Claim Settlement Ratio

Name: Claim Settlement Ratio
Brand: Axis Max Life Insurance
Rating: 4.4 (18628 reviews)

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The Claim Settlement Ratio (CSR) of an insurance company is a metric used to determine its credibility. It is computed by dividing the t

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Returns

99.65%^{^}

Death Claims Paid Ratio

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The Claim Settlement Ratio (CSR) of an insurance company is a metric used to determine its credibility. It is computed by dividing the t

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8+ years of experience in Life Insurance with expertise in Developing Life and Health Products, Digital Sales, Conducting effective trainings and Key Account Management.

What is Claim Settlement Ratio?

Claim settlement ratio (CSR) is the percentage of claims that an insurance provider settles in a year out of the total claims. It can be understood easily by learning how insurance companies follow certain rules and regulations before settling an insurance claim, in case a policyholder passes away during the policy tenure.

Claims can be denied, especially when there are some red flags in the policy draft that might go against certain policy requirements. Therefore, when it comes to life insurance, you need to be sure that you fill out the necessary paperwork correctly and choose an insurer that has a proven track record of settling the major portion of the claims received on an annual basis.

Claim Settlement Ratio can serve as a reliable metric to determine if a certain policy and insurer is the right choice for you.

The primary purpose of a life insurance plan, especially term insurance, is to provide financial support to your family, in case something happens to you. When you purchase a term plan or any other insurance product with a high claim settlement ratio:

1. You can be assured that the entire experience of claim filing to disbursal will be simple, convenient, and transparent.
1. In case of an unexpected mishap, your loved ones will have the assurance of a quick disbursal of the life insurance benefits.

How is Claim Settlement Ratio Calculated?

First, you need to understand that the Claim Settlement Ratio is calculated for all the insurance products offered by the insurance company put together, rather than any specific product.

To calculate the claim settlement ratio, use the following equation: Claim Settlement Ratio (CSR) = (Total number of claims settled in a year / Total number of claims in a year) x 100. Consider the following example to understand the calculation of the Claim Settlement Ratio:

Let us say that a life insurance company receives 1,000 claims in a year, out of which it settles 996 claims by paying the insurance benefit (or sum assured) while rejects the remaining 7 claims.

The Claim Settlement Ratio for the company would be (996/1000) % or 99.6%

Claim Paid Ratio = (Total Claims Paid / Total Claims Received)

What is a good Claim Settlement Ratio?

Overall, the higher the percentage of settled claims, the better the chances that your life insurance policy claim will be accepted and settled by the insurance company. Another reflection of a high CSR is on the insurance company’s finances. With settlement percentages up and above the 95% mark, a prospective life insurance buyer can be sure that the insurers are secure as they are willing to pay the insurance claim amount to most of their customers.

For FY 2023-24, the claim settlement ratio of Axis Max Life Insurance is 99.65%^. However, it is essential that you do not rely on this value as the only factor while determining your insurer.

You must consider other factors such as online reviews of the insurance company, the experiences of your near ones, and the features and benefits of the insurance plan before making a choice.

Why is Claim Settlement Ratio Important?

Buying a life insurance policy is a long-term endeavour. Not only do you have to pay a significant amount of premiums over a specific payment tenure to avail of the policy benefits but you also have to be sure that your insurance policy documentation is well-rounded so that it doesn’t get rejected.

Thus, you need to compare and purchase a life insurance plan from an insurer with a high claim settlement ratio. Claim Settlement Ratio is a reliable metric that can help you determine if a certain insurance company is trustworthy or not and that your family would not have to move from pillar to post in getting the insurance benefit after your untimely demise.

How Long does it Take to Get Claim Payout?

How swiftly your beneficiaries receive the claim benefit is impacted by how quickly they file a claim and fill out the correct forms. Assuming the information is accurate, an insurance company will pay the claim amount in as little as one to two weeks.

The ideal conditions include:

The life insurance policy is in effect for three years or more
The insurance policy has all premiums paid and
The cause of death is not suspicious

Deferrals in filing a claim or getting the right documents together could stretch the payment date. In any case, the life insurance company should pay out a death claim within 120 days.

