Last Updated on Feb 15, 2024 by Anjali Chourasiya

In a recent study, the percentage of people in India with a life insurance policy is 30 out of 100. Though the rural coverage rate stands at 8-10%, on the contrary, 78% of urban India is more inclined towards securing the future with life insurance. Several life insurance companies in India offer policies to individuals and families to meet the demand. In this blog, we will discuss the top life insurance companies in India based on the highest claim settlement ratio in life insurance.

What is life insurance?

Life insurance is a contract between an individual and an insurance company, where the insurer promises to pay a designated beneficiary a sum of money in exchange for a premium upon the death of an insured person. It’s essentially a financial safety net that helps protect your loved ones from financial burdens in the event of your untimely demise.

What is a claim settlement ratio?

The claim settlement ratio is a key metric that indicates the percentage of insurance claims an insurer has paid out during a financial year compared to the total claims received. It’s a vital indicator of the insurer’s reliability and commitment to fulfilling its promise, showcasing the best claim settlement insurance company’s performance.


List of the best life insurance companies with the highest claim settlement ratio in India

Life Insurance CompaniesClaim Settlement Ratio Q2- FY2024Claim Settlement Ratio Q1- FY2024
ICICI Prudential Life Insurance98.14%97.9%
TATA AIA Life Insurance90.55%77.3%
HDFC Life96.62%96.7%
Bajaj Allianz Life Insurance91.79%93.5%
Max Life Insurance95.90%86.3%
SBI Life Insurance95.67%95.8%
(Source: IRDAI Annual Report)

What is a good claim settlement ratio?

A good claim settlement ratio is typically above 95%, indicating that the insurer is reliable and has a high likelihood of settling claims. It reassures policyholders that their claims will likely be honoured, reflecting the best claim settlement life insurance company in India.


How is the claim settlement ratio of a life insurance company calculated?

The claim settlement ratio is a critical measure that helps policyholders understand the reliability of an insurance company in terms of settling claims. It’s calculated by taking the total number of claims the company has settled over a financial year and dividing it by the total number of claims it received during the same period. The result is then multiplied by 100 to express it as a percentage.

Example:

Imagine a life insurance company, XYZ Life, received 1,000 claims in the financial year 2023-24. Out of these, it successfully settled 950 claims. The claim settlement ratio would be calculated as follows:

Claim Settlement Ratio = (Total Number of Claims Received/Number of Claims Settled​)×100

Claim Settlement Ratio = (1000/950​)×100 = 95%

This 95% ratio signifies that XYZ Life settled 95 out of every 100 claims it received, showcasing a high level of reliability in claim settlement, typical of the top insurance companies in India claim settlement.

Why claim settlement ratio is important?

The importance of the claim settlement ratio lies in its ability to offer peace of mind to policyholders. It serves as a benchmark for assessing an insurer’s reliability and efficiency in processing and approving claims. A high claim settlement ratio indicates that the insurer is financially healthy, customer-centric, and trustworthy, making it more likely for your claim to be settled without hassles. It reassures policyholders that their beneficiaries are less likely to face issues during the claim process, ensuring financial security and support in times of need, underlining the significance of choosing the top 10 life insurance companies’ claim settlement ratio as a guide.

Types of life insurance claims

Life insurance claims can be broadly categorised into three types:

  1. Death Claims: These are the most common type of life insurance claims filed by the nominee or beneficiary upon the policyholder’s death. The claim amount, as agreed upon in the policy, is paid out to the beneficiaries, providing them financial support during a difficult time.
  2. Maturity Claims: When a life insurance policy reaches its maturity date, and the policyholder is alive, a maturity claim is filed. The policyholder receives the maturity benefit, which includes the sum assured along with any bonuses or profits as specified in the policy terms.
  3. Rider Claims: Insurance policies often come with optional riders, which are additional benefits that can be attached to the main policy for extra protection. Examples include critical illness riders, accidental death riders, and disability riders. Claims under these riders are filed in the event of the specific conditions or incidents covered by the rider.

