Discover a clear glossary of insurance terms, including cash value, pre-existing condition, premium holiday, and more.
Penyesuaian premi adalah hak perusahaan asuransi untuk mengubah tarif premi yang dikenakan kepada Tertanggung tertentu. Contohnya pada pembaruan kontrak asuransi mobil setelah satu tahun atau masa pertanggungan asuransi selesai.
Insurance policy refers to a written agreement or contract between an insurance company (as the insurer) and the insurance customer (as the insured). The insurance policy is one of many insurance terms you need to understand if you're planning to purchase an insurance product.
Many people often confuse a policy with an insurance premium. However, the two have very different meanings. To avoid confusion, let’s go through what an insurance policy really is, its functions, and how to read it.
An insurance policy is a written agreement that serves as proof of the transfer of risk from the insured (customer) to the insurer (insurance company). This agreement outlines the rights and obligations of both parties.
Within the contract, there are several important elements that insurance customers, as the insured and premium payers, need to understand.
These include: policyholder and insured information, insurance terminology, scope of coverage provided, policy renewal, premium payment procedures, insurance grace period, expiration of coverage, claim exclusions, and premium-related terms and conditions.
An insurance policy is a legally binding document, supported by Article 35 (1) to (5) of Insurance Law No. 40 of 2014 and Chapter 9, Article 246 of the Indonesian Commercial Code (KUHD).
Therefore, it’s essential to store it in an easily accessible place in case you need it. But what happens if your insurance policy is lost? Don’t worry—you can easily take care of it.
Simply contact the insurance company’s call center or visit their office directly with a police loss report.
You now know that the insurance policy is a vital document for the insured. It's also a required document for submitting an insurance claim.
When you buy any insurance product, you'll be given a policy number, which serves as your unique identity during the claim process and data verification. The insurance policy number is a legal code confirming your participation as an insured individual.
The functions of this document can be viewed from two perspectives: the insurer and the insured.
For the insurer, the policy serves the following functions:
Proof of receipt when the insured pays the insurance premium.
Written evidence of the guarantee to compensate the insured for losses.
Official documentation to reject claims if the cause of loss doesn’t meet the terms outlined in the policy.
For the insured customer, the policy serves as:
Written evidence of risk coverage, including potential compensation.
Proof of premium payments made to the insurer.
Official documentation to hold the insurer accountable if it fails to meet its obligations.
Aside from the policy itself, you should also learn about insurance principles, which form the foundation of the insurance contract between companies and customers.
Now that you understand what an insurance policy is and its function, it’s also important to know the types. Each insurance product offers a unique contract with different goals and benefits.
Prospective policyholders can decide which policy best suits their financial planning needs. Here are some common types of insurance policies:
Ideal for those who frequently travel by motorbike. This policy offers protection against risks involving your registered motorbike.
2. Car Insurance Policy
In this agreement, the car insurance company acts as the insurer and covers damages to your vehicle—provided the cause is listed in the policy.
The car insurance policy includes details such as premium costs, coverage benefits, and extended coverage for risks not included in the base protection.
Insurers assign a monetary value to the insured’s life. This amount is given to the beneficiary if the insured passes away. Examples include unit-linked, term, and endowment life insurance policies.
4. Health Insurance Policy
Health-related issues are often unpredictable. This policy ensures that the insured receives medical treatment and covers related expenses.
Provides compensation during travel, from departure to return, such as for Hajj or Umrah trips.
Covers damages to assets such as homes, cars, or shops caused by natural disasters or fires.
Rare but available, this covers loss or damage to high-value goods stored in warehouses.
Also known as a “valued policy,” this pre-determines the payout amount the insured will receive.
This type doesn’t state an exact value but sets a maximum limit for determining the claim amount.
Provides coverage in conflict-prone areas, offering protection to the insured's life.
Based on Islamic principles, this policy emphasizes mutual help among customers through contributions to a Tabarru' Fund.
Before buying an insurance product, always read and understand the policy content. This helps ensure the agreement aligns with your needs.
Reading an insurance policy may seem overwhelming due to the many clauses, but you only need to focus on these key parts:
Review the Declaration Page Carefully
Check for correct personal details like name, address, beneficiary name, coverage amount, scope of protection, riders, clauses, insurance period, premium, policy issuance date, and insurer's signature.
Check the Insurance Limit
The limit refers to the maximum benefits you receive in exchange for premiums paid. For health policies, check limits for doctor consultations, hospitalization, outpatient care, medication, and admin fees.
Review Premium Terms
Pay attention to the premium amount, what happens if you're late in paying, and the process to reinstate a lapsed policy.
An insurance policy isn’t just a legal document—it’s your safeguard against future uncertainty. Be sure to read and understand every clause before signing. That way, you can maximize the benefits.
Roojai Insurtech is one of the best car insurance providers in Indonesia. With an all-risk car insurance policy, you get full protection for your vehicle—from minor scratches to major damage and even loss.
Roojai also partners with over 800 trusted repair shops across Indonesia. With affordable premiums tailored to your needs, Roojai is the perfect insurance choice for you!
