Claim Settlement Ratio 2015-16 | Top Insurance Companies Based on Claim Settlement

Claim settlement ratio (CSR) is one of the vital statistics of an insurance company,  which can give you a fair idea on how much you can trust it. The prime duty of an insurance company is to settle the claims and give the insured amount to the policy holder, on the occurrence of an unfortunate event. Insurance Regulatory and Development Authority (IRDA) in its annual report for 2015-16, throws light on the claim settlement practices of Life insurance companies of India.

What is Claim settlement Ratio (CSR) and how it is important to you ?

Settling the claims in a fast and prompt manner is the prime duty and obligation of any insurance company. Claim settlement ratio is the percentage ratio between the claims settled and the claims received in the period of time. For example, if a company receives 100 claims out of which 90 claims are settled then the claim settlement ratio of the company is 90 %. Claim settlement ratio can be calculated on the number of policies or on the amount of claim settled.

Ratio of the claims settled will give you a clear idea on the satisfied customers of the company. Further to add, the trust of the policy holders in an insurance company is directly related to CSR.

Insurance industry in India 2015-16 highlights.

In the year 2015-16 the share of Life Insurance business in India was 79% where as that of Non Life Insurance business was 21%. In Life Insurance business India is ranked 10th among 88 countries.

 Market share on first year premium Total premium underwritten
Total10010047013
(in crores)
50978
(in crores)
Year->2014-152015-162014-152015-16
LIC69.2770.502311223829
Private Companies30.7329.52390127149

Registered Insurers in India

Type of InsurerPublic SectorPrivate SectorTotal
Total84654
Life12324
General61824
Health055
Reinsurance101
Claim settlement ratio of Life Insurance Companies – 2015-16

The top five companies in claim settlement ratio are given below.

1. Life Insurance Corporation of India (LIC)          98.33%
2. Max Life                                                                     96.95%
3. ICICI Prudential Life                                               96.20%
4. Aegon Religare                                                          95.31%
5. HDFC Standard Life                                                95.02%

Life insurance corporation of India (LIC) tops the chart with 98.33% which makes it the most trust worthy insurance company in terms of claim settlement.

Comparison of claim settlement ratio 2014-15 and 2015-16

View and interactive chart to understand the change in the claim settlement ratio of top life insurance companies. Hover the mouse over the chart to get more details.

  • We can see that there is an increase in CSR in allmost all the companies except Bajaj Alliance.
  • LIC the leader of the group registered an increase from 98.19% to 98.33%.
  • Aegon Religare showed an increase from 89.78% to 95.31%.
  • Reliance Life showed an increase from 83.84% to 93.82%.
Claim settlement ratio based on the amount of claim settled

The chart given here will give you an idea on the CSR in terms of claim amount settled by top 10 companies.

Let us have a closer look at the change in claim settlement ratio of private insurers alone.

This ratio can give you an idea on how the insurance company treats high sum assured claims. This information is also very much important if you are considering to buy a term assurance policy.

We can note an interesting fact that HDFC Standard Life which has settled 95.02% of its claims in terms of number of policies, has settled only 69.41%  in terms of amount of claim settled. This leads to the fact that settlement of high sum assured or term assurance policies are facing difficulty with HDFC Standard life.

How to use claim settlement ratio to decide your insurance company

Claim settlement ratio will give you a good idea on how likely a claim will be settled, on the occurrence of an unfortunate event.

You are diving from and aeroplane, trusting your Parachute and in case it fails to deploy? Same is the situation with your life insurance policy, when the claim is rejected.

Worst life insurance companies in claim settlement – 2015-16
Main reasons behind rejection of claims – how to avoid

We have seen that the claim settlement ratio of many companies are below par. No need to add that, lions share of claim rejections result from certain loopholes provided by the policy holder at the time of purchasing the policy. Let us have a look at some important points to ponder at the time of getting insured.

  • It is always wiser to avoid companies with poor claim settlement history.
  • Fill the proposal form completely by your self.
  • Get a copy of the proposal form submitted by you.
  • Disclose all material facts in the proposal form.
  • Mention all your previous policies while taking a new policy.

Calculate the insurance coverage required for you using Human Life Value Calculator

Anish L J
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Anish L J

Anish L J is a finance, insurance and software consultant with more than 18 years of experience in these fields. He thoroughly follows developments in insurance and finance. 'INSURANCE FUNDA' (www.insurancefunda.in) is his endeavour to provide simple and solid solutions in the Insurance and Finance sectors.
Anish L J
Follow me

Anish L J

Anish L J is a finance, insurance and software consultant with more than 18 years of experience in these fields. He thoroughly follows developments in insurance and finance. ‘INSURANCE FUNDA’ (www.insurancefunda.in) is his endeavour to provide simple and solid solutions in the Insurance and Finance sectors.

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