Claims Focus 2019, No. 1
Issue: August 2019 |
By Mary Enslin, Life/Health Claims Specialist, Cologne
Tim Eppert , Life/Health Senior Actuary, Cologne
John Ferguson, Life/Health Regional Chief Actuary, Shanghai
Claire Henshall, Life/Health Head of Claims UK and Ireland, London
Dr. John O'Brien, Life/Health Chief Medical Officer, London
Sarah Hogekamp, Actuarial Associate, Cologne
John Ferguson and Ryan Tian give a thought-provoking insight into the findings of the seventh Dread Disease Survey in Asia. The results are based on the analysis of 1.3 million claims from 39 insurance companies.
Following a short history of medical progress in cardiovascular diseases, Dr. John O’Brien points out why Critical Illness definitions – specifically the heart-attack definition – and claims assessments need to be adapted to clinical changes.
Sarah Hogekamp and Tim Eppert present solutions for CI product design when considering advances in heart-attack diagnosis and treatment. They also discuss why increased insurance-client interaction and prevention tools can create added value to your customers as well as to your company.
Claire Henshall will run you through the process of assessing heart-attack claims. Two Critical Illness case examples illustrate the challenges and solutions of dealing with cardiovascular diseases. Finally, Mary Enslin addresses an unpleasant topic. She gives you advice on successful fraud prevention in Life Insurance.