三星财险2025健康险理赔服务年报发布：科技重塑服务生态，聚焦品质医疗构筑专业守护

Group 1 - The core viewpoint of the article highlights Samsung Property Insurance's significant growth in health insurance claims and service efficiency, driven by the integration of intelligent systems and high-quality medical resources [1][2][12] Group 2 - In 2025, Samsung Property Insurance's health insurance business achieved a total claim amount of 100 million yuan, representing a year-on-year increase of 128.57%, with an average daily case handling volume of nearly 5,000, up 360.96% [2] - The average case resolution time was reduced to 0.3 natural days, with over 98% of customers receiving compensation within one working day after reporting a claim, and the fastest case resolution time was just 3 seconds [2] Group 3 - Samsung Property Insurance has established a comprehensive intelligent operation system covering the entire claims process, with over 75% of cases undergoing full-process automated review and resolution [3] - The company has shifted its service model from "post-payment" to "intervention during the process and risk control beforehand," enhancing efficiency in customer interactions [3] Group 4 - In the high-end medical insurance sector, Samsung Property Insurance reinforced its "service as product" strategy, focusing on four pillars: convenient direct payment, global response, top-tier medical resources, and a closed-loop health ecosystem [4] - In 2025, the number of direct payment settlement cases reached 8,000, accounting for 78% of the total claims in high-end medical insurance [4] - 98% of non-direct payment cases achieved "T+2" rapid settlement, supported by AI smart review and blockchain encryption technology [5] Group 5 - The company coordinated 1,200 appointments for international departments of top-tier hospitals and provided various specialized medical services, including second opinions from top experts and video consultations [7] - Samsung Property Insurance has developed a comprehensive health management ecosystem, offering personalized health managers and annual benefits such as high-end physical examinations and psychological health consultations [8] Group 6 - The report emphasizes Samsung Property Insurance's unique advantages in cross-border medical services, leveraging the global medical resource network of the Samsung Group, particularly its collaboration with Samsung Seoul Hospital, ranked third globally in oncology [9][10] Group 7 - In the field of children's health insurance, Samsung Property Insurance processed over 400,000 cases in 2025, with total claims paid amounting to nearly 60 million yuan, providing significant financial support for families facing severe illnesses [11] Group 8 - Looking ahead to 2026, Samsung Property Insurance aims to deepen the integration of "insurance + technology + service" by leveraging the global industrial resources of the Samsung Group and Tencent's digital technology capabilities [12] - The company plans to expand the application of artificial intelligence in underwriting risk control and health warnings, while further enhancing its network of quality medical service partnerships [12]