Claim settlement process

The claim settlement process in life insurance is designed to be straightforward, yet it requires careful adherence to procedures to ensure smooth processing:

  • Notification: The first step involves notifying the insurance company about the claim as soon as possible. This includes providing preliminary details of the claim, such as the policy number and the nature of the claim (death, maturity, or rider).
  • Documentation: The insurer will require various documents to process the claim. These typically include the death certificate for death claims, the original policy document, claim forms, and identification proof of the beneficiaries, among others.
  • Evaluation: Upon receiving all necessary documents, the insurance company evaluates the claim to verify its validity. This process involves checking the policy terms, the documents submitted, and ensuring that there are no discrepancies.
  • Settlement: If the claim is approved, the insurance company proceeds with the settlement by disbursing the claim amount to the beneficiary or policyholder. The time taken for settlement can vary but is generally completed within 30 days of receiving all required documents, showcasing the efficiency of the top insurance companies in India claim settlement.

Documents required for claim settlement process

The documents required typically include:

  • Death certificate (for death claims)
  • Original policy document
  • Duly filled claim form
  • Identification proof of the beneficiary
  • Any other documents specified by the insurer, such as medical reports or a post-mortem report, if applicable, ensure transparency and reliability akin to the best claim settlement insurance company.

Common reasons that may reject your life insurance claim

Claims can be rejected for several reasons, including:

  • Non-disclosure of Medical History: Failing to disclose existing medical conditions at the time of policy purchase can lead to claim rejection, a practice taken seriously by the best claim settlement life insurance company.
  • Policy Lapse: If the policy has lapsed due to non-payment of premiums, the claim may not be honoured, a standard policy among life insurance companies.
  • Exclusions: Deaths due to certain causes, such as drug overdose or participation in illegal activities, might be excluded from coverage, as outlined by life insurance companies in India.
  • Misrepresentation: Providing false information or misrepresenting facts about the insured can result in claim denial, underscoring the importance of honesty with your life insurance company.

Understanding these factors and ensuring compliance with policy terms can significantly reduce the chances of claim rejection, securing the financial future of your loved ones.

6 factors to evaluate before buying a life insurance policy

Life insurance is designed to keep you and your family secure; therefore, it is important to do the due diligence before buying a life insurance policy. Here are six things that you need to think about before purchasing the policy – 

  1. Goal: Define whether your aim is tax saving or securing your family’s future, guiding you to policies offered by the top 10 life insurance companies in India that meet your objectives.
  2. Price of the insurance plan: Ensure the policy’s cost fits your budget, comparing the top 10 life insurance companies claim settlement ratios for the best value.
  3. Claim settlement ratio: High CSR indicates efficient claim resolution, characteristic of the best claim settlement insurance company.
  4. Solvency margins: Indicates financial stability, important when selecting among the top insurance companies in India claim settlement.
  5. Service quality: Evaluate the insurer’s customer service, a hallmark of the best claim settlement life insurance company.
  6. Online reviews and ratings: Reflects customer satisfaction and can guide you towards the top 10 life insurance companies in India.

To wrap up

Selecting the right life insurance company in India is pivotal for your financial security. Consider the highest claim settlement ratio in life insurance when choosing, ensuring the insurer aligns with your financial goals and offers adequate coverage. Life insurance is a commitment to your and your family’s future, necessitating careful selection of the life insurance companies that best meet your needs.

FAQs about life insurance companies in India

1. How many life insurance companies are in India?

IRDAI has authorised 24 life insurance companies in India to offer life insurance plans.

2. Which is the best life insurance plan for me?

Choosing a life insurance plan from a well-known provider is advisable, but keep in mind that every company and policy has advantages and disadvantages. Therefore, before deciding, you should evaluate your unique life situation and requirements to determine the most suitable option. In addition, keep in mind that life insurance plans are subjective, so a plan that is beneficial for one person may not be as advantageous for someone else. Therefore, make your decision after thorough consideration.

3. What are the reasons for purchasing life insurance from an insurance company?

One should consider purchasing a life insurance policy to secure their family’s financial well-being after their death. 

4. What is the timeframe for receiving a claim payout?

Typically, the process is completed within 30 days post-document submission, a standard among top insurance companies in India claim settlement.

5. What are the key points to remember while checking the life insurance claim settlement ratio?

When evaluating life insurance claim settlement ratios, focusing on consistency, comparing ratios across insurers, considering the company’s financial health, and understanding how it reflects on reliability and customer service efficiency can help you find the best claim settlement insurance company. 
Anjali Chourasiya
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