• Journal of the Korean Data and Information Science Society
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• 제25권6호
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• pp.1207-1219
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• 2014

본 연구의 목적은 1) 보험전문가인 보험회사에 근무하는 임직원들이 가지고 있는 채널의 유형, 채널평가 항목, 보험 상품과 보험판매 시 요구되는 채널특성들간의 적합성에 대한 의견을 가지고 생명보험업계와 손해보험업계 각각 2-mode 소셜네트워크 데이터를 구성하고 2) 생명보험업계와 손해보험업계 2-mode 소셜 네트워크 데이터를 1-mode 소셜 네트워크 데이터로 변환하여 생명보험업계와 손해보험업계 두 소셜 네트워크의 구조와 네트워크 특성 변수들을 찾아 비교 분석하고, 소셜 네트워크 기반 측면에서의 생명보험사와 손해보험사의 판매채널 전략의 방향을 제시하고자 한다. 보험 판매채널의 평가에 의한 소셜 네트워크를 비교한 결과, 생명보험업계 소셜 네트워크가 손해보험업계 소셜 네트워크보다 더욱 강한 연결을 보였다. 즉 생명보험업계의 소셜 네트워크의 중심성 변수들이 손해보험업계의 것 들 보다 모두 높게 나타나 생명보험회사들은 채널전략 운영 측면에서 한 방향으로 움직이기가 수월함을 보이는 반면, 손해보험사들은 회사의 규모나 처한 환경에 따라 판매채널 전략이 다를 수 있어 각사의 개별적인 보험 판매 채널전략을 운영해야 함을 의미한다.

• Asia pacific journal of information systems
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• 제32권3호
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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.

• Journal of the Korean Data and Information Science Society
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• 제22권3호
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• pp.467-476
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• 2011

우리나라의 건강보험제도권 내 해당되지 않은 상해상병 진료건 중 국민건강보험으로 부당 잘못 청구되는 진료건을 적발하여, 환수조치하기 위해서는 정확한 상해상병 조사대상자 선정이 필요하다. 그러나, 국민건강보험공단의 한정된 인력으로 증가하는 상해조사관련 업무량을 보다 효율적으로 대처하고, 수행하기 위해서는 상해요인조사 업무 효율화 및 환수 결정율 제고를 위한 조사대상자 발췌기준의 고도화 방안을 마련해야 한다. 이에 본 연구에서는 상해상병 유형에 대해 일정금액 이상 진료건의 발췌 등과 같은 과거의 발췌기준에서 데이터마이닝 기법과 같은 통계적 모형과 업무규칙을 함께 적용한 하이브리드 모형으로서 상해상병 조사대상자 선정기준을 제시하고자하였다.

• 대한한방부인과학회지
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• 제21권3호
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• pp.218-230
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• 2008

Purpose: This study was performed to investigate the percentage of the oriental medical Ob & GY disease group in Korean Medical Health Insurance and to gain the basic data of enlargement and improvement of Acupuncture Benefits in the oriental medical Ob & Gy field. Methods: We requested data about the status of Insurance Benefits in 2005. 2006 to Health Insurance Review & Assessmenstatus Service(HIRA). And on the basis of this 2005. 2006 data, we analyzed the status of Insurance Benefits and Acupuncture Benefits in the oriental medical Ob & Gy disease group. Results: 1. Total health care benefit costs of Korean medical health insurance in 2005, 2006 took 4.38 percent and 4.25 percent of total health care benefit costs of Health insurance. 2. Total health care benefit costs of the oriental medical Ob & Gy disease group in 2005, 2006 took 0.38 percent and 0.40 percent of total health care benefit costs of Korean medical health insurance. 3. The percentage of Acupuncture benefits costs of the oriental medical Ob & Gy disease group in 2005, 2006 was merely 0.22 percent and 0.23 percent of total Acupuncture Benefits costs. 4. The main sick and wounded name of Ob & Gy diseases of Acupuncture Benefits was limited to Menstrual Disorder(K01)과- Uterus Abnormality(K13). Conclusion: The percentage of the oriental medical Ob & Gy disease group in Korean Medical Health Insurance was very low and the percentage of Acupuncture Benefits of he oriental medical Ob & Gy disease group was also very low. From now on, Searching ay of enlargement of Acupuncture Benefits in the oriental medical Ob & Gy field is required.

• Journal of Korea Trade
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• 제24권6호
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• pp.157-172
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• 2020

Purpose - This research empirically proves the extent to which export insurance promotes Korean exports to research object countries among New Southern countries. The outcome of this research will present implications for the operations of export insurance for exports to these countries. Design/methodology - For the empirical analysis, the export equation was composed using a basic gravity model. Based on this, the determinants of Korea's exports to research object countries were analyzed. In this study, a panel unit root test and panel cointegration test were conducted. As a result of the panel unit root test, it was confirmed that the variables of the panel data are not belonging to I(0), but to I(1). As a result of the panel cointegration test, it was established that there are long-term stable relationships among all variables. Accordingly, the gravity model was estimated using original data in order to reduce the information loss caused by the first difference, in spite of individual data belonging to I(1). Findings - For the estimated results of panel OLS, the estimated coefficient of short-term export insurance was 0.56-0.64, with statistically significant results at the significance level of 1%. In addition, for the analysis results of the random effect model, the estimated coefficient of short-term export insurance was 0.59-0.64%, with a statistically significant result at the 1% significance level. This could indicate that Korean export insurance has positive influences on export promotion to New Southern countries. Originality/value - The research implies that export insurance has a 4.1 to 4.7 multiplier effect in expanding exports to the New Southern countries for Korea. This research has intensively analyzed the effects of export insurance on the promotion of exports to a selected area by a government foreign economic policy, which is the originality and value of this paper.

