Claim Settlement Ratio (CSR) is a key metric that is used to measure the performance of an insurance company. It is a ratio of the number of claims that an insurance company settles to the number of claims it receives. In other words, it is a measure of how efficiently an insurance company processes and settles claims.
A high CSR of an insurance company indicates that the company is settling many claims and is therefore considered to be more reliable and trustworthy. A low CSR, on the other hand, suggests that the insurance company is not settling claims efficiently and may be facing financial difficulties.
CSR is important for policyholders as it gives them an idea of how likely they are to receive a payout in the event of a claim. It also helps them choose between different insurance companies. Policyholders should look for insurance companies with a high CSR, as this indicates that the company is more likely to settle claims in a timely and efficient manner.
Factors that can Affect Claim Settlement Ratio of a Company
There are several factors that can affect an insurance company's CSR.
- One of the most important factors is the company's financial stability. Insurance companies with a strong financial position are more likely to be able to settle claims promptly and efficiently.
- Additionally, companies with a good reputation and a long history of providing insurance services are also more likely to have a high CSR.
- Another important factor that can affect CSR is the type of insurance being offered. Some types of insurance, such as health insurance, are more complex and may take longer to process and settle claims. This can result in a lower CSR for these types of insurance.
- The claims process also plays an important role in determining an insurance company's CSR. A company that has a streamlined claims process, with clear and concise instructions for policyholders, is more likely to settle claims quickly and efficiently. This can lead to a higher Claim Settlement Ratio.
Claim Settlement Ratio can also be affected by the company's claims settlement practices. Some insurance companies may use underhanded tactics to avoid settling claims or to settle them for less than they are worth. This can result in a lower CSR and may lead to policyholders being left with unpaid or underpaid claims.
For example, a new insurance company may have a high claim settlement ratio of 97% (97 claims settled out of 100), but if they have only received a small number of claims compared to another company, it may not be as reliable. Additionally, the number of claims pending or rejected also needs to be considered. A policyholder should not solely rely on the claim settlement ratio, but also consider the number of claims received and the size and age of the insurance company.
Process to File Claims
The process of claim settlement is relatively easy for policyholders, with multiple options for reporting claims such as online, at branches, central office, helpline, SMS, or email. You can report a Claim at any of our touchpoints:
- Online at https://www.edelweisstokio.in/claim/intimation
- Alternatively, you can call us on our Toll Free 1800 212 1212 Or, Email us at claims@edelweisstokio.in
- Visit our nearest branch (When Operational)
- Write to us at: Edelweiss Tokio Life Insurance Co. Ltd. Claims Team, 6th Floor, Tower 3, B wing, Kohinoor City, Kirol Road, Kurla (w), Mumbai – 400070.
To ensure a swift claim approval process, it is recommended that policyholders submit all necessary documents as soon as possible. The goal of the claim settlement process should be to make it as easy and stress-free as possible for the policyholder and their family. With advancements in technology, insurers are now able to settle claims more quickly.
Claims Processing Made Easy in 3 Simple Steps
- Reach Out to Us - Send us an intimation regarding the death claim
- Paperwork for Claim - Submit the required documents
- Decision on Claim - Sit back while we review & get back
If you want to know an exact checklist required for filing various claims such as Death Claim, Critical Illness/Hospital Cash Benefit Claim, Group Claim, Disability Claim etc., click here.
In conclusion, Claim Settlement Ratio is an important metric for measuring the performance of an insurance company. It is a ratio of the number of claims settled to the number of claims received. Policyholders should look for insurance companies with a high CSR, as this indicates that the company is more likely to settle claims in a timely and efficient manner. Factors that can affect an insurance company's CSR include its financial stability, type of insurance offered, claims process, and claims settlement practices.
Aastha Mestry - Portfolio Manager
An Author and a Full-Time Portfolio Manager, Aastha has 6 years of experience working in the Insurance Industry with businesses globally. With a profound interest in traveling, Aastha also loves to blog in her free time.