Premi asuransi adalah biaya yang dibayarkan oleh pemegang polis kepada perusahaan asuransi sebagai imbalan atas perlindungan yang diberikan. Pembayaran ini bisa dilakukan secara bulanan, tahunan, atau sesuai kesepakatan dalam polis. Besarnya premi ditentukan berdasarkan berbagai faktor, seperti jenis asuransi, cakupan manfaat, usia tertanggung, hingga tingkat risiko yang ditanggung oleh perusahaan asuransi.
Selain itu, premi juga berperan dalam menjaga keberlanjutan perlindungan asuransi. Jika premi tidak dibayar sesuai jadwal, polis bisa dinonaktifkan, sehingga manfaat asuransi tidak dapat digunakan. Oleh karena itu, penting untuk memilih premi yang sesuai dengan kemampuan finansial agar perlindungan tetap berjalan tanpa hambatan.
Risiko bencana alam adalah salah satu manfaat tambahan dalam produk asuransi mobil yang memberikan ganti rugi atas risiko kerusakan akibat peristiwa geologi seperti gempa bumi, letusan gunung berapi, angin puyuh, badai, topan, tanah longsor, hingga banjir. Jaminan ini termasuk dalam jenis perluasan perlindungan atau Rider.
Collision coverage adalah salah satu manfaat asuransi kendaraan yang khusus memberikan ganti rugi akibat tabrakan. Asuransi ini juga menanggung biaya kerusakan dan ganti rugi sesuai harga mobil yang dimiliki Tertanggung.
Towing mobil adalah salah satu manfaat asuransi kendaraan yang menanggung biaya towing atau pengangkutan kendaraan secara penuh dengan menggunakan truk khusus. Secara umum, towing digunakan saat terjadi masalah tertentu yang mengharuskan pengangkutan dilakukan menggunakan truk. Layanan ini bisa diperoleh Tertanggung ketika kendaraan tidak bisa dikendarai lagi.
Endorsement adalah perjanjian asuransi yang telah dibuat dan diterbitkan pihak kedua atas persetujuan pihak pertama untuk mengganti atau mengubah materi dalam polis asuransi.
A designated period during which an insurance policy remains valid until the due date for unpaid premium payments expires. If the grace period ends and the insured has not made the payment, the insurance policy may be canceled.
The sum insured is a crucial term in life insurance, referring to the amount of money agreed upon to be paid by the insurance company to the beneficiaries in the event of a risk, such as death or permanent disability. Understanding what the sum insured is helps ensure that the chosen protection matches your needs, minimizing the risk of making the wrong choice and suffering financial losses.
Let’s explore the benefits of the sum insured in life insurance and how to calculate the ideal coverage amount in this Roojai article.
In insurance terms, the sum insured (often abbreviated as UP in Indonesian) refers to the amount of money agreed upon between the policyholder and the insurance company when the insurance is first purchased. This term is not limited to life insurance—it also applies to other types of insurance, such as motor vehicle insurance, accident insurance, and property insurance.
In life insurance, if a risk stated in the policy occurs—such as the insured person passing away—the sum insured will be paid out to the beneficiaries or other parties designated by the policyholder. This payment could be in the form of a death benefit or compensation in the case of permanent total disability, depending on the type of insurance selected.
The amount of the sum insured is typically influenced by several factors, such as premium costs, type of insurance, the insured’s age, and health condition at the time the policy is agreed upon.
Here are several key benefits of the sum insured in an insurance policy:
1. Ensures financial security for beneficiaries
One of the main benefits of the sum insured is that it guarantees financial security for the insured’s family or dependents. If the insured can no longer generate income due to an insured risk, this fund provides financial support to the family.
The family won’t have to worry about suddenly losing the main income source. The money can be used to cover daily expenses, allowing them to remain financially stable despite the loss.
2. Pays off debts or financial obligations
Another important benefit is settling the insured person’s outstanding debts or financial responsibilities. In the event of death or total disability, the family may be burdened by mortgage payments, car loans, or other debts that need immediate settlement.
The sum insured offers a timely solution to cover these obligations, sparing the family from additional stress caused by unresolved debts, and helping them move forward without financial burdens.
3. Secures children’s education
Children’s education is a long-term necessity that must be ensured, even if the insured is no longer around to fund it. The sum insured can help secure educational expenses—from elementary school through college.
This ensures that the child’s future remains intact despite the risk faced by the insured, giving the family peace of mind knowing that education is well-covered.
4. Replaces lost income
The sum insured can also function as a replacement for lost income due to the insured’s death or permanent disability. Without the insured’s regular income, the family may struggle financially.
With the sum insured, the family can maintain their lifestyle and cover essential needs without worrying about the sudden loss of income. The money can be used for daily necessities and provides a sense of financial security.
5. Covers final expenses
In addition to the benefits mentioned above, the sum insured also helps cover final expenses, such as funeral and administrative costs related to death. These expenses can be significant and burden a grieving family.
