When it comes to health and general insurance policies, policyholders expect prompt claim settlements from insurers in times of emergency. The real test of any insurance policy lies in how fairly and quickly claims are settled. To gauge an insurer’s efficiency, checking the claim settlement ratio is a reliable way. The Insurance Regulatory and Development Authority of India (IRDAI) releases a list of claim settlements by all health and general insurance companies every year.<\/p>\n
According to the latest figures for FY 2024-25, the claim settlement ratio of various insurers has been revealed. Among private general insurers, Acko General Insurance took the lead with 99.98% of claims paid within 3 months, followed by Reliance General Insurance Co. Ltd. with a ratio of 99.32%. On the other hand, Kshema General Insurance Co. Ltd. had the lowest claim settlement ratio of 26.88% among private sector insurers.<\/p>\n
Among public insurers, The Oriental Insurance Co. Ltd. settled 90.17% of its claims within 3 months. The New India Assurance Co. Ltd. and National Insurance Co. Ltd. had a claim settlement ratio of 91.75% and 91.79%, respectively.<\/p>\n
In the standalone health insurance sector, Aditya Birla Health Insurance Co. Ltd., Galaxy Health Insurance Co. Ltd., Narayana Health Insurance Co. Ltd., and Niva Bupa Health Insurance Co. Ltd. each reported a 100% claim settlement ratio, with all claims settled within three months.<\/p>\n
The claim settlement ratio refers to the percentage of claims that an insurer pays or settles out of the total number of claims it receives during a certain period. For instance, a health insurance company with a claim settlement ratio of 95% typically pays around 95 of every 100 claims it receives.<\/p>\n
It’s essential for policyholders to check the claim settlement ratio of their insurer to ensure they are getting fair and prompt claim settlements. The IRDAI’s annual list of claim settlements provides a reliable source of information for policyholders to make informed decisions. By checking the claim settlement ratio, policyholders can gauge their insurer’s efficiency and make informed decisions about their insurance policies.<\/p>\n
In conclusion, the claim settlement ratio is a crucial factor to consider when choosing a health or general insurance policy. Policyholders should check the claim settlement ratio of their insurer to ensure they are getting fair and prompt claim settlements. The IRDAI’s annual list of claim settlements provides a reliable source of information for policyholders to make informed decisions about their insurance policies.<\/p>\n","protected":false},"excerpt":{"rendered":"
When it comes to health and general insurance policies, policyholders expect prompt claim settlements from insurers in times of emergency. The real test of any insurance policy lies in how fairly and quickly claims are settled. To gauge an insurer’s efficiency, checking the claim settlement ratio is a reliable way. The Insurance Regulatory and Development […]<\/p>\n","protected":false},"author":1,"featured_media":221237,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"fifu_image_url":"","fifu_image_alt":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[41,20,22,27,53],"tags":[],"class_list":["post-222771","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aditya-birla","category-iffco-tokio","category-insurance","category-new-india-assurance","category-niva-bupa"],"jetpack_featured_media_url":"https:\/\/smallnews.in\/insurance\/wp-content\/uploads\/sites\/5\/2025\/04\/idgbAPyeiA_1745728715242.jpeg","jetpack_shortlink":"https:\/\/wp.me\/p9ibIB-VX5","jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":222526,"url":"https:\/\/smallnews.in\/insurance\/2025\/12\/27\/the-latest-claim-settlement-ratio-of-health-and-general-insurance-companies-was-released-by-irda-in-2025-according-to-the-data-navi-and-acko-have-taken-the-lead-while-star-health-and-zuno-have-fall\/","url_meta":{"origin":222771,"position":0},"title":"The latest claim settlement ratio of health and general insurance companies was released by IRDA in 2025. According to the data, Navi and Acko have taken the lead, while Star Health and Zuno have fallen below the 90% mark.","author":"Team Small News","date":"December 27, 2025","format":false,"excerpt":"The rising medical inflation has made it challenging for individuals to bear medical expenses