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从“秒级理赔”到“智能外脑” 保险业加速数字化转型
Jin Rong Shi Bao· 2025-12-31 01:54
日前,在北京中国人寿科技园内,来自中国人寿寿险公司研发中心、数据中心及全国各省市分公司 的39支精英队伍、117名科技骨干,进行了一场持续近8个小时的比赛。 王女士的体验并非孤例,家住江苏的李先生也深有感触:"理赔实在太高效了。"此前,李先生为感 染肺炎住院治疗的儿子申请学平险理赔时,通过中国人寿寿险App上传了理赔资料。短短十分钟,李先 生就收到了赔款到账的短信通知。 过去,保险消费者遇到与王女士、李先生一样的情况时,往往需要先就医付款,再申请理赔,其间 免不了来回奔波,在为疾病烦心的同时,还饱受收集资料、提交申请和漫长等待之累。 由于报案材料多、地区差异大等原因,保险理赔处理需要大量的人工核验工作。因此,行业普遍存 在理赔流程复杂、时效偏低的问题。 "医疗票据结构化采集、医疗责任精准匹配是理赔过程中最耗时、最费力的难题。"中国人寿寿险公 司科技相关负责人表示,为此,公司深耕人工智能技术应用,通过构建智能调度、智能识别、智能审核 等核心能力,让全流程无人工理赔作业模式成功落地。 从效果来看,在公司端,理赔申请过程已经实现了自动化、无人化;在用户端,解决了用户"病历 难调,发票难集"的麻烦。"目前,部分案件在 ...
科技点亮创新路,金融护航暖万家 ——建信人寿深化数字化转型新实践
Xi Niu Cai Jing· 2025-11-28 01:09
Core Insights - The article highlights the innovative use of AI and RPA technology by Jianxin Life Insurance to enhance product development efficiency, reducing analysis time from weeks to hours and improving processing efficiency by 96.6% [2][3] Group 1: AI and Digital Transformation - Jianxin Life Insurance has successfully implemented an AI-assisted product development project, marking a significant shift towards intelligent and agile product innovation [2] - The company aims to extend its digital transformation to all service aspects, focusing on personalized, scenario-based, and intelligent insurance services [2] Group 2: Personalized Service and Market Adaptability - By analyzing customer characteristics across various dimensions, Jianxin Life has created 30,218 precise sales batches from 29 basic insurance products, enhancing market competitiveness [3] - The company integrates insurance product marketing into key platforms, allowing customers to access tailored insurance services seamlessly while engaging in financial transactions [3] Group 3: Innovative Insurance Solutions - Jianxin Life has developed customized insurance services for specific scenarios, such as integrating accident insurance into the official app of the Taibai Aoshang Ski Resort [4] - The company launched its first adjustable long-term medical insurance product, featuring a family-sharing model and a unique pricing mechanism based on health data [4] Group 4: Support for Technology Enterprises - Jianxin Life's Shandong branch collaborates with local banks to provide integrated financial and risk protection services for technology enterprises, addressing their specific risk management needs [5] - The company has established a collaborative mechanism to tailor comprehensive protection plans for various industries, including high-end chips and agricultural technology [5] Group 5: System Stability and Product Transition - Jianxin Life ensures a smooth transition during the adjustment of predetermined interest rates, implementing 55 ITM business requirements and launching 18 new products [6][7] - The company employs a dual-track quality control mechanism during development to prevent system vulnerabilities, achieving a "zero error" performance post-launch [7] Group 6: Future Outlook - Jianxin Life plans to deepen the integration of AI and big data with insurance operations, aiming to create a secure and intelligent financial ecosystem that supports high-quality economic development [7]
“头雁”引领!中国人寿,探寻数智化路线
券商中国· 2025-09-29 23:28
Core Viewpoint - China Life Insurance is leveraging digital finance to enhance customer experience and operational efficiency through innovative services like the quick claim service that eliminates the need for traditional claims processes [2][4]. Group 1: Digital Transformation - The company has established a digital operation control center that provides real-time data on sales, compliance, and service metrics, showcasing its commitment to digital transformation [4]. - China Life's insurance app has 160 service functions and 1.6 billion registered users, with over 11 million monthly active users, indicating a strong digital engagement [4][5]. - The company has integrated technology across all business processes, including sales, operations, risk control, and finance, achieving significant improvements in customer experience and operational efficiency [5]. Group 2: Technological Infrastructure - China Life's digital infrastructure is built on a "large backend + small frontend" model, allowing for efficient system integration and rapid deployment of applications [7][8]. - The company has adopted a cloud computing strategy, utilizing a hybrid cloud model to enhance data management and reduce costs [8]. - The implementation of the new insurance contract standards (IFRS17) has been automated, with China Life handling a data