Having a sum insured means the family doesn’t have to dip into savings or sell assets to pay for these costs, helping them get through a difficult time without added financial stress.
After understanding its benefits, it’s also important to know how to calculate the ideal amount of sum insured. Here are a few common approaches:
Income Replacement Method
This method calculates the sum insured based on the insured’s annual income that needs to be replaced.
For example, if the insured earns IDR 120 million per year and wants to provide protection for 10 years, the ideal sum insured would be IDR 1.2 billion (IDR 120 million × 10 years).
Human Life Value Method
This approach calculates the sum insured based on the economic value of the insured’s life.
For example, with an annual income of IDR 120 million and an investment return rate of 5%, the ideal sum insured would be IDR 2.4 billion (IDR 120 million ÷ 5%). This method factors in the potential lost income if the insured passes away or becomes disabled.
Needs Analysis Method
This is the most detailed method, as it considers various financial needs of the family, such as living expenses, children’s education, and outstanding debts.
For example, if the family’s total living expenses over 15 years amount to IDR 1.8 billion, plus education costs of IDR 500 million, minus IDR 300 million in savings or assets, the ideal sum insured would be IDR 2 billion (IDR 1.8B + IDR 500M - IDR 300M).
Here are some common mistakes when selecting a sum insured in insurance:
Not understanding the policy details, leading to unclear benefit coverage and claim terms.
Choosing a sum insured that is too low, resulting in inadequate protection for the family.
Selecting a sum insured that is too high, unnecessarily increasing the premium.
Failing to account for inflation, making the sum insured less relevant over time.
Ignoring long-term needs such as children's education or retirement funding.
Treating insurance as a savings or investment tool rather than pure protection, resulting in unrealistic expectations about the benefits.
Insurance plays a vital role in providing financial protection for individuals and families in the face of unexpected risks. Without insurance, sudden illness, accidents, or death could have a devastating financial impact on loved ones.
With the right insurance coverage, you and your family can avoid such scenarios, as the insurer will cover the costs resulting from these risks. That’s why it’s important to get insurance that suits your needs as soon as possible.
Visit Roojai Indonesia’s website for more useful insights about the world of insurance.
Harga sebenarnya adalah nilai atas kendaraan bermotor yang diasuransikan dengan merek, tipe, model, dan tahun yang sama sebagaimana tercantum pada polis sebelum terjadinya kerugian dan atau kerusakan.
Indemnity adalah biaya ganti rugi yang diberikan oleh Perusahaan asuransi kepada Tertanggung jika kendaraan mengalami kerusakan. Jumlah ganti rugi disesuaikan dengan kondisi pasar pada saat itu, lalu dikurangi dengan risiko lain seperti yang tercatat pada polis asuransi.
Klaim adalah tuntutan yang diajukan oleh Tertanggung atau pemegang polis kepada perusahaan asuransi selaku penanggung asuransi untuk memenuhi hak pemegang polis sesuai yang tertera dalam polis.
Istilah ini menunjuk pada biaya yang harus dibayarkan oleh Pemegang Polis untuk mendapatkan layanan sebagai nasabah Asuransi. Selain "biaya akuisisi", biaya yang sama biasanya disebut juga sebagai biaya penerbitan polis. Biaya penerbitan polis termasuk di dalamnya adalah biaya pembayaran fee agen Asuransi dan biaya operasional perusahaan Asuransi.
Klausul adalah tambahan dari polis asuransi yang tertuang dalam kontrak. Klausul ini sering kali berupa tambahan perlindungan untuk beberapa keadaan selain tabrakan atau pencurian. Contohnya risiko atas musibah banjir, kebakaran, huru hara, hingga bencana alam lainnya.
Klausul 41B adalah pemberian ganti rugi kepada Tertanggung atas kerusakan kendaraan akibat tertentu dari kerusuhan, huru-hara, terorisme, dan lain sebagainya.
Masa tunggu atau waiting period merupakan waktu yang harus dilalui oleh nasabah sebelum bisa mengajukan klaim asuransi.
Lapse refers to the termination of insurance coverage due to non-payment of premiums and policy-related fees that are past due. If the premium remains unpaid by the specified deadline, a grace period will be applied.
Nilai tunai dalam asuransi adalah jumlah uang yang tersedia untuk pemegang polis jika mereka memutuskan untuk menghentikan polis sebelum jatuh tempo. Nilai ini mencerminkan akumulasi dari sebagian premi yang dibayarkan, setelah dikurangi biaya tertentu.
A premium holiday in insurance is a period during which the policyholder is allowed to temporarily stop paying premiums without losing benefits or canceling their insurance policy.
Loading fee adalah kenaikan premi yang dibebankan kepada Tertanggung dalam periode tertentu, misalnya dua tahun setelah polis asuransi aktif. Penyebab utama adanya biaya tersebut adalah meningkatnya risiko yang ada pada mobil akibat umur mesinnya yang semakin tua. Adapun aturan dalam loading fee, sebagai berikut:
Manfaat asuransi adalah proteksi atau jaminan yang diberikan perusahaan asuransi kepada Tertanggung atas kerugian dan segala risiko kerusakan dan biaya yang ditimbulkan. Manfaat asuransi bisa diterima Tertanggung setelah membayar premi dan melakukan klaim atas risiko berkendara yang dijaminkan dalam polis asuransi.
