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Industria de Seguros

Estos son los términos claves de la industria de los seguros: parte 2

Contar con el respaldo de un seguro se ha hecho indispensable para todos, ya que la vida es impredecible y un hecho claro de ello fue la aparición del Covid-19 este 2020, el cual nos tomó por sorpresa a todos.

Es por ello que contar con un seguro es primordial ya que no solo podemos resguardar nuestros bienes muebles e inmuebles, sino también estar respaldados en caso de un accidente o de alguna enfermedad. En ese sentido, queremos compartir contigo la segunda parte del artículo donde te explicamos las palabras claves que debes comprender antes de contratar un seguro.

¡Empecemos!

¿Qué es el plazo de gracia?

Es el período fijado durante el cual se mantiene en vigor la cobertura de la póliza de un seguro de vida, pese a que no se hayan pagado las primas correspondientes. Usualmente es de 30 días a partir de la fecha de vencimiento de pago de la prima.

¿Qué es el endoso?

Es un documento donde se da a conocer cualquier corrección que sufra la póliza.

Carencia de un seguro

Se trata del período de tiempo contado desde el inicio de la vigencia de la cobertura, durante el cual el asegurado no tiene derecho al pago de la indemnización.

¿Qué es materia asegurada?

Es el objeto que se pretende resguardar contra riesgos y en la póliza se hace una descripción detallada de lo que se estará asegurando.

¿Qué es monto asegurado o capital?

Se refiere al valor en el que el asegurado ha estimado que tienen los bienes que asegura y que pertenecen al monto máximo de indemnización que la aseguradora se obliga a pagar en caso de un siniestro. Cabe resaltar que en el caso de los seguros de vida, el monto asegurado está relacionado directamente con la prima pagada y no con el valor de la materia asegurada.

¿Qué son las coberturas?

Se refieren al conjunto de riesgos que se traspasan al asegurador con motivo del seguro, cuya ocurrencia obliga a la compañía a pagar al asegurado una indemnización hasta el límite del monto asegurado (de acuerdo a los términos establecidos en las condiciones particulares y generales de la póliza.

¿Qué es la renovación automática?

Es el acuerdo entre las partes, en donde el seguro puede prorrogarse tácitamente por un período de vigencia nuevo a menos que el asegurado lo cancele.

Son muchos los términos que salen a la luz a la hora de pensar en seguros, y es posible que nos confundamos y tengamos muchas dudas.

Esperamos que este artículo te haya sido de utilidad. Pronto estaremos compartiendo la parte 3, porque si, son muchas las palabras importantes dentro del sector asegurador. ¡Espérala! 

Categorías
telemetry

How important is it to prevent wildfires?

As we approach spring and summer, we know that it is one of the most ideal times to enjoy outdoor activities, one of the most favorite being the beach or the pool. However, we tend to forget the care and necessary measures that we must have as citizens to prevent forestal fires, which are quite common in Chile at this time.

In recent years, Chile has been in danger of forest fires for at least eight months of the year, which clearly translates into an investment of resources to prevent and combat these types of accidents. It is known that the national budget for the year 2020 for the fire season has reached 63,000 million pesos.

Around 7,000 forest fires occur in Chile and originate when environmental conditions, such as lack of rain, higher air temperature and south wind flows. This occurs between October and April, not only due to the causes already mentioned, but also due to the carelessness of negligent people who increase the probability of a fire occurring.

That is why we want to do our bit and share with you these measures that can help prevent forest fires:

  • Don’t throw matches or cigarette butts on the ground.
  • Do not smoke in places with dry vegetation that could burn.
  • Avoid lighting bonfires in areas close to vegetation.


If it is strictly necessary to make a fire:

  1. Do it in an area away from branches, trees or elements that can ignite with fire.
  2. Delimit the area of ​​the fire with stones or sand to prevent its spread.
  3. Keep nearby items that can be used to put out the fire such as sand, water or dirt.

Preventing forest fires is everyone’s job, since in some way we have even been participants without realizing it. We must educate and be aware of the consequences that all this can bring, such as: damage to the soil, destruction of the habitat of wildlife, loss of plants that generate oxygen, increases the greenhouse effect in the atmosphere due to the emission of carbon and others harmful elements for the environment, among others.

Let’s be aware!

