近日，水滴保正式发布2025年度服务年报。报告显示，过去一年，水滴保通过深化普惠产品创新与AI 技术融合应用，持续升级"好产品、好服务、好理赔"的"三好服务"体系。全年累计上线242款定制保险 产品，其中57款为免健康告知产品；通过专业理赔协助服务，共帮助用户完成理赔案件66344件，协助 理赔金额达3.94亿元；AI技术的深度应用显著提升了服务效率，理赔结案提效16.49%，最短理赔结案时 效仅1分36秒。 AI赋能全链路服务，智能风控模型构筑安全屏障 在AI赋能下，水滴保实现了服务流程的智能化升级。AI智能客服"保小慧"实现了"边说边办"的沉浸式服 务，语音回复时效性平均仅1.5秒，能够7x24小时全时段100%响应。AI数字员工"帮帮"正式入职"帮帮赔 服务工作室"，全年为用户完成13290次AI理赔结论解读，理赔材料平均审核时长提效22.66%，最短审 核时效仅7.5秒，理赔时效预测准确率最高可达90.6%。 普惠产品深化创新，银发群体人均理赔金额破万 2025年，水滴保进一步聚焦带病人群、银发群体、母婴人群等细分人群的保障需求。联合中国金融传 媒、中国社科院保险与经济发展研究中心共同发布的《带病体保 ...

Core Insights - The article highlights the recognition of the leading internet insurance technology platform, Waterdrop Insurance, which has been included in the "Top 100 Insurance Technology and Services" list for five consecutive years by the Molecular Laboratory [1] - Waterdrop's General Manager, Ran Wei, emphasized the inevitability of AI integration in the insurance industry, stating that AI will transform the entire insurance service process [1][4] Industry Trends - The insurance industry is facing three critical realities: significant future growth potential, complex user needs, and a fundamental shift in value creation logic [4] - The depth and density of insurance in China remain significantly lower than in mature markets, leading to emerging demands for coverage in specific segments such as the elderly, those with pre-existing conditions, and maternal and infant care [4] Competitive Landscape - The core of industry competition is shifting from "product richness" to "demand matching" [5] - The next phase of competition will focus on building capabilities for "efficient and precise supply-demand matching," with Waterdrop embracing AI to reconstruct the entire service chain [5] Technological Advancements - Waterdrop is one of the earliest companies in the insurance sector to implement AI large model applications, investing nearly 300 million yuan annually in R&D and holding over 100 AI technology patents [7] - The self-developed insurance large model, "Waterdrop Water Guardian Model," is becoming the central nervous system for insurance services, significantly enhancing service efficiency [7] Product Innovations - The AI medical insurance expert developed by Waterdrop has achieved industry-leading capabilities, contributing to an 82% quarter-on-quarter increase in premium contributions by Q3 2025 [7] - Waterdrop launched the industry's first AI underwriting expert, "KEYI.AI," which reduces average processing time for complex health insurance underwriting by 80% and achieves an accuracy rate of 99.8% [8] - The company introduced innovative insurance products, including the first medical insurance without health declarations and guaranteed renewals for five years, and a long-term income compensation insurance for individuals up to 70 years old [8] Future Outlook - The recognition from the Molecular Laboratory is seen as validation of Waterdrop's technological practices, with plans to further explore "AI large model + insurance" and open technical capabilities to industry partners for collaborative development [8]

Core Insights - Waterdrop Inc. was awarded the "Annual Responsible Brand" at the "Fusion Light" 2025 Charity Gala, recognizing its ongoing commitment to social responsibility [1] Group 1: Company Overview - Waterdrop Inc. is a leading insurance technology and healthcare platform in China, dedicated to providing health protection solutions to the public [3] - The company focuses on AI technology innovation to enhance user experience and has actively responded to emergencies such as the Tibet earthquake and North China floods [3] Group 2: Social Impact and Initiatives - As of September 2025, Waterdrop Fund has assisted 3.61 million patients, raising 71.2 billion yuan in aid, supported by 485 million caring individuals [4] - The company has partnered with 119 public charitable organizations, launching over 15,500 charity projects and raising more than 1.383 billion yuan for various social issues [4] Group 3: Technological Advancements - Since 2019, Waterdrop has utilized AI to address supply-side deficiencies in insurance, developing the "Waterdrop AI Insurance Expert" capable of engaging in natural dialogue for up to 50 minutes [5] - The company has introduced diverse inclusive products targeting specific groups such as the elderly and those with pre-existing conditions, enhancing accessibility and affordability of insurance [5]