Masa Pertanggungan adalah jangka waktu perlindungan asuransi bagi Tertanggung sejak tanggal berlakunya asuransi hingga tanggal pertanggungan berakhir sebagaimana disebutkan dalam polis.
Ahli waris adalah individu atau entitas yang berhak menerima manfaat atau pembayaran dari polis asuransi setelah kematian tertanggung. Ahli waris ini biasanya ditunjuk oleh pemegang polis dan dapat berupa anggota keluarga, individu lain, atau organisasi yang disebutkan dalam kontrak asuransi. Mereka akan menerima klaim asuransi sesuai dengan ketentuan yang tercantum dalam polis.
Policy holder atau pemegang polis ini bertanggung jawab atas kewajiban terhadap perusahaan asuransi dan berhak atas manfaat yang tertera dalam polis.Pemegang polis bisa jadi Tertanggung dan bukan Tertanggung tergantung pada kesepakatan dalam polis.
When purchasing an insurance policy, you’ll often come across the terms "insured" and "policyholder." Although they may sound similar, each plays a different role in an insurance contract. Understanding who the insured is is essential so you can choose coverage that fits your needs.
So, what exactly does "insured" mean in insurance? What are their roles and rights? Here’s a complete explanation.
In insurance, the insured is the party who receives protection or benefits from the insurance policy. If a covered risk occurs—such as an accident, illness, or asset damage—the insured has the right to file a claim and receive benefits according to the agreed terms.
In general, the insured can be an individual or a legal entity, depending on the type of insurance purchased. For example, in life insurance, the insured is the person whose life is covered. In vehicle insurance, the insured is the vehicle listed in the policy.
Who can be the insured in an insurance policy? This depends on the type of insurance. For life insurance, the insured is usually the policyholder themselves or a registered family member. For property or vehicle insurance, the insured is the asset being protected as stated in the policy.
Having a good understanding of insurance terminology is crucial before choosing a product, so you won’t get confused when reading the policy.
To make it clearer, here are some examples of their differences:
In Life Insurance
A father buys life insurance for himself. In this case, he is both the policyholder and the insured. However, if he buys life insurance for his child, he becomes the policyholder, while his child is the insured.
In Vehicle Insurance
A business owner buys vehicle insurance for the company’s operational car. The owner is the policyholder, while the vehicle is the insured.
In Health Insurance
An employee receives health insurance from their workplace. In this case, the company acts as the policyholder, while the employee is the insured.
Understanding this difference makes it easier to identify your role in your insurance policy.
Understanding both aspects is crucial to ensure insurance protection works as it should and avoids issues during claim submissions.
As the insured, you have several rights that the insurance company must fulfill, including:
Right to insurance protection: Once the policy is approved and the premium is paid, you are entitled to protection according to the terms in the policy.
Right to clear information: You are entitled to complete information regarding policy terms, including coverage, exclusions, and claim procedures.
Right to file a claim: If a covered risk occurs, you have the right to file a claim with the insurance company. The claim must follow the applicable procedures to be accepted.
Right to fair service: The insurer must provide professional and transparent service, including during the underwriting process which determines whether a risk is insurable.
Right to cancel or modify the policy: The insured may request to cancel or change the policy—such as increasing or reducing benefits—as long as it complies with the applicable terms.
To enjoy these rights without issues, certain obligations must be fulfilled:
Pay premiums on time: If the insured is also the policyholder, they must pay premiums as scheduled. Late or missed payments may cause the policy to lapse, voiding the coverage.
Provide honest and accurate data: When applying for insurance, you must submit truthful and complete information, such as your health condition for life insurance or usage history for car insurance.
Understand and comply with policy terms: The insured must understand the entire policy, including covered and excluded risks, to avoid misunderstandings during claim submission.
Submit claims with complete documents: To ensure smooth claim processing, you must provide all required documents—such as damage reports, medical statements, or other necessary certificates.
By understanding these rights and obligations, you can ensure your insurance protection provides maximum benefits when needed.
Each type of insurance offers different protections depending on your needs and the risks you want to cover. Here are some common types of insurance coverage:
Life Insurance Coverage
Life insurance provides financial benefits to beneficiaries if the insured passes away. This policy helps the surviving family maintain financial stability. Benefits may include lump-sum payments or additional benefits such as investment components in unit-linked insurance products.
Health Insurance Coverage
Health insurance protects you from financial risks due to medical expenses, hospitalization, or other treatments. It may cover doctor consultations, medications, and surgeries. Some insurers also offer indemnity-based coverage, where reimbursements are made according to actual medical bills.
Vehicle Insurance Coverage
If you own a vehicle, vehicle insurance can protect you from damage, theft, or accidents. There are two main types:
All Risk Insurance: Covers various types of damage, from minor to major.