• Journal of Information Technology Applications and Management
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• 제29권4호
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• pp.17-33
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• 2022

This study measures the internal and external competitiveness of 35 OECD countries in the insurance industry. We analyze whether variables related to the Fourth Industrial Revolution affect international competitiveness by applying a nonlinear autoregressive distributed lag model. As a result, the competitiveness of life insurance foreign companies in internal is showing positive responses in high income inequality countries. In addition, insurance companies in countries with low income inequality have shown high performance in external. The non-life insurance industry is less sensitive to shocks than life insurance. This is because non-life insurance is a more dangerous industry than life insurance and there are many restrictions on policies and regulations. The reason is that non-life insurance is a more dangerous industry than life insurance and there are many restrictions on policies and regulations.

• 보건행정학회지
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• 제2권1호
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• pp.167-203
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• 1992

The effects of regional health insurance on access to ambulatory care are examined in this paper. Access is measured as use-disability ratios. The data are collected in a household interview survey at Hwachon county before and after the introduction of regional health insurance. Before the introduction of regional health insurance, low-income class has less contacts with physicians than high-income class. This disparity in accessibility among economic classes is reduced with the health insurance coverage, but not removed, even after adjusting for health need.

• 응용통계연구
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• 제24권3호
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• pp.485-494
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• 2011

계수(Count) 데이터는 반응변수가 음이 아닌 계수로, 자동차 사고건수나 지진이 일어난 횟수, 보험처리 발생건수 등을 말한다. 이런 경우에는 주로 포아송 회귀모형을 사용하지만, 평균과 분산이 동일한 경우만 이용될 수 있다는 제약이 따른다. 실증적 자료에서는 그룹 간 이질성으로 인해 분산이 매우 큰 과대산포(Overdispersion) 현상을 볼 수 있는데, 이를 무시할 경우 회귀계수나 표준오차가 편의되는 현상이 발생한다. 보험은 보장성 개념이 강하기 때문에 실제로 보험처리가 발생하지 않는 경우가 많아, 보험처리 건수에 '0'값이 있을 수 있다. 본 논문에서는 '0'값이 많은 자료의 분석을 위해 제로팽창 모형(Zero-Inflated Model)을 고려하고, 여러 모형들의 효율성을 실증자료를 통하여 비교하였다. 실증 자료 분석 결과, 과대산포와 제로팽창 현상이 존재하는 자료에서 제로팽창 음이항 모형(Zero-Inflated Negative Binomial Regression Model)이 가장 효율적인 모형임을 보여 주었다.

• 한국항해학회지
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• 제18권3호
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• pp.31-49
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• 1994

In the meantime Korean Insurance Industry has been developed a steady growth under government's political protection. But insurance market seems to be opened unavoidably owing to the liberalization of international trade by the Agreements of UR and the bloc of economy by EC Integration and the Organization of NAFTA. By the above reason, especially, in case of hull insurance, the rate of hull insurance is being instituted as a problem. Accordingly the recognition for the problem like this, in thsi study, explained the major objectives of rate making and described the basic rate making methods that are used in property and liability insurance, and searched the rate making schemes of hull insurance rate of the major nations by comparing method. And as a conclusion, the writer presented several schemes including new rate making scheme of hull insurance rate and the security of statistical data about loss ratio, and the establishment of Korean Hull Insurance Association.

• 보건행정학회지
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• 제7권2호
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• pp.109-146
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• 1997

This study explores the feasibility of activating private health insurance in Korea. The rationale for expanding private supplementary health insurance can be found in many cases of health care reforms in the European countries. Private health insurance can not only relieve the financial distress of the government health insurance programs but also offer the medical institutions incentives to improve the quality of medical care. In Korea there is no supplementary health insurance that reimburses for various kinds of diseases based on a well designed fee schedule. Recently, the cancer insurance is the best seller in the health related insurance market. As observed in the U. S. case, the cancer insurance which pays the predetermined amount (indemnity coverage) regardless of the medical charges incurred to the patient is limited in its coverage for the insured. To provide better protection against catastrophic diseases, the government should give insurance companies incentives to develop health insurance products that cover multiple diseases rather than a single disease. Consumers can hardly understand and compare complex insurance products. To resolve the information asymmetries, the government should publish a consumer report that compare various health insurance products in a user friendly way. In the long run, insurance companies will plan to sell health insurance products that charge risk related premium only when insurers accumulate the underwriting know-hows, the government shares data on various health statistics including claims and demographics, and risk pool for high risk patients is well established and subsidized by the government.