volume that is estimated to be equivalent to half of the total policies of the top seven life insurance companies combined [9]. Group 3: Open and Intelligent Development - The company emphasizes a focus on data rather than just technology, aiming to create value through open collaboration and innovation [11]. - China Life is advancing its research and development capabilities by integrating artificial intelligence into its software development processes, achieving approximately 30% code generation assistance [11]. - The company is exploring new business models by leveraging cross-industry experiences and creating a customer-centric service ecosystem that integrates online and offline channels [11][12].
中国人寿:做好“头雁”引领 探寻数智化路线
Zheng Quan Shi Bao· 2025-09-29 18:17
Core Insights - China Life Insurance is implementing a digital financial model that allows for real-time insurance payouts without the need for claims processing, enhancing customer experience [2] - The company has established a comprehensive digital service framework that integrates various online and offline service channels, demonstrating its commitment to digital transformation [3][5] Digital Transformation - China Life has developed a digital operation control center that provides real-time operational data across sales, compliance, and service metrics, showcasing its digital capabilities [3] - The company’s insurance app offers 160 service functions, with 160 million registered users and over 11 million monthly active users, indicating strong customer engagement [4] Sales and Operations - The sales process has been fully digitized, with significant improvements in customer experience, exemplified by the ability to process 142,000 online policies in one hour during peak periods [5] - The company is set to automate over 17 million claims in 2024, achieving a 70% automation rate, which significantly enhances operational efficiency [5] Technological Infrastructure - China Life's digital strategy is built on a "large backend + small frontend" model, utilizing cloud computing and a hybrid cloud infrastructure to optimize data management and reduce costs [6][7] - The company has transitioned to a fully interconnected system that integrates over 20,000 outlets and millions of devices, facilitating efficient information flow [7] Regulatory Compliance - Following the implementation of the new insurance contract standards (IFRS17), China Life has automated the generation of compliance reports, handling a data volume that is among the largest in the industry [8] Open Innovation - The company emphasizes a data-centric approach to create value, focusing on leveraging diverse technologies and talents to enhance digital services [9] - China Life aims to advance its research and development capabilities from automation to intelligence, incorporating AI technologies to improve software development processes [10] Customer-Centric Approach - The company is committed to providing seamless online and offline services tailored to diverse customer needs, aligning with its core philosophy of "finance for the people" [10]
学生平安保险,让校园安全无“忧”
Qi Lu Wan Bao· 2025-08-29 02:09
Core Viewpoint - The article emphasizes the importance of student personal insurance, known as "Xueping Insurance," which provides low-cost coverage for various risks associated with school life, helping families manage unexpected medical expenses and accidents [1][3]. Group 1: Insurance Overview - The peak season for purchasing student insurance coincides with the start of the school year, as families seek to protect their children from potential accidents and health issues [1]. - Xueping Insurance offers comprehensive coverage for accidental injuries and hospitalization due to illness, with daily premiums costing less than 1 yuan [1]. Group 2: Claims Data - From January to July 2025, Xinhua Insurance's Shandong branch provided claims services to 9,694 students, with a total payout exceeding 9 million yuan, alleviating financial burdens on families [3]. - The highest claim volume was recorded in Tai'an, with 2,005 claims totaling 1.51 million yuan, while Laiwu had the highest per capita claim frequency [3]. Group 3: Case Studies - A student diagnosed with a malignant tumor received 7 claims, showcasing the insurance's role as a financial support during severe health crises [4]. - In extreme cases, claims for traffic accidents reached 120,000 yuan, highlighting the insurance's effectiveness in providing timely assistance [4]. - A case of a student with acute pneumonia resulted in 5 claims, covering