Reasons Why Our Claims Settlement Process is Unique?

At Axis Max Life Insurance, our claim settlement process is personalised because of the following factors:

Speed:

Insta claim in 3 Hours - Claim settlements under InstaClaim™ are subject to the following conditions:

The claim amount on eligible, active, premium-paying policies is up to Rs. 50 lakh
The policy has been in force for a minimum of three years
The policy does not warrant field verification
All the mandatory# documents shall be submitted before 3 pm at any Axis Max Life Insurance office from Monday to Friday
Nominee Title is clear

Trust:

For the FY 2023-24, Axis Max Life Insurance has a claim settlement ratio of 99.65%^, which is by far the highest number that Axis Max Life Insurance has achieved till date beating its own records for previous years.

Ease:

Our website's Claim Centre crisply offers all the necessary information. Your nominee can either download the claim from the website's claim section or walk into the nearest branch office.

Dedicated officers:

We appoint a personalized service in the form of a dedicated Claims Relationship Officer (CRO) on the next working day of claim submission. Having a CRO is especially useful in the case of the settlement of a death claim, where your nominee receives every help to avail of insurance claim benefits in time.

Support:

Our round-the-clock customer support services provide a speedy resolution to customer queries and grievances. Our customer support services aim to maintain one of the lowest customer incidences throughout the insurance industry.

How are the Claims Processed?

At Axis Max Life Insurance, we understand the importance of staying protected against life's uncertainties. We believe it is our responsibility to provide the best insurance coverage possible in your hour of need.

Our team of expert claim assessors are guided by the principle of being the 'Fairest, Fastest, and Friendliest' in terms of claims processing. Our life insurance claim settlement processes, thus, include the following three simple steps:

Claim Registration & Document Submission
Claim Evaluation
Claim Decision & Settlement

For FY 2023-24, Axis Max Life Insurance had a claim settlement ratio of 99.65%^.

Furthermore, we assign a dedicated Claims Relationship Officer (or CRO), to guide your beneficiaries/ claimants at different steps of the claims process.

What Documents are Mandatory for Claims Settlement?

Mandatory Documents to support your claim are:

Original policy document
Original/ attested copy of death certificate issued by the local municipal authority
Death claim application form (Form A)
NEFT mandate form attested by bank authorities along with a canceled cheque of bank account passbook
Nominee's photo identity proof such as copy of Passport, PAN card, Voter identity card, Aadhar (UID) card, etc.
Current Address proof of the claimant. (Any one of the following: Aadhar Card, Valid Passport or Driver's License, Voters ID are considered as proofs)
Signed copy of PAN card / Form 60 of the claimant
Employer certificate with complete leave records - Form E
ITR for last 3 years/GST certificate in case of Self-employed
Other life/health insurance details with claim history details
Bank statement of last 2 years of the Life Assured
Body transfer certificate / Embassy documents/Post Mortem report whichever applicable in case of death in foreign country
Complete Passport copy in case of death in foreign country
Medical booklet/CGHS card details in case of Defence and Central Govt personnel
Attending physician's statement (Form 'C')
Medical records (admission notes, discharge/death summary, test reports, etc.) of current and /or any previous admissions

Additional documents required based on the cause of death are:

Medical/Natural death:

Attending physician's statement (Form 'C')
Medical records (admission notes, discharge/death summary, test reports, etc.)
Medical booklet / CGHS card details in case of Defence and Central Govt personnel

Accidental/Unnatural death:

Copy of the First Information Report (FIR) or Panchanama/Police complaint
Copy of Post Mortem report (PMR)/Autopsy and Viscera report
Copy of the Final Police Investigation report (FPIR)/Charge sheet
News Paper Article, if any
Driving License

What is the Claim Settlement Ratio of Axis Max Life Insurance in the past 6 years?

Claim settlement ratio or individual death claim ratio of a life insurance company is first published as part of the company’s annual audited financials. Subsequently, IRDAI collects the individual claim settlement ratio data of life insurers operating in India to create a comprehensive list that is published as part the IRDAI Annual Report. Both of these data sources are freely available to the public through the respective websites.