Total Loss Only (TLO): Covers losses only if the vehicle is stolen or damaged beyond 75% of its value.
Property Insurance Coverage
Property insurance protects against damage or loss of homes, buildings, or other assets due to natural disasters, fires, or theft. Some policies even cover valuable items inside the property.
By understanding these types of coverage, you can choose the insurance that best fits your needs and ensure your assets are well protected.
Understanding the role of the insured in insurance is a vital step before purchasing a policy, so you can choose the most suitable product for your needs.
Always read the policy carefully and ensure you understand all its terms. If you’re still unsure, consult with your insurance provider to avoid future misunderstandings. Visit roojai.co.id if you want to learn more about insurance.
Penanggung adalah pihak asuransi yang telah memiliki izin formal untuk melakukan kegiatan usaha berkaitan dengan pengambilalihan risiko pihak lain berdasarkan suatu polis. Atas pertanggungan ini, penanggung risiko menerima premi dari pihak lain selaku Tertanggung.
Pengecualian adalah hal-hal yang tidak ditanggung dalam polis asuransi. Pengecualian berarti klaim yang diajukan tidak akan diganti oleh perusahaan asuransi. Pengecualian asuransi mobil berbeda-beda tergantung kebijakan perusahaan.
Penggunaan komersial mengacu pada kendaraan bermotor untuk disewakan atau menerima balas jasa. Artinya, kendaraan tidak digunakan hanya untuk kepentingan pribadi, melainkan untuk melayani jasa pengangkutan atau kegiatan usaha untuk mendapatkan imbal jasa.
Tindakan seseorang yang dengan sengaja merusak harta benda orang lain karena dendam, dengki, amarah atau vandalistis, kecuali tindakan yang dilakukan oleh seseorang yang berada di bawah pengawasan atau atas perintah Tertanggung atau yang mengawasi atau menguasai harta benda tersebut, atau oleh pencuri atau perampok atau penjarah.
A supplemental insurance to the main insurance already held. Known as riders or coverage extensions, these provide additional benefits such as:
Personal accident adalah manfaat asuransi yang memberikan uang pertanggungan jika terjadi risiko kecelakaan pada pengemudi maupun semua penumpang yang mengalami kerugian fisik seperti luka-luka, cacat anggota tubuh, hingga kematian.
Personal Injury Protection adalah jenis asuransi yang memberikan jaminan perlindungan bagi Tertanggung yang mengalami kecelakaan terhadap diri sendiri ketika berkendara. Selain itu, asuransi ini juga memberikan biaya tambahan sebagai ganti rugi atas insiden kecelakaan yang dialami nasabah dan penumpang.
PSAKBI adalah singkatan dari Polis Standar Asuransi Kendaraan Bermotor Indonesia. PSAKBI dalam asuransi kendaraan adalah perlindungan atas risiko tabrakan, terbalik, tergelincir atau terperosok, pencurian, perbuatan jahat, atau kebakaran.
Risiko sendiri adalah jumlah tertentu yang menjadi tanggungan Tertanggung untuk setiap kejadian atau klaim yang diajukan ke perusahaan asuransi.
Kondisi yang sudah ada sebelumnya adalah kondisi kesehatan atau penyakit yang telah dimiliki oleh pemegang polis sebelum mereka mendaftar atau membeli polis asuransi. Kondisi ini sering kali mempengaruhi kelayakan atau premi asuransi.
SPPA adalah surat yang dibuat dalam bentuk tertulis yang diajukan Tertanggung kepada pihak asuransi dalam rangka penutupan asuransi yang akan digunakan oleh penanggung untuk mengevaluasi tingkat risiko dari objek pertanggungan tersebut.
Tanggung Jawab Hukum Pihak Ketiga adalah asuransi yang memberikan ganti rugi kepada pihak ketiga yang disebabkan oleh kendaraan yang menjadi objek pertanggungan. Asuransi TPL merupakan salah satu bentuk perluasan asuransi atau rider. yang bisa ditambahkan ke polis dasar nasabah.
Third Party Sharing Agreement adalah kesepakatan yang menyatakan bahwa apabila dua pengendara mobil terlibat dalam suatu kecelakaan, dan kecelakaan itu menyebabkan orang mengalami luka-luka, maka klaim pihak ketiga tersebut akan ditanggung bersama oleh para penanggung yang menjadi anggota agreement.
Dalam asuransi, hubungan antara underwriter dan proses evaluasi risiko sangatlah penting. Tugas utama seorang underwriter adalah menjaga keseimbangan antara perlindungan yang diberikan kepada nasabah dan keamanan finansial perusahaan asuransi. Dengan menganalisis data dari calon nasabah, underwriter menentukan premi yang harus dibayarkan berdasarkan tingkat risiko yang dimiliki.
Underwriter adalah individu atau lembaga yang bertugas menilai kelayakan risiko calon nasabah sebelum asuransi diberikan. Kamu bisa menganggap underwriter sebagai garda depan perusahaan asuransi dalam memastikan bahwa setiap keputusan terkait asuransi didasarkan pada analisis yang matang dan profesional.
