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保监会:上半年受理保险业信访投诉16654件次

2017-09-21 00:57:04   中国青年网

中新网9月20日电 据保监会网站消息,日前,中国保监会办公厅关于2017年上半年保险业信访投诉工作情况的通报,通报数据显示,上半年保监会共受理信访投诉16654件,与去年同期相比上升了8.02%。信访投诉问题内容呈多样化趋势,消费类投诉问题突出。

中国保险监督管理委员会。(资料图)中新社发 王子瑞 摄 图片来源:CNSPHOTO

通报称,从信访投诉总量看,较去年同期上升明显。2017年上半年,中国保监会共受理信访投诉16,654件,与去年同期相比上升了8.02%,其中:来信投诉、网络投诉、来访投诉分别增加了9.6%、8.5%、8.6%;接待群众集体上访1,542批次、3,556人次,分别上升了15.7%、18.3%;接收保险违规事项举报978件、受理424件,截至6月末已查实违规139件、金额2.07亿元,上升幅度均超过往年同期。

从信访投诉问题看,内容呈多样化趋势。2017年上半年,信访人反映事项开始逐渐涉及市场出现的新情况、新问题以及保险监管问题,包括车险领域承保、理赔和中介领域的审批标准,车险电子保单、交强险保费减免等政策,以及对监管工作人员职务行为不当引起的投诉。反映保险公司内部管理问题方面,主要是投诉高管侵害群众利益、贪污腐败、以权谋私和人员任用不公等问题,还有反映业务员入职程序不规范、离职手续办理不及时、业务员押金退还不到位、与保险公司发生劳资纠纷等问题,导致矛盾激化,引发信访投诉。

从信访投诉占比看,消费类投诉问题突出。2017年上半年,群众有效信访投诉15,775件,其中:投诉消费合同纠纷13,305件、占84.34%,问题突出。一是车险理赔方面。主要包括查勘定损不及时,定损价格偏低,不及时出具定损单,对定损部位产生争议;定损员承诺与公司最终赔付不一致,不能按新《保险法》规定的时间和程序进行赔付;对指定定点维修单位不满,核赔体系不完善等。二是健康险和意外险理赔方面。对是否属于带病投保、所用药是否属于赔付范围、承保费率等方面存在较大分歧。三是保险售后服务方面。部分老险种因通知缴费服务不到位,导致保单失效与销户,引发客户不满投诉。

从涉及信访主体看,机构违规问题比较集中。2017年上半年,中国保监会共收到29件涉及保险法人机构(不含中介机构)的举报,同比增长93%。一是反映机构网销、电销渠道业务违规问题;二是反映高管违规套取费用、偿付能力数据不真实等财务违规问题;三是反映股东通过增加股权层级规避监管、使用非自有资金出资等公司治理违规问题;四是反映利用大额协议存款输送利益等资金运用违规问题等。这些问题集中暴露了部分保险机构内部财务管理混乱的现状。

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