再保系统业务流程.ppt

单击此处编辑母版标题样式,,单击此处编辑母版文本样式,,第二级,,第三级,,第四级,,第五级,,*,再保系统业务流程及数据结构培训,2012,年,2,月,内容概要,,再保险的概念,,再保系统与各系统间联系,,再保系统总体业务流程,,业务数据进再保,,分保业务,,帐单业务,,结算业务,,,再保险的概念,,定义,,再保险，也称分保，是,保险人,将其所,承保,的危险责任的一部分或全部向其他保险人办理,保险,，即保险的,保险,或视为保险人之间的责任分担，即分保再保险关系的确立,,专营再保险公司接纳直接保险公司的,分出业务,而建立的再保险关系,,兼营再保险业务的保险公司之间分出、分入业务而建立的再保险关系,,集团公司内的再保险关系,,联营再保险关系,,3,再保险的种类,,比例再保险,,成数再保险,,溢额再保险,,成数、溢额混合再保险,,非比例再保险,,险位超赔分保,,事故超赔分保,,年赔付率超赔分,保,,4,,再保险的形式,,临时再保险,,固定再保险,,5,,再保险的作用,,控制承保责任，稳定经营成果,,增大承保规模，扩大经营范围,,便于业务指导，形成联合保险基金,,6,再保系统与各系统间联系,,,,再保系统总体业务流程,,fcorepolicy,fcoabstract,fcoshare,《,保险法,》,对保险的定义,,业务数据进再保,,数据是否进入再保由保单的分保标志决定（,ReinsFLag,）,,非联共保，主联共保，联共保（,CoinsFlag,）,,保单,,批单,,立案,,计算书（预赔,/,实赔）,,结案,保单数据进再保,,10,业务保单,保单数据,,PrpCmain,FcoPolicy,共保数据进入再保金额会换算为全额,(Amount,Premium),PrpCItemKind,FcoItem,,PrpCcoins,FcoCoins,,PrpCItemKind,FcoTot,,PrpCReinsReceive,FcoSpecial,,FcoPolicy Flag,字段,,6,是否分保标志,,7,转分保标志,,8,分保标志,,10,注销标志,批单数据进再保,,11,业务保单,保单数据,,PrpPmain,FpoEndor,共保数据进入再保金额会换算为全额,(AmountChg,PremiumChg),PrpPItemKind,FpoItem,,PrpPcoins,FpoCoins,,PrpPItemKind,FpoTot,,FpoEndor Flag,字段,,6,是否分保标志,,7,转分保标志,,8,分保标志,,10,注销标志,赔案据进再保,,12,业务保单,保单数据,,PrpLClaim,,PrpLCompensate,,PrpLPrePay,,EndCase*,FloPay,共保数据进入再保金额会换算为全额,SumPay,SumFee,PrpLCharge,FloCharge,,PrpLLoss,FloItem,,PrpLPersonLoss,FloPersonLoss,,FloPay Flag,字段,,2,是否分摊标志,,3,转分保标志,,10,注销标志,内容概要,,分保操作,,分保安排,,分批安排,,分摊处理,,帐单生成,,临分帐单,,合同帐单,,协议帐单,,帐单转财务,,临分帐单,,合同帐单,,协议帐单,,结算,,结算单生成,,结算单确认,生成分保单,,14,保单数据,分保单数据,,FcoPolicy,FcoRepolicy,,FcoTot,FcoRetot,,FcoSpecial,FcoFac,,FcoCoins,FcoReCoins,,FcoItem,,,FcoPolicy Flag,字段,,6,是否分保标志,,7,转分保标志,,8,分保标志,,10,注销标志,FcoRepolicy Flag,字段,,1,转分保标志,,3,是否分保标志,,6,分保单复核标志,,8,冲销标志,,10,注销标志,分保安排,,分保优先级,,临分,,分出比例、费用比例、确认标志、原币标志,,成数合同,,自留比例、合同限额,,溢额合同,,自留额、线数、合同限额,,成数溢额关联合同,,溢额关联合同,,15,临分分保,,分保单保额,100,万，保费,10,万,,5,,16,再保接收人,分保比例,分出保额,分出保费,A0101,20%,20w,2w,A0102,30%,30w,3w,自留,50%,50w,5w,成数合同分保,,分保单保额,100,万，保费,10,万,,成数合同,1,：合同限额,1000,万，自留比例,40%