Research On Internal Control Of Claims Business Of ZY Life Insurance Company

With the rapid economic development,competition in the insurance industry is becoming increasingly fierce.Under the informational background,strengthening risk management,preventing and defusing risks has become an important task for the insurance industry.Internal control is the basis for the sustainable development of insurance companies.Attaching importance to internal control and strengthening internal management is the foundation of the insurance industry.The internal control of China’s insurance industry started late and is still in the initial stage of development,which needs to be continuously constructed and improved.The risk management system of the life insurance business mainly includes two parts: underwriting and claims.Due to the early market development,the research and corresponding development of underwriting has been relatively fast,and a relatively complete system has been formed.Research on claims is still weak,and development lags behind underwriting.With the rapid growth of claims cases and the continuous occurrence of insurance fraud incidents,the importance of claims work has become increasingly prominent.The article takes ZY life insurance company’s claims business as the research object,and adopts the five-element analysis method of internal control to analyze the current status of ZY life insurance companies’ internal control.In terms of system construction and implementation,the second aspect is that the operation mode of claims lags behind the development of the business,which is mainly reflected in the unstable claim standards,the difficulty of cost control,and the weak ability to control claims risks.Third,the lack of internal information and communication in the claims business.It is reflected in the communication with the risk compliance department,information technology department,and publicity department.Fourth,the risk control of claims information business is weak.In view of the above problems,combined with the operating objectives of ZY Life Insurance Company,to strengthen the internal control of ZY Life Insurance Company,we should start with internal control around the operating objectives,optimize the operating model to improve the internal control effect,strengthen the internal information and communication of the claims business,and build an information risk control platform for claims business.