Categorías
Prevención de Fraudes

Conoce la influencia de los ciberriesgos en el mercado asegurador

El cibercrimen es uno de los mayores riesgos al que se exponen diariamente las empresas hoy en día, donde el Internet de las cosas, las redes sociales y las aplicaciones han posible un ambiente propicio para aumentar de manera exponencial los espacios de vulnerabilidad.

Este tipo de ataques son una de las preocupaciones más acentuadas para las empresas, instituciones y gobiernos. El cibercrimen ha logrado estructurarse para romper cualquier barrera de seguridad y no discrimina a la hora de atacar y elegir a sus víctimas. Un hacker ataca en promedio cada 39 segundos.

Estos ataques se basan en:

  • Robo de información.
  • Obtención de datos personales.
  • Robo de contraseñas bancarias.
  • Inhabilitar equipos.

En promedio existen en 2020, más de 200.000 millones de dispositivos conectados y expuestos a ataques, con una brecha incalculable de seguridad. Este panorama está ocasionando que el sector de la ciberseguridad esté modificando su manera de enfocar la lucha contra el cibercrimen y se organice cada vez más en torno a la protección de la información, el activo más valioso.

La Fundación MAPFRE, asegura que las empresas deben ser conscientes de la necesidad de incorporar ciberseguridad dentro de la gerencia de riesgos para así ser capaces de obtener medidas preventivas y planes para detectar vulnerabilidades.

Una de los puntos más recalcados por MAPFRE es el que asegura que las empresas deben cambiar de mentalidad para poder trabajar de manera conjunta con las compañías aseguradoras para que el seguro no se convierta en un elemento analgésico ante la falta de medidas de seguridad. Las pólizas asociadas a riesgos tecnológicos, se encuentran actualmente en evolución debido al desarrollo de la digitalización y al uso de las nuevas tecnologías.

La clara falta de datos de siniestralidad y de la evolución de estos, ha señalado la necesidad que tienen las empresas de estudiar con una mejor precisión los riesgos que aseguran. En ese mismo sentido, es indispensable conocer el verdadero alcance de sus sistemas de protección informática y calificar su capacidad de resistencia en el caso de un ciberataque.

Lo anterior es un escenario muy positivo para el seguro, ya que se espera que en unos diez años el volumen global de primas de este tipo de seguros incremente a más de 20.000 millones de dólares, como consecuencia de un ascenso del número de siniestros a nivel global y a la existencia de un entorno empresarial cada vez más interconectado y digitalizado.

Categorías
telemetry

Learn about the influence of cyber risks in the insurance market

Cybercrime is one of the greatest risks that companies are exposed to on a daily basis today, where the Internet of things, social networks and applications have provided an environment conducive to exponentially increasing spaces of vulnerability.

These types of attacks are one of the most accentuated concerns for companies, institutions and governments. Cybercrime has managed to structure itself to break any security barrier and does not discriminate when attacking and choosing its victims. A hacker attacks on average every 39 seconds.

These attacks are based on:

  • Information theft.
  • Obtaining personal data.
  • Theft of bank passwords.
  • Disable teams.

On average there are in 2020, more than 200,000 million devices connected and exposed to attacks, with an incalculable security breach. This panorama is causing the cybersecurity sector to change its way of approaching the fight against cybercrime and to organize itself more and more around the protection of information, the most valuable asset.

Fundación MAPFRE assures that companies must be aware of the need to incorporate cybersecurity within risk management in order to be able to obtain preventive measures and plans to detect vulnerabilities.

One of the most emphasized points by MAPFRE is the one that ensures that companies must change their mentality in order to work together with insurance companies so that insurance does not become an analgesic element in the absence of security measures. Policies associated with technological risks are currently evolving due to the development of digitization and the use of new technologies.

The clear lack of data on claims and their evolution, has indicated the need for companies to study the risks they insure with better precision. In the same sense, it is essential to know the true scope of your computer protection systems and qualify their resistance capacity in the event of a cyberattack.


This is a very positive scenario for insurance, since it is expected that in about ten years the global volume of premiums for this type of insurance will increase to more than 20,000 million dollars, as a result of an increase in the number of claims at the global and the existence of an increasingly interconnected and digitized business environment.

Categorías
telemetry

These are the 5 most common types of fraud in insurance companies

Fraud is one of the most common activities against insurance companies, and those who participate in this crime seek to appropriate benefits or compensation that clearly do not correspond to them.

