Who has an assessment method for injury claims?

Wang**There is a description on it, telling you**Yes.

Zhiyou Insurance Claims Consultation Network, Professional Insurance Claims Consultation Network, the first choice is Zhiyou Insurance Claims Consultation Network!

Chapter I: General Provisions.

Article 1 These detailed rules are formulated in order to standardize the management of personal injury investigation operations, improve the service level of personal injury claims of motor insurance companies, improve the quality of claims settlement of motor insurance personal injury cases, strictly control the operating costs of automobile insurance claims, implement the performance appraisal mechanism of "competition, incentives, and elimination", and build a professional and dedicated personal injury investigation team.

Article 2 The assessment object of these measures is the personnel engaged in the basic operation of the investigation of automobile insurance injuries.

Article 3 The auto insurance and health insurance claims department (customer service operation department) of each secondary institution is responsible for formulating the "Detailed Rules for the Assessment of Personal Injury Investigators of XX Branch" (hereinafter referred to as the "Detailed Rules") in accordance with the requirements of these Measures, and ranking the assessment objects of these Measures according to the content of the Detailed Rules.

Chapter II Workload Assessment.

Article 4 The workload assessment is based on the assessment principle of "more work and more rewards", and the assessment goal is to improve production capacity.

Article 5: The workload is counted in "experience points" and is composed of four tasks: outpatient investigation cases, inpatient investigation cases, disability investigation cases, and death investigation cases.

Article 6 Calculation of "Experience Points":

Experience Points, Number of Tasks Handled, Difficulty Factor of Job.

1) The number of tasks processed refers to the number of outpatient cases, inpatient cases, disability cases and death cases that have been investigated and filed by the assessee, entered relevant information in the claims system and sent for filing (when there are multiple ** persons in the same case, the definition of the case is defined in priority order according to different case types: death cases, disability cases, inpatient cases, and outpatient cases).

2) The difficulty coefficient of the operation is determined according to the outpatient case, inpatient case, disability case and death case.

Case Type: Outpatient Case, Inpatient Case, Disability Case, Death Case.

Job difficulty factor 1 4

Article 7 Calculation method of workload assessment score:

The management requirements of each company are different, and the assessment is also different.

1. We believe that the act should be an act of fighting each other, that is, beware that both actors have the intention and behavior to commit unlawful infringement on each other. Since there is no difference between the aggressor and the victim on the occasion of mutual fighting, both parties have the intention to infringe on the other party, and both parties have the act of infringing on the other party, and subjectively both parties have no defensive intent, it is generally believed that there is no problem of defending each other. 2. The police station asked the man to pay 30,000 yuan, and we believe that the police station asked the man, which also caused the injured party to take out 30,000 yuan as the injured party's ** fee, rather than the result.

3. Taking criminal coercive measures on suspicion of intentional or negligent injury. That is, criminal detention is combined with investigation, and once it is confirmed that the criminal case is met, it will be submitted to the procuratorate for approval of arrest, and the procuratorate will initiate a public prosecution. The period of general criminal detention is seven days, and if the case is complicated, an application may be made for an extension of the period of auspicious detention.

4. The exact figure can only be obtained after the specific cost is approved by the hospital. The temporary police station does not have a clear responsibility, and needs to investigate and collect evidence to distinguish between criminal cases and ordinary civil disputes.

It's one of the right things! If it constitutes justifiable defense, it still lacks the condition of disadvantages! If the division of responsibilities is to cover the limbs, it should be that the man should pay full responsibility for the crime of intentional injury or disturbing the social order of the injured person's fracture, and the specific cost should be determined according to the serious situation of the injury.

If it is 60,000 yuan, I personally feel that it should be the cost of amputation, and it will be more than 20,000 yuan, 60,000 yuan is too expensive, I don't understand it.