• Title/Summary/Keyword: Claim Management

Search Result 339, Processing Time 0.032 seconds

The Development of a Web-based Decision Support System for Construction Claim Management (건설 클레임 관리를 위한 웹기반의 의사결정 지원 시스템 개발)

  • Sung, Nak Won;Kim, Young Suk;Lee, Mi Young;Lee, Jung Sun
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.26 no.1D
    • /
    • pp.115-123
    • /
    • 2006
  • Recently, construction claims have been increased for protecting the rights of construction participants and effectively adjusting the changes under the contract. Thus, the importance of claim management has been emphasized in the construction industry. In domestic construction industry, some claim issues involved in construction activities are often being developed into disputes and even litigations because of the absence of methods or systems for the dispute resolution, and the lack of judicial precedents which can be provided as the references for resolving a particular dispute. In general, the judicial precedents related to the disputes and litigations occurred among construction participants would be extremely valuable in evaluating and analyzing current claims issues. However, such useful information has not been effectively accumulated and utilized in resolving the similar or sometimes identical types of disputes, thus requiring a large amount of additional costs, time and efforts. The primary objective of this study is to propose a web-based decision support system for construction claim management, which enables contractual participants to easily access and use the information of the judicial precedents related to the current construction claims. The decision support system is composed of 'prevention' and 'settlement' modules for avoiding and systematically resolving the construction claims.

A Study on the State of the Claim of Dental Medical Institutions for Payment from the National Health Insurance Corporation (치과 의료기관의 건강보험 청구실태)

  • Yoo, Eun-Mi;Ahn, Se-Youn;Choi, Hye-Sook;Hwang, Sun-Hee;Oh, Bo-Kyung
    • Journal of dental hygiene science
    • /
    • v.11 no.1
    • /
    • pp.31-35
    • /
    • 2011
  • The purpose of this study was to examine the state of the claim of dental clinics for payment from the national health insurance corporation in a bid to provide some information on the efficient management of payment claim by dental institutions. The findings of the study were as follows: As for the form of payment claim, 45.4 percent claimed payment by themselves, and 54.6 percent asked an agent to do that on behalf of them. Concerning the type of occupation of the applicants, dental hygienists demanded payment in the biggest number of the dental clinics(78.2%). The most common number of cases that the dental clinics demanded payment was between 201 and 400(40.3%). The dental clinics asked an agent to claim payment when the number of payment claim cases was smaller, and they claimed payment by themselves when the number of payment claim cases was larger. Regarding the reason why the dental institutions asked an agent for payment claim, the biggest group(28.0%) cited complicated claim procedure as the reason, and the second largest group(22.6%) answered that they weren't used to doing that. The third greatest group(20.8%) pointed out a shortage of personnels that would be responsible for that as the reason.

An AHP Approach to Evaluate the priorities of Manufacturing Performance Criteria in Korean Automobile Parts Manufacturing Company (AHP에 의한 한국자동차부품제조사의 제조성과기준의 중요도 평가)

  • Kim, Tae-Soo
    • Journal of Korean Society of Industrial and Systems Engineering
    • /
    • v.34 no.3
    • /
    • pp.115-122
    • /
    • 2011
  • The critical role played by manufacturing performance measurement systems in achieving competitive success is increasingly recognized. Developing an integrated performance measurement model is significant for strategic management. This study consist of several principal steps. Performance criteria from the literature and an questionnaire were utilized prior to building the performance model. The AHP(Analytic Hierarchy Process) is utilized to evaluate the weight of each criterion when generating the performance measurement model for Korea automobile parts manufacturing company. AHP analysis showed clear difference in the priority between 5 criteria and 24 sub-criteria in terms of manufacturing performance of Korean automobile parts manufacturing company. The result of priority evaluation in the 5 criteria of 2nd level was ranked quality, cost, delivery, employee, flexibility. And the critical sub-criteria in the 24 sub-criteria of 3rd level was ranked claim rate, process defect rate, outsourcing parts defect rate, ability to quality management innovation, claim cost, etc.

