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阳光财险创新推出“理赔服务机器人” 科技赋能升级“三一”暖心理赔新体验
Jin Rong Jie Zi Xun· 2025-12-15 09:54
Core Viewpoint - Sunshine Property Insurance has launched an innovative "Claims Service Robot" to enhance its claims service efficiency and customer experience, embodying the "Fast, Simple, Cost-effective" service system [1][2]. Group 1: Service Innovation - The "Claims Service Robot" operates 24/7, focusing on improving efficiency, optimizing experience, and providing full-cycle support for customers [1]. - The robot enables instant response upon claim reporting, creating a dedicated claims service group for each customer [1][2]. - Customers can upload accident photos via guided prompts or initiate video calls for remote assessments, reducing anxiety associated with waiting for assistance [1]. Group 2: Operational Efficiency - The robot synchronizes accident photos with the claims system in real-time, preventing data loss and redundancy [2]. - It automates document recognition and system entry, minimizing manual input and supporting online signing of electronic documents [2]. - A case study highlighted a customer who completed the claims process in just 10 minutes at midnight, showcasing the robot's efficiency [2]. Group 3: Service Highlights - The service system emphasizes "One Day Compensation, One-Click Compensation, One-Stop Compensation," with features like video assessments for minor damages and "care compensation" for personal injury cases [2]. - The integration of technology and personalized service optimizes internal processes and enhances customer satisfaction [2]. Group 4: Future Commitment - Sunshine Property Insurance aims to continuously upgrade its services driven by technology, striving to set new industry standards for claims service and enhance customer protection experiences [3].
中银三星人寿发布2025理赔半年报:99.72%满意度背后的暖心守护
Cai Fu Zai Xian· 2025-09-05 07:39
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]