policy admin
DESCRIPTION
Policy admin. Monthly report. March 2012. Nguyen Huu Tri. 1. Underwriting. New Business. Incomplete ratio. CFS return. NEW BUSINESS 2 nd Working Month. Incomplete ratio. INCOMPLETE RATIO chart. Confirmation slip (CFS) return. Confirmation slip (CFS) return. 2. Premium collection. - PowerPoint PPT PresentationTRANSCRIPT
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1. Underwriting New Business
Incomplete ratio
CFS return
NEW BUSINESS NEW BUSINESS 22ndnd Working Month Working Month
Total HCMC Ha Noi Da Nang Can ThoDong Nai
Hai Phong
Issued 729 94 262 50 76 170 77
Declined 10 6 0 1 0 0 3
Postponed 7 1 2 0 1 3 0
Canceled 0 0 0 0 0 0 0
Pending 23 2 8 5 2 3 3
Total received 769 103 272 56 79 176 83
Canceled in freelook 9 0 4 0 0 4 1
Items
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UW Index 9th-2011 10th-2011 11th-2011 12th - 2011 13th-2011 01th-2012 02nd-2012
Due to non UW non UW non UW non UW non UW non UW non UWHCM1 0.9% 1.0% 1.3% 3.7% 4.0% 3.3% 6.5%
HCM2 0.0% 5.4% 0.0% 0.0% 0.0% 0.0% 0.0%HCM6 NA 0.0% 8.3% 4.3% 0.0% 0.0% 4.5%HCM 0.5% 2.1% 1.8% 3.1% 2.9% 2.5% 5.8%HAN1 1.9% 11.5% 0.0% 5.3% 5.6% 8.3% 4.8%HAN2 4.0% 4.6% 0.0% 9.5% 20.0% 0.0% 7.1%HAN3 2.5% 5.5% 3.3% 3.3% 6.9% 7.6% 6.3%HAN4 1.6% 4.8% 6.6% 12.1% 4.1% 0.0% 0.0%HANOI 2.8% 5.5% 3.3% 5.0% 6.5% 5.5% 5.5%DANANG 7.5% 3.2% 6.5% 7.5% 7.1% 16.7% 8.9%Cantho1 4.8% 3.4% 0.0% 0.0% 4.5%Cantho2 3.1% 4.8% 2.4% 16.7% 5.7%Cantho3 10.3% 5.0%CANTHO 3.1% 2.3% 3.6% 4.5% 3.6% 4.4% 3.8%Dong Nai 1.7% 2.5% 1.4% 0.0% 0.9% 0.0% 1.7%HAP1 2.1% 10.9% 10.1% 0.8% 3.6% 6.8% 3.5%HAP2 4.2% 9.6% 17.8% 8.9% 13.0% 4.4% 7.7%HAI PHONG 2.8% 10.5% 12.1% 3.3% 5.4% 6.0% 4.8%
Grand total 2.6% 4.8% 4.6% 3.1% 3.9% 4.3% 4.7%
Incomplete ratio
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INCOMPLETE RATIO chart
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Confirmation slip (CFS) Confirmation slip (CFS) returnreturn
CFS Within 14 days
UW Index 9th 2011 10th 2011 11th 2011 12th 2011 13th 2011 01th 2012 02th 2012HCM1 98.1% 92.5% 95.9% 100.0% 94.6% 100.0% 98.6%HCM2 90.4% 74.2% 100.0% 100.0% 100.0% 100% 75.0%HCM6 0.0% 67% 91.7% 100.0% 100.0% 100% 84.2%HCM 94.9% 87.4% 96.2% 100.0% 96.1% 100.0% 94.6%HAN1 100.0% 100.0% 90.9% 88.9% 100.0% 91.7% 97.6%HAN2 99.5% 95.4% 98.3% 98.6% 100.0% 66.7% 100.0%HAN3 96.7% 95.1% 96.8% 97.0% 94.8% 96.1% 96.6%HAN4 93.8% 98.4% 98.1% 85.2% 98.6% 100.0% 100.0%HANOI 97.3% 95.7% 96.7% 95.0% 95.9% 95.2% 97.3%DANANG 100.0% 100.0% 100.0% 100.0% 98.7% 100.0% 98.1%CAN1 95.3% 97.7% 85.2% 84.2% 89.5% 72.7%CAN2 89.8% 97.4% 96.0% 95.1% 95.2% 100.0%CAN3 82.9% 96.3% 94.7%CANTHO 90.4% 92.0% 97.5% 93.8% 90.7% 94.3% 90.9%DONG NAI 92.7% 96.5% 96.9% 93.7% 94.2% 96.6% 95.3%HAP1 96.1% 97.3% 99.0% 98.3% 98.4% 97.6% 98.1%HAP2 0.966292135 100.0% 98.6% 100.0% 100.0% 100% 95.7%HAI PHONG 96.3% 98.2% 98.9% 89.9% 98.7% 98.4% 97.4%
CFS within 14 days 95.5% 95.4% 97.4% 95.5% 95.4% 96.7% 95.9%
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Confirmation slip (CFS) Confirmation slip (CFS) returnreturn
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2. Premium collectionTIA Checking
Post collected
Reinstatement efficiencies
91.1%
97.3%97.1%94.6%
97.8%96.8%96.1%96.8%95.6%94.9%
89.5%
94.3%94.0%95.9%
94.7%95.6%
84.0%86.0%88.0%90.0%92.0%94.0%96.0%98.0%
100.0%
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 1st 2nd -2012
3rd
TIA checking ratio
Target 96.5%
Main reason: Main reason: Lost
