Latest claim settlement ratio of life insurance companies in India released in 2024 (2024)

Synopsis

Claim settlement ratio is one of the crucial metrics that give you a rough sense of how the insurance company honours the policyholders' claims. What is a claim settlement ratio? How is claim settlement ratio calculated? What are the latest claim settlement ratios of the life insurance companies in India? The Insurance Regulatory and Development Authority of India (IRDAI) has recently released the details. All you need to know

Latest claim settlement ratio of life insurance companies in India released in 2024 (1)Getty Images

The main reason why we buy a life insurance policy is to secure the future of our loved ones in case of unfortunate events. So, it is important to check how your insurer settles claims before you invest your hard-earned money in it. Here the concept of claim settlement ratio comes into play. It is one of the crucial metrics that give you a rough sense of how the insurance company honours the policyholders' claims

What is a claim settlement ratio?

Claim settlement ratio is a percentage of claims that the insurer has paid out against the number of outstanding claims during a financial year. As a thumb rule, the higher the claim settlement ratio, the more reliable the insurer is. So if you are planning to buy a new insurance policy or renew your existing one, you must check the claim settlement ratio of the insurer along with other factors such as premium amount and coverage


IRDAI releases latest claim settlement ratio of the life insurers in 2024

The Insurance Regulatory and Development Authority of India (IRDAI) has recently released the details of claim settlements of all life insurance companies for the year 2022-23. The individual death claim settlement ratio of the life insurance industry was 98.45% in 2022-23. It means that the life insurance industry settled over 98% of the total individual death claim requests received during FY 2022-23. The overall claim settlement ratio was 98.64% in 2022-23.


What is claim settlement ratio by number?

In terms of number of policies settled during 2022-23, Max Life Insurance has the highest claim settlement ratio of 99.51%. With a 99.39% claim settlement ratio, HDFC Life Insurance came second on the list. Aegon Life Insurance bagged the third position with a 99.37% claim settlement ratio.

Claim settlement ratio of life insurance companies 2024 (in terms of numbers)

Total Claims Claims paid Claims Repudiated
Insurance Company
Number of Policies
Number of Policies
% of Total Claims
Number of Policies
% of Total Claims

Max Life 19659 19563 99.51% 96 0.49%
HDFC Life 17558 17451 99.39% 103 0.59%
Aegon 316 314 99.37% 2 0.63%
Edelweiss Tokio 500 496 99.20% 4 0.80%
Bharti Axa 2116 2097 99.10% 19 0.90%
PNB Met Life 5292 5242 99.06% 48 0.91%
Bajaj Allianz 15502 15353 99.04% 145 0.94%
Tata AIA 5475 5421 99.01% 53 0.97%
Canara HSBC OBC 2119 2098 99.01% 19 0.90%
Pramerica Life 753 744 98.80% 8 1.06%
Aviva 803 793 98.75% 10 1.25%
Reliance Nippon 8759 8635 98.58% 122 1.39%
LIC 922207 908576 98.52% 8003 0.87%
Kotak Mahindra 4333 4257 98.25% 65 1.50%
Aditya Birla Sun Life 6314 6195 98.12% 119 1.88%
Sahara 657 643 97.87% 7 1.07%
Shriram 4003 3899 97.40% 86 2.15%
SBI Life 36896 35807 97.05% 1007 2.73%
India First 3147 3054 97.04% 83 2.64%
Exide Life 2143 2063 96.27% 30 1.40%
Star Union 1806 1735 96.07% 68 3.77%
Ageas Federal 1445 1388 96.06% 45 3.11%
ICICI Prudential 14333 13656 95.28% 638 4.45%
Future Generali 988 939 95.04% 49 4.96%
Private Sector Total 154917 151843 98.02% 2826 1.82%
Grand Total 1077124 1060419 98.45% 10829 1.01%

Source: IRDAI

LIC alone settled over 9.22 lakh claims during 2022-23. Meanwhile, the private insurance sector paid 1.54 lakh claims during the same period.

The claims repudiated ratio indicates how many claims the insurer finds to be invalid and hence, has not paid the claimed amount. There could be many reasons why a life insurance company will repudiate a claim after it has accepted it for processing.