A empirical study on the Employee's Workplace Satisfaction for Insurance Claim adjusting company (손해사정회사 종업원의 직장만족 결정요인 연구)

  • Kim, Jaetae;Yoo, kyungjin;Choi, Youngjin;Kim, Jongwon
    • Journal of the Society of Disaster Information
    • /
    • v.11 no.2
    • /
    • pp.245-252
    • /
    • 2015
  • Employee's workplace satisfaction of claim adjusting company, who assesses the loss of catastrophe, have a direct influence on the loss evaluation job. Eventually their satisfaction would affect the compensation satisfaction of victims, therefore it is one of important factors for victims's compensation satisfaction. This paper analyzes empirically the determinants of employee's satisfaction to their firm for a claim adjusting company. As a result of the empirical research, it is found that the statistically significant determinant are the psychological factor, the organizational factor, and the individual factor. Among the significant factors, the psychological factor has the biggest positive factor. And the organizational factor and the individual factor is next with similar positive measurement. But the cognitive factor is not statistically significant. A claim adjusting company may use the research result for the improvement of employee's workplace satisfaction.

A Study on the Strategy for Engineer/Designers' Risks in Korea;Based on Questionnaire Survey (우리나라 설계자/감리자의 클레임 대응방안 연구;설문조사를 중심으로)

  • Cho, Young-Jun;Park, Hong-Sik;Kim, Sung-Bin;Park, Kyung-Nam
    • Proceedings of the Korean Institute Of Construction Engineering and Management
    • /
    • 2007.11a
    • /
    • pp.479-482
    • /
    • 2007
  • The volume of Construction project is increasing now in Korea. The complexity and variety makes the project many problems. But there are few construction contract experts. This results in a lot of managerial conflicts. Specially Engineer/Designer confront gigantic risk related to their job. So, to classify and to identify the risk practical investigation about Engineer/Designer's job. Therefore, to avoid and to prevent the claims for Engineer/Designer, clarification of the scope of service, use of external claim expert, and introduction of professional liability insurance should be accomplished.

  • PDF

Developing of Construction Project Risk Analysis Framework by Claim Payout and its Application

  • Kim, Ji-Myong;Park, Young Jun;Kim, Young-Jae;Yu, YeongJin
    • International conference on construction engineering and project management
    • /
    • 2015.10a
    • /
    • pp.192-194
    • /
    • 2015
  • The growing size and complex process in construction project recently leads to increase risk and the losses as well. Even though researchers have identified the major risk indicators, there is lack of comprehensive and quantitative research for identifying the relationship between the risk indicators and economic losses associated with construction projects. To address this shortage of research, this study defines risk indicators and create a framework to assess the influence of economic losses from the indicators. An insurance company's claim payout record was accepted as the dependent variable to reflect the real economic losses. Based on the claims, we categorized the causes and results of accidents. To establish framework, built environment vulnerability indicators and geographical vulnerability indicators were employed as the risk indicators. A Pearson correlation analysis was adopted to validate the relationship with loss ratio and risk indicators. Consequently, this framework and its results may offer significant references for under writers of insurance companies and loss prevention activities.

  • PDF

Considering Claim Costs in Project Time-Cost Mixed Integer Programming Model (클레임코스트를 고려한 프로젝트의 시간-비용 혼합정수계획모형)

  • Kim, Jong-Yul;Kang, Chang-Wook;Hwang, In-Keuk
    • Journal of Korean Society of Industrial and Systems Engineering
    • /
    • v.34 no.3
    • /
    • pp.97-105
    • /
    • 2011
  • Previous researches have focused on the efficiency of project execution and the satisfaction of internal customers In view of the fact that a project is successful if any defects are not found in the short-term performance test of the project final outcome. To execute a project that both internal customer and external customer are satisfied in terms of longer-term benefit perspective, the project claim costs (PCC) which may occur for the warranty period of the project final outcome should be considered. We propose a model included PCC to the linear programming between time and cost to expedite a project and perform the validity test by applying the model to an example project. This model and related procedure will contribute to overall project activities' cost reduction by taking preventive actions for PCC.