Below table illustrates the claim settlement ratio of Axis Max Life Insurance over the past 6 years as reported in the IRDAI Annual Report of the applicable financial years:

Year	Individual Death Claims Paid Ratio
FY 2023-24	99.65%
FY 2022-23	99.51%
FY 2021-22	99.34%
FY 2020-21	99.35%
FY 2019-20	99.22%
FY 2018-19	98.74%
Source: IRDAI Annual Report FY 18-19, FY 19-20, FY 20-21, FY 21-22, FY 22-23. and FY 23-24

Axis Max Life’s Instaclaim^TM Promise - 3 Hours is All We Take

The grief of losing your dear one in the hands of destiny is beyond words. As your trusted life insurer, Axis Max Life Insurance offers Instaclaim^TM Service to settle your claims within 3 Hours, so you can deal with your responsibilities in the absence of your loved one.

We, at Axis Max Life, recognise that claim is the ultimate moment of truth for our business. Therefore, we intend to make your claim settlement experience convenient and quick with the InstaClaim^TM initiative.

Through the InstaClaim^TM initiative, Axis Max Life endeavours to pay eligible death claims up to Rs. 50 lakh in only 3 hours. Additionally, a dedicated Claim Settlement Officer facilitates a convenient, quick, and simple settlement process.

The 3-hour claim settlement is available for the following:

Eligible, active, premium-paying policies that have completed three continuous years
The claim does not warrant field verification
All mandatory documents are submitted before 3 pm at any Axis Max Life Insurance office from Monday to Friday
Nominee Title is clear
Claim amount on all eligible policies is up to Rs. 50 lakh

Furthermore, if you don't receive the payment within the time frame, you'll be entitled to additional payments in the form of ‘interest’ on the total amount of your death benefit. T&C apply

With the InstaClaim^TM initiative, Axis Max Life further aims to enhance customer experience by paying death claims within just 3 hours in eligible cases.

Moreover, in a country with a low protection quotient (as per the IPQ survey), Axis Max Life’s claim settlement ratio of 99.65 percent gives a sense of security that their families will be financially safe during an eventuality, thus encouraging them to opt for life insurance products.

Selecting the Adequate Sum Assured for Term Insurance

Along with checking the claim settlement ratio it’s important that you identify the adequate sum assured required to financially protect your loved ones. To make it easy for you, we have provided some of the sum assured options available below:

Term Insurance

₹50 Lakhs

Starting from ₹16/day^%*

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Term Insurance

₹75 Lakhs

Starting from ₹24/day^%*

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₹1 Crore

Starting from ₹26/day^%*

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Term Insurance

₹1.5 Crore

Starting from ₹39/day^%*

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Term Insurance

₹2 Crore

Starting from ₹39/day^%*

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Term Insurance

₹5 Crore

Starting from ₹92/day^%*

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Disclaimer: %*Standard daily premium for 24-year old healthy male, non-smoker, 25 years policy term, 25 year premium payment term (exclusive of GST) for Axis Max Life Smart Total Elite Protection Term Plan (UIN: 104N125V07). ARN: C/SA/280125

Stay Safe, Stay Protected

As a policyholder or buyer, you can take a cue from the claim settlement ratio. However, the IRDAI advises that the claim settlement ratio should not be the only parameter that you consider when buying a life insurance policy. Instead, you need to ask whichever insurance company you have decided to purchase life insurance from, to provide all the material information about their policy undertaking and claim settlement process.

On the other hand, you must make sure that you are sincere and transparent while filling out the application form so that your family does not have any problems submitting a claim to the insurer in your absence.

Claims Settlement Ratio FAQs

How can you apply for claims?

You can register a claim with Max Life Insurance through the following touch points. To help us process your claims faster, make sure that you submit the required documents along with the claim.

