中华联合财险辽宁分公司理赔监察体系改进研究

发布时间：2018-01-18 04:09

本文关键词：中华联合财险辽宁分公司理赔监察体系改进研究　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：随着保险行业的快速发展,保险理赔案件也日趋增加,一些不法分子趁保险公司理赔管理体系尚未完善的阶段,勾结保险公司内部人员,或者伙同理赔案件相关的人员通过虚构事实,故意制造保险事故、扩大损失等方式进行保险诈骗活动,给保险公司带来巨大的经济损失。保险公司在防范内部和外部的虚假骗赔的理赔监察体系建设上虽然领导层非常重视,但还存在职责不清,人、财、物投入不足,流程不顺畅等问题,严重制约了打假防骗工作的开展,尽快的探索出一套符合中华财险辽宁分公司实际情况的理赔监察体系势在必行。本文从计划、组织、协调、控制的基本原理入手,本着低成本、高产出的原则,以较低的成本投入,合理配置资源,减少在流程和岗位等方面的不必要消耗,节省成本。正确处理各环节之间的矛盾,对理赔全流程的监控,促进虚假骗赔案件的查处力度,扩大成果。维护公司的经营成果。借鉴国内外理赔监察体系的管理经验和模式,分析中华财险辽宁分公司理赔监察体系的优势和不足,建立我公司的理赔监察体系,为行业理赔监察体系建设提供经验和建议。本论文根据中华财险辽宁分公司的实际需要,在项目管理理论的指导下,通过案例、文献资料参考、借鉴国内外公司经验,针对项目计划、成本控制、实施方案及保障等方面展开研究,主要内容如下:首先具体叙述理赔监察体系的研究背景和意义,结合文献和理论基础阐述研究思路和方法,通过叙述中华财险辽宁分公司理赔监察体系运行的现状与问题,在此基础上深入探讨中华财险辽宁分公司理赔监察体系的改进方案设计,同时制定推进理赔监察体系改进的实施保障。总之,通过理论指导和实践研究,优化中华财险辽宁公司理赔监察体系,为系统内和行业在该领域的研究打下基础和积累经验。
[Abstract]:With the rapid development of the insurance industry, insurance claims cases are also increasing, some criminals collude the insurance company internal personnel while the insurance company claims management system is not yet perfect. Or the personnel related to the settlement of compensation cases through fictitious facts, intentionally create insurance accidents, expand losses and other ways to carry out insurance fraud activities. Insurance companies to bring huge economic losses. Insurance companies in the prevention of internal and external false claims settlement supervision system construction although the leadership attaches great importance, but there are still unclear responsibilities, people, wealth. Lack of material input, flow is not smooth and other problems, seriously restricted the work of anti-fraud development. As soon as possible to explore a set of Chinese property insurance Liaoning Branch in line with the actual situation of claims monitoring system is imperative. This paper from the planning, organization, coordination, control of the basic principles, in line with the low cost, high output principle. With lower cost input, reasonable allocation of resources, reduce unnecessary consumption in process and position, save costs, correctly handle the contradictions between the various links, and monitor the whole process of claims. To promote the investigation and treatment of false compensation cases, expand the results, maintain the company's business results, and learn from the management experience and model of the domestic and foreign claims supervision system. This paper analyzes the advantages and disadvantages of the compensation supervision system of Liaoning Branch of China property Insurance Company, and establishes the compensation supervision system of our company. According to the actual needs of China property Insurance Liaoning Branch, under the guidance of the project management theory, through the case, literature reference. Draw lessons from the experience of domestic and foreign companies, the project planning, cost control, implementation plan and security and other aspects of the study, the main content is as follows: first of all, the specific description of the research background and significance of claims monitoring system. Based on the literature and theoretical basis, this paper expounds the research ideas and methods, and describes the current situation and problems in the operation of the compensation supervision system of Liaoning Branch of China property Insurance Company. On this basis, it deeply discusses the improvement scheme design of the compensation supervision system of Liaoning Branch of China property Insurance Company, and formulates the implementation guarantee to promote the improvement of claims supervision system. In short, through theoretical guidance and practical research. Optimize China property insurance Liaoning company claim supervision system, lay the foundation and accumulate experience for the system and industry research in this field.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：F842.3

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