without a comprehensive health insurance policy. In India, the Insurance Regulatory and Development Authority (IRDAI) releases an annual list of claim settlements by health and general insurance companies. The claim settlement ratio, which refers to the\u2026","rel":"","context":"In "Aditya Birla"","block_context":{"text":"Aditya Birla","link":"https:\/\/smallnews.in\/insurance\/category\/aditya-birla\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":222409,"url":"https:\/\/smallnews.in\/insurance\/2025\/12\/13\/star-health-under-irdai-scrutiny-over-health-insurance-claim-settlement-practices\/","url_meta":{"origin":222771,"position":1},"title":"Star Health under IRDAI scrutiny over health insurance claim settlement practices","author":"Team Small News","date":"December 13, 2025","format":false,"excerpt":"The Insurance Regulatory and Development Authority of India (IRDAI) has discovered significant lapses in the claim settlement practices of Star Health and Allied Insurance, a stand-alone health insurer. The regulator is likely to take action against the company, although official investigations are still ongoing. IRDAI has also scrutinized 8-10 other\u2026","rel":"","context":"In "Insurance"","block_context":{"text":"Insurance","link":"https:\/\/smallnews.in\/insurance\/category\/insurance\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/smallnews.in\/insurance\/wp-content\/uploads\/sites\/5\/2025\/04\/Star-Health-Insurance-logo.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/smallnews.in\/insurance\/wp-content\/uploads\/sites\/5\/2025\/04\/Star-Health-Insurance-logo.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/smallnews.in\/insurance\/wp-content\/uploads\/sites\/5\/2025\/04\/Star-Health-Insurance-logo.jpg?resize=525%2C300&ssl=1 1.5x"},"classes":[]},{"id":222678,"url":"https:\/\/smallnews.in\/insurance\/2026\/01\/15\/iffco-tokio-insurance-claim-decision-explained-hyderabad-mail\/","url_meta":{"origin":222771,"position":2},"title":"IFFCO Tokio Insurance Claim Decision Explained – Hyderabad Mail","author":"Team Small News","date":"January 15, 2026","format":false,"excerpt":"The District Consumer Disputes Redressal Commission, Medak, has ruled in favor of a policyholder, Patlolla Madhusudhan Reddy, whose health insurance claim was rejected by IFFCO Tokio General Insurance Company Ltd. Reddy, a 61-year-old businessman, had purchased a family health protector policy for himself and his wife, paying a premium of\u2026","rel":"","context":"In "IFFCO Tokio"","block_context":{"text":"IFFCO Tokio","link":"https:\/\/smallnews.in\/insurance\/category\/iffco-tokio\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":222544,"url":"https:\/\/smallnews.in\/insurance\/2025\/12\/30\/on-october-8-2025-insurance-agents-and-associations-are-likely-to-raise-the-issue-of-goods-and-services-tax-gst-with-the-insurance-regulatory-and-development-authority-of-india-irdai-and-the-fin\/","url_meta":{"origin":222771,"position":3},"title":"On October 8, 2025, insurance agents and associations are likely to raise the issue of Goods and Services Tax (GST) with the Insurance Regulatory and Development Authority of India (IRDAI) and the Finance Ministry.","author":"Team Small News","date":"December 30, 2025","format":false,"excerpt":"The insurance industry in India is facing a significant issue related to the Goods and Services Tax (GST) and Input Tax Credit (ITC). 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This significant penalty highlights the regulatory body's commitment to ensuring that insurance companies comply with the rules and regulations governing the\u2026","rel":"","context":"In "Care"","block_context":{"text":"Care","link":"https:\/\/smallnews.in\/insurance\/category\/care\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":222643,"url":"https:\/\/smallnews.in\/insurance\/2026\/01\/11\/odisha-government-to-release-standard-operating-procedure-for-expediting-accident-insurance-claims-settlement\/","url_meta":{"origin":222771,"position":5},"title":"Odisha government to release standard operating procedure for expediting accident insurance claims settlement","author":"Team Small News","date":"January 11, 2026","format":false,"excerpt":"The Odisha State Road Transport Corporation (OSRTC) has empanelled five leading insurance companies to provide coverage for road accidents. 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