,,,,,成数合同,2,：合同限额,50,万，自留比例,40%,,17,,分出比例,分出保额,分出保费,合同分出,60%,60w,6w,自留,40%,40w,4w,,,,,,分出比例,分出保额,分出保费,合同分出,30%,30w,3w,自留,70%,70w,7w,,,,,溢额合同分保,,分保单保额,1000,万，保费,100,万,,溢额合同,1,：自留额,20w,,线数,9,,合同限额,200,万,,,,,溢额合同,2,：自留额,200w,,线数,9,,合同限额,2000,万,,18,,分出比例,分出保额,分出保费,合同自留,2.00%,20w,2w,合同分出,18.00%,180w,18w,附加自留,80.00%,800w,80w,,分出比例,分出保额,分出保费,合同自留,20%,200w,20w,合同分出,80%,800w,80w,附加自留,,,,混合分保,,分保单保额,1000w,，保费,100w,,临分接收人,A0101,，分出比例,10%,,成数合同 自留比例,80%,,溢额合同 自留额,20w,，线数,9,，合同限额,200w,,19,,分出比例,分出保额,分出保费,临分,10%,100w,10w,成数合同,20%,200w,20w,溢,额自留,2%,20w,2w,溢额分出,18%,180w,18w,附加自留,50%,500w,50w,混合分保,,分保单保额,1000w,，保费,100w,,临分接收人,A0101,，分出比例,10%,,成数合同 自留比例,80%,,溢额合同 自留额,200w,，线数,9,，合同限额,2000w,,20,,分出比例,分出保额,分出保费,临分,10%,100w,10w,成数合同,20%,200w,20w,溢额自留,20%,200w,20w,溢额分出,50%,500w,50w,附加自留,0%,0,0,分保安排相关表,,FcoShare,,ReinsMode,、,TreatyNo,、,Currency,,FcoAbstract,,ReinsMode,、,TreatyNo,、,Currency,,FsoBranchd,,RecertifyNo,、,PayType,、,ReinsMode,、,TreatyNo,、,AccPayDate,、,Currency,,PayCode,、,BelongType,、,BusinessFlag,、,BusinessNature,、,ClassCode,,FsoReplan,,PayDate,、,TreatyNo,、,Currency,、,ReinsMode,、,PayType,,ClassCode,、,BusinessNature,、,BelongType,,21,生成分批单,,22,保单数据,分保单数据,,FpoEndor,FpoReEndor,,FpoTot,FpoRetot,,FpoCoins,FpoReCoins,,FpoItem,,,FpoEndor Flag,字段,,6,是否分保标志,,7,转分保标志,,8,分保标志,,10,注销标志,FpoReEndor Flag,字段,,1,转分保标志,,3,是否分保标志,,6,分保单复核标志,,8,冲销标志,,10,注销标志,生成分赔案,,23,赔案数据,分赔案数据,,FloPay,FloRepay,,FloTot,FloReTot,,FloCharge,FcoReItem,,FloPersonLoass,FcoReItem,,FcoItem,FcoReItem,,赔案分摊,,FloShare,,PayType,,FloAbstract,,FsoBranchd,,RecertifyNo,、,PayType,、,ReinsMode,、,TreatyNo,、,AccPayDate,、,Currency,,PayCode,、,BelongType,、,BusinessFlag,、,BusinessNature,、,ClassCode,,FsoReplan,,PayDate,、,TreatyNo,、,Currency,、,ReinsMode,、,PayType,,ClassCode,、,BusinessNature,、,BelongType,24,帐单生成,,按业务分,,临分帐单,,合同帐单,,协议帐单（非考核,/,考核）,,按生成方式分,,手工帐单,/,自转帐单,,帐单相关表,,FzAcc,,FzItem,,FzPlanMain,,FzPlanDetail,,,交流时间,…,,,请大家踊跃发言,,,谢 谢 大 家！,。