近日，水滴保完成线上经纪人的全面战略升级，水滴保总经理冉伟表示，此次升级标志着水滴保线上经纪人业务从"营销导向"到"用户导向"的 深刻转型，旨在通过整合全公司优质资源，统一服务标准、迭代AI科技工具、优化用户全流程体验，构建专业化、数字化、以用户为中心的 服务新生态。 冉伟表示，此次升级的本质是回归保险服务初心，重塑用户与平台关系。2026年线上经纪人将聚焦两大方向：一是对内"练内功"，精耕现有流 程与能力，提升运营与服务效率；二是对外"拓新局"，依托此前沉淀的供给侧创新能力，攻坚结构性突破。 战略转型：回归保障本源，深耕用户价值创造 在服务模式上，水滴保线上经纪人实现从"单次沟通"到"长久陪伴"的根本转变。线上经纪人致力于超越传统的销售触点角色，成为用户可随时 触达的专属保障顾问，服务贯穿需求分析、条款解读、方案定制、理赔协助与动态检视的全周期，致力于将每一次交互延伸为有温度的服务闭 环，兑现"水滴为你，点点滴滴"的服务承诺。 据了解，此次升级是水滴保持续服务深耕的延续。2024年，公司启动"品质服务升级年"，推出好产品、好服务、好理赔的"三好服务"。2025年 水滴保会员体系全新升级，累计提供健康管理、就 ...

Core Viewpoint - The roundtable discussion focused on the high-quality development path of the serious illness fundraising industry, emphasizing the importance of information authenticity, fund security, and responsibility allocation in the context of the implementation of the "Management Measures for Personal Assistance Online Service Platforms" [1][2]. Group 1: Industry Development and Challenges - Experts believe that serious illness fundraising is a beneficial supplement to the social assistance system and medical security construction, with multi-party governance being essential for sustainable development [1][9]. - The implementation of the management measures has highlighted the need for authenticity verification of fundraising information and fund security as baseline requirements for compliance [1][2]. - A case involving a fraudulent fundraising attempt on the Waterdrop platform raised concerns about the authenticity of fundraising information and the platform's responsibility in verifying such information [2][3]. Group 2: Information Verification and Responsibility - Experts reached a consensus on the need for clear boundaries of responsibility among government, platforms, the public, and third-party audits, but noted that the core responsibility for information verification often falls excessively on the platforms [2][3]. - Suggestions for improving information verification include establishing a cross-departmental information sharing mechanism and utilizing social networks for public supervision [3][4]. Group 3: Fund Security and Transparency - Waterdrop has implemented a fund custody agreement with Ping An Bank to ensure that donations are managed separately from the platform's own funds, enhancing fund security [5][6]. - Despite these measures, tracking the use of funds for treatment remains a challenge, leading to suggestions for requiring users to provide receipts and implementing batch payments [6][7]. - The platform has also engaged in soliciting donor opinions regarding the allocation of remaining funds after a fundraising campaign, demonstrating a commitment to transparency and donor engagement [7][8]. Group 4: Trust Building and Multi-Party Cooperation - Building trust in the serious illness fundraising sector requires information transparency and collaboration among various stakeholders, including government, platforms, and social organizations [8][9]. - Experts emphasized the importance of integrating serious illness fundraising with public medical and assistance systems to enhance the effectiveness of the sector [8][9]. - The industry should focus on creating mechanisms for problem-solving rather than striving for risk-free operations, as collaboration is key to fostering a healthy ecosystem [8][9]. Group 5: Insurance and User Awareness - Discussions also highlighted the growing awareness of insurance needs among the public, with experts suggesting that platforms should provide adequate insurance options and respect users' rights to information and choice [10]. - The integration of commercial and charitable efforts is seen as a structural transformation in the industry, with platforms encouraged to meet user needs through innovative insurance solutions [10].

