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 in 2024? ›

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 the best claim settlement ratio in India? ›

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.

What is the solvency ratio in insurance 2024? ›

The Solvency ratio denotes the excess assets over liabilities of a life insurer and is mandated to be at 1.5 by the IRDAI.

What is the ideal claim settlement ratio? ›

A claim settlement ratio of over 85% is a good sign, indicating that the insurer is reliable. To find out how persistent policyholders have been renewing their policies, look at an insurer's persistence ratio. It demonstrates the policyholder's confidence in the long-term insurance goods and services available.

What is the insurance forecast for 2024? ›

We raise our premium growth estimate to 7.0% for 2024 (from 5.5%) and forecast 4.5% growth in 2025. We forecast industry ROE of 9.5% in 2024 and 10.0% in 2025. Personal lines are the anticipated key driver of growth this year; commercial lines are bifurcated, with strong property growth offset by weak liability growth.

What is the trend in reinsurance in 2024? ›

2024 will see an influx of reinsurers either entering or putting more capacity behind cyber-related products and prices have significantly softened as a result. Historically, cybersecurity insurance was focused on protecting large corporations, but the landscape is shifting.

What is the claim settlement ratio for Tata AIG? ›

Tata AIG Health Insurance Claim Settlement Ratio

Tata health insurance has a claim settlement ratio of 93.55.

What is the HDFC claim settlement ratio? ›

HDFC has a claim settlement ratio of 99.39% over the fiscal year 2022-23. This is by far the highest number that HDFC Life Insurance has achieved to date when compared with previous years.

How do you calculate claim settlement ratio? ›

How is claim settlement ratio calculated? Claim settlement ratio is calculated by dividing the total number of claims settled by the total number of death claims volume.

What is the average life settlement? ›

But it's less than the actual death benefit. It's typical for a life settlement to pay anywhere from 10% to 25% of the policy benefit amount. So if you were to sell a $200,000 policy you may get anywhere from $20,000 to $50,000 in cash.

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