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Condusef: these are the insurers with the most claims in the area of ​​major medical expenses and personal accidents

January 28, 2022
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Condusef reported that, during the third quarter of 2021, the direct premium in the Accident and Illness area was 84 billion pesos (Photo: REUTERS/Daniel Becerril)Condusef reported that, during the third quarter of 2021, the direct premium in the Accident and Illness area was 84 billion pesos (Photo: REUTERS/Daniel Becerril)

Recently, the National Commission for the Protection and Defense of Users of Financial Services (Condusef), announced that, during the third quarter of 2021, the direct premium in the Accident and Illness area was 84 billion pesos, figure that represented more than 17% of the total portfolio of insurers.

In addition, the sector presented a growth of 6.7% compared to the same period in 2020. However, also in an area in which several claims were filed. According to the decentralized organization, the insurers with the most claims related to the number of insured risks of major medical expenses and personal accidents were the following:

1. Metlife Mexico with 14 complaints

2. Monterey Insurance with eight complaints

3. Axa with six complaints

4. Provincial National Group (GNP) with six complaints

AXA collected six claims during the third quarter of 2021 in the area of ​​major medical expenses and personal accidents (Photo: AXA SEGUROS)AXA collected six claims during the third quarter of 2021 in the area of ​​major medical expenses and personal accidents (Photo: AXA SEGUROS)

As indicated by the Commission, the sector average is 2 claims for every 100,000 insured risks and during the second quarter of 2021 it was 3 complaints. On the other hand, there were also favorable resolutions within the insurance industry and it was the companies Zurich Santander, Inbursa Insurance Y Monterey Insurance those that resolved more in favor of the clients, with 41, 24 and 22%, respectively.

In addition, with respect to the second quarter of 2021, in the last update released by the Condusef, Seguros Inbursa Y Banorte Insurance lowered their favorable resolution.

As for the time it takes insurers to resolve a claim, the industry average was 20 business days in the third quarter of 2021, while in the second quarter it was 26. The insurers that took the least time to resolve a complaint were :

1. Axa, Zurich Santander, GNP with 16 days

2. Monterey Insurance with 13 days.

Regarding the second quarter of 2021, insurers Metlife México, Zurich Santander, GNP Y Monterey InsuranceThey decreased their response time. Finally, the Commission recommended that users analyze all the available options in terms of benefits, coverage, plans they offer and the way in which they adapt to their needs. To do so, you can enter is the link and compare the Bureau of Financial Institutions Created by Condusef.

With the application, women will be able to learn about financial education through five courses (Photo: Twitter/ @AMIS_mx)With the application, women will be able to learn about financial education through five courses (Photo: Twitter/ @AMIS_mx)

The application is a consultation and dissemination tool with which it will be possible to know the products offered by financial entities, their commissions and rates, the complaints of the users, the unhealthy practices in which they incur, the administrative sanctions that have been imposed on them, the abusive clauses of their contracts and other information that is relevant to inform you about their performance.

Recently, Condusef and the Mexican Association of Insurance Institutions (AMIS) developed the “Minerva Project App” for operating systems IOS Y Android, which will have the purpose of facilitating the development of courses on financial education for women.

These are the modules of what can be learned in the Minerva application, which is free to download:

1. Where am I standing? (Budget, income and expenses)

2. What do I want to achieve? (Saving)

3. Are they allies or enemies? (Credit)

4. Am I prepared for the unexpected? (Insurance)

5. How do women participate in the economy? (Women empowerment)

Each module has digital tools and materials such as videos per course, a digital guide and glossary of terms, learning activities, downloadable material, and an entry and exit survey to measure learning, among others. At the end of all the modules, a recognition will be obtained. Courses can also be taken on the following website: https://minervaeducacionfinanciera.mx/.

KEEP READING:

Coronavirus in Mexico as of January 27: 495 deaths and 49 thousand 150 new infections


Tags: AccidentsareaclaimsCondusefexpensesInsurersmajormedicalPersonal

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