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Claim Settlement Ratio in Life Insurance – Why It Matters in the UAE

The life insurance claim settlement ratio is a key indicator of an insurer’s reliability and trustworthiness in the UAE. It represents the portion of claims that an insurance company successfully settles against the total received in a financial year. A higher ratio reflects the insurer’s efficiency, transparency, and commitment to fulfilling their promises. ...read more

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For you, as a policyholder, this number is crucial as it can help you choose a company that is more likely to honour your life insurance claims when needed most. Whether you’re buying a life policy for the first time or reviewing your current policy, understanding the claim settlement ratio can help you make informed decisions. This ensures financial security for your loved ones in case of unforeseen events.

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What is the Claim Settlement Ratio in Life Insurance?

The Claim Settlement Ratio (CSR), as mentioned earlier, is the portion of total life insurance claims that an insurer settles in a given financial year. A high CSR shows the insurer is dependable and efficient in paying claims. This gives policyholders confidence that their loved ones will receive the promised benefits without hassle.

For instance, if a life insurance company has a CSR of 85%, it means out of 100 death claims received (including any pending from the previous year), it has paid out 85 claims. This indicates the insurer's reliability in fulfilling its obligations.

Choosing an insurance provider with one of the best claim settlement ratios ensures better chances that your family will receive timely financial support in case of your untimely death, helping them manage expenses during difficult times.

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Importance of Claim Settlement Ratio

The Claim Settlement Ratio (CSR) is a key factor when choosing a life coverage provider. A high CSR means the company has successfully paid most of the claims it received, which shows its reliability and commitment to policyholders.

Here are the main advantages of choosing an insurer with a high life insurance claim settlement ratio —

Better Financial Security

A high term insurance claim settlement ratio ensures your family receives money quickly to manage expenses like bills, loans, or education costs without any delay.

 

 

Trustworthy Insurer

A high life insurance claim settlement ratio reflects the insurer’s dependability. You can feel confident that your loved ones will not face issues during the claim process, especially if all required documents are submitted on time.

Smooth Claim Process

The claim settlement ratio of life insurance companies reflects how dependable they are, making it easier for you to choose the right provider.  This helps avoid stress during tough times.

How to Calculate the Claim Ratio of Life Insurance in UAE?

Calculating the claim settlement ratio (CSR) is fairly easy. Here's the formula —

Claim Settlement Ratio (CSR) = (Claims Settled / Total Claims Received) × 100

For instance, if a life insurance company receives 10,000 claims in a year and settles 9600 of them, the calculation would be:

CSR = (9600 ÷ 10,000) × 100 = 96.0%

This means the insurer successfully settles 96.0% of the claims, showing its reliability. A high CSR gives policyholders confidence that their claims are likely to be paid without any issue.

Types of Life Insurance Claims

Life policies offer two types of claims: maturity claims and death claims.

Maturity Claims

Death Claims

  • Maturity claims are paid when the policy reaches its end date. The payout can be either fixed or linked to market performance, depending on the type of policy. 
  • Plans like ULIPs, endowment plans, savings plans, and retirement policies offer maturity benefits. Once the policy term ends, you can receive a lump sum by submitting the required documents to the insurer.
  • Death claims are paid to the beneficiary in case the life assured passes away during the policy tenure. The payout can be a lump sum or regular income, based on the policyholder’s choice. 
  • To process the claim, the nominee must submit documents such as the death certificate, doctor’s report, and other proof. This benefit helps support the family financially in the policyholder’s absence.

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What is the Ideal Claim Settlement Ratio in Life Insurance?

There isn’t a fixed number that defines a ‘good’ Claim Settlement Ratio (CSR) — the idea usually is to go for the company with the highest ratio. However, most people prefer insurance companies with a CSR above 90%. Here’s why —

  • Shows Reliability – A claim settlement ratio over 90% means the insurer settles most claims, which builds trust
  • Helps You Decide Better – It gives a clear idea of how likely the company is to pay claims, helping you choose the right policy
  • Indicates Stability – A high CSR also reflects the financial strength and stability of the insurer, showing they can handle claims efficiently

Choosing an insurer with the highest claim settlement ratio in life insurance increases your chances of a smooth and successful claim process.

Why is it Not 100%?

CSR is never exactly 100% because:

  • Some claims are incomplete or fraudulent
  • Customers may forget to disclose health conditions
  • Documents may be missing or not updated

That’s why it’s also important to keep your policy details correct and nominee information updated.

Claim Settlement Ratio of Life Insurance Companies

Here are the top companies with highest claim settlement ratio in life insurance —

Provider 

Claim Ratio

Sukoon Life Guard 

97.5%

MetLife Live Life Now

98%

HAYAH Term Life Protect 

98.1%

Takaful Emarat Fixed Term

98.2%

Sukoon Family Takaful Term 

99%

What Affects Your Life Insurance Claim Settlement?

Having discussed the Claim Settlement Ratio (CSR) of insurance companies, it’s worth mentioning that even if you choose an insurer with a high CSR, your claim can be rejected. To avoid such rejections, here’s what you need to keep in mind when filing a claim —

Reason for Claim Rejection Description
Incomplete or Incorrect Information Not disclosing important details like medical history or existing health conditions can lead to claim rejection. Insurance companies depend on accurate information to evaluate claims. If key facts are hidden or missing, the insurer may delay or deny the claim.
Fraudulent Declarations If a policyholder knowingly gives false information to mislead the insurer, it is considered fraud. If the insurance company finds the claim suspicious or dishonest, it can reject it.
Neglecting Policyholder Responsibilities Policyholders are expected to understand the terms of the policy. This includes paying premiums on time and honestly submitting complete details when filing a claim. Ignoring these duties can result i

How to Choose Life Insurance in UAE Based on CSR?

  1. Check CSR of insurers: Look for CSR data on company websites or the UAE Insurance Authority reports.
  2. See CSR trends: One good year is not enough. Choose a company that has maintained high CSR for many years.
  3. Read reviews: Sometimes numbers don’t tell the full story. Customer feedback will show if there are delays or hidden problems.
  4. Confirm with regulators: Trusted bodies in the UAE regularly publish reports. These are reliable sources to check.
  5. Compare policies: CSR is important, but also look at premiums, features, riders, and claim procedures.

Conclusion

The claim settlement ratio is not just a number, it’s the real proof of whether your insurance company can be trusted with your family’s future.

If you are living in the UAE and planning to buy life insurance, always:

  • Choose insurers with CSR above 90-95%
  • Check their history and reviews
  • Make sure your own details and documents are updated

This way, your loved ones will not face problems at the time of claim. Remember, insurance is about security — CSR tells you which company can give you that peace of mind.

Tanvi Pathak

Tanvi Pathak

Team Lead-Content

Tanvi joined Policybazaar.ae as an insurance writer in 2022. Her focus areas have been term, life, and motor insurance. With an understanding of industry trends in UAE, she strives to deliver measurable results via informative blogs and conversion-centric landing pages. She is a goal-oriented professional with over 7 years of digital marketing experience. Her curiosity to stay updated with recent trends ensures that you keep in touch with every industry trend through her blogs, articles, and landing pages.

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