Near to 100% shows how efficient the insurance company is in settling claims. If a policyholder wants to get a sense of how easy it is to file a claim and how those claims are being processed and paid by the insurer, a claim settlement ratio by numbers can be a useful indicator.


Claims paid by amount: What policyholders must know

The claim paid ratio by amount indicates the percentage of the total value of claims submitted to an insurance company that is ultimately paid out. A high ratio would suggest that the company is paying out a large proportion of the total value of claims submitted to it, while a low ratio would suggest that the company is denying or delaying many claims. Both claim-paid ratios by numbers and claim-paid ratios by amount are used to measure the financial performance of an insurance company and to assess its ability to pay out claims to policyholders.


Claim settlement ratio of life insurance companies 2024 (by amount)

Total Claims Claims paid
Insurance Company Benefit Amount (₹crore) Benefit Amount (₹crore) Claim paid ratio

Aegon 86.69 86.14 99.37%
Aviva 98.85 97.60 98.74%
Bharti Axa 150.73 147.85 98.09%
Pramerica Life 30.59 29.82 97.50%
HDFC Life 1440.20 1389.90 96.51%
Sahara 5.50 5.31 96.49%
Canara HSBC OBC 193.76 186.19 96.09%
PNB Met Life 425.34 407.33 95.77%
LIC 19327.63 18397.77 95.19%
SBI Life 1766.28 1676.95 94.94%
Max Life 1312.47 1242.15 94.64%
Tata AIA 821.70 776.70 94.52%
Bajaj Allianz 639.80 603.03 94.25%
Kotak Mahindra 341.83 320.92 93.88%
Edelweiss Tokio 63.05 59.02 93.61%
Star Union 121.33 113.46 93.51%
Reliance Nippon 219.26 204.06 93.07%
Aditya Birla Sun Life 496.96 458.32 92.23%
India First 173.40 159.81 92.17%
ICICI Prudential 2142.35 1949.70 91.01%
Ageas Federal 67.47 61.05 90.48%
Exide Life 114.33 100.52 87.92%
Future Generali 41.05 32.81 79.94%
Shriram 141.05 109.49 77.63%
Private Sector Total 10893.98 10218.15 93.80%
Grand Total 30221.61 28615.92 94.69%

Source: IRDAI

In terms of benefit amount paid against the claim, Aegon Life Insurance recorded a 99.37% claim settlement ratio. Aviva Life Insurance recorded a claim settlement ratio of 98.74%, according to IRDAI data. With a 98.09% claim settlement ratio, Bharti Axa Life Insurance came in the third position.

"The claims paid ratio by amount can be useful for policyholders who are more interested in the amount of money they might expect to receive if they file a claim," said Sanjiv Bajaj, Jt. Chairman & MD, Bajaj Capital.

To get a holistic idea about the claim-paying ability of the insurance company, a policyholder must check and compare both the claim settlement ratio by number and the claim paid ratio by benefit amount before buying the insurance policy.

( Originally published on Mar 01, 2024 )

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Latest claim settlement ratio of life insurance companies in India released in 2024 (2024)

FAQs

What is the claim settlement ratio for 2024? ›

Claim settlement ratio of life insurance companies 2024 (by amount) In terms of benefit amount paid against the claim, Aegon Life Insurance recorded a 99.37% claim settlement ratio. Aviva Life Insurance recorded a claim settlement ratio of 98.74%, according to IRDAI data.

Which life insurance has the best claim settlement ratio in India? ›

Which life insurance company has the highest claim settlement ratio? Max Life Insurance has the greatest claim settlement ratio in terms of claim number, with 99.34% for the fiscal year 2021-22. Exide Life Insurance and Bharti Axa Life Insurance came in second with a 99.09 percent death settlement percentage.

What is the claim settlement ratio for Kotak Life Insurance 2024? ›

The Claim Settlement Ratio (CSR) of Kotak Life Insurance for the financial year as per the IRDA Annual Report is 98.5%.