The Study on Analysis of the Claim Elements for Preventing the Potential Claim in a Large-Scale Turnkey-Base Building Project - Focused on Cases of Domestic Project - (대형 건축 턴키공사의 클레임예방을 위한 클레임 요인 분석에 관한 연구 - 국내 사례를 중심으로 -)

  • Yoon Jun-Seon
    • Korean Journal of Construction Engineering and Management
    • /
    • v.6 no.1 s.23
    • /
    • pp.205-211
    • /
    • 2005
  • Turnkey projects accounting for some $10\%$ of the total volume of the projects in the domestic market have been often implemented without the process of full-scale review or study because of clients' lack of expert and expertise. Moreover, many projects have been executed under the terms and conditions of the contact which were found to be unilaterally in favor of the clients. The study, as part of effects to mitigate the claims that would possibly be caused by the potential problems with the typical turnkey projects, were intended to identify the elements of the claims virtually being occurred at the construction sites, and then analyze the degree of influence on the project so as to be able to incorporate the outcome into the plan at the working-levels. As a result of experts' review, through the survey, of the elements once extracted, those having relatively higher degrees of influence on turnkey projects were determined, and the investigation aimed at estimating the amount of claims in terms of value were conducted to eventually identify, evaluate and verify the elements that had affected the Project together with the degree of influence.

A Study on Dispute Claim to the Apartment Reconstruction Projects (공동주택 재건축 사업의 분쟁 클레임에 관한 연구)

  • Lee, Mi-Ae;Kim, Dea-Young
    • Proceedings of the Korean Institute Of Construction Engineering and Management
    • /
    • 2008.11a
    • /
    • pp.268-273
    • /
    • 2008
  • Because a procedure is complicated and various related parties participate in the redevelopment and reconstruction project, it can be extended to diverse disputes when the relation with the related parties is smoothly adjusted. In particular, when the dispute occurs in a phase of occupancy after the complete construction, the regional residents-centric association must give up many rights of invisible parts caused by the construction company's profit maximization because they are short of professionalism about the business. Accordingly, this study is aimed at providing the construction project manager's dispute and claim process for responding to the dispute or claim reasonably and for obtaining the client's (association) rights for the reconstruction project, and at developing the checklist for obtaining the necessary documents by each phase, when the dispute or claim is made by the association against the construction company after the completion of construction. Through this study, the association can obtain the related documents in advance and can implement the reasonable response data when the dispute or claim occurs due to it. Also, it will enable the construction manager to analyze the project costs reasonably and will reduce the estimated wastes. That is, the work efficiency is expected to be improved.

  • PDF

Interpretation of Quality Statistics Using Sampling Error (샘플링오차에 의한 품질통계 모형의 해석)

  • Choi, Sung-Woon
    • Journal of the Korea Safety Management & Science
    • /
    • v.10 no.2
    • /
    • pp.205-210
    • /
    • 2008
  • The research interprets the principles of sampling error design for quality statistics models such as hypothesis test, interval estimation, control charts and acceptance sampling. Introducing the proper discussions of the design of significance level according to the use of hypothesis test, then it presents two methods to interpret significance by Neyman-Pearson and Fisher. Second point of the study proposes the design of confidence level for interval estimation by Bayesian confidence set, frequentist confidential set and fiducial interval. Third, the content also indicates the design of type I error and type II error considering both productivity and customer claim for control chart. Finally, the study reflects the design of producer's risk with operating charistictics curve, screening and switch rules for the purpose of purchasing and subcontraction.