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The Claim Settlement Ratio (CSR) is a crucial metric used to measure an insurer's credibility and reliability. This ratio represents the percentage of claims settled versus the total number of claims filed with the insurance company. It also helps you gauge your chances of having a seamless experience on filing a claim.


On Bajaj Markets, you can choose from insurance companies with some of the best settlement ratios in health insurance of up to 99.41%.

What is the Claim Settlement Ratio of Health Insurance Companies?

Consider this example: Say a company settles 98 claims against 100 claims filed. Then the CSR will be 98%. Choose insurers with high ratios as it indicates a higher likelihood of benefitting from your health coverage during times of need.

 

The Insurance Regulatory and Development Authority of India (IRDAI) publishes this ratio of registered insurance companies every year. You can also find this information on the insurer’s official website.

Health Insurance Plans Available on Bajaj Markets

Before buying a medical policy, compare the CSR of your shortlisted insurers. Check the table below to see these details about some of the top insurance providers whose health plans available on Bajaj Markets:

Insurance Partner

Health Insurance Plan

Premium Price (Starting From)

Claim Settlement Ratio

TATA AIG

TATA AIG

₹612/month

96.43%

Aditya Birla Health Insurance

Group Activ Health

₹575/month

99.41%

Bajaj Allianz Health Insurance

Health Guard Gold

₹492/month

98%

Aditya Birla Health Insurance

Base Policy

₹683/month

99.41%

Bajaj Allianz General Insurance

Family Health Care Gold

₹266/month

98%

Care Health Insurance

Care Health Insurance

₹672/month

87.1%

Aditya Birla Health Insurance

Enhanced Policy

₹732/month

99.41%

Aditya Birla Health Insurance

Super Top Up

₹433/month

99.41%

Bajaj Allianz Health Insurance

Health Guard Silver

₹333/month

98%

Bajaj Allianz Health Insurance

Health Guard Platinum

₹546/month

98%

Bajaj Allianz General Insurance

Extra Care Plus

₹160/month

98%

Disclaimer: The information is subject to change as per updates from insurance companies.

Importance of Claim Settlement Ratio in Health Insurance

Before buying a medical policy, compare its inclusions, exclusions, waiting period, and other terms. Don’t miss checking the claim settlement ratio of health insurance companies either as this number:

  • Serves as an efficient metric for comparing various health insurance companies

  • Provides details about the company's capability and willingness to settle claims

  • Examines how consistently insurance companies process claims

Health Insurance Companies with High Claim Settlement Ratios in India

Here is the CSR of insurance companies for 2023-24, according to the latest IRDAI report:

Public Sector Companies

CSR

The Oriental Insurance Co. Ltd.

91.62

National Insurance Co. Ltd.

91.31

United India Insurance Co. Ltd.

91.10

The New India Assurance Co. Ltd.

90.73

Private Sector Companies

Reliance General Insurance Co. Ltd.

98.75

HDFC ERGO General Insurance Co. Ltd.

98.59

Zuno General Insurance Co. Ltd.

98.54

ICICI Lombard General Insurance Co. Ltd.

98.53

Acko General Insurance Ltd.

97.68

Kotak Mahindra General Insurance Co. Ltd.

97.61

Liberty General Insurance Ltd.

97.46

Raheja QBE General Insurance Co. Ltd.

97.30

Go Digit General Insurance Ltd.

96.83

SBI General Insurance Co. Ltd.

96.47

Royal Sundaram General Insurance Co. Ltd.

96.17

Tata AIG General Insurance Co. Ltd.

95.46

Navi General Insurance Ltd.

95.13

Future Generali India Insurance CO. Ltd.

94.98

Magma HDI General Insurance Co. Ltd.

94.72

Cholamandalam MS General Insurance Co. Ltd.

93.63

Bajaj Allianz General Insurance Co. Ltd.

93.54

Universal Sompo General Insurance Co. Ltd.

91.58

IFFCO Tokio General Insurance Co. Ltd.

90.65

Shriram General Insurance Co. Ltd.

86.86

Specialised Insurers

Agriculture Insurance Co. of India Ltd.

47.17

ECGC Ltd.

58.98

Stand-alone Insurers

Care Health Insurance Ltd.

100.00

Niva Bupa Health Insurance Co. Ltd.

100.00

ManipalCigna Health Insurance Co. Ltd.

99.96

Star Health and Allied Insurance Co. Ltd.

99.21

Aditya Birla Health Insurance Co. Ltd.

99.01

Reliance Health Insurance Ltd.

87.50

Disclaimer: The CSR figures listed above consider the claims settled within the first 3 months of initiating the claim in 2023-24. 

Health Insurance Plans Available at Bajaj Markets

Frequently Asked Questions

Which health insurance has the highest claim settlement ratio?

As per the latest report of the IRDAI, Care Health Insurance Ltd., and Aditya Birla Health Insurance Co. Ltd. are a few companies with high CSR for 2023-24. These companies have a health insurance claim settlement ratio of 100% and 99%, respectively.

Which company is best for health insurance?

The best insurer for you will depend on what you need. Some factors to consider are customer reviews, the claim process, and the claim settlement ratio. In 2024, the Aditya Birla Activ Fit Health Insurance is considered to be one of the top plans for individuals. The Bajaj Allianz Criti Care Policy is one of the best covers for critical illness. 

What is the best claim settlement ratio as per the IRDA?

There is no set CSR that indicates that the insurer is the best. That said, if the claim settlement ratio of health insurance companies is over 85%, they are considered to be good. If the ratio is above 90%, they are considered to be exceptional. 

What is a good claim settlement ratio?

Ideally, a health insurance claim settlement ratio of over 85 is considered good because it implies the insurer is reliable. There are several insurance companies that have a CSR of over 90%. They include Bajaj Allianz General Insurance Co. Ltd., TATA AIG Health Insurance, Care Health Insurance Ltd., and Aditya Birla Health Insurance Co. Ltd.

How to understand the claim settlement ratio?

CSR denotes how many claims the insurer settles against the claims filed. If the ratio is 99%, the insurer has cleared 99 claims out of 100, meaning only one was rejected. This shows that the probability of your claim being cleared is high.

Is there a specific CSR to look for when choosing a health insurance company?

While there is no fixed CSR to go for, choose one with a high health insurance claim settlement ratio to be on the safer side. Consider customer reviews, the claim process, and policy inclusions, along with your needs, to make your final decision.

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