Claim Settlement Ratio

Claim settlement ratio or CSR of an insurance company is the ratio of the number of claims settled vs the number of claims filed in a year. Commonly it is used as “The claim settlement ratio of ABC insurance company is 93%”. That means, out of every 100 claims filed the company paid for 93 claims. This data about any insurance provider is publicly available and is verified by IRDAI.

The claim settlement ratio indicates the credibility of the insurance company. The ratio shows the number of claims the insurance company has settled in a year’s time out of the total claims filed.

In simple words, an insurance company does not pay all the claims that are filed. Some claims are rejected on basis of the terms and conditions to which the policyholder agreed at the inception of the policy. The claim settlement ratio compares the claims filed, and the claims settled. Therefore, the claim settlement ratio of an insurer is an important parameter that customers take into account while buying an insurance policy.

Buying life insurance fails if the claim settlement ratio is poor and the insurance company does not address the claim request. This is why concentrating on the claim settlement ratio is essential. Below is the formula for the claim settlement ratio:

Claim settlement ratio = Total number of claims settled in a year / total number of claims in a year) X 100.

Suppose an insurance company named XYZ had settled 9800 claims out of 10,000 claims reported in the year 2021-22. Therefore, the Claim Settlement Ratio (CSR) for the insurance company will be 98% [(9800/10000)X100]. So there are chances that customers will choose XYZ as their insurer because of this high claim settlement ratio as compared to other insurance companies available in the market.