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KMID : 0365420080270010018
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Journal of the KLIMA
2008 Volume.27 No. 1 p.18 ~ p.20
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Various underwriting methods through case audit
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Choi So-Young
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Abstract
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I have taught various case audit underwriting methods to underwriters for many years. Underwriting requires specialized medical knowledge and experience of comprehensive individual risk analysis. Decisions in individualized underwriting depend on the insurance company’s management philosophy and vision, marketing strategies, culture, product line etc. They also depend on the information acquired through proposal forms, inspection reports, laboratory results and disclosures. Underwriters match this acquired information to each insurance product, search appropriate medical resources, assess the probabilities of future claims, and decide what, if any, further medical information should be gathered. Sources include doctors’ reports, medical records, biopsies, blood and urine tests, CT, MRI, Holter monitoring, sonography etc. Insurance medical directors help and teach underwriters to analyze individual medical risks and make effective.
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KEYWORD
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Case audit, Underwriting approach, Underwring decision
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