Sedangkan Underwriting adalah proses evaluasi risiko yang dilakukan oleh perusahaan asuransi untuk menentukan apakah permohonan asuransi dapat diterima. Proses ini melibatkan pengumpulan data dari calon nasabah, seperti riwayat kesehatan, pekerjaan, dan faktor lain yang memengaruhi risiko.
Dalam dunia asuransi, underwriting menjadi bagian penting karena menentukan kelayakan calon nasabah serta premi yang sesuai dengan profil risiko mereka. Underwriting asuransi adalah langkah awal yang memastikan bahwa perusahaan asuransi tetap beroperasi secara sehat dan mampu memenuhi kewajibannya kepada nasabah.
Proses underwriting adalah tahapan krusial di mana calon nasabah dievaluasi berdasarkan kriteria tertentu. Hal ini mencakup analisis mendalam untuk menilai kemungkinan klaim di masa depan, sehingga memungkinkan perusahaan asuransi mengambil keputusan yang adil dan berimbang.
Underwriter memiliki peran utama dalam proses seleksi risiko. Mereka memastikan bahwa setiap calon nasabah yang mendaftar asuransi dievaluasi berdasarkan data yang akurat dan kriteria risiko yang telah ditentukan oleh perusahaan. Dengan peran ini, mereka membantu menjaga stabilitas finansial perusahaan asuransi.
Tugas utama seorang underwriter mencakup menganalisis informasi yang diberikan oleh calon nasabah, seperti riwayat kesehatan, usia, pekerjaan, dan gaya hidup. Dari data tersebut, underwriter memutuskan apakah aplikasi asuransi dapat diterima, perlu modifikasi, atau ditolak. Selain itu, mereka juga menentukan besaran premi yang sesuai dengan tingkat risiko yang dimiliki calon nasabah.
Sebagai contoh, dalam asuransi kesehatan, seorang underwriter akan menilai apakah kondisi kesehatan seseorang layak diasuransikan. Sementara dalam asuransi kendaraan, mereka akan mempertimbangkan faktor seperti usia kendaraan dan riwayat kecelakaan pemilik kendaraan.
Tahapan kerja seorang underwriter dimulai dari pengumpulan data calon nasabah. Data ini mencakup informasi pribadi, riwayat kesehatan, pekerjaan, dan kondisi lain yang relevan. Setelah data terkumpul, underwriter menganalisis informasi tersebut untuk menentukan tingkat risiko yang dimiliki calon nasabah.
Selanjutnya, keputusan akan diambil berdasarkan hasil analisis. Ada beberapa kemungkinan keputusan, seperti menerima pengajuan tanpa syarat, menerima dengan modifikasi tertentu (misalnya premi lebih tinggi), atau menolak jika risiko dianggap terlalu tinggi. Proses ini dilakukan dengan menggunakan pedoman yang telah ditentukan oleh perusahaan asuransi.
Faktor yang dipertimbangkan dalam menilai risiko meliputi statistik populasi, tren industri, dan data historis terkait klaim. Dengan cara ini, underwriter membantu memastikan perusahaan asuransi dapat memberikan perlindungan yang adil sekaligus menjaga keberlanjutan operasionalnya.
Underwriter dapat dibagi menjadi beberapa jenis berdasarkan bidang asuransi yang mereka tangani. Dua jenis yang paling umum adalah underwriter asuransi jiwa dan underwriter asuransi umum.
Jenis underwriter ini fokus pada evaluasi risiko terkait kesehatan dan harapan hidup calon nasabah. Informasi seperti riwayat kesehatan, gaya hidup, dan pekerjaan menjadi pertimbangan utama. Underwriter asuransi jiwa berperan penting dalam menentukan premi untuk perlindungan jangka panjang.
Underwriter ini menangani produk asuransi seperti kendaraan, properti, atau perjalanan. Mereka menganalisis faktor risiko yang berhubungan dengan aset fisik atau aktivitas yang diasuransikan, misalnya usia kendaraan atau lokasi properti.
Perbedaan peran underwriter di masing-masing jenis asuransi terletak pada jenis risiko yang dianalisis. Dalam asuransi kendaraan, misalnya, underwriter mempertimbangkan kondisi kendaraan dan riwayat kecelakaan. Sebaliknya, dalam asuransi kesehatan, fokus utamanya adalah status medis calon nasabah.
Selain Underwriter, sebaiknya kamu juga mengetahui istilah-istilah asuransi lainnya. Seperti polis, premi, grace periode, uang petanggungan dan lain sebagainya.
Dalam menilai risiko, underwriter menggunakan berbagai parameter untuk memastikan calon nasabah memenuhi kriteria yang sesuai. Kriteria ini mencakup informasi pribadi dan riwayat yang relevan dengan jenis asuransi yang diajukan.
Untuk asuransi jiwa atau kesehatan, underwriter menilai riwayat penyakit, gaya hidup, dan usia calon nasabah. Faktor ini sangat memengaruhi besaran premi karena risiko kesehatan meningkat seiring bertambahnya usia.