Your Agent Advisor, bank, or corporate agent, from whom you purchased the policy
Nearest Axis Max Life Insurance company office. You can easily locate a nearby branch office by clicking here and switching to the ‘Locate A Branch Office’ tab

For any other claims support, call us on 1860 120 5577 or email us at claims.support@maxlifeinsurance.com (Individual Claim) or group.claimsupport@maxlifeinsurance.com (Group Claim). For Cashless health claims, call us on +91 70426 98853 or email us at phs.mli@paramounttpa.com

Our office address:
Axis Max Life Insurance Ltd.
Claims Department, 5th Floor
90 C, Sector 18, Udyog Vihar,
Gurugram - 122015, India

Documents Required: We will need certain documents to validate a genuine claim. Below are some mandatory documents required to be furnished for each category of claims:

Original policy documents
Original/ attested copy of death certificate issued by the local municipal authority
Death Claim Application form (Form A)
NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook
Nominee's photo identity proof, such as a copy of Passport, PAN card, Voter identity card, Aadhar (UID) card, etc.

Additional documents required basis the cause of death:

For a Medical or Natural death

Attending physician's statement (Form 'C')
Medical records (admission notes, discharge/death summary, test reports, etc.)

For an Accidental or Unnatural death

Copy of the First Information Report (FIR) or Panchanama/Police complaint
Copy of Post Mortem report (PMR)/Autopsy and Viscera report
Copy of the Final Police Investigation report (FPIR)/Charge sheet

Click here to download the Death Claim forms

Health Claims: These are claims pertaining to policies that offer health insurance or a critical illness component.

We request you submit the following documents to register a health claim:

Health claim application form
Attending physician's statement
Attested copies of all medical records
NEFT mandate form

Click here to download the Health Claim forms

Group Claims: These are claims pertaining to life insurance policies offered by organisations/institutions to their employees or group members.

We request you to submit the following documents to register a group claim under the following categories:

Employer-Employee Policies

Claim form (GTL Employer-Employee, EDLI, and Gratuity) as applicable
Original/attested copy of death certificate issued by municipal authorities
EFT mandate form to be completed by nominee/policyholder along with a copy of a cancelled cheque wherein the name of the account holder is printed or a copy of bank passbook

Non-Employer Employee Policies: These policies pertain to Lender-Borrower & Non-Lender Borrower Relationships.

Insurance certificate
Original/attested copy of death certificate issued by the local municipal authority
Claim form (Lender-Borrower/Non-Lender Borrower) as applicable
NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook

Additional documents required basis the cause of death

For a Medical or Natural death

Attending physician's statement (Form 'C')
Medical records (admission notes, discharge/death summary, test reports, etc.)

For an Accidental or Unnatural death

Copy of the First Information Report (FIR) or Panchanama/Police complaint
Copy of Post Mortem report (PMR)/Autopsy and Viscera report
Copy of the Final Police Investigation report (FPIR)/Charge sheet

Click here to download the Health Claim forms

Cancer Claims: These are claims pertaining to the cancer benefit in Cancer insurance policies.

We request you to submit the following documents to file a cancer claim:

Cancer Insurance Claim Form - Form CA
NEFT Form
Medical Records (Admission Notes, Discharge/Death Summary, Test Reports, etc.)

Click here

Where can I get claim forms and a list of documents required for submission?

Why is it essential to submit all the records/documents as required by the company?

What is the time frame within which the claim must be reported to the company?

When does the insurer decline a claim?

Who is entitled to the claim benefit in case of Group policies?

What are the documents required to file a claim with the company?

What are the exclusions under the rider benefits?

What makes the claim settlement ratio important?

ARN NO: PCP/CSR/071124

Claims Process Simplified in just Three Steps

Step One
Claim Registration & Document Submission
Step Two
Claim Evaluation
Step Three
Claim Decision & Settlement

Awards & Achievements

Claims Service Leader

Life Insurance Category CMO Asia Awards, 2019;

Excellence in Claims Service

CMO Asia Awards 2019

Media Centre

57% feel their life insurance cover is insufficient: Survey

Life insurance ownership in India remains at 78%: Survey

Term insurance ownership has risen to 43% from 36% in two years: IPQ Survey

Customer Reviews

Axis Max Life Term Plan

“I opted for this term plan from Axis Max Life basis my past experience with them. All required details were easily available on website. I would rate the overall purchase as 9/10.”