Which health insurance company has the best claim settlement ratio in India? ›

Best Health Insurance Companies in India
CompanyCLAIM SETTLEMENT RATIO (avg. of last 3 years)Gross Written Premium (2020-21)
HDFC Ergo97.5%₹4,281.6 Cr
Care90.75%₹2,559.75 Cr
Niva Bupa (erstwhile Max Bupa)90.66%₹1,750.78 Cr
Bajaj Allianz94.04%₹2,301.74 Cr
1 more row

What is the ideal claim settlement ratio? ›

To safeguard the financial future of your family:If the claim settlement ratio1 of an insurer is above 85%, you can consider them to be reliable. The more the ratio, the better is the performance of the insurer. If the ratio is more, you can be sure that your family's financial future is secure.

What is the 100 claim settlement ratio? ›

Claim Settlement Ratio is calculated as (total claims settled / total claims filed) multiplied by 100.

Which is the most profitable life insurance company in India? ›

What Are The Top 10 Life Insurance Companies In India 2024?
  • HDFC Life Insurance Company. ...
  • ICICI Prudential Life Insurance Company. ...
  • Life Insurance Corporation (LIC) India Company. ...
  • Max Life Insurance Company. ...
  • PNB MetLife India Insurance Company. ...
  • SBI Life Insurance Company. ...
  • TATA AIA Life Insurance Company.

What is the claim settlement ratio of Tata AIA? ›

TATA AIA provides a prompt and convenient process for settling claims. Their high Claim Settlement Ratio of 99.01% in the financial year 2022-22 shows that they settle claims quickly. TATA AIA also has a dedicated team available round-the-clock to assist with claims and other queries.

Which life insurance company has the highest customer satisfaction in India? ›

S.noInsurance CompanyCSR (2022-2023)
1.LIC of India98.74%
2.Max Life Insurance99.34%
3.HDFC Life Insurance98.66%
4.ICICI Prudential Life Insurance97.82%
6 more rows

What is the claim settlement ratio of HDFC Life Insurance? ›

HDFC Life has a claim settlement ratio of 99.5% over the fiscal year 2023-2024. During the fiscal year 2022-23, the claim settlement ratio of HDFC Life Insurance was 99.39%. This percentage is computed based on individual claims over total individual claims during the financial year.

What is the death claim settlement ratio of Bajaj Allianz Life Insurance? ›

The claim settlement ratio of Bajaj Allianz Life Insurance is 98.48% for the financial year 2021-22 as per IRDAI Annual Report. This is considered a high CSR which means for every 100 claims received, 98 claims are settled.

What is the claim settlement ratio for LIC? ›

The largest public sector company, the Life Insurance Corporation (LIC), holds a claim settlement ratio of 93.91% compared with 93.7% in Q2 and Q1 of FY 2024. HDFC Life is another key player in the private sector that has secured fourth place with a claim settlement ratio of 96.62%.

Which life insurance has highest claim settlement ratio in India? ›

Max Life Insurance has the highest claim settlement ratio in terms of the number of claims with 99.34 per cent for the year 2021-22. With a 99.09 per cent death settlement ratio, Exide Life insurance and Bharti Axa Life Insurance bagged the second position.

What is the claim settlement ratio for Tata AIG car insurance? ›

Tata AIG General Insurance Company is one of the most reputable car insurers in the market. Their car insurance services are excellent. One of the main reasons one should consider Tata AIG car insurance is its claim settlement process. Tata AIG car insurance claim settlement ratio is 98%.

What is the claim settlement ratio of HDFC Ergo? ›

As a result, the Company ensured an impressive HDFC ERGO health insurance claim settlement ratio of 95% in FY 2021-22. The claim settlement ratio (CSR) indicates the total claims paid compared to the total number of claims received.

What is the claim ratio for future insurance? ›

As per IRDA Annual Report of 2021-22, the Future Generali claim settlement ratio is 96.01%.

How do you calculate settlement ratio? ›

(Total number of claims settled in a year/ Total number of claims in a year) X 100 = Claim Settlement Ratio (CSR). For example, out of the 10,000 claims filed in 2019-2020, Company A settled 9,600 of them. As a result, its CSR will be 96% (9,600/10,000*100) for that year.

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