scholarly journals A Study on Policyholders’ Satisfaction of Health Insurance with Special Reference to Ernakulam District, Kerala

2018 ◽  
Vol 7 (3.6) ◽  
pp. 160
Author(s):  
Arun Vijay ◽  
V Krishnaveni
Keyword(s):  
Health Insurance ◽  
Customer Satisfaction ◽  
Coming Out ◽  
Healthcare Providers ◽  
Third Party ◽  
Insurance Company ◽  
Insurance Sector ◽  
Innovative Products ◽  
Insurance Business ◽  
Insurance Mechanism

Customer satisfaction plays a pivotal role in insurance business, especially health insurance business segment. It is not only indicative of customer loyalty but also helpful in identifying the needs of the customer. Unlike any other forms of insurance health insurance is most complex. Apart from the insurer and the insured, there are various components involved in health insurance mechanism such as healthcare providers like hospitals, Third Party Administrators, etc. So, customer satisfaction has a huge role in health insurance mechanism. It is important to retain the existing customer rather than attracting a new customer in the health insurance business segment, since the marketing cost and efforts required in retaining the existing customer will be less. Since private sector companies are coming out with innovative products in health insurance sector, public sector companies are facing a stiff competition. The study focuses on the customer satisfaction level of health insurance policyholders in Ernakulam district in Kerala. Since health insurance policies are based on yearly renewal basis, customer satisfaction has a lead role to play in determining the renewal of policies with the existing insurance company.  

scholarly journals Behaviour of the Customers of an Insurance Company

2020 ◽  
Vol 6 (12) ◽  
pp. 336-341
Author(s):  
Dr. ML Sharma C Narinder Kaur and Mayank Singhal
Keyword(s):  
Health Insurance ◽  
Data Science ◽  
Consumer Behaviour ◽  
Real Life ◽  
Research Paper ◽  
Insurance Company ◽  
Health Issues ◽  
Time Data ◽  
Insurance Sector ◽  
Science Models

In today’s world as health issues among people increases, people become more aware for the health insurance. It’s a positive thing for the health companies but as the no. of customers increases, it is come into light that people are not punctual for paying the premium of the policy. This paper helps the policy companies to highlight and point out the defaulters who haven’t paid their premium. Mostly people forget about it, and some of them not paying the premium on time. In this research paper, I tried to understand the consumer behaviour in Insurance sector. The main objective of this paper to identify customers behaviour of paying the policy premiums and will they pay their next premium on time or not. Even will they pay their premium or not irrespective of time. Data was collected by various sites and some previous years data of some policy companies. Frequencies, Tabulation and some Data Science models have been used for the analysis. The objective of this project is to summarize is to make a predicting algorithm that can be used in real life applications to derive meaningful and accurate prediction based on the various aspects of data that is accessed.

scholarly journals Digital Transformation in Indian Insurance Industry – A Case Study

2021 ◽  
pp. 184-196
Author(s):  
Jayameena Desikan ◽  
A. Jayanthila Devi
Keyword(s):  
New Technologies ◽  
Insurance Industry ◽  
Customer Experience ◽  
Digital Transformation ◽  
Insurance Companies ◽  
Insurance Company ◽  
Insurance Sector ◽  
Innovative Products ◽  
Iot Devices

Purpose: In India, the insurance industry has grown rapidly in the last decade, introducing many innovative products. India's insurance industry is vital to the country's economy. Digital Transformation have a drastic impact on the Insurance sector. Digitization results in future innovative designs and launch innovative products which help insurance companies and the customers. Digital innovation is transforming the way how the insurance companies work with industries by integrating IoT devices with health insurance which will also benefit the customers. In this paper, we will analyze and understand how HDFC ERGO has implemented digital transformation that has enhanced operational efficiencies and completely transformed service deliveries and customer experience in the insurance industry. Objectives: To do analysis and review on the digital transformation in the insurance company and how it has impacted the operational efficiencies, service deliveries and customer experience. Design/Methodology/Approach: This company analysis was done by analyzing and referring different sources like online sources, such as websites, blogs, scholarly articles, web articles, and using Technology Analysis as a framework. Findings/Result: Digital transformation and how it impacts insurance company in terms of its operational efficiency, service deliveries and customer experience are discussed. Analysis done to find how the organization should stay ahead in implementing the digital technologies and how digital transformation helps the insurance industry to explore new technologies and provides innovative ideas to improve organizational efficiency Originality/Value: Based on the information and the data available, digital transformation and its impact in the insurance company in the current state is analyzed. Paper Type: A Case study analysis done on the digital transformation in the HDFC ERGO general insurance company.