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Age of Male Applicant	Premium Amount for Rs. 75 lakh Term Plan		Premium Amount for Rs. 1 crore Term Plan		Premium Amount for Rs. 1.5 crore Term Plan		Premium Amount for Rs. 2 crore Term Plan
Age of Male Applicant	Smoker	Non-Smoker	Smoker	Non-Smoker	Smoker	Non-Smoker	Smoker	Non-Smoker
18 Years (PPT: 67 years)	1,488/Month Total Premium: 11.33 lakh	930/Month Total Premium: 7.08 lakh	1,500/Month Total Premium: 11.42 lakh	938/Month Total Premium: 7.14 lakh	2,251/Month Total Premium: 17.13 lakh	1,407/Month Total Premium: 10.71 lakh	2,675/Month Total Premium: 20.37 lakh	1,672/Month Total Premium: 12.73 lakh
25 Years (PPT: 60 years)	1,966/Month Total Premium: 13.40 lakh	1,228/Month Total Premium: 8.38 lakh	2,054/Month Total Premium: 14.06 lakh	1,284/Month Total Premium: 8.75 lakh	3,081/Month Total Premium: 21.01 lakh	1,926/Month Total Premium: 13.13 lakh	3,607/Month Total Premium: 24.59 lakh	2,255/Month Total Premium: 15.37 lakh
35 Years (PPT: 50 years)	3,182/Month Total Premium: 18.08 lakh	1,989/Month Total Premium: 11.30 lakh	3,592/Month Total Premium: 20.41 lakh	2,245/Month Total Premium: 12.76 lakh	5,388/Month Total Premium: 30.61 lakh	3,367/Month Total Premium: 19.13 lakh	5,947/Month Total Premium: 33.79 lakh	3,717/Month Total Premium: 21.12 lakh
45 Years (PPT: 40 years)	5,971/Month Total Premium: 27.14 lakh	3,732/Month Total Premium: 16.96 lakh	6,629/Month Total Premium: 30.13 lakh	4,143/Month Total Premium: 18.83 lakh	9,944/Month Total Premium: 45.20 lakh	6,215/Month Total Premium: 28.25 lakh	12,546/Month Total Premium: 57.02 lakh	7,841/Month Total Premium: 35.64 lakh
55 Years (PPT: 30 years)	11,656/Month Total Premium: 39.73 lakh	7,285/Month Total Premium: 24.83 lakh	13,719/Month Total Premium: 46.77 lakh	8,574/Month Total Premium: 29.23 lakh	20,578/Month Total Premium: 70.15 lakh	12,861/Month Total Premium: 43.84 lakh	26,160/Month Total Premium: 89.18 lakh	16,350/Month Total Premium: 55.74 lakh
60 Years (PPT: 25 years)	16,846/Month Total Premium: 47.86 lakh	10,529/Month Total Premium: 29.91 lakh	19,966/Month Total Premium: 56.72 lakh	12,479/Month Total Premium: 35.45 lakh	29,949/Month Total Premium: 85.08 lakh	18,718/Month Total Premium: 53.18 lakh	37,689/Month Total Premium: 107.07 lakh	23,555/Month Total Premium: 66.92 lakh