TIA checking ratioTIA checking ratio
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Unit 2nd wkm
The 3rd wkmCompare last
monthChecked cases Uncheck cases ratio
HCM 1 96.5% 205 12 94.1% -2.3%
HCM 2 91.8% 38 0 100.0% 8.2%
HCM 3 95.1% 52 0 100.0% 4.9%
GA Btre 95.7% 44 3 93.2% -2.5%
HCM subtotal 95.5% 339 15 95.6% 0.1%
HN 1 100.0% 21 0 100.0% 0.0%
HN 2 100.0% 4 0 100.0% 0.0%
HN 3 87.1% 172 15 91.3% 4.2%
HN 4 94.6% 118 0 100.0% 5.4%
HN subtotal 89.8% 315 15 95.2% 5.4%
DN subtotal 99.2% 112 5 95.5% -3.7%
CAN 1 100.0% 72 5 93.1% -6.9%
CAN 2 90.3% 192 3 98.4% 8.2%
CT subtotal 93.9% 264 8 97.0% 3.1%
DNA subtotal 97.4% 370 24 93.5% -3.9%
HP 1 92.5% 82 0 100.0% 7.5%
HP 2 100.0% 53 0 100.0% 0.0%
HP subtotal 95.5% 135 0 100.0% 4.5%
Company 94.7% 1535 67 95.6% 0.9%
The main reason is DNA have total 16 losing receipt
and 8 cases delay
TIA checking TIA checking detaildetail
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Div Manager
Dec-11 Jan-12 Feb-12
Post Office Post Office Post Office
Collected case
% by receivabl
e case
% by collected
case
Collected case
% by receivabl
e case
% by collected
case
Collected case
% by receivabl
e case
% by collected case
HCM TSAI CHIH HUA 26 1.8% 4.7% 24 1.8% 4.9% 34 2.6% 5.3%
HN HUANG WEN JEN 29 1.4% 5.6% 25 1.3% 7.4% 27 1.4% 5.4%
DN CHANG SHANG WEN 13 4.0% 14.6% 13 3.8% 13.3% 24 7.3%21.1
%
CT KUO HSIEN CHUNG 11 1.6% 5.4% 3 0.5% 2.0% 6 1.1% 3.4%
DNA KUO HSIN YU 6 1.3% 5.9% 13 2.9% 13.8% 12 2.8%11.8
%
HP CHEN PING KUN 36 11.3% 54.5% 4 1.2% 11.8% 11 3.2%16.9
%
COMPANY 121 2.3% 7.9% 82 1.7% 6.8% 114 2.3% 7.2%
Post office collected in Post office collected in Feb 2012Feb 2012
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VN post campaign
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Div Manager
Jan-12 Feb-12
FEB reinstated success
case Case PremApply Reject Pending Success
case Prem Case Case Case Case Prem %
Ho Chi Minh Total
TSAI CHIH HUA
-
-
1,611
4,964,544
7
-
1 6
15,062 0.3%
Ha Noi TotalHUANG WEN
JEN
5
28,619
3,036
8,839,718
18
-
5 13
43,030 0.5%
Da Nang TotalCHANG SHANG
WEN
-
- 571
1,841,342
1
-
- 1
4,181 0.2%
Can Tho TotalWU TENG
CHIEH
-
- 675
1,876,065
2
-
- 2
12,391 0.7%
GA Ben Tre TotalNguyễn Hồng
Liêm
119 286,566
-
-
- -
- 0.0%
Dong Nai TotalKUO HSIN YU
4
19,199
405
1,447,860
2
-
- 2
7,654 0.5%
Hai Phong TotalCHEN PING
KUN
-
- 125
556,597
6
-
1
5
17,275 3.1%
COMPANY
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47,818
6,548
19,821,247
36
-
7 29
99,593 0.5%
20 20 casescases
Reinstatement Reinstatement efficienciesefficiencies
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3. Claim, POS & Call centerNot-taken ratio
Confirmation call
Claim figure
Not-taken ratio
unit 11th 12th 13th 1st -2012 HCM 3.1% 7.4% 1.3% 0.0%HN1 0.0% 10.9% 15.7% 0.0%HN2 11.7% 25.5% 45.7% 0.0%HN3 6.3% 6.3% 4.3% 0.0%HN4 0.0% 4.5% 0.0% 4.7%HN 6.1% 7.4% 4.7% 1.0%DN 0.7% 4.1% 2.2% 4.8% CT 6.1% 5.3% 1.3% 6.3%Dong Nai 4.9% 5.5% 2.4% 1.5%HAP 3.5% 2.1% 3.3% 6.9%GA BenTre 0.0% 0.0% 0.0%Not taken ratio (wkm) 4.9% 5.7% 2.8% 3.1%
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Unit
2011 2012
Nov Dec Jan Feb
HCM Total 100% 100% 100% 100%
HAN1 100% 100% 100% 100%
HAN2 100% 90.9% 100% 100%
HAN3 98.4% 96% 100% 100%
Ha Noi Total 98.7% 95.7% 100% 100%
Da Nang Total 100% 100% 91.4% 96.9%
Can Tho Total 100% 100% 100% 100%
Dong Nai Total 100% 85.2% 100% 100%
Hai Phong Total 87.5% 100% 100%
Call Out 99.4% 95% 99.1% 99.7% 16