multiple medical expenses, demonstrating the insurance's broad applicability [5]. Group 4: Risk Analysis - Claims related to diseases accounted for 51% of total claims, with respiratory illnesses being the most common, particularly influenza and pneumonia [6]. - Accidental injuries made up 49% of claims, with limb injuries being the most frequent, particularly from sports activities [7]. Group 5: Customer Testimonials - A parent shared that a 200 yuan investment in Xueping Insurance resulted in a claim payout of over 19,000 yuan for their child's surgery, illustrating the insurance's value [8]. - Another parent noted that their child received 4 claims within 4 months, totaling over 5,000 yuan in payouts, emphasizing the insurance's practicality and effectiveness [12][13].
开学季来临,学生平安险该怎么买?
Mei Ri Jing Ji Xin Wen· 2025-08-26 16:37
Group 1 - The core focus of the news is on the increasing attention towards "student safety insurance" (学平险) among parents as the school season approaches, highlighting its significance as a primary insurance choice for families with school-aged children [1][2] - Data from Ant Financial indicates that over the past three years, searches for "student safety insurance" have consistently increased by approximately 50% during the back-to-school season, demonstrating a notable seasonal demand for insurance [1][2] - The insurance market is experiencing heightened competition, with many companies engaging in price competition and channel collaboration to capture market share, leading to a high degree of product homogeneity [2][3] Group 2 - The shift in market dynamics is moving from price competition to a focus on service experience, coverage scope, and claims efficiency, driven by increased consumer awareness and regulatory guidance [3] - It is emphasized that "student safety insurance" is not a comprehensive insurance product, primarily covering accidental injuries, medical expenses due to accidents, and some hospitalization for illnesses, thus necessitating a combination of other insurance products for broader coverage [4] - Parents are advised to pay close attention to the health disclosure process and ensure accurate and complete information when purchasing "student safety insurance" to avoid complications during claims [5]
开学在即,如何利用保险守护新学期?
Bei Jing Shang Bao· 2025-08-26 12:41
Group 1 - The article discusses the dilemma parents face regarding purchasing insurance for their children during the back-to-school season, highlighting the introduction of new insurance products that cover various risks such as accidental injuries and medical expenses [1][4] - Insurance companies have launched specialized insurance products for students, offering different coverage amounts and premium options, with annual premiums ranging from 59 yuan to 279 yuan for coverage amounts of 50,000 yuan, 100,000 yuan, and 200,000 yuan [4][6] - The article emphasizes the importance of rational decision-making by parents based on their child's age, health status, and family financial situation when selecting insurance products [3][8] Group 2 - The newly launched student insurance products provide comprehensive coverage, including accidental death, disability, and medical expenses, and are designed to cover risks during school activities as well as during vacations [7][9] - Additional services offered by these insurance products include unlimited online medical consultations and preventive dental care, which can help reduce health risks for children [5][10] - The article outlines the claims process for student insurance, illustrating it with a case study where a student received compensation for medical expenses after an accident, demonstrating the practical benefits of such insurance [6][8] Group 3 - The article suggests that families with limited financial resources may find student insurance to be a cost-effective option, while those with existing comprehensive health insurance may need to reassess the necessity of student insurance [8][9] - It is recommended that parents prioritize purchasing insurance for themselves as well, as their financial stability is crucial for the family's overall security [9][10] - Key considerations for parents when purchasing insurance include understanding coverage details, waiting periods, and ensuring they use reputable channels for transactions [10]
开学季来临 学生平安险该怎么买?业内人士详细解读
Mei Ri Jing Ji Xin Wen· 2025-08-25 16:03