Age of Female Applicant	Premium Amount for Rs. 75 lakh Term Plan		Premium Amount for Rs. 1 crore Term Plan		Premium Amount for Rs. 1.5 crore Term Plan		Premium Amount for Rs. 2 crore Term Plan
Age of Female Applicant	Smoker	Non-Smoker	Smoker	Non-Smoker	Smoker	Non-Smoker	Smoker	Non-Smoker
18 Years (PPT: 67 years)	1,488/Month Total Premium payable: 11.33 lakh	930/Month Total Premium payable: 7.08 lakh	1,500/Month Total Premium payable: 11.42 lakh	938/Month Total Premium payable: 7.14 lakh	2,251/Month Total Premium payable: 17.13 lakh	1,407/Month Total Premium payable: 10.71 lakh	2,675/Month Total Premium payable: 20.37 lakh	1,672/Month Total Premium payable: 12.73 lakh
25 Years (PPT: 60 years)	1,707/Month Total Premium payable: 11.64 lakh	1,067/Month Total Premium payable: 7.28 lakh	1,744/Month Total Premium payable: 11.89 lakh	1,090/Month Total Premium payable: 7.43 lakh	2,616/Month Total Premium payable: 17.84 lakh	1,635/Month Total Premium payable: 11.15 lakh	2,972/Month Total Premium payable: 20.26 lakh	1,858/Month Total Premium payable: 12.67 lakh
35 Years (PPT: 50 years)	2,617/Month Total Premium payable: 14.87 lakh	1,636/Month Total Premium payable: 9.29 lakh	2,905/Month Total Premium payable: 16.50 lakh	1,815/Month Total Premium payable: 10.32 lakh	4,357/Month Total Premium payable: 24.76 lakh	2,723/Month Total Premium payable: 15.47 lakh	4,801/Month Total Premium payable: 27.28 lakh	3,000/Month Total Premium payable: 17.05 lakh
45 Years (PPT: 40 years)	4,794/Month Total Premium payable: 21.79 lakh	2,996/Month Total Premium payable: 13.62 lakh	5,061/Month Total Premium payable: 23.00 lakh	3,163/Month Total Premium payable: 14.38 lakh	7,591/Month Total Premium payable: 34.50 lakh	4,744/Month Total Premium payable: 21.56 lakh	9,496/Month Total Premium payable: 43.16 lakh	5,935/Month Total Premium payable: 26.98 lakh
55 Years (PPT: 30 years)	8,883/Month Total Premium payable: 30.28 lakh	5,552/Month Total Premium payable: 18.93 lakh	10,102/Month Total Premium payable: 34.44 lakh	6,314/Month Total Premium payable: 21.52 lakh	15,153/Month Total Premium payable: 51.66 lakh	9,471/Month Total Premium payable: 32.29 lakh	19,378/Month Total Premium payable: 66.06 lakh	12,111/Month Total Premium payable: 41.29 lakh
60 Years (PPT: 25 years)	12,611/Month Total Premium payable: 35.83 lakh	7,882/Month Total Premium payable: 22.39 lakh	14,826/Month Total Premium payable: 42.12 lakh	9,266/Month Total Premium payable: 26.32 lakh	22,239/Month Total Premium payable: 63.18 lakh	13,899/Month Total Premium payable: 39.49 lakh	27,941/Month Total Premium payable: 79.38 lakh	17,463/Month Total Premium payable: 49.61 lakh

Claim Settlement Ratio

Secure Your Future with best Insurance Policy

Term Insurance Plans by Axis Max Life

View in (हिन्दी)

What is Claim Settlement Ratio?

How is Claim Settlement Ratio Calculated?

Secure Your Future with best Insurance Policy

What is a good Claim Settlement Ratio?

Why is Claim Settlement Ratio Important?

How Long does it Take to Get Claim Payout?

Reasons Why Our Claims Settlement Process is Unique?

Speed:

Trust:

Ease:

Dedicated officers:

Support:

How are the Claims Processed?

What Documents are Mandatory for Claims Settlement?

What is the Claim Settlement Ratio of Axis Max Life Insurance in the past 6 years?

Axis Max Life’s InstaclaimTM Promise - 3 Hours is All We Take

Selecting the Adequate Sum Assured for Term Insurance

Stay Safe, Stay Protected

Claims Settlement Ratio FAQs

How can you apply for claims?

Where can I get claim forms and a list of documents required for submission?

Why is it essential to submit all the records/documents as required by the company?

What is the time frame within which the claim must be reported to the company?

When does the insurer decline a claim?

Who is entitled to the claim benefit in case of Group policies?

What are the documents required to file a claim with the company?

What are the exclusions under the rider benefits?

What makes the claim settlement ratio important?

Claims Process Simplified in just Three Steps

Step One

Claim Registration & Document Submission

Step Two

Claim Evaluation

Step Three

Claim Decision & Settlement

Awards & Achievements

Claims Service Leader

Excellence in Claims Service

Media Centre

57% feel their life insurance cover is insufficient: Survey

Life insurance ownership in India remains at 78%: Survey

Term insurance ownership has risen to 43% from 36% in two years: IPQ Survey

Customer Reviews

Axis Max Life Term Plan

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Axis Max Life’s Instaclaim^TM Promise - 3 Hours is All We Take