INSURANCE CLAIMS SETTLEMENT AND PROSPECTS FOR FUTURE DEVELOPMENT

Анотація

The insurance industry is a vital component of the national economy; the insurance services market, by pooling significant financial resources, serves as a source of investment in the country’s economy, as well as an instrument of social protection and economic security. This article examines the process of claims settlement as a critical business process and a key indicator of the quality of service provided to insurance consumers. The process of claims settlement in the operations of insurance companies, amid rising costs and the impact of digitalization, as well as the implementation of direct settlement, is of paramount importance alongside the issue of pre-litigation settlement. The study examines the overall dynamics of insurance premiums and claims payments over the past five years, specifically the volume of claims payments for the main types of services – health insurance, comprehensive auto insurance, and mandatory civil liability insurance for vehicle owners. Particular attention is paid to analyzing the costs of settling insurance claims in general and by type of insurance service for which settlement costs were the highest during the period under review. The report emphasizes the importance of direct settlement and its implementation in Ukraine, as well as the impact of digital technologies on the claims settlement process. In particular, it examines the experience of automating the settlement process in international practice and the significant potential for reducing claims settlement costs. The study highlights the need to establish an insurance ombudsman institution in Ukraine and identifies the benefits of enhancing the insurance ombudsman’s activities for consumers, insurance companies, and the state as a whole, which include accessibility, transparency of services provided, and increased market competitiveness overall. Thus, the study of the insurance claims settlement process as a whole – as a key factor in satisfying and protecting the interests of insurance consumers – along with the process of automation and the issue of pre-litigation settlement, is relevant and warrants further scientific research.

Класифікація

Ідентифікатори

Схожі роботи