million people throughout the year, with an average daily compensation of 12,100, a year-on-year increase of 40.58%, and a total of 15.9 billion yuan in claims throughout the year, with an average daily compensation of 43.78 million yuan, a year-on-year increase of 17.78%, of which 70,000 cases of critical illness insurance were paid, with a compensation amount of 5.9 billion yuan. The annual premium waiver was $958 million, and more than 21,500 policies were still protected without payment.
According to the report, Xinhua Insurance actively practices social responsibility, and in 2023, it has responded to a total of 86 major disasters and accidents such as the Jishishan earthquake in Gansu Province, giving full play to its role as a social "stabilizer". Since its establishment in 1996, New China Insurance has always been a long-term companion to customers, with a cumulative compensation amount of 106.8 billion yuan in 27 years, and has fulfilled a responsibility and commitment equal to life with "fast claims settlement and excellent service".
The annual compensation is 15.9 billion, and the claim settlement time is 0.67 days
In 2023, Xinhua Insurance will pay a total of 15.9 billion yuan, sending an average of 43.78 million yuan of compensation to customers every day, and the claim settlement time will only take 0.67 days from application to closure, and at the same time, it will actively improve the quality of small medical insurance claims, with an average time limit of 0.52 days from application to closure, a 5-day settlement rate of about 99.23%, and a probability of 99.1%.
As an insurance company with life insurance as the core, New China Insurance has formed a product system covering the whole life cycle of customers' "birth, old age, illness, death and disability". Among the 4.4 million claims services provided throughout the year, the oldest customer was 99 years old, and the youngest was only 66 days old. The number of medical insurance claims for millions was 455,000, with a maximum single claim amount of 1.89 million yuan and a maximum of 140 claims (kidney failure). There are 210 customers who have received multiple claims for the Multi-Fold-Critical Illness product, with a maximum of 3 claims. Mr. L, a customer from Beijing, has been compensated for 2 times for mild diseases (pituitary tumors, coronary interventional surgery) and 1 time for severe diseases (renal malignant tumors), and the premiums have been waived, highlighting the protection advantages of high sum insured and multi-claim products.
Cancer accounted for 74.07% of critical illness insurance, and the protection gap needed to be filled
The report provides an in-depth analysis of the composition of critical illness claims, the reasons for the insurance, and the gender and age distribution, which can provide professional reference for insurance consumers. In 2023, Xinhua Insurance will pay out 70,000 critical illness insurance claims, with a compensation amount of 5.9 billion yuan, and cancer will account for 74.07% of the serious illness insurance.
From the perspective of gender composition of critical illness claims, women accounted for about 58.09%, 16.18 percentage points higher than men, and from the perspective of age distribution, all age groups faced the threat of critical illness, and the "family pillars" aged 40 to 59 accounted for 64.16% of the claims. New China Insurance has a variety of products such as "Multi-fold Protection", "Health Worry-free", "Health Care Guard", "Health Changle" and "Future Star", which can provide high-rated, timely and comprehensive risk protection for high-incidence diseases of men, women and children. In 2023, the maximum amount of critical illness compensation for Ms. Z in Gansu will be 4.55 million yuan (acute myocardial infarction), and it is equipped with products such as Healthy and Worry-free C1 and Multiple Critical Illness.
The data shows that the risk of critical illness depends on cancer, and cancer accounts for 74.07% of severe disease insurance, and female malignant tumor claims are more concentrated. In terms of the occurrence site, the most common malignant tumor sites in men were digestive organs, thyroid gland and other endocrine glands, respiratory and intrathoracic organs, while in women, thyroid gland and other endocrine glands, breast, respiratory and intrathoracic organs were in order. In 2023, among the 10 major critical illness claims of Xinhua Insurance, cancer accounts for 8 cases, with an average compensation of more than 260 yuan.
With the rapid development of medical technology, more and more cancers can be cured or effectively controlled. Relevant data show that the five-year survival rate of cancer in mainland insurance population is close to 60%, and the average treatment cost is 22-800,000 yuan. According to the claim data of Xinhua Insurance, the average amount of cancer claims is 109,200 yuan, which is much lower than the cost of treatment.
In addition, according to the report, the risk of accidents cannot be ignored. In 2023, men accounted for 68.94% of the claims for accident insurance. The main causes of accident benefits are traffic accidents, falls, impact injuries, high falls, drowning, etc.
AI intelligently improves the speed and the special service highlights the temperature
New China Insurance has built a full-process intelligent claims service system to bring customers a simplified, ultimate and fast service experience. In 2023, there will be about 470,000 AI intelligent claim cases, with a compensation amount of 900 million yuan, and the scope of real-time payment of individual claims will be expanded to less than 10,000 yuan, and more than 80% of cases will be paid in real time after the settlement of the case. At the same time, New China Insurance continues to innovate special service items to bring customers an intimate insurance service experience.
Direct connection and direct payment for claims have been carried out in an orderly manner, with direct connection services in 575 hospitals in 5 cities in Anhui, Shandong and Xiamen, and direct payment services in Zhengzhou, Henan Province, achieving "zero waiting for claims". In 2023, the direct connection and direct payment service will serve a total of 5,644 people, and the compensation will be 5.4454 million yuan.
Critical illness condolences continue to release warmth, and provide early condolences and professional claim guidance for customers who unfortunately suffer from malignant tumors. In 2023, the number of condolences will be 5,878 people, and the compensation amount will be 508 million yuan.
The medical advance payment service alleviates the financial pressure of medical treatment for customers of "Town Health Huazun Medical Insurance (rate adjustable)" and "Town Health Changle Middle-aged and Elderly Cancer Medical Insurance". In 2023, 13.8343 million yuan of medical expenses will be advanced for 417 customers, and the same customer will be advanced up to 20 times, with a maximum of 240,000 yuan in a single advance.
Claims health management involves customers of two products, "Special Drug Worry-free Drug Cost Medical Insurance" supporting health management services, and "Specific Cell Immunotherapy Medical Insurance" provides CAR-T treatment solutions throughout the whole process, so that high-value special drugs can benefit the general public. Direct payment for special drug purchases: Cooperate with 1,109 specialty drug pharmacies, covering more than 250 cities across the country, covering 145 kinds of special drugs and 30 kinds of imported drugs that are urgently needed for clinical use. In 2023, 2 cases have been paid directly, with a total of 14 claims and a compensation amount of 299,500 yuan. CAR-T direct payment: Covering 180 CAR-T qualified hospitals, you can enjoy nine major services before and after the consultation.
The claims integrity bill presents the claims handled by the policy service personnel during the year through big data, and portrays the professional image of the marketer with detailed data, covering 108,000 salesmen and exceeding 1 million readers.
In 2023, Xinhua Insurance has successively won the "Golden Dragon Award - Best Claims Service Life Insurance Company of the Year", "Golden Jubilee Award - 2023 Outstanding Claims Service Insurance Company", "Golden Wealth Management - Annual Insurance Protection Brand Award" and "Golden Wisdom Award - Outstanding Insurance Service Award" issued by the Financial Times and other media. New China Insurance will accompany customers year after year, so that those who forge ahead have no distractions and those who live long can enjoy the long years.