Practice Guidelines and Private Insurers

1995 ◽  
Vol 23 (1) ◽  
pp. 57-61 ◽  
Author(s):  
Christine W. Parker
Keyword(s):  
Health Insurance ◽  
Practice Guidelines ◽  
Private Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Third Party ◽  
Insurance Company ◽  
Insurance Carrier ◽  
Health Care Claims

Practice guidelines are an increasingly relevant feature of health insurance. One hundred and seventy-eight million people in the United States have some form of private health insurance coverage; coverage for 150 million of them is employment-related. Traditionally, this coverage was provided by employers purchasing a group contract under which an insurance carrier provided indemnity coverage for employees—that is, the insurance company paid all usual, customary, and reasonable charges incurred by an employee for medical care, subject in some cases to an annual deductible and to a percentage of covered expenses, co-paid by the employee, for each service. In recent years, however, employers in greater numbers have switched to so-called self-insurance plans in which employees’ health care claims are paid directly by the employer (although an insurance company or other third party may be retained to administer the claim payment process).

scholarly journals ЛОГІКА ПРИЙНЯТТЯ РІШЕНЬ В ОЦІНЮВАННІ ЕФЕКТИВНОСТІ МЕДИЧНОГО СТРАХУВАННЯ - ПРИНЦИПИ ПОРІВНЯЛЬНОГО АНАЛІЗУ

2015 ◽  
Author(s):  
S. O. Dzhundubaieva
Keyword(s):  
Health Insurance ◽  
Performance Analysis ◽  
Medical Care ◽  
Insurance Company ◽  
Use Of Technology ◽  
Treat Ment ◽  
Integral Characteristics ◽  
Therapeutic Measures ◽  
Insurance Business ◽  
Monitoring Performance

The problems of i mproving t h e health insurance business through th e use of technology monitoring performance analysis of the insurance company are discusse d. It was used the coefficients of consistency trend; the waiting for the results coefficients, etc. The main indicators for monitoring were integral characteristics, such as compliance with diagnostic and treat ment protocols. Particular attention is paid to the perfor mance of dissatisfaction with patients. There was investigated t h e q uality of medical care in 5000 patients with 135 enterprises. It was discusse d the causes and conse quences of cases of improper medical care as a result of non-compliance with its quantity or quality and the prospects of t he use of information - m at hematical strategies to assess trends in non-compliance by existing standards and protocols. It was marked proportion of diagnostic and therapeutic measures carried out not in full due to reasons beyond the control of the doctor and led to a deterioration of the patient’s condition and lengthening the period of treat ment.

scholarly journals IMPACT OF CUSTOMER SATISFACTION AND ATTITUDE TOWARDS INSURANCE COMPANY

2020 ◽  
Vol 4 (1) ◽  
pp. 09-14
Author(s):  
Muhammad Sarmad ◽  
Khadija Younas ◽  
Ali Raza ◽  
Allena Razzaq ◽  
Umair Younas
Keyword(s):  
Customer Satisfaction ◽  
Sample Size ◽  
Large Scale ◽  
Data Entry ◽  
Specific Area ◽  
Insurance Companies ◽  
Insurance Company ◽  
Chi Square ◽  
Insurance Sector ◽  
Customer Attitude

The purpose of this study was to inspect the effect of customer satisfaction and customer attitude towards the investment in Insurance Companies. After the data was collected, SPSS 2.0 version were used to measure the data. Correctness of data entry was checked. Descriptive and percentage techniques are used for data analysis. Chi square and cross tabulation analysis are used to assess both relationships and effects as per the hypotheses of the study. The data which was collected through survey. About 120 Questionnaire were distributed in Burewala area, from which 103 questionnaire were received back. The limitations connected with analysis area unit acknowledged. There must to be more study on this subject to know the connection between these factors and their impact on one another. This analysis was on little scale, the sample size was also little. So, the study should conducted on large scale area along with larger sample size. This study is very helpful to see the effect of customer satisfaction toward insurance sector. Policies makers should developed the strategies for also those person whose income level is low. The originality in this research was the specific area. This research applied in Burewala area. Because in this area the research with these variable are not applied before.

Indian Life Insurance Market and Corporate Performances: A Study of Selected Firms

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Joy Chakraborty ◽  
Partha Pratim Sengupta
Keyword(s):  
Market Share ◽  
Life Insurance ◽  
Market Concentration ◽  
Insurance Market ◽  
Insurance Companies ◽  
Insurance Company ◽  
Life Insurance Company ◽  
Insurance Sector ◽  
Life Insurers ◽  
Company Limited