近日，由金融界主办的"启航·2025金融峰会"在北京举办。会上，第十四届金融界"金智奖"年度评选结果重磅揭晓。其中，水滴公司凭借在AI赋能保险服务 场景的深耕与突出表现，荣获"杰出保险服务奖"。 好服务方面，水滴上线AI智能客服"保小慧"，实现了"边说边办"的沉浸式服务。语音回复时效性平均仅1.5秒，月均交互量超百万次，能够7x24小时全时段 100%响应，上线3个月服务能力提升40倍；并推出了行业首个AI核保专家"KEYI.AI"，实现秒级内完成响应，复杂健康险核保平均处理时间缩短80%，准确 率达到99.8%，还可为被拒保客户推荐其他适合保险产品，大幅度节省了用户因购险困惑、核保等待产生的时间成本。 好理赔方面，过去一年，在AI+人工协同模式下，水滴保助力合作保司在一般理赔案件中处理时长缩短了43.3%，实现用户与保司的双向增效。今年，水滴 保特别成立"帮帮赔服务工作室"，为用户和保司构建理性沟通的理赔服务平台。AI数字员工"帮帮"正式入职工作室，借助自然语言处理、情感计算和AI大数 据分析能力，为用户提供智能对话、材料审核和理赔进度预测等服务。 责任编辑：钟离 据了解，2024年，水滴公司旗下水滴保推出 ...

管理层在业绩会上强调，这一增长得益于数据基础设施的升级，将决策延迟压缩至50毫秒以内，实现了 对流量的毫秒级精准识别与分层。这种基于实时数据的ROI动态策略，不仅推动首年保费（FYP）环比 增长32.3%，更大幅提升了获客效率与质量，验证了公司在复杂市场环境下"有质量增长"的执行力。 研报认为，水滴三季度营收与利润的双重加速验证AI战略的有效性。销售端，"AI医疗险专家"促成的保 费规模环比激增82%，证明AI已具备直接的商业变现能力。核保端，行业首个AI核保助手"KEYI.AI"将 复杂案件处理时间从数分钟缩短至秒级（1秒），准确率高达99.8%，彻底重构了风控效率。此外，公 司推出"Waterdrop Sea. AI"低代码平台，赋能内部员工快速构建AI解决方案，进一步降低研发与运营边 际成本，构建了从底层模型到上层应用的完整技术护城河。 水滴公司创始人兼CEO沈鹏表示："三季度，AI技术作为业务提质增效的核心驱动力，推动公司收入与 利润实现双位数高速增长。展望未来，我们将持续把握技术演进带来的机遇，推动AI能力在业务全链 条的深度融合与应用创新，为公司的高质量发展注入持续动能。我们将以此为基础，致力于实 ...

Core Viewpoint - Waterdrop Inc. has demonstrated strong performance in Q3 2025, indicating a transition into a high-quality growth phase, supported by its AI strategy and shareholder return policies [1][2] Group 1: Financial Performance - In Q3 2025, Waterdrop achieved a net operating revenue of 975 million yuan, a significant year-on-year increase of 38.4% [1] - The company's net profit attributable to shareholders reached 158 million yuan, reflecting a year-on-year growth of 60.1%, with the net profit margin expanding from 14.1% to 16.3% [1] - Waterdrop has maintained profitability for 15 consecutive quarters, showcasing its consistent financial health [1] Group 2: AI Strategy and Efficiency - The dual acceleration in revenue and profit in Q3 validates the effectiveness of Waterdrop's AI strategy, with premium scale driven by the "AI Medical Insurance Expert" increasing by 82% quarter-on-quarter [2] - The introduction of the AI underwriting assistant "KEYI.AI" has reduced complex case processing time from minutes to seconds, achieving an accuracy rate of 99.8%, thereby enhancing risk control efficiency [2] - Waterdrop has launched the "Waterdrop Sea. AI" low-code platform, enabling employees to quickly build AI solutions, which lowers R&D and operational marginal costs, creating a comprehensive technological moat [2] Group 3: Management Insights - The CEO of Waterdrop emphasized that AI technology is the core driver for enhancing business quality and efficiency, leading to double-digit growth in revenue and profit [2] - The company aims to leverage technological advancements to integrate AI capabilities throughout its business operations, ensuring sustainable growth and long-term value for users, partners, and shareholders [2]