Currently, these types of actions continue to occur and the sanctions are not really taken into account so that they do not continue to occur.

There are many cases of attempted fraud caused by the insured, where they have exaggerated and wanted to show that the accident has caused them more damage than they have actually suffered, such as taking advantage of a small blow to the car to receive compensation that allows them to fix a part or paint any part of the vehicle.

However, fraud does not always occur on the part of the insured, since insurance industry workers take advantage of their condition within the sector to obtain benefits and justify a claim from a known customer.

There is also the proven case that other companies have been involved in fraudulent activities against the insurer, such as clinics, mechanical workshops, among others, where they falsify invoices and reports.

Now we will share with you the most frequent types of fraud within the insurance sector to understand their nature:

1.Hiding information: many times it is sought to hide that an event has occurred due to the negligence of the insured or that the damages have been greater because the affected party did not comply with the security measures.

2. Giving erroneous information: complementing the previous case, in some frauds an attempt is made to distort the information of the incident that occurred, changing the moment in which it occurred, the location, cause and even people involved.

3. Simulation of an accident that does not happen: within this type we can get a false theft or an appliance that “has been damaged” but in reality if it works.3. Simulation of an accident that does not happen: within this type we can get a false theft or an appliance that “has been damaged” but in reality if it works.

4. Exaggerating the consequences of the claim: within this point we find claims related to health, since there are cases where the insured try to exaggerate their ailments and illnesses that they do not actually have.

5. Intentionally causing a claim: deliberately producing a claim is one of the most used techniques to try to defraud the insurer.

The prevention of fraud is an issue that directly affects the operation of claims, thus impacting the result of operations, that is why through LISA Claims insurance companies will be able to filter suspicious behavior through a fraud funnel and also have an early warning.

Do not hesitate to contact us and share this content among your acquaintances!

Categorías
Prevención de Fraudes

Los 5 tipos de fraudes más comunes en la industria de seguros: cómo prevenirlos con LISA Claims.

El fraude es una de las actividades más comunes contra las aseguradoras, y los que participan en este delito buscan apropiarse de beneficios o indemnizaciones que claramente no les corresponden.

En la actualidad, este tipo de acciones siguen ocurriendo y las sanciones no pasan a ser tomadas realmente en cuenta para que no sigan sucediendo.

Son muchos los casos de intentos de fraudes propiciados por los asegurados, donde han exagerado y querido demostrar que el siniestro les ha causado más daños de los que realmente ha sufrido, como aprovechar un pequeño golpe en el auto para recibir una indemnización que le permita arreglar una pieza o pintar alguna parte del vehículo.

Sin embargo, los fraudes no siempre ocurren por parte de los asegurados, ya que trabajadores de la industria de seguros aprovechan su condición dentro del sector para obtener beneficios y justificar algún siniestro de un cliente conocido.

Existe también el caso comprobado de que otras empresas han quedado implicadas en actividades fraudulentas contra la aseguradora, como clínicas, talleres mecánicos, entre otras, donde falsifican  facturas e informes.

Ahora te compartiremos los tipos de fraudes más frecuentes dentro del sector asegurador para entender su naturaleza:

1.Ocultar información: muchas veces se busca esconder que un evento se ha producido por negligencia del asegurado o que los daños han sido mayores porque el afectado no cumplía con las medidas de seguridad.

2.Dar información errónea: complementando el caso anterior, en algunos fraudes se intenta deformar la información del siniestro ocurrido, cambiando el momento en el que ocurrió, la ubicación, causa e incluso personas implicadas.

3. Simulación de un siniestro que no sucede: dentro de este tipo podemos conseguir un robo falso o un electrodoméstico que “se ha dañado” pero en realidad si funciona.

4. Exagerar las consecuencias del siniestro: dentro de este punto encontramos los siniestros relacionados con la salud, ya que existen casos donde los asegurados intentan exagerar sus dolencias y enfermedades que en realidad no tienen.

5. Causar un siniestro de manera intencionada: producir un siniestro de manera deliberada es una de las técnicas más empleadas para intentar estafar a la aseguradora

La prevención de fraudes es un tema que afecta directamente en la operación de los siniestros, impactando así el resultado de las operaciones, es por esto que a través de LISA Claims las compañías aseguradoras podrán filtrar a través de un embudo de fraudes los comportamientos sospechosos y además tener una alerta temprana.

