而随着城镇化继续推进，人群规模不断扩大但同时风险敞口逐渐暴露的新市民群体，成为中国人寿服务 的重要对象，在柜面设置便民服务专区，为外卖骑手、快递小哥等新市民提供便捷的保险保障服务。 来源：环球网 当保险行业从高速增长转向高质量发展阶段，险企的理赔服务能力正在成为衡量其核心竞争力的重要标 尺，也是构成企业品牌护城河的关键。 中国人寿保险股份有限公司（以下简称"中国人寿"）作为寿险业"头雁"，其理赔数据档案不仅是对自身 服务能力、质效的体现，也是对行业理赔服务趋势的清晰体现。 翻开中国人寿"十四五"期间的理赔数据档案，多组数字呈现出的一条条上升曲线，正是对行业转型期保 险回归保障本源的最佳注脚。 具体来看这一系列数据变化：同口径下，理赔案件数量从2021年的3700万件提升到2025年的6224万件， 理赔金额从2021年的819亿元，到2025年的1004亿元，件数与金额都实现了大幅度增长。 总体来看，五年累计赔付2.4亿件，赔付金额4195.2亿元，日均约赔付2.3亿元。从系统直连的"理赔直 付"，到AI大数据技术的深度应用；从针对老年人的"尊老模式"，到覆盖新市民的暖心柜面，中国人寿 的理赔服务既织密了国家 ...

Core Insights - China Life Insurance Company has significantly increased its claims volume and amount from 2021 to 2025, with claims rising from 37 million to 62.24 million and payout amounts increasing from 81.9 billion to 100.4 billion [1] Group 1: Claims Growth - The total claims over five years amount to 240 million, with a total payout of 419.52 billion, averaging approximately 230 million per day [1] - By 2025, the company will serve 15.17 million elderly policyholders, with claims exceeding 11.3 billion [1] Group 2: Focus on Key Demographics - The company emphasizes support for women and children, with 33,000 claims for women's cancer insurance and over 5.02 million services for student and child-specific products, totaling over 5.2 billion in claims by 2025 [1] - Medical claims are projected to account for 60.6% of total payouts, exceeding 60 billion, while critical illness claims will represent nearly 18% of total payouts [1] Group 3: Claims Efficiency - The company has achieved a one-stop direct claim service, allowing for immediate settlement at the end of a medical visit, covering 5.3 million cases and totaling nearly 1.6 billion in payouts by 2025 [2]

Core Viewpoint - The insurance industry in China has strengthened its role in financial services, focusing on disaster prevention, rural revitalization, and inclusive protection, thereby enhancing its function as an economic stabilizer and social stabilizer [1] Group 1: Disaster Prevention and Mitigation - In 2025, natural disasters affected 67.03 million people, resulting in 763 deaths or missing persons, with direct economic losses amounting to 241.62 billion yuan [2] - The insurance industry has established an integrated disaster prevention and mitigation system, adhering to principles of prompt and reasonable compensation [2] - China Pacific Insurance led the establishment of a catastrophe insurance community, providing risk coverage for 74.52 million households, with claims amounting to 200 million yuan [2] Group 2: Support for National Strategies - The insurance sector has provided significant risk protection for key areas, including food security, with claims exceeding 13.3 billion yuan for crops [4] - In the green transition, the insurance industry has supported carbon neutrality goals, with over 900 million green insurance claims processed [4] - Insurance services have extended to high-end and intelligent sectors, with claims exceeding 11.6 billion yuan for technology-related activities [5] Group 3: Inclusive Financial Protection - The insurance industry has expanded its coverage for vulnerable groups, with over 15.17 million elderly clients receiving claims exceeding 11.3 billion yuan [6] - New citizens, including delivery workers and ride-hailing drivers, received over 2.2 billion yuan in claims for employment protection [7] - Inclusive insurance programs have reached over 34 million people, with claims exceeding 1.14 billion yuan [7]

Core Insights - China Life Insurance reported a total of over 62.24 million claims in 2025, representing a year-on-year increase of 7%, with total claims amounting to over 100.4 billion yuan, up 10% from the previous year [1][3] - The company has implemented a paperless claims reform, completing over 51.21 million claims, which accounts for over 80% of total claims, with more than 75% of claims processed within one hour after all documents are submitted [1][3] - China Life Insurance has focused on rural revitalization, serving over 4.54 million rural residents in 2025, with claims amounting to over 15.8 billion yuan [1][3] Claims Service Enhancements - The company provided direct claim services to 8.17 million clients, with a total claim amount exceeding 4.3 billion yuan, including a one-stop settlement service for 5.3 million clients, amounting to nearly 1.6 billion yuan [2][4] - The introduction of a fast claims service allows clients to submit claims in as little as 8 seconds, benefiting over 90,000 clients [2][4] - A "critical illness one-day claim" green channel was established, covering malignant tumors and certain cardiovascular diseases, serving 234,000 clients with claims exceeding 10.6 billion yuan [2][4] Social Responsibility Initiatives - The company has served over 15.17 million elderly policyholders, with claims amounting to over 11.3 billion yuan [1][3] - In terms of women's health, claims for the "two cancers" insurance reached 33,000, while services for students and children exceeded 5.02 million, with total claims exceeding 5.2 billion yuan [1][3]