產物保險理賠部門之績效評估,在傳統上偏重以財務結果衡量,此點 與實務作業一直格格不入。因此,本論文尋求新的方法,以解決問題,期 使理賠人員能因此獲得正向的激勵與回饋,亦使公司獲致理賠單位更大的 績效表現,以形成公司與個人雙贏的局面。 個案理賠部門新的績效評估模式,係以個案研究的方法建構,應 用Kaplan & Norton的平衡計分卡理論為主軸,加上企業風險管理相關法 令的重點要求,透過「願景轉化」、「溝通與協調」、「業務規劃」及「回饋 與學習」,在作業的四大構面,亦即「財務面」、「顧客面」、「內部流程」 與「學習與成長」,逐步建構起可以由上往下發展的策略目標,以及由下 往上來執行策略目標。讓企業策略與日常作業接軌,透過務實連結的關 鍵績效衡量指標,為產物保險理賠部門實現客觀的績效評估。
The performance evaluation of the claims department in the non-life insurance companies has been conducted by employing the traditional financial measurement. Yet it is incompatible to the realities. This thesis therefore tries to look for new methods so that the claims personnel may have positive encouragement and appropriate feedback. Hopefully, both the insurance companies and the claims department personnel can benefit from the new methods. This study provides the case study of the new performance evaluation for the claims department with the Balanced Scorecard and legal provisions of risk management. Through “Vision Transformation”, “Communication and Harmonization”, “Business Planning”, and “Feedback and Learning”, strategic objectives are established from up to down, and yet are implemented from bottom to up in four perspectives: financial, customers, internal business process and learning and growth. Aligning daily business activities to the strategic objectives of the organization by using key performance indicators, an objective performance evaluation for the claims department of the non-life insurance companies is thus realized