Core Viewpoint - The roundtable discussion focused on the high-quality development path of the major illness fundraising industry, emphasizing the importance of information authenticity, fund security, and the division of responsibilities among stakeholders [1][2]. Group 1: Regulatory Framework and Implementation - The "Management Measures for Personal Assistance Network Service Platforms" was implemented in December 2023, establishing operational norms and regulatory requirements for platforms like Waterdrop Fundraising [1]. - The past year has highlighted the verification of fundraising information authenticity and fund security as essential compliance requirements for the industry [1][2]. Group 2: Challenges in Information Verification - A case involving a fundraiser who misrepresented their financial situation raised concerns about ensuring the authenticity of fundraising information [2]. - Experts noted that while the theoretical responsibilities of government, platforms, and third-party audits are clear, practical challenges exist due to the lack of access to comprehensive data across various departments [3]. Group 3: Solutions for Information Verification - Suggestions for improving information verification include establishing a cross-departmental information sharing mechanism and utilizing social networks for public oversight [4]. - Waterdrop Fundraising has implemented a "verification" and "reporting" mechanism, requiring fundraisers to be verified by acquaintances before withdrawing funds [4]. Group 4: Fund Security and Transparency - Waterdrop Fundraising has a fund custody agreement with Ping An Bank, ensuring that donations are kept in a separate account for secure management [5][6]. - Experts discussed the challenges of tracking whether funds are used for intended medical treatments, suggesting that platforms should require users to provide receipts and consider phased payments [6]. Group 5: Ethical Considerations in Fund Allocation - In a case where funds remained after a patient's death, Waterdrop Fundraising sought the opinions of 140,000 donors to determine the allocation of remaining funds, highlighting the importance of donor consent [7]. - Experts expressed differing views on whether remaining funds could be used for other family needs, emphasizing the need for collaborative solutions rather than rigid rules [7]. Group 6: Building Trust through Transparency - Trust in the major illness fundraising sector relies on information transparency and collaboration among various stakeholders, including government, platforms, and third-party audits [8]. - The industry plays a crucial role in addressing the "last mile" of patient assistance, with nearly 4 million patients incurring out-of-pocket medical expenses exceeding 50,000 yuan annually [8]. Group 7: Insurance and Risk Awareness - Discussions included the potential for fundraising platforms to offer insurance products, enhancing public awareness of insurance needs related to major illnesses [10]. - Experts emphasized the importance of informing users about insurance options and respecting their rights to make informed choices [10].

Core Viewpoint - Waterdrop Inc. has demonstrated strong financial performance in Q3 2025, driven by robust core business expansion and enhanced operational efficiency through technology, particularly AI [1][2]. Financial Performance - In Q3 2025, Waterdrop achieved a net operating revenue of 975 million yuan, representing a significant year-on-year increase of 38.4% [1]. - The company's net profit attributable to shareholders reached 158 million yuan, marking a year-on-year growth of 60.1%, indicating improved profitability [1]. - The insurance segment, as a cornerstone of the business, generated revenue of 870 million yuan, up 44.8% year-on-year [1]. Operational Efficiency - The report highlights that the increase in revenue and profit growth is attributed to the company's refined operations and technological empowerment [2]. - AI technology has been pivotal in enhancing the operating profit margin, with operating expenses as a percentage of revenue decreasing by 8.3 percentage points to 39.6% [2]. - The operating profit from the insurance business grew by 44.0% year-on-year, showcasing the effectiveness of AI in improving operational efficiency [2]. AI Technology Impact - The application of AI, such as the "AI Medical Insurance Expert" service, has been a key catalyst for premium growth, contributing to an 82% increase in premiums [1]. - The large-scale deployment of AI customer service, represented by "Bao Xiaohui," has significantly improved user service efficiency and experience [2]. - The AI quality inspection assistant has enhanced productivity, achieving a performance level 2.4 times that of a purely manual model [2]. Future Outlook - The company plans to continue leveraging advancements in AI technology to drive high-quality growth and deepen integration across its business operations [3]. - Waterdrop aims to explore AI agents with multimodal interaction capabilities to handle more complex insurance inquiries and services, potentially elevating productivity to new heights [2].