Claim Settlement Ratio of 99.23%~

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Under Section 80C & 10(10D) of Income Tax Act, 1961*
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₹2 Cr Term Plan
@ 25/Day²
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upto ₹ 14,000 p.a.^

Disclaimer:

2 Above illustration is for Bajaj Allianz Life eTouch- A Non Linked, Non-Participating, Individual Life Insurance Term Plan (UIN: 116N172V04) considering Male aged 22 years | Non-Smoker Preferred | Annual Income =>Rs. 15,00,000 per annum | Indian Resident | Policy Term (PT)– 30 years | Premium Payment Term (PPT) – 30 years | Sum Assured opted is Rs. 2,00,00,000 | Online Channel | Standard Life | 1st Year Premium is Rs. 8,469. 2nd Year onwards premium is Rs. 9,041. Total Premium Paid is Rs. 2,70,658 | Medical Rates | Yearly Premium Payment Mode | Death benefit opted is lumpsum payout and monthly instalments (Lumpsum Payout Percentage : 45, Income Payout Percentage : 55) | Premium shown above is inclusive of Online Discount only and exclusive of Goods & Service Tax/ any other applicable tax levied, subject to changes in tax laws, and any extra premium and is for illustrative purpose only.

**5% Discount applicable for customer's first individual life insurance policy, applicable only on first year’s premium. 5% Discount for salaried customers, applicable only on first year’s premium. 6% Discount on online purchase is available for regular premium payment and limited premium payment frequency, applicable only on first year’s premium 1% Discount will be available for all policies where premium payment is under auto-debit process (as allowed by RBI from time-to-time) through-out the premium paying term.

*Tax benefits as per prevailing Section 10(10D) and Section 80C of the Income Tax Act shall apply. You are requested to consult your tax consultant and obtain independent advice for eligibility before claiming any benefit under the policy. Above Tax benefit is calculated considering deduction of Rs. 150,000 and applicable tax rate of 31.20%.

^Get Free Benefits up to ₹ 14,000 per year

S No. Value Added Service Frequency Cost (₹)
1 Doctor Teleconsultations Consultation per month
= 24 consultations per year
Average cost per session = ₹500
Total cost per year = ₹500 * 2 * 12 = ₹1200
2 Network Discounts
Medicines (M) - 10%, Lab Booking (L) - 10%,
In-Patient Hospitalization (P)- 5%,
Out-Patient Consultation (O) - 10%
Throughout the year
Assumption - Total
Expenses of these
throughout the Year
Total Discounts that
can be availed
throughout the year
M - ₹5,000 ₹500
L - ₹5,000 ₹500
O - ₹5,000 ₹500
P - ₹10,000 ₹500
Total per year as per assumptions ₹ 14,000

Note: The above mentioned costs are based on estimated average market price for respective services.

Bajaj Allianz Life Insurance Co. Ltd. | IRDAI Reg. No. 116

BJAZ-OT-EC-08343/24

Claim Settlement Ratio

The claim settlement ratio is an important metric that helps evaluate an insurance company’s credibility be reflecting its claim resolution history.

The claims paid ratio or the claim settlement ratio is computed by dividing the total number of claims settled by an insurer by the total number of claims received by the insurer in a given year.. Read More

In order to receive the payout from the policy in case of an unfortunate event, your beneficiaries will need to raise a claim with the insurance company from whom you have purchased the plan. The insurer will evaluate the claim application and then pay out the sum assured in case the claim is genuine and policy was in force, when the said event occurred. This process forms the basis of the claim settlement ratio of an insurer. Read Less

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Written ByShruti Gujarathi
AboutShruti Gujarathi
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Shruti Gujarathi has 5 years of experience in the BFSI sector, and as Manager- Digital Marketing at Bajaj Allianz Life Insurance, manages digital and content marketing. She has had hands-on experience in content strategy, performance marketing and Strategic Alliances over a career spanning 10 years.
Reviewed ByRosy Pathak
AboutRosy Pathak
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Rosy Pathak, AVP- Product and Brand Marketing at Bajaj Allianz Life Insurance carries over 17 years of experience in Marketing and a demonstrated history of working in the insurance industry. She is skilled in Product Management, Planning and Strategy, Project Management, Marketing and Communication.

