• 보험의학회지
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• 제27권1호
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• pp.18-20
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• 2008

I have taught various case audit underwriting methods to underwriters for many years. Underwriting requires specialized medical knowledge and experience of comprehensive individual risk analysis. Decisions in individualized underwriting depend on the insurance company's management philosophy and vision, marketing strategies, culture, product line etc. They also depend on the information acquired through proposal forms, inspection reports, laboratory results and disclosures. Underwriters match this acquired information to each insurance product, search appropriate medical resources, assess the probabilities of future claims, and decide what, if any, further medical information should be gathered. Sources include doctors' reports, medical records, biopsies, blood and urine tests, CT, MRI, Holter monitoring, sonography etc. Insurance medical directors help and teach underwriters to analyze individual medical risks and make effective.

• 응용통계연구
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• 제22권3호
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• pp.489-498
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• 2009

언더라이팅은 보험자가 청약자에 대한 인수여부를 결정하는 보험계약 운영의 초기단계로서, 그 기준의 정교성 여부에 따라 회사에 안정적인 수익을 가져올 수도 있고 예기치 못한 큰 손실을 야기할 수도 있다. 일반적으로, 각 청약자의 위험요소를 파악, 평가하여 위험정도를 평가할 수 있는 점수를 이용하는 스코어링 시스템을 언더라이팅 기준으로 이용하는데, 점수를 산출하기 위한 방법은 각 위험요소별 점수 기준을 설정하고 위험요소별 점수를 합산하는 형태가 보편적이다. 최근 위험율차 이익의 중요성이 강조됨에 따라 기존의 방법에 비해 보다 효과적인 언더라이팅 기법이 요구되고 있다. 본 연구에서는 일반화 선형모형을 이용하여 보다 합리적으로 보험 계약자에 대한 위험도를 추정하는 방법을 제시하였다. 실증분석을 통해 위험집단의 위험도를 평가하고 점수화하는 구체적인 언더라이팅 모형을 설계하였고, 제시된 언더라이팅 모형의 적용효과를 반영하여 언더라이팅 기준을 설정하는 방법에 대해서도 설명하였다.

• 응용통계연구
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• 제22권6호
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• pp.1215-1227
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• 2009

보험회사가 보험가입자의 정확한 위험도를 측정하여, 현재 보험료 수준으로 해당 가입자를 보험에 가입하도록 허용하는 것이 보험회사에게 손해인지 여부를 판정하는 보험회사의 활동을 언더라이팅이라 한다. 언더라이팅 시스템을 구축하는 방법으로는 기존 전통적 방법과 통계모형을 활용하는 방법이 있다. 기존의 요율산출방법에 따라 위험집단의 위험도 수준을 정하고, 해당 위험집단에 속한 가입자의 위험도를 기계적으로 계산하는 전통적인 방법은 모형의 이해가 용이하고, 사용이 편리하나 통계적으로 부합된 모형이라고 할 수는 없다. 본 연구에서는 우리나라 자동차보험 분야에서 언더라이팅 기준을 구축하기 위해 통계모형을 활용하는 방법으로 일반화가법모형을 활용하는 방안을 제시하고 분석하였다. 본 연구의 결과는 현재 자동차보험 요율산출에 사용되고 있는 변수들의 유의성을 판단하는 데에도 활용될 수 있을 것이다.

• 보험의학회지
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• 제31권1호
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• pp.29-33
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• 2012

Nowadays, obstructive sleep apnea is being important to life insurance industry. Many life applicants submit their attending physician's statement, diagnostic certificate, and results of polysomnography to underwriters. So It's necessary to perform evidence-based medical approach. I hope this article is helpful to insurance doctors and underwriters.

• 보험의학회지
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• 제28권1_2호
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• pp.31-35
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• 2009

Background : Many of internists have been working for insurance industry. Insurance medicine is use of medical knowledge for insurance industry. There is social role of insurance medicine in terms of soundness of insurance administration. Recently social role of internists also have been being watched. Although theme of insurance medicine is medical risk selection, insurance claims administration also needs medical experts'opinion. There are not any corroborative study of medical consulting for insurance claims. Among insurance industry, someone called this medical review of insurance claims as 'medical claims review'. Aim : To investigate usefulness of medical review of insurance claims. Design : Questionnaire survey with claim staffs in one of insurance claim adjustment company in Korea. Methods : 265 claim staffs were divided into 4 groups and conducted survey using a questionnaire of 20 questions. Utility score, job satisfaction score, and difficult factors of claims administration were measured. Results : Utility score and job satisfaction score are highest in medical claims review group. The most difficult in claim administration to claim staffs was demonstrated to medical knowledge. Conclusion : Medical review of insurance claims is proved to be worthy. Document-based consulting method, namely medical claims review, is more useful than telephone-based simple query among claim staffs...Subjects of the medical claims review are medical record and it's principle is independent medical examination with evidence-based approach, it also has role of protecting fraud of insurance claims. Two main question types of medical claims review are verification and advice.

• 영어영문학
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• 제55권1호
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• pp.177-198
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• 2009

How are we approach the fourteenth chapter of Ulysses known as 'The Oxen of the Sun' in this globalized age of hyper-theorization? My paper argues that examining the wide reverberations set off by Derrida's comment in "Ulysses Gramophone"-"Everything has already happened to us with Ulysses"-in relation to the central textual theme of cosmopolitanism may provide a reading that not only pays due respect to the critical legacy of the early structuralist interpretations but equally takes into account the political sensibilities of our time. The neologism 'chaosmopolitanism,'in fact, serves as that very critical measure designed to bridge the gap separating the long tradition of Western Eurocentric discourse on cosmopolitanism on the one hand and the geopolitical background conditioning its discursive possibility, namely, the chaotic condition of international colonialism on the other, whose exemplary, and exemplarily creative, fusion bears none other name than Ulysses. But the idea of chaosmopolitanism gains its conceptual leverage on yet another, no less pivotal register, for, just as with Derrida's first-person plural pronoun, the trope leads us to reflect on our own situatedness in the East Asian region in light of Joyce's unabashedly universalist vision, whose over-arching textual purview nonetheless leaves the space called the Far East in the singular position of virtual exclusion. What does it then mean to enjoy Joyce's "chaffering allincluding most farraginous chronicle" in light of our East Asian perspective? To this second question, my inquiry turns to the dual theme of enjoyment and debt as they are problematized by Stephen Dedalus' telegram to Mulligan, which reads, "the sentimentalist is he who would enjoy without incurring the immense debtorship for a thing done." Itself a quotation from George Meredith's novel The Ordeal of Richard Feverel, the transcribed message invites us to reconsider the scrupulous endeavor underwriting Joyce's signatory gusto, but at the same time forcing us to confront and reassess our own debt to the problematic heritage known as Western literature or, to borrow Derrida's expression, Abrahamic language.