• Title/Summary/Keyword: Insurance Industry

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A Study on the Task and Role of Arbitration in Korea by Discussions on the Allowance of Insurer to Invite Overseas Patients (우리나라 보험사 해외환자 유치 허용 논의에 따른 중재의 역할과 과제)

  • Kim, Kee-Hong;Byeon, Seung-Hyeok
    • Journal of Arbitration Studies
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    • v.29 no.2
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    • pp.225-237
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    • 2019
  • Recently, it has been argued that it is necessary to attract foreign patients outside domestic insurers and to allow foreign doctors to treat in domestic hospitals in order to develop the insurance industry and revitalize the medical industry. Currently, large medical institutions in Korea are attracting foreign patients in connection with foreign insurance companies. It is desirable to increase the number of overseas patients who want excellent medical services in Korea, and to provide opportunities for domestic insurance companies to attract overseas patients by expanding job creation through a revitalization of the medical industry. Therefore, this study suggests the development direction for insurers who aim to attract foreign patients through the side effects of attracting foreign patients in accordance with the Financial Services Commission's plan to strengthen the competitiveness of the financial industry. In addition, this study intends to contribute to the strengthening of the competitiveness of attracting foreign patients, through domestic insurance business, to the insurance direct payment market for overseas patients using domestic medical institutions that are concentrated in foreign insurance companies and in the blind spot of domestic law application.

Economy Effects of IT Industry on Financial and Insurance Services (IT산업이 금융서비스에 미치는 경제적 효과)

  • Choi, Sung Wook;Shin, Yong Jae
    • Journal of Digital Convergence
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    • v.13 no.1
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    • pp.191-203
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    • 2015
  • IT is based industry on finance and insurance services and is essential equipment of survival for competitive on market. The importance of IT industry on finance and insurance is bigger than other industries. So, This study examinate effects of hardware and software divided by IT industry on each 6 finance and insurances. Research models are production inducing effects of Demand-Driven model, Shortage effects of Supply-Driven model finally, Leontief's price model by using data for analysis is Input-Output table for 2000~2009. Results are that IT Service effects are more impact than IT hardware effects on Finance and Insurance Service. Especially, IT service's supply shortage effects is 0.0847KWR to produce 1KRW of finance and insurance service for 2-fold increase compared to 2000. In addition, Central Bank and banking institutions of finance and insurance services are the greatest impact from IT industry. These are which is increasing to interdependence between IT industry and finance and insurance service.

An Empirical Study on the International Competitiveness of Insurance Industry in the OECD Countries (OECD회원국(會員國) 보험산업(保險産業) 국제경쟁력(國際競爭力) 결정요인(決定要因)에 관한 실증연구(實證硏究))

  • Lee Ki-Hwan
    • Management & Information Systems Review
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    • v.3
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    • pp.77-97
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    • 1999
  • The purpose of this paper is to measure the international competitiveness of insurance business and to analyze its determinants empirically. I have attempted to use Revealed Comparative Advantage(RCA) index to measure domestic competitiveness. confining to OECD countries only. Among domestic competitiveness advantage countries in the insurance, there are Austria, Denmark, France. Japan, Korea... etc. The factors of domestic competitiveness determinants were found out through multivariate regression analysis with panel data$(1990{\sim}1995)$. In insurance industry, statistically significant variables are employee's per capita premium of insurance company (Pro), stock market capitalization/GDP(MVESR), saving rate (SAV) and real interest(RMMR), while they are Pro, MVESR, and real interest in Korea insurance industry.

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Recognition about national health insurance of dental scaling in industry accident injury patients (스케일링 건강보험 급여화에 대한 산재환자의 인식도)

  • Lee, Hea Shoon;Lee, Kyung Hee
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.561-568
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    • 2013
  • Objectives : The purpose of this study is to examine the recognition and needs on the national health insurance coverage of scaling in industry accident injury patients. National health insurance coverage of dental scaling will start in September, 2013. Methods : Subjects were 649 industrial injury patients and they completed self-reported questionnaire. Data were analysed using SPSS version 20.0 for percentage, chi-square test, t-test, ANOVA, post-hoc Scheffe test, and Pearson's correlation coefficient. Results : Recognition on national health insurance coverage of dental scaling was not fully known to industrial injury patients (24.5%). Highly educated and high income workers seemed to recognize national health insurance coverage of dental scaling (p<.001). Recognition for national health insurance coverage of dental scaling revealed a significance (r=.576, p<.001). Most of the industrial injury workers thought that 50,000 to 100,000 Korean Won of dental scaling fee is reasonable. The coverage of dental scaling should be more than twice over 20 years old. Conclusions : It is necessary to encourage the patients to take regular dental scaling checkup and make them know the health insurance coverage of scaling. The preventive oral health care may improve oral health care and quality of life.