What Is Good Settlement Ratio

The Claim Settlement Ratio denotes the percentage of claims that an insurer has paid vis-à-vis the total claims made on it in a financial year. For instance, if an insurance company receives 100 claims and settles 90 of them, the Claim Settlement Ratio would be 90%.

A good Claim Settlement Ratio is one that is as close to 100% as possible. This would mean that the insurance company has settled most of the claims that were presented on it. This would indicate a quicker claim settlement process which would foster trust in the insurance company.

Why Is Claim Settlement Ratio Important

The Claim Settlement Ratio is an important parameter when comparing insurance companies. Here are some reasons why1

Trust in Insurance Company

Fosters trust in insurance company

A company attains a high Claim Settlement Ratio by settling its claims. This shows that the company is reliable in times of claim and increases the claim settlement probability for policyholders. This fosters trust among policyholders.

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Transparency

Promotes transparency

The Claim Settlement Ratio is published every year. This gives transparency to policyholders as they can review the claim settlement history of insurance companies and choose the right company.

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Credibility

Shows credibility

An insurance company maintaining a consistently high Claim Settlement Ratio is seen as a credible company which honours most of its claims. This also increases the reputation and goodwill of the company and can make it a preferred choice among customers.

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Customer First Approach

Shows customer-first approach

A company having a high Claim Settlement Ratio can be seen as one that keeps its customers first which is why it settles their claims easily. This makes prospective policyholders more likely to choose the insurer over others.

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How Is the Term Insurance Claim Settlement Ratio Calculated?

The term insurance claim settlement ratio is calculated using a simple formula as follows –

Claim Settlement Ratio (CSR) = (total number of claims paid in a given year / total number of claims raised in the year) X 100

For instance, in a financial year, if 100 claims are raised on the insurance company out of which the company has paid 95 claims, the term plan claim settlement ratio would be calculated as – (95 / 100) X 100 = 95%

Documents Required

Some of the documents required for death claims are as follows –

  • The original policy document
  • Attested copy of the death certificate issued by the local authorities
  • The claim form, filled and signed
  • An NEFT Mandate form is signed by bank authorities for direct transfer of death claim. Else, the claimant can also submit a copy of the cancelled cheque or bank passbook
  • A photo identity and address proof of the nominee is also required like the Aadhaar Card, passport, voter’s ID card, etc.

In the case of medical or natural death, the following additional documents would be required –

  • Copy of the medical records of the insured like the discharge summary, admission notes, etc.
  • Statement from the attending physician in the form issued by the insurance company
  • Employer’s certificate, if applicable

In the case of accidental deaths, the following additional documents would be required–

  • Police FIR, panchnama or police complaint
  • Post mortem report
  • Final police investigation report, if any

Please note, that the list of documents required may differ from insurer to insurer. Please check with your insurer for more details.

Claim Settlement Process

The claim settlement process of a death claim under a term insurance plan is as follows –

Step Description
1. Report the Claim In case of an unfortunate event, covered under the policy, the nominee or any other claimant should inform the insurance company of the same. This is called reporting the claim.
2. Fill the Claim Form To inform the insurance company, the claimant should fill out and submit the claim form. The form is usually available on the insurer’s website and also at the branch office.
3. Attach Required Documents The claim form should be attached with a set of relevant documents.
4. Document Verification Once the form is submitted, the insurance company reviews the claims and verifies the documents. If any document is missing, the insurer sends a notice to submit the missing document within the specified time.
5. Decision on the Claim Once the documents are verified, the claim is settled or rejected. In the case of claim rejection, the insurance company cites the reason for rejection.
6. Return of Premium on Maturity In the case of the return of premium term insurance plans, the insurance company usually sends a discharge voucher before the maturity date. You have to fill out the voucher and send it to the insurer for a refund of the premium on maturity.

Factor Influencing Claim Settlement Ratio Plain

Some of the factors that may affect the Claim Settlement Ratio of insurance companies are as follows2

Underwriting practices

Underwriting practices

Insurance companies that follow strict underwriting practices issue the policy knowing the expected risks. This reduces the chances of fraud and claims are settled easily. The correctness of claim settlements means a higher Claim Settlement Ratio by reducing the likelihood of future fraudulent claims³.

