Claim Settlement Ratio – Why Is It Important?

Claim Settlement Ratio – Why Is It Important?
Claim Settlement Ratio – Why Is It Important?
09 August 2024

Go for a life insurer that keeps its promise

In the realm of life insurance, the claim settlement ratio serves as a crucial benchmark for assessing a life insurer's reliability and commitment to policyholders. Among the private life insurance industry players, HDFC Life has consistently demonstrated a noteworthy performance in this aspect, earning the trust and confidence of its policyholders. In FY24, HDFC Life achieved a claim settlement ratio of 99.50%*, disbursing Rs. 1,584 crores for 19,338 policies. The company has consistently performed well in this area, with claim settlement ratios of 98.66% in FY’22 and 99.39% in FY’23, in retail claims.
*Individual death claim settlement ratio by number of policies as per audited annual statistics for FY24.

Understanding Claim Settlement Ratio

The claim settlement ratio represents the percentage of claims approved by a life insurance company out of the total claims received during a specific period. For HDFC Life, a relatively higher claim settlement ratio reflects the Company’s dedication to honouring its commitments towards providing timely financial support to its policyholders and their families, when they need it the most.

The Reality of Claim Rejections

While a high claim settlement ratio is commendable, it's important to acknowledge that not all claims are approved. Common reasons for claim rejections include non-disclosure of material information during policy application which could have had a major influence on the policy issuance decision, such as pre-existing medical conditions or lifestyle habits, and failure to make timely premium payments, leading to policy lapses.

Tips to Prevent Claim Rejections

To minimise the risk of claim rejections/repudiations, policyholders should ensure that they provide accurate and complete information during the application process. It's essential to disclose any pre-existing medical conditions or lifestyle habits truthfully to avoid potential claim disputes. Additionally, staying vigilant about premium payments and renewing the insurance policies on time is crucial for maintaining continuous coverage.

The Importance of Long-Term Life Insurance Coverage

Life insurance products are designed to provide long-term financial protection offering a safety net for individuals and their families in times of need.

By staying insured throughout the policy period, policyholders can mitigate the financial risks associated with unforeseen events such as illness, disability, or premature death. This ensures that loved ones are adequately safeguarded, even in the unfortunate event of the policyholder's demise.

Navigating Life's Uncertainties

Life is unpredictable and unforeseen circumstances can have a significant impact on one's financial well-being. Factors such as morbidity, mortality, longevity, and fluctuating interest rates can adversely impact one's finances. Hence there is a strong need for a product that can act as a financial safety net.

Being un-insured or underinsured leaves individuals vulnerable to financial challenges in the event of emergencies or accidents. It is essential to assess insurance needs thoroughly and invest in suitable products that offer comprehensive coverage tailored to individual requirements.

HDFC Life's consistent claim settlement ratio is a testament to the Company’s commitment towards customer satisfaction and as a provider of financial security.

By understanding the factors contributing to claim rejection and taking proactive measures to mitigate risks, policyholders can ensure effective financial protection for themselves and their loved ones, both now and in the future.

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