Dalam asuransi kendaraan atau properti, underwriter mempertimbangkan usia kendaraan, kondisi fisik aset, serta lokasi properti. Semakin tinggi risiko kerusakan atau pencurian, semakin besar premi yang ditetapkan.
Beberapa pekerjaan atau aktivitas berisiko tinggi juga memengaruhi keputusan underwriting. Misalnya, profesi yang melibatkan bahaya fisik lebih mungkin dikenai premi yang lebih tinggi.
Hubungan antara kriteria risiko ini dengan premi sangat jelas. Semakin besar risiko yang diidentifikasi, semakin tinggi premi yang akan dikenakan kepada nasabah. Proses ini memastikan bahwa perlindungan yang diberikan tetap adil bagi semua pihak.
Jika kamu ingin meningkatkan peluang agar pengajuan asuransi diterima, ada beberapa langkah yang bisa dilakukan. Tips berikut tidak hanya membantu proses pengajuan berjalan lancar, tetapi juga dapat memengaruhi besaran premi yang ditawarkan.
Pastikan semua data yang kamu berikan, seperti riwayat kesehatan atau kondisi kendaraan, sesuai dengan kenyataan. Informasi yang lengkap dan akurat memudahkan underwriter dalam menilai risiko tanpa kendala.
Sebelum mengajukan asuransi, pelajari jenis produk yang paling sesuai dengan kebutuhanmu. Pilihan produk yang tepat dapat membantu meminimalkan penolakan oleh underwriter.
Untuk asuransi jiwa atau kesehatan, menjaga gaya hidup sehat adalah poin penting. Kebiasaan baik ini dapat mengurangi risiko kesehatan, sehingga membuat pengajuan asuransi lebih mudah diterima.
Dalam asuransi kendaraan atau properti, memastikan aset dalam kondisi baik adalah hal yang perlu diperhatikan. Kendaraan yang terawat atau properti dengan sistem keamanan yang baik cenderung dinilai lebih rendah risikonya.
Dengan mengikuti tips ini, peluang pengajuan asuransimu diterima akan meningkat. Hal ini juga memungkinkan kamu untuk mendapatkan premi yang lebih kompetitif dan perlindungan maksimal.
Underwriter memiliki peran yang sangat penting dalam proses underwriting asuransi. Mereka bertugas menilai risiko calon nasabah untuk memastikan bahwa perlindungan yang diberikan sesuai dengan kemampuan perusahaan asuransi. Dengan memahami proses underwriting, kamu dapat lebih mudah menavigasi sistem asuransi dan meningkatkan peluang pengajuan asuransimu diterima.
Roojai memahami bahwa proses underwriting yang rumit bisa menjadi hambatan dalam mendapatkan perlindungan yang kamu butuhkan. Oleh karena itu, Roojai Insurtech menggunakan sistem underwriting yang sederhana dan efisien. Sebagai contoh, untuk asuransi mobil, survei mobil dapat dilakukan secara online. Kamu cukup mengunggah foto kendaraan atau melakukan video call bersama tim inspeksi Roojai. Dengan demikian, proses evaluasi kendaraanmu dapat diselesaikan dengan cepat dan mudah.
Roojai merupakan asuransi mobil terbaik yang memiliki lebih dari 800 bengkel rekanan. Proses yang cepat dan mudah, dengan premi yang bisa disesuaikan budget dan kebutuhan, menjadikan Roojai asuransi yang pas buat kamu.
Underwriting adalah proses identifikasi dan seleksi risiko yang dikenakan kepada calon Tertanggung yang hendak mengasuransikan objek yang ingin ditanggung oleh perusahaan asuransi.
The process of identifying and selecting risks associated with potential insureds who wish to cover an object through an insurance company
A written request submitted by the insured to the insurance company to initiate coverage. This document is used by the insurer to evaluate the risk level of the insured object.
A personnel in an insurance company responsible for assessing the risks associated with potential insureds.
Coverage that compensates third parties for damages caused by the insured vehicle. TPL insurance is a type of coverage extension that can be added to a vehicle insurance policy.
An agreement that specifies that if two drivers are involved in an accident causing injuries to a third party, the claim will be jointly covered by the insurers who are members of this agreement.
PSAKBI is the standard policy for motor vehicle insurance in Indonesia, covering risks of collision, overturning, slipping, sinking, theft, malicious acts, or fire.
A specified amount that the insured is responsible for with each incident or claim made to the insurance company.
A pre-existing condition is a health condition or illness that the policyholder had before enrolling in or purchasing an insurance policy. This condition often affects the eligibility or premiums of the insurance.
Acts of damage deliberately inflicted on someone else’s property due to revenge, jealousy, anger, or vandalism, except actions conducted by someone under the supervision or on the orders of the insured, who supervises or controls the property, or by thieves, robbers, or looters.