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Claim process

Claim process

Insurance companies having a simple claim process settle their claims quickly. This is because policyholders have to follow simple steps for claim settlement and their payout may be credited quickly.

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Customer service

Customer service

Insurance companies with a dedicated customer care platform to handle claim-related queries can settle claims quickly. Open communication could lead to a better customer experience and could favourably impact Claim Settlement Ratio³.

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Why Bajaj Allianz Life Insurance ?

Bajaj Allianz Life, one of India's leading Private Insurer, committed to offer value packed and innovative products to meet you Life Goals

99.23%

Claim Settlement Ratio~

1 Day

Claim Approval%

AAA

CARE Stable Rating$

₹1,09,829Cr

Assets Under Management (AUM)**

4.19 Cr

Number of Lives Covered#

432%

Solvency Ratio^

Disclaimer:~Individual Death Claim Settlement Ratio for FY 2023-2024, %96.70% of non-investigative individual claims approved in one working day for FY 2023-24. 1 day is counted from date of intimation of claim before 3 PM on a working day (excluding Non-NAV days for ULIP) at Bajaj Allianz Life offices, $For details refer to press release published by CARE**All figures as on 31 March 2024, ^Solvency ratio 432% as at 31 March 2024 against IRDAI mandated 150%, #Individual Group.

Conclusion

The claim settlement process is crucial to get your family through tough times. It is also important to have all the necessary documents in order, so your beneficiaries do not face any hassles when raising a claim with the insurer. Ultimately, the claim settlement ratio is an important factor to consider when you buy term insurance.

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I am a happy customer who is satisfied with the after sales service. I have full trust in Bajaj Allianz Life Insurance Company.
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References:

  1. https://www.livemint.com/insurance/why-is-looking-at-a-life-insurance-company-s-claims-settlement-ratio-important-explore-key-reasons-irdai-11709228758950.html
  2. href="https://www.insurancesamadhan.com/blog/behind-the-numbers-the-role-of-claim-settlement-ratio-in-term-insurance/#Factors_Affecting_CSR">https://www.insurancesamadhan.com/blog/behind-the-numbers-the-role-of-claim-settlement-ratio-in-term-insurance/#Factors_Affecting_CSR
  3. https://www.indmoney.com/articles/insurance/term-insurance-claim-settlement-ratio
Disclaimers:
Plus Symbol
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The views stated in this article are not to be construed as investment advice and readers are suggested to seek independent financial advice before making any investment decisions. For more details on risk factors, terms and conditions please read the sales brochure & policy document (available on www.bajajallianzlife.com) carefully before concluding a sale. Bajaj Allianz Life Insurance Company Ltd., Regd. office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006, Reg. No.: 116, CIN: U66010PN2001PLC015959, Call us on toll free No.: 1800 209 7272, Mail us: customercare@bajajallianz.co.in

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Disclaimer

~Individual Death Claim Settlement Ratio for FY 2023-2024

%96.70% of non-investigative individual claims approved in one working day for FY 2023-24. 1 day is counted from date of intimation of claim before 3 PM on a working day (excluding Non-NAV days for ULIP) at Bajaj Allianz Life offices

$For details refer to press release published by CARE

#Individual & Group

Bajaj Allianz Life Insurance Co. Ltd | IRDAI Reg No.116

X
Disclaimer

Bajaj Allianz Life eTouch- A Non Linked, Non-Participating, Individual Life Insurance Term Plan (UIN: 116N172V04)

*Tax benefits as per prevailing Section 10(10D) and Section 80C of the Income Tax Act shall apply. You are requested to consult your tax consultant and obtain independent advice for eligibility before claiming any benefit under the policy.Above Tax benefit is calculated considering deduction of Rs. 150,000 and applicable tax rate of 31.20%.

~Individual Death Claim Settlement Ratio for FY 2023-2024

1Premium Holiday has to be selected at inception to avail this benefit and also depends on other policy terms & conditions


Bajaj Allianz Life Insurance Co. Ltd. | IRDAI Reg. No. 116

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99.23% Claim Settlement Ratio~
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