Group 1 - The core focus of "Xueping Insurance" (student safety insurance) is to provide coverage for middle and primary school students against accidental risks during school hours and commutes [2][4] - The demand for Xueping Insurance has shown a significant seasonal spike, with a 50% year-on-year increase in search volume on the Ant Insurance platform during the back-to-school season over the past three years [1][2] - The insurance market is experiencing intense competition with high product homogeneity, leading to price wars and channel collaborations among various insurance companies [2][3] Group 2 - The market is shifting from price competition to a focus on service experience, coverage range, and claims efficiency, driven by consumer awareness and regulatory guidance [3] - Xueping Insurance is not a comprehensive insurance product; it primarily covers accidental injuries, medical expenses due to accidents, and some hospitalization due to illness, excluding regular outpatient care and major disease treatments [4][5] - Parents are advised to understand the claims process and required documentation to ensure a smooth experience when filing claims, which includes timely reporting and submission of necessary materials [5]
开学季来临,学生平安险该怎么买?业内人士详细解读⋯⋯
Mei Ri Jing Ji Xin Wen· 2025-08-25 11:44
Core Insights - The "Student Safety Insurance" (学平险) has become a primary choice for families with school-age children, especially as the school season approaches [1][3] - There is a significant seasonal demand for this insurance, with a 50% year-on-year increase in related searches during the back-to-school period over the past three years [2][5] - The insurance market is becoming increasingly competitive, with many companies focusing on price competition and channel partnerships to capture market share [5][6] Industry Trends - The trend of parents purchasing student safety insurance is driven by an increase in awareness of the need for protection and the affordability of these products [3][6] - The transition from mandatory to voluntary insurance since 2015 has led to a more consumer-driven market, where parents are encouraged to make informed choices [2][5] - The competition is shifting from price-based to service experience, coverage range, and claims efficiency, indicating a healthier market evolution [5][6] Product Features - Student safety insurance primarily covers accidental injuries, medical expenses due to accidents, and some hospitalization due to illness, but does not cover all health-related issues [6][7] - Parents are advised to understand the limitations of student safety insurance and consider additional health insurance products for comprehensive coverage [6][7] Claims Process - The claims process is crucial for customer satisfaction, and parents should familiarize themselves with the necessary steps and documentation required for efficient claims handling [7] - Key documents for claims include identification, medical expense invoices, and accident proof if applicable [7]
从“跑断腿”到“秒到账”: 探秘中国人寿的理赔“加速度”
Jin Rong Shi Bao· 2025-08-20 03:17
Core Insights - The integration of digital finance is transforming the insurance service experience, making it more accessible and efficient for consumers [2][3] - China Life Insurance is leveraging advanced technologies such as artificial intelligence, big data, and cloud computing to streamline the claims process, significantly reducing the time and effort required for customers [3][4] Group 1: Customer Experience Enhancement - Customers can now experience real-time claims processing alongside medical consultations, eliminating the need for extensive paperwork and manual submissions [1][2] - The company has successfully implemented an automated claims process, allowing for some claims to be settled in as little as three minutes after submission [3][4] Group 2: Technological Integration - China Life Insurance is utilizing a combination of AI, big data, and IoT to enhance the efficiency of claims processing, addressing traditional challenges such as document verification and regional discrepancies [3][5] - The company has established a distributed hybrid cloud architecture to manage vast amounts of data, ensuring quick response times and scalability to meet growing business demands [6][7] Group 3: Data Management and Security - The company has developed a robust data management framework, achieving the highest level of data management capability certification in the insurance industry, which underscores its commitment to data security and efficiency [7] - China Life Insurance is actively involved in setting industry data standards, contributing to the overall improvement of data management practices within the sector [7]