Core Viewpoint - The insurance industry is experiencing a trend of stable premium growth alongside rapidly increasing claims, indicating both the deepening of the industry's functions and potential challenges during its transformation [1][5]. Group 1: Premium and Claims Data - In the first half of 2025, the insurance industry's original premium income reached 3.74 trillion yuan, a year-on-year increase of 5.04%, while claims expenditure was 1.35 trillion yuan, up 8.6% year-on-year [1]. - From 2021 to 2024, claims expenditure growth has significantly outpaced premium income growth in three out of four years, highlighting a concerning trend of "stable premium growth, rapid claims increase" [1]. Group 2: Factors Behind the Trends - The rapid growth in claims is attributed to multiple factors, including the introduction of long-term policies during the industry's expansion phase, which are now entering concentrated payout stages as policyholders age [2]. - The increase in claims is also driven by the aging population, rising medical costs, and increased frequency of natural disasters, which have heightened the pressure on claims for both life and property insurance [2]. Group 3: Implications for the Industry - The accelerated claims growth reflects a return to the core functions of insurance, emphasizing risk transfer and loss compensation, which enhances the industry's role as a stabilizer in society [2]. - However, the rising claims costs pose challenges for insurance companies, potentially squeezing profit margins and affecting financial stability if high claims rates persist [3]. Group 4: Strategic Responses - To address these challenges, insurance companies need to enhance core capabilities and accelerate transformation by adopting more precise risk models for pricing, considering dynamic factors like demographic changes and medical cost fluctuations [3]. - Companies should also improve risk management through cost control and advanced technologies, such as big data and AI, to optimize claims processes and reduce fraudulent claims [3][4]. Group 5: Product and Service Optimization - Insurance companies must align products and services with real market demands, such as developing specialized insurance for long-term care and chronic diseases in response to demographic trends [4]. - The industry should shift from a reactive "pay after" model to proactive risk management, offering services like health consultations and disaster preparedness to reduce claims [4]. Group 6: Collaboration and Ecosystem Development - Overcoming data barriers and technological limitations requires insurance institutions to deepen external collaborations, such as partnering with healthcare providers to enhance underwriting and claims accuracy [4]. - Establishing a cross-industry risk database through collaboration with industry associations can lead to more efficient and comprehensive insurance services, ensuring sustainable transformation [4]. Conclusion - The higher growth rate of claims compared to premium income is a natural phenomenon at a specific stage of industry development, indicating the need for insurance companies to enhance operational capabilities and innovate for high-quality growth [5].
赔付“快跑”之下 保险业转型要抓关键
Jin Rong Shi Bao·2025-09-17 02:00