近期，阳光财险创新推出"理赔服务机器人"，以科技赋能升级"快、简、省"为核心的"三一"服务体系。 至此，通过"理赔机器人"与"阳光闪赔"两大核心工具，阳光财险车险理赔效率与客户体验实现进一步提 升，为行业车险理赔服务提供了有温度、高时效、懂客户的智能理赔服务新范式。 未来，阳光财险将继续秉持"一切为了客户"的核心价值理念，以科技驱动服务持续升级，不断刷新行业 理赔服务标准，为客户提供更安心、更便捷的保障体验，为推动保险业高质量发展贡献更多的阳光力 量。 保险频道更多独家策划、专家专栏，免费查阅>> 责任编辑：山上 此外，通过"理赔服务机器人"，拍摄的事故照片可实时同步理赔系统，实现案件无缝流转，彻底避免资 料丢失与重复存储的麻烦。"理赔服务机器人"能自动识别单证信息并回填系统，减少人工录入环节，同 时支持电子单证在线签署，让理赔操作更便捷。从自动建群、引导拍照上传，到咨询答疑、测算保费， 机器人全程响应，覆盖理赔全场景需求。 深夜理赔的场景，更能体现"理赔服务机器人"的价值。客户王女士在夜间12点左右驾车发生轻微刮擦， 前保险杠出现手掌大小掉漆，作为首次单独处理车险事故的车主，在向阳光财险报案后，阳光财险"理 ...

Core Insights - The report from Bank of China Samsung Life Insurance highlights a strong performance in claims service for the first half of 2025, with a total of 74,800 claims and a payout amount of 180 million yuan, of which critical illness claims accounted for 24.62% [1][2] - The company emphasizes its commitment to customer service, achieving a claims approval rate of 99.74% and a satisfaction rate of 99.72% [1][3] Claims Performance - Total claims in the first half of 2025 reached 74,800, with a total payout of 180 million yuan [1] - Critical illness claims totaled 44.4166 million yuan, primarily for malignant tumors, acute myocardial infarction, and sequelae of stroke [2] - Death claims amounted to 72.8654 million yuan, with disease-related deaths accounting for 87.17% and accidental deaths for 12.83% [2] - Medical claims totaled 59.4244 million yuan, with respiratory diseases being the leading cause [2] Service Innovation - The company has fully digitized the claims process, with 98.15% of claims submitted online [3] - New technologies such as OCR recognition and intelligent calculation have been introduced to enhance the ease of claims submission [3] - A "critical illness first payment" mechanism has been launched, allowing clients to claim benefits upon diagnosis, significantly reducing the payout timeline [3] Social Responsibility - Bank of China Samsung Life Insurance has initiated emergency claims services for various disasters, including earthquakes and fires, launching 8 emergency responses in the first half of 2025 [2] - The company has donated insurance coverage worth nearly 1.6 billion yuan and medical equipment valued over 2 million yuan to support communities in need [2] - Focus on elderly clients includes the introduction of an "elderly version" claims interface and improved facilities for better service [2]