A Study on the Relationship of Process Quality, Outcome Quality, and Management Performance - Combination of Service Quality and BSC Concept for Insurance Industry - (과정품질, 결과품질, 경영성과 연계 연구 - 보험산업의 서비스품질과 BSC 연계모형을 중심으로 -)

  • Kim, Hyung-Wook
    • Journal of Korean Society for Quality Management
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    • v.37 no.4
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    • pp.43-51
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    • 2009
  • This study was designed to analyze the relationship of process quality, result quality and management performance in Korean insurance industry. For this study the linkage scheme of service quality concept is used on PZB model and BSC(Balances Score Card) system. In the linkage model, the 5 service qualitry factors used in PZB model are used as the result quality variables, and internal process factor, learning/growth factor in BSC are used the process quality variables affecting the result quality variables. And also customer satisfation factor and financial performance index are used as the management performance variables. In the ivsurance industry, the process quality variables were verified to meaningfully affect the result quality variables, and the result service quality variables were verified to affect the management performance indices. As the result, the process quality and the service quality must be emhanced for the competitiveness of Korean insurance industry.

The Study on Sustainable Development Strategy of the Insurance Agency : Focusing on the Case of Japan (보험대리점의 지속가능 발전방안에 관한 연구 : 일본 사례를 중심으로)

  • Ryu, Sung-kyung;Son, Seong-dong
    • Journal of Venture Innovation
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    • v.5 no.3
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    • pp.19-40
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    • 2022
  • The purpose of this study is to analyze and evaluate the role and merits and demerits of insurance agencies, which are the main sales channels of the domestic insurance market, from a neutral standpoint, and to present a roadmap by finding ways and tasks for the sustainable development of the insurance agency industry. Recently, criticisms and regulations on independent distribution channels have been strengthened due to deterioration in growth potential and profitability, and increase in civil complaints of insurance companies. In the 2000s, as the center of insurance sales channels shifted to GA and bancassurance, the supervisory authorities regarded the irrationality of project costs and recruitment fees as the root causes and announced a regulatory improvement plan. In view of these circumstance, the operating status, problems of domestic insurance agencies and their contribution to the insurance industry were reviewed. In addition, we tried to find a mid-to-long term development plan by analyzing the case of insurance agency operation in Japan. This study identified the operating status and contribution of insurance agencies in South Korea, and focused on the major status of the Japanese insurance agency industry, ways to improve management efficiency, and the status and role of self-regulatory organizations for insurance agencies. Based on this, it was proposed to improve the professionalism of the sales organization, introduce a company specializing in insurance sales, and to strengthen the status of the association of the insurance agency as for the development plan of the insurance agency industry in South Korea.

Application of AI-based Customer Segmentation in the Insurance Industry

  • Kyeongmin Yum;Byungjoon Yoo;Jaehwan Lee
    • Asia pacific journal of information systems
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    • v.32 no.3
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    • pp.496-513
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    • 2022
  • Artificial intelligence or big data technologies can benefit finance companies such as those in the insurance sector. With artificial intelligence, companies can develop better customer segmentation methods and eventually improve the quality of customer relationship management. However, the application of AI-based customer segmentation in the insurance industry seems to have been unsuccessful. Findings from our interviews with sales agents and customer service managers indicate that current customer segmentation in the Korean insurance company relies upon individual agents' heuristic decisions rather than a generalizable data-based method. We propose guidelines for AI-based customer segmentation for the insurance industry, based on the CRISP-DM standard data mining project framework. Our proposed guideline provides new insights for studies on AI-based technology implementation and has practical implications for companies that deploy algorithm-based customer relationship management systems.

A Study on the Improvement Plans of Green Insurance Industry (녹색보험산업의 발전방안에 관한 연구)

  • Han, Nak Hyun;Cho, Sung Woo;Kim, Eun Joo
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.57
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    • pp.305-331
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    • 2013
  • The purpose of this study aims to the improvement prospect of green insurance industry in Korea. Green insurance includes all classes of general insurance business including unoccupied property insurance and empty building insurance, business insurance, personal insurance, etc. Green policies often cover expensive systems that are not covered under most property policies. The same is true for some underground property, which is also exempted from many property policies. At least insurers already offer products designed to fund rebuilding damaged properties to meet certain environmental and building standards. While the products are in their infancy, insurers and brokers say the huge interest in environmental issues will increase demand. Green buildings that improve energy efficiency and air quality and reduce waste are designed to reduce their effects on the environment and the health of building occupants. Buildings account for 39% of U.S. carbon dioxide emissions, according to the Department of Energy. Insurers say that, as sustainable buildings become more common, green insurance will become more popular and some of its features might become a standard part of property policies.

