TATA AIA Claim Settlement Ratio

In this article, we will discuss the TATA AIA Claim Settlement Ratio in detail.

What is the Importance of Claim Settlement Ratio (CSR) ?

The Claim Settlement Ratio (CSR) is a percentage that tells us how many claims an insurance company has successfully paid out compared to the total number of claims they received in a year. It's important to consider a company's CSR for two reasons:

• Reliability of Insurer: A company with a high CSR is considered trustworthy because it shows they are good at paying claims. It demonstrates that the company takes its responsibility seriously and fulfills its promises to customers. It's a good idea to check the CSR of an insurance company over the past five years to get a clearer picture.

• Family’s Financial Security: Checking the CSR is important because, as a policyholder, you want to make sure the company you choose will provide the promised claim to your family without any problems after your death. By looking at the CSR, you can ensure that your loved ones will have a secure financial future.

How To Calculate Claim Settlement Ratio Of TATA AIA Life Insurance?

The Insurance Regulatory and Development Authority of India (IRDAI) shares the annual Claim Settlement Ratio (CSR) of insurance companies in India to help customers make an informed decision. The CSR is calculated using a simple formula, as mentioned below:

CSR = (Total number of claims settled / Total number of claims received) x 100

For example, if ABC insurance company settles 850 claims out of 1000 claims received, in one financial year, the CSR of ABC would be:

CSR = (850 / 1000) x 100 = 85%

What Is The Claim Settlement Process Of TATA AIA?

TATA AIA offers an easy way of settling claims and the process in mentioned as follows:

1. Claim Intimation

   The nominee or claimant should inform the insurance company about the claim soon after the death of the insured person. They can submit the necessary forms to the nearest branch or register the claim online. To register online, they need to provide the policy number, name of the nominee and insured person, date and cause of death, and contact details to the customer support. Once the claim is registered, a claim reference number is generated, which should be kept by the nominee for future use.

2. Document Submission

   When submitting the claim forms and details, the nominee should ensure that all the required documents are included. These documents will be used for verification purposes by the insurer.

   Death Types	Documents Required
   Natural Death (Non-early claim)	Copy of these documents: Death Certificate KYC & ID Proof/Relationship Proof of Nominee Original Policy Documents Canceled Cheque along with NEFT Details
   Natural Death (Early Claim)	Medical Attendant Certificate  Employer’s Certificate (incase the life assured was employed)
   Unnatural Death (Early/Non-early Claim)	FIR Post Mortem Report

3. Claim Settlement

   After the insurance company receives all the necessary documents and forms for the claim, they review and process it. The company then makes a decision based on the terms and conditions of the policy, and informs the nominee or claimant about the settlement decision.

What does Tata AIA Claim Settlement Ratio Represent?

TATA AIA provides a prompt and convenient process for settling claims. Their high Claim Settlement Ratio of 98.53% in the financial year 2020-21 shows that they settle claims quickly. TATA AIA also has a dedicated team available round-the-clock to assist with claims and other queries. However, in general, a Claim Settlement Ratio above 95% indicates that the insurance company has the capacity to settle claims without any hassle.

Let us have a look at how the TATA AIA Claim Settlement Ratio has carried out during the past 5 years:

The table shows TATA AIA's Claim Settlement Ratio (CSR) specifically for individual insurance, not group policies. It reveals the percentage of claims that were successfully settled compared to the total number of claims made. The table also highlights that TATA AIA's CSR has consistently remained above 95% for the last 5 years, indicating an excellent claim settlement process by the insurance company.

What Information Do We Get With The CSR Of TATA AIA?

Each policyholder consults the TATA AIA Claim Settlement Ratio, before obtaining a plan for himself and his family. It is an important factor and gives us an insight into the company’s reliability but it is necessary to contemplate the following factors:

• It is a numerical term and has no way of depicting the types of claims that have been settled.

• It is a percentage depiction thus, does not provide an accurate number of claims settled.

• The claim settlement percentage when it is not a cent per cent value can be used to determine the percentage of claims repudiated.

• The statistics only cover the time of one financial year, that is from the month of April till the next month of March.

Wrapping It Up!

The TATA AIA Claim Settlement Ratio is an evaluation of the company’s potential to settle claims registered and assist its customers with necessary financial aid when required. The previous 5 year’s ratios have presented a good claim settlement record and therefore, the company can surely be counted as credible.

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