Reengineering The Claims Business Process Of PA Insurance Companies Based On Risk Management

This year,with the increasing awareness of public insurance,the insurance industry is booming and insurance companies are springing up like mushrooms.The nature of operation also gradually developed from the state-owned to the state-owned joint venture self-management and other forms of common existence.Look from the insured content,with the enrichment of economic life,the contents of the insurance business is no longer expanding,each insurance company continuously introduce new risks,to meet the growing demand of customers.For different types of insurance,insurance companies have a set of matching claims process,so the planning and formulation of insurance process is particularly important,which relates to the risks and benefits of insurance companies.When the insurance accident happens in the future,the insurance company shall bear the liability of settlement of claims in accordance with the agreement in the contract at the time of insurance.In the case of insurance companies,the important risk control is reflected in the claims business process.If the link of claims business is not well monitored and controlled,there will be a lot of worries on the way to promote the rapid development of insurance industry.Due to the fact that there is a large number of business operators in the claim business,there are many requirements for the imperfect supervision system,A lot of claims loss personnel may find the management loopholes of the system without violating the regulations,and use the loopholes to establish the gray area of the settlement business process.It is necessary to help policy-holder to overcompensate,or even cheat,so that the research on insurance claims business is very necessary.In this paper,after studying the risk management theory and adjustments on the basis of business process,use case analysis to the PA insurance company claims business process reengineering theory combined with theory of risk management of insurance industry.This paper analyzes the shortcomings of the claims settlement process of PA insurance company and the problems in risk management.According to the related theory of process reengineering,the specific measures to improve the risk management of PA insurance company are put forward in this paper.