Asuransi tambahan atau perluasan jaminan adalah asuransi pelengkap bagi asuransi utama yang sudah dimiliki sebelumnya. Asuransi tambahan juga dikenal dengan istilah rider atau perluasan jaminan. Untuk bisa mendapatkan manfaat rider ini nasabah akan dikenakan biaya premi tambahan.
Jenis asuransi mobil yang memberikan jaminan perluasan (rider) dari asuransi yang telah dibeli. Jaminan perluasan ini merupakan manfaat tambahan seperti:
Coverage that provides compensation for physical injuries such as wounds, bodily disabilities, or death sustained by the driver and all passengers in an insured vehicle.
A type of insurance that offers coverage for the insured who suffers personal injuries while driving. This insurance also provides additional compensation for accident-related incidents affecting the policyholder and passengers.
The use of a motor vehicle for rental or receiving payment in return. This means the vehicle is not used solely for personal interests but also to provide transportation services or business activities for compensation.
The party that has the formal permission to conduct business activities related to taking over someone else’s risks under a policy. In return for this coverage, the insurer receives premiums from the insured party. The insurer is the insurance company.
These are the items that are not covered under an insurance policy. Exclusions mean that any claims made for these will not be compensated by the insurance company. Car insurance exclusions vary depending on the company’s policies.
The duration of insurance protection for the insured from the date the insurance becomes effective until the end date of coverage as stated in the policy.
In insurance, a beneficiary is an individual or entity entitled to receive benefits or payments from an insurance policy upon the death of the insured. The beneficiary is typically designated by the policyholder and can be a family member, another individual, or an organization specified in the insurance contract. They receive the insurance claim according to the terms outlined in the policy.
The party who decides to arrange the coverage between the insured and the insurer (insurance company). The policyholder may or may not be the insured, depending on the terms agreed upon in the policy.
Cash value in insurance is the amount of money available to the policyholder if they decide to terminate the policy before it matures. This value reflects the accumulation of a portion of the premiums paid, after deducting certain fees.
A type of car insurance where the coverage includes additional protection for medical expenses or injuries caused by the policyholder's negligence. This insurance also covers costs for injuries or damages sustained by third parties in accidents caused by the policyholder.
An increase in the premium charged to the insured for a specific period, such as two years after the insurance policy becomes active. The primary reason for this fee is the increased risk associated with the aging of the vehicle’s engine. The rules for the loading fee are as follows:
Protection or guarantees provided by the insurance company to the insured against losses, all risks of damage, and costs incurred. Insurance benefits are available to the insured after paying premiums and filing claims for insured driving risks.
An addition to the insurance policy that is included in the contract. This clause often provides additional protection for circumstances other than collisions or theft, such as risks from floods, fires, riots, or other natural disasters.
Compensation provided to the insured for vehicle damage resulting from specific causes such as riots, civil commotion, terrorism, and others.
The waiting period is the time that must pass before a customer can file an insurance claim. Insurance companies implement a waiting period to prevent individuals from making claims shortly after purchasing insurance. Additionally, the waiting period facilitates the insurance process.
A demand made by the insured or policyholder to the insurance company to fulfill the rights of the policyholder as specified in the policy.
Acquisition costs are expenses paid by the insurer to policyholders or third parties in the process of acquiring business.
The resale value that can be obtained for a motor vehicle of the same brand, type, model, and year as listed in the policy in the open market just before the occurrence of any loss or damage.
The compensation amount provided by the insurance company to the insured if the vehicle is damaged. The compensation is adjusted according to the market conditions at the time, and then reduced by other risks as recorded in the insurance policy.
An insurance agreement that has been created and issued by one party with the approval of another to modify or amend the contents of an insurance policy.
The process of transporting a vehicle using a specialized truck. Towing is generally used in situations where a vehicle cannot be driven and must be transported by truck. This service is available to the insured when the vehicle is no longer operable.
A type of motor vehicle insurance that provides coverage for damages if the repair costs exceed 75%, or if the vehicle is destroyed by fire, stolen, or forcibly seized.
Coverage against financial loss or damage to vehicles caused by geological events such as earthquakes, volcanic eruptions, tornadoes, storms, typhoons, landslides, and floods. This coverage is included as an extension of protection.
A facility, coverage, or assistance for towing vehicles that encounter issues or accidents on the road due to the vehicle being inoperable or severely damaged. This service can be obtained by the insured contacting the insurance company to make a claim.
A type of vehicle insurance specifically providing compensation for damages resulting from collisions caused by the driver. This insurance also covers the cost of damages and compensations based on the market value of the insured’s vehicle.
The right of an insurance company to change the premium rates charged to a specific insured individual. For example, this can occur during the renewal of a car insurance contract after one year or at the end of an insurance coverage period.
An insurance premium is a sum of money paid by the insured to the insurer as compensation for the guarantee services provided. Payments can be made either annually in a lump sum or monthly. This amount excludes administrative fees and stamp duties.dan bea materai. In Islamic insurance, insurance premium has the same meaning as "contribution”.
An All Risk/Comprehensive insurance is A type of motor vehicle insurance that offers “almost” complete coverage for all forms of damage, ranging from minor scratches to severe damages, including theft.