¡No dudes en contactar con nosotros y compartir este contenido entre tus conocidos!

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Transformando la gestión de siniestros: el poder de la inteligencia artificial

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telemetry

Why anticipate the needs of our policyholders?

As we mentioned in our article «These are the benefits of Personalized White Glove Service for Insurers», if insurers consider the opportunity to offer personalized service, they can guarantee better products and services, evaluating the needs of each individual and know if they are repeated among the insured to be able to implement them even more quickly. The truth is that very few industries are offering this service because of the cost and because it requires changes in the organizational structure and investments in IT.

In this sense, based on how aware the insured is that there is a problem and the ability of the insurance company to respond to it proactively and effectively, customer needs can be categorized into three archetypes:

-Prevent problems: a proactive service can enhance the image of an insurance company in front of its policyholders by being able to prevent problems before they happen.

-Resolve problems before clients report them: busy clients perceive a “white glove” treatment when they know they have a problem but the company detects it and solves it before they raise it.

-Customize responses when customers are contacted: when the insured requests help, insurers can still offer an exemplary service by predicting their needs based on their individual profile to guarantee a personalized response.

Customers of any company increasingly expect them to work tirelessly in the background, anticipating problems before they occur, knowing when, where and how to establish contact and doing so proactively when necessary.

Establishing a guided customer service function with these characteristics requires a good understanding of organizational needs and tools that facilitate the collection, analysis and exchange of information.

Those insurance companies that dare to use innovative technologies will be able to set the pace to compete and grow away from their traditionality.

Customer satisfaction is one of the fundamental pillars for any company and ensuring it goes hand in hand with offering effective products and services with the help of technology.

Learn how to increase NPS up to 20% with LISA by clicking here

Categorías
Satisfacción de Clientes

¿Por qué anticiparnos a las necesidades de nuestros asegurados?

Tal y como lo mencionamos en nuestro artículo “Estos son los beneficios del Servicio personalizado de guante blanco para las aseguradoras”, si las aseguradoras consideran la oportunidad de ofrecer un servicio personalizado, pueden garantizar mejores productos y servicios, evaluando las necesidades de cada individuo y conocer si se repiten entre los asegurados para poder implementarlas incluso de manera más rápida. Lo cierto es que son muy pocas las industrias que están ofreciendo este servicio a causa del costo y por requerir cambios en la estructura organizacional e inversiones en TI.

En ese sentido, partiendo en qué tan consciente está el asegurado de que existe un problema y la capacidad de la compañía aseguradora para responder a este de manera proactiva y eficaz, las necesidades de los clientes pueden categorizarse en tres arquetipos:

Prevenir los problemas: un servicio proactivo puede realzar la imagen de una compañía aseguradora frente a sus asegurados al poder prevenir los problemas antes de que sucedan. 

Resolver los problemas antes de que los clientes los reporten: los clientes ocupados perciben un tratamiento de “guante blanco” cuando saben que tienen un problema pero la empresa lo detecta y lo resuelve antes de que ellos lo planteen. 

Personalizar las respuestas cuando los clientes se contactan: cuando el asegurado solicita ayuda, las aseguradoras aún pueden ofrecer un servicio ejemplar prediciendo sus necesidades con base en su perfil individual para garantizarles una respuesta personalizada.

Los clientes de cualquier empresa, esperan cada vez más que estas trabajen sin descanso en segundo plano, adelantándose a los problemas antes de que ocurran, conociendo cuándo, dónde y cómo establecer contacto y haciéndolo de manera proactiva cuando sea necesario.

Establecer una función guiada al servicio al cliente con estas características requiere un buen entendimiento de las necesidades y herramientas organizacionales que faciliten la recolección, análisis e intercambio de información.

Aquellas compañías aseguradoras que se atrevan a emplear tecnologías innovadoras podrán marcar el paso para competir y crecer lejos de su tradicionalidad.

La satisfacción del cliente es uno de los pilares fundamentales para cualquier empresa y velar por ella va estrechamente de la mano con ofrecer productos y servicios eficaces con la ayuda de la tecnología.