In the pre-reform era, Life Insurance Corporation of India (LICI) dominated the Indian life insurance market with a market share close to 100 percent. But the situation drastically changed since the enactment of the IRDA Act in 1999. At the end of the FY 2012-13, the market share of LICI stood at around 73 percent with the number of players having risen to 24 in the countrys life insurance sector. One of the reasons for such a decline in the market share of LICI during the post-reform period could be attributed to the increasing competition prevailing in the countrys life insurance sector. At the same time, the liberalization of the life insurance sector for private participation has eventually raised issues about ensuring sound financial performance and solvency of the life insurance companies besides protection of the interest of policyholders. The present study is an attempt to evaluate and compare the financial performances, solvency, and the market concentration of the four leading life insurers in India namely the Life Insurance Corporation of India (LICI), ICICI Prudential Life Insurance Company Limited (ICICI PruLife), HDFC Standard Life Insurance Company Limited (HDFC Standard), and SBI Life Insurance Company Limited (SBI Life), over a span of five successive FYs 2008-09 to 2012-13. In this regard, the CARAMELS model has been used to evaluate the performances of the selected life insurers, based on the Financial Soundness Indicators (FSIs) as published by IMF. In addition to this, the Solvency and the Market Concentration Analyses were also presented for the selected life insurers for the given period. The present study revealed the preexisting dominance of LICI even after 15 years since the privatization of the countrys life insurance sector.

Customer-Oriented Constructive Deviance as a Reaction to Organizational Injustice Toward Customers

2021 ◽  
pp. 193896552110123
Author(s):  
Taeshik Gong ◽  
Pengchang Sun ◽  
Min Jung Kang
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Servant Leadership ◽  
Survey Data ◽  
Third Party ◽  
Service Climate ◽  
Perceived Service Quality ◽  
Hotel Managers ◽  
The Relationship ◽  
Organizational Injustice

To date, research on the deontic model and third-party reactions to injustice has focused primarily on individuals’ tendency to punish the transgressor. In this study, we seek to extend the extant research by arguing that punishment may not be the only deontic reaction and that third-party observers of injustice should engage in activities that help the victim. More specifically, we explore employee’s customer-oriented constructive deviance as a reaction to organizational injustice toward customers. We also investigate how this deviance influences customer satisfaction. In addition, we explore service climate, driven by servant leadership as a moderator on the relationship between employees’ perceptions of organizational unfairness and customer-oriented constructive deviance. The study collected three-level survey data from 95 hotel managers, 396 employees, and 1,848 customers. We find that servant leadership increases service climate, which in turn strengthens the relationship between organizational injustice toward customers and customer-oriented constructive deviance. The findings also reveal that customer-oriented constructive deviance increases perceived service quality, leading to customer satisfaction. Our study significantly contributes to the emerging theory concerning customer-oriented constructive deviance by explaining the antecedents, consequences, and moderators. The study also helps managers deal with customer-oriented constructive deviance in the workplace.

scholarly journals Which health-related reasons lead to prehospital emergency care and how does subjective emergency status connect to subsequent care?

2021 ◽  
Author(s):  
Silke Piedmont ◽  
Anna Katharina Reinhold ◽  
Jens-Oliver Bock ◽  
Enno Swart ◽  
Bernt-Peter Robra
Keyword(s):  
Health Insurance ◽  
Emergency Care ◽  
Third Party ◽  
Insurance Companies ◽  
Prehospital Emergency Care ◽  
Health Related ◽  
Life Threatening ◽  
Prehospital Emergency ◽  
Health Insurance Companies ◽  
Reported Data

Abstract Objectives/Background In many countries, the use of emergency medical services (EMS) increases steadily each year. At the same time, the percentage of life-threatening complaints decreases. To redesign the system, an assessment and consideration of the patients’ perspectives is helpful. Methods We conducted a paper-based survey of German EMS patients who had at least one case of prehospital emergency care in 2016. Four health insurance companies sent out the questionnaire to 1312 insured persons. We linked the self-reported data of 254 respondents to corresponding claims data provided by their health insurance companies. The analysis focuses a.) how strongly patients tend to call EMS for themselves and others given different health-related scenarios, b.) self-perceived health complaints in their own index case of prehospital emergency care and c.) subjective emergency status in combination with so-called “objective” characteristics of subsequent EMS and inpatient care. We report principal diagnoses of (1) respondents, (2) 57,240 EMS users who are not part of the survey and (3) all 20,063,689 inpatients in German hospitals. Diagnoses for group 1 and 2 only cover the inpatient stay that started on the day of the last EMS use in 2016. Results According to the survey, the threshold to call an ambulance is lower for someone else than for oneself. In 89% of all cases during their own EMS use, a third party called the ambulance. The most common, self-reported complaints were pain (38%), problems with heart and circulation (32%), and loss of consciousness (17%). The majority of respondents indicated that their EMS use was due to an emergency (89%). We could detect no or only weak associations between patients’ subjective urgency and different items for objective care. Conclusion Dispatchers can possibly optimize or reduce the disposition of EMS staff and vehicles if they spoke directly to the patients more often. Nonetheless, there is need for further research on how strongly the patients’ perceived urgency may affect the disposition, rapidness of the service and transport targets.

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