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Underwriting Method of Worksite Marketing Product (Worksite Marketing 상품과 언더라이팅 기법)

  • Kim, Cheong-Nyun;Chung, Sung-Wan
    • The Journal of the Korean life insurance medical association
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    • v.24
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    • pp.97-117
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    • 2005
  • Internally Korean insurance market is that whole life products' growth are becoming slowdown that's why new insurance products have appeared on the market in consideration of consumer's needs recently. Externally domestic insurance market competitions has drifted from insurance industry to whole financial industry since bankasurance started. Life insurance companies should open up a new market to survive from severe competitions. Worksite marketing can be an alternative. An insurer make arrangements with an employer about an insurance terms which an insurer offers in Worksite marketing. Then eligible individuals enroll in the plans at their own discretion and pay 100 percent of the premium for coverage through payroll deductions. An employer doesn't need to pay extra money for additional benefit but can raise employee's loyalty and satisfaction of company through worksite marketing. An employee can be covered at discounted premium rate and less strict underwriting guidelines to an insurer compared to individual insurance. In developed countries specially U.S insurance market, Worksite marketing is getting very popular and growing rapidly due to the advantages. Worksite marketing has both individual insurance characters and group insurance characters. Individual insurance characters are that employees enroll in the plans at their own discretion and pay 100 percent of the premium for coverage. Group insurance characters are that actively at work and participation etc. An insurer have to reflect these two characters on Worksite marketing when an insurance company work out a plan for developing products and underwriting guidelines. When an insurer devise worksite products, one should consider participation level which means percentage of eligible employees participating. Participation is related to anti-selection. As we know underwriting is essential for every kind of insurance, especially underwriting plays major role in worksite marketing. We can see that in the below. Firstly, it has a function in calculation of premium rate. When calculate premium rate for worksite products underwriters have to estimate expected participation level and risk factors. So underwriters and acturies keep in close contact with each other. Secondly, underwriting methods are important. When an insurer underwrite worksite products, there are three kinds of underwriting methods. These are Simplified issue underwriting, Full underwriting and Guaranteed issue underwriting. Simplified issue underwriting typically requires no medical examination, but usually requires supplying satisfactory answers to one or several health and/or lifestyle questions. Full underwriting requires a complete medical history questionnaire that may further require an exam. Guaranteed issue underwriting means that coverage is issued without the employee having to provide evidence of insurability. When insurer set the GI limit are usually based on the type of industry, number of eligible employees, the average amount of coverage and participation level. In addition to insurer should have a clear definition of eligible employee on the insurance provision and application form. It will minimize possibility of trouble claims and anti-selection. An insurer also establish preexisting condition exclusion and special guidelines for late entrants. When an insurer introduce Worksite marketing to Korean insurance market, an insurer has to examine market research to analyze potential market and strategy of sales most of all. Also an insurer should review real situation of the U.S, England and Japanese market etc. There are a lot of new technologies about worksite marketing process that an insurer should learn. When an insurer consider many things which we explained it can be a real alternative.

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An Empirical Study on the Development of Behavior Model of Insurance Fraud (보험사기행동모형 개발에 관한 실증적 연구)

  • Lee, Myung-Jin;Gim, Gwang-Yong
    • Journal of Information Technology Services
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    • v.6 no.2
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    • pp.1-18
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    • 2007
  • Many researches have been done in insurance fraud as the amount and frequency of insurance fraud have been increasing continuously. In particular, the development of insurance fraud detection system using large database management techniques including data mining or link analysis based on visual method have been the main research topic in insurance fraud. However, this kinds of detection system were very ineffective to find unintentional insurance fraud happened by accident even though it was so good to find intentional and organized crime insurance fraud. Therefore, this research suggests insurance fraud as an ethical decision making and applies TPB(Theory of Planned Behavior) for the finding of reasons and prevention strategies of unintentional insurance fraud happened by accident. The results of research show that TPB is very appropriate model to explain the behavior of insurance fraud and that insurance agents force to do insurance fraud as affecting perceived behavior control. Therefore, education and pubic relations for insurance fraud are very effective for preventing insurance fraud and developing insurance service industry.