Conoce cómo aumentar con LISA hasta 20% el NPS haciendo click acá

Categorías
telemetry

How can insurers stay in the Top of mind of their policyholders?

Do you think that combining human capital and technology would make possible a perfect formula to contribute to insurers? The truth is that not only is it enough to have modern systems, but true innovation starts from the union between technology and people.

We have already seen in other of our specialized articles, how technology contributes so much since its appearance, in fact one of the most prominent turning points was this year when Covid-19 appeared, which would cause the way many insurers operate be subjected to a new abrupt paradigm.

Currently and for several years, the requirements of customers to purchase insurance have been very changing, for this reason insurance companies have had to take a step back to reinvent themselves, seeing the mistakes made and thinking about how they can play an important future role in the lives of old and new customers to meet their needs.

So that the insurance industry can reach and stay in the «Top of mind» of its clients (it refers to the brand or product that first appears in the mind of the consumer when thinking about a specific industry), and be able to succeed in the future You will need to consider three important points, which Duck Creek Technologies revealed in one of their recent research: «How do you get a great product?»

1. Establish the basis for growth: insurance companies that are considered providers of stability, financial opportunities and security (especially with regard to emerging economies), should have a more established role in establishing trust and infrastructure for continued growth.

2. Eliminate immobility: having a security entity is something that provides tranquility and strength, especially when you have the idea of ​​growing more as a business. When insurers begin to define themselves as a network that offers security, they can help other companies to overcome immobility by acting as partners so that other industries can be ambitious and offer more innovative and customer-friendly products and services.

3. Play a more active role: Insurance companies have long been issuing silent contracts that only enter the game when a claim has occurred. In an increasingly updated and intelligent world, the insurance industry must play a more active role in maintaining the safety and well-being of its policyholders. If insurers can be proactive, they will not only reduce the pain of loss, but also promote safer and healthier societies.

An addition that you must take into consideration is that if the insurer wants to stay or reach the Top mind, it must know its audience, offer quality products and services, transmit credibility, be present on a daily basis.

There are many «lame legs» in insurance companies and they go hand in hand with the previous points, that is why implementing technology and real action plans is relevant and the best idea to get out of the comfort zone and be able to satisfy the needs demanded by our policyholders. Get to know LISA and find out how we offer value so that the insurance industry gets out of its traditionality.

Categorías
telemetry

Do you know how the NPS is related to the Churn of your portfolio?

At present, the insurance industry has a non-negligible number of customer absences, the percentage of escape will be intrinsically linked to the satisfaction of the insured at the time of having a claim.

In a general context, insurance companies constantly struggle with the retention of their clients, this is fundamental for the business since, from the renewal of their policyholders, new prices are set for the premiums of the new policyholders who will be captured the next year and how much it will impact sales efforts.

On the other hand, technology takes on a fundamental weight, making exit costs much lower for the insured. If 15 years ago we had to go to the branch to cancel our subscription and then take out another policy, today this can be done in a couple of clicks.

For this reason, it is very important to know what the insured’s impression is of the service provided, for that a very useful tool is the NPS (Net Promoter Score), a high number will indicate the client’s predisposition to recommend the company of safe and therefore to stay in it.

It is estimated that only for the Insurance industry the NPS is 36%, this gives us an indication that the churn of clients is not less. We know very well how to attract policyholders is a process that has been approached countless times, but how do we keep our clients?

  • Keeping our clients connected: One of the most important reasons why the insured-company relationship breaks down is the little communication that is perceived by the insured. A recurring phrase is «My company caught me in the sale and then I did not hear more about it, even when I requested its services I felt abandoned».
  • Ensure an effective process: It is a fact of the cause that the industry has old and even primitive processes, to innovate means to break paradigms and for this to say “it has always been done that way”, is the first thing we must question.
  • Opening up to new actors: Mckinsey already mentioned it in 2019, «the insurance value chain is increasingly disaggregated», and this is basically due to the fact that today many processes present in the company’s value chain are being inefficient.

However, today there is a rich ecosystem of actors who specialize in the links of the value chain. Why specialize in everything, if you can partner with the best actor to boost your operation?

It is not a secret at all that the insurance industry is extremely competitive, however the biggest challenge is not to generate a greater flow of sales year after year, but to retain the largest number of clients that helps make the portfolio profitable and thereby improve the reputation of the company through a satisfied customer.