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    FAMILY PROTECTION

    Know How Check the Claim Settlement Ratio

    Last Updated On 07-08-2020

    Purchasing a life insurance policy is an integral means of financial security in the event of any unfortunate emergency. When individuals buy life insurance, they aim to secure the family and loved ones from any financial hardships that might arise in the event of the policyholder’s unexpected demise.

    Most people usually buy life insurance policy by merely comparing the premium amount which they would need to pay and thereafter, finalize on their insurance policy. However, this is usually not the correct assessment of selecting the ideal plan for you. Several factors such as the insurance provider’s brand and reputation, product suitability as per your needs, customer service, claim settlement ratio, the financial standing of the insurer, and other aspects need to be looked as closely.

    One of the most critical parameters to consider your insurance provider is their claim settlement ratio. This is the aspect where many huge players also may not match up to your expectations. Policyholders need to take into consideration that the actual moment of truth for any insurance holder is at the time of claim settlement. This is where your claim settlement ratio comes into play.

    What is Claim Settlement Ratio?

    The ratio of the number of claims settled by the insurance company to the number of claim intimations filed with them is the claim settlement ratio. In simple words, it is the percentage of claims and insurance settlement made by the insurance provider in the year. Higher the claim settlement ratio, higher the probability of your claim actually getting settled. Thus, a higher ratio builds more confidence in the minds of the consumers for the company when they buy a life insurance policy.

    Importance of checking Claim Settlement

    The claim settlement ratio reflects the company’s risk management ability and how effectively it can wipe out incorrect or non-genuine claim settlements. Further, life insurance that are protection policies with no savings component are more prone to risk and frauds and therefore, have a relatively low claim settlement ratio. Therefore, when comparing claim settlement ratios of insurers’, it is important that you take into consideration the vintage, book size, product type, and the experience/ brand value. This will provide you with a more realistic picture. 

    In addition to the claim settlement ratio, it is also integral that you analyze the amount of time it takes an insurer to do an insurance settlement. 

    Claim Settlement Reports by IRDAI

    The Insurance Regulatory and Development Authority of India (IRDAI) has issued a circular stating that insurance companies need to separate the claim settlement percentages for group and individuals. This will avoid reflecting an inaccurate picture to the customer. Further, you can check the claim settlement ratio for insurance companies for individual and groups through the IRDAI’s Annual. This ratio is also highlighted on the website of every insurance company specifically or a consolidated report on the Insurance Web aggregator’s websites. It is, however, still advisable that you view these figures on the IRDAI annual report since they have a set method of calculation for arriving at this insurance settlement ratio.

    From this annual report, you can also get information pertaining to the claims pending, claims booked, total claims, claims rejected, claims approved, unclaimed, the break-up of claims depending on the policies, and claims at the end of the year.

    You can download the IRDAI annual report, either in English or Hindi, by merely going on the IRDAI website (https://www.irdai.gov.in/) and click on the “Reports” tab on the left column. Thereafter, select the “Annual Reports of the Authority” option and download the PDF of the same for the specific financial year that you desire.

    Summing Up

    As a first-time insurance buyer, it is important that you look at various criteria before shortlisting on your preferred choice. Your life insurance cover should be at least 10-15 times of your annual income. Also, check the kind of product and features best suited to your needs, premium, and lastly the claim settlement ratio and claim settlement time. It is integral that you buy a life insurance policy that will adequately compensate for the financial and income loss to your family keeping in mind factors such as inflation, fluctuating interest rates, and future expected income.      

    Know more about Term Insurance & Term Plan by visiting PNB MetLife website.

    Disclaimer:

    The aforesaid article presents the view of an independent writer who is an expert on financial and insurance matters. PNB MetLife India Insurance Co. Ltd. doesn’t influence or support views of the writer of the article in any way. The article is informative in nature and PNB MetLife and/ or the writer of the article shall not be responsible for any direct/ indirect loss or liability or medical complications incurred by the reader for taking any decisions based on the contents and information given in article. Please consult your financial advisor/ insurance advisor/ health advisor before making any decision.

    PNB MetLife India Insurance Company Limited
    Registered office address: Unit No. 701, 702 & 703, 7th Floor, West Wing, Raheja Towers, 26/27 M G Road, Bangalore -560001, Karnataka.
    IRDAI Registration number 117 | CIN U66010KA2001PLC028883
    PNB MetLife Mera Term Plan is an Individual Non-Linked, Non-Participating, Pure risk premium Life Insurance Plan | Product UIN Number – 117N092V03
    #Maximum maturity age: 99 years for all options (except Joint Life cover option), Joint Life Cover option: 75 years (applicable for both Primary & Secondary life).
    For more details on risk factors, please read the sales brochure and the terms and conditions of the policy, carefully before concluding the sale.
    Goods and Services Tax (GST) shall be levied as per prevailing tax laws which are subject to change from time to time.
    The marks "PNB" and "MetLife" are registered trademarks of Punjab National Bank and Metropolitan Life Insurance Company, respectively. PNB MetLife India Insurance Company Limited is a licensed user of these marks.
    Call us Toll-free at 1-800-425-6969.. Phone: 080-66006969, Website: www.pnbmetlife.com, Email: indiaservice@pnbmetlife.co.in or Write to us: 1st Floor, Techniplex -1, Techniplex Complex, Off Veer Savarkar Flyover, Goregaon (West), Mumbai – 400062, Maharashtra. Phone: +91-22-41790000, Fax: +91-22-41790203

    AD-F/2020-21/00199

    BEWARE OF SPURIOUS PHONE CALLS AND FICTIOUS /FRAUDULENT OFFERS
    • IRDAI is not involved in activities like selling policies, announcing bonus or investment of premiums. Public receiving such phone calls are requested to lodge a police complaint.

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    Disclaimer

    Collapsed Expanded

    As your trusted life insurance partner, PNB MetLife is with you amidst the current COVID-19 outbreak. Our policies also cover COVID-19 Claims. In case of a Death Claim, kindly submit the signed Claim Intimation Letter mentioning the policy number, brief of the insured event and other claim documents on the email mentioned herewith. Please write-in to us at claimshelpdesk@pnbmetlife.com or indiaservice@pnbmetlife.co.in. You can also call us on 1800-425-6969 for death claims intimations and for any queries on Monday - Saturday between 10:00 am - 7:00 pm.

    PNB MetLife Insurance, amongst the trusted Life Insurance companies in India, aims to provide a wide range of Life Insurance products that suits the needs of an individual at every stage of his life. Life Insurance Plans range from Term Life Insurance PlansTerm PlanProtection PlansLong Term Savings Plans , Retirement Plans & Child Education Plan.

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