Confirmation Confirmation callcall
YearNăm
TypeLoại
Accept caseChấp nhận
2009(01 ~ 12/2009)
Death & Permanent Disability 5
Hospitality 7
2010(01 ~ 12/2010)
Death & Permanent Disability 13
Hospitality 38
2011(01 ~ 12/2011)
Death & Permanent Disability 16
Hospitality 142
2012 1 ~ 3/2012
Death & Permanent Disability 3Hospitality 61
Company total 28517
Claim Figure 2012 Claim Figure 2012 (YTD)(YTD)
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Claim Figure 2012 Claim Figure 2012 (YTD)(YTD)
•Based on policies (from 1/1/2012 – 20/3/2012)•Included main products and riders
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Claim Figure 2012 Claim Figure 2012 (YTD)(YTD)
The North 31 48.4%
Central 7 10.9%
South 26 40.6%
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INSURANCE FRAUD?
Policy_number Disease LOS Effective date Event_date A05 C09 C10 R01 R04
S110003418xx Bong gân và giãn khớp của khớp vai 1429/06/201
12011-09-01 3000
S110003437xx Viêm niệu đạo 14 5/7/20112011-10-18 3000
S110003453xx Viêm khớp 14 7/7/20112011-10-03 120000 3000
S110003457xx Viêm phế quản cấp 14 8/7/20112011-09-12 80000 3000
S110003559xx Viêm phế quản cấp 14 12/7/20112011-09-28 100000 3000
S110003574xx viêm của xương hàm 1421/07/201
12011-11-24 130000 3000
S110003720xx Viêm amyđan cấp 7 10/8/20112011-10-21 120000 3000
S110003791xx Viêm kết giác mạc 1426/08/201
12011-12-23 120000 3000
S110003882xx Viêm phế quản cấp 14 7/9/20112011-11-28 130000 3000
S110004029xx Viêm khớp cùng chậu 1422/09/201
12011-10-31 80000 1000 3000
S110003574xx Viêm mỏm xương trong của khuỷu 1421/07/201
110/12/2011 130000 3000
S110004282xx Viêm phế quản cấp 1415/11/201
101/02/2012 3000
S110004415xx Tiêu chảy chức năng 14 9/12/201102/02/2012 170000 3000
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INSURANCE FRAUD?
Policy_number Disease LOSEffective date Hospital name Event_date C09 C10 R04
S110003160xxViêm dạ dày cấp 14
5/7/2011Bệnh Viện GTVT Yên Bái 2011-12-26 82000 3000
S110003350xx Viêm khớp 1415/06/201
1Bệnh Viện GTVT Yên Bái 2011-11-11 80000 3000
S110003360xx Bỏng cấp hai 1415/06/201
1Bệnh Viện GTVT Yên Bái 2011-10-11 89000 3000
S110003581xxViêm phế quản cấp 7
26/07/2011
Bệnh Viện Đa Khoa Tư Nhân Hùng Vương 2011-11-15 63000 2000
S110003599xx Viêm đại tràng 1412/7/2011
Bệnh Viện GTVT Yên Bái 2011-10-28 55000 1000
S110003660xxRối loạn tiền đình 18
9/8/2011Bệnh Viện Tuyên Quang 2011-11-09 45000 1000
S110003883xx Sái khớp gối 147/9/2011
Bệnh Viện GTVT Yên Bái 2011-11-15 135000 3000
S110003956xx Viêm họng cấp 146/9/2011
Bệnh Viện GTVT Yên Bái 2011-10-06 45000 1000
S110004082xxViêm kết giác mạc 14
5/10/2011Bệnh Viện GTVT Yên Bái 2012-01-03 60000 2000
S110004383xxSai khớp cổ chân 14
30/11/2011Bệnh Viện GTVT Yên Bái 2011-12-02 152000 3000
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Other activitiesOther activities
Test R06
Set up new regulation for reinstatement
Revised the wording of some underwriting letters (declination letter, special condition letter)
Follow up VIP Customer plan
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Next month plan
POS, Call CenterPOS, Call Center*Set up POS online forms in system*Change occupation class on POS
UW/ClaimUW/Claim•Prepare for launching Universal Life in April•Enhanced Underwriting System
PremiumPremium *Set up premium director Q2 fund* VNPT promotion ( Cathay pillow gifts)
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Thank you