2 1 Shi Ji Jing Ji Bao Dao·2026-01-09 12:04Core Insights - The insurance industry in China has shown a significant increase in claims payments for 2025, indicating a shift in the role of commercial insurance towards becoming a more integral part of daily healthcare payments [1][3][4] Group 1: Claims Payment Trends - The total claims amount for China Life Insurance exceeded 100.4 billion yuan, a year-on-year increase of 10% [1] - New China Life Insurance reported a total claims amount of 14.7 billion yuan, averaging 40.29 million yuan per day [1] - The number of medical claims has surged, with Fude Life Insurance reporting 319,700 medical claims out of a total of 351,100 claims, representing 91.06% of their total claims [3] Group 2: Health Risks and Demographics - Malignant tumors remain the leading health risk, accounting for 69.84% of critical illness claims, with a higher incidence in women [3][4] - The age group of 45 to 59 years represents 55.48% of critical illness claims, highlighting a significant protection gap for this demographic [4] Group 3: Technological Advancements in Claims Processing - The adoption of AI and big data technologies has led to significant improvements in claims processing efficiency, with some companies achieving claims processing times in minutes or even seconds [5][6] - Fude Life Insurance reported an average claims processing time of 1.17 days, with a review time of only 0.36 days [6] Group 4: Support for National Strategies and Social Welfare - The insurance sector is increasingly involved in supporting national strategies, such as rural revitalization and disaster reduction, with China Life Insurance serving over 4.54 million rural residents and paying out over 15.8 billion yuan [7][8] - Insurance companies are also focusing on aging populations, with China Life Insurance providing services to over 15.17 million elderly clients and paying out over 11.3 billion yuan [8] Group 5: Emergency Response and Risk Management - The insurance industry has demonstrated its role as a "social stabilizer" by activating emergency claims services in response to natural disasters and accidents, with Fude Life Insurance initiating emergency claims services 31 times in 2025 [9] - China Pacific Insurance responded to 244 natural disasters and accidents, paying out over 13 billion yuan in disaster claims [9]