1/3rd of insurance claims filed in '24 still unpaid

NEARLY a third of all insurance claims registered and outstanding in FY2024 remain unpaid, data of Insurance Regulatory and Development Authority of India (IRDAI) reveals. A related survey also shows that despite the regulator's changes to improve service standards, policy owners still face myriad problems.

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The insurance regulator's report reveals that insurers registered over 3 crore claims during the year for ₹1.1 lakh crore, in addition to the 17.9 lakh claims for ₹6,290 crore outstanding from earlier years. Of these claims, insurers paid nearly 2.7 crore claims, amounting to ₹83,493 crore. This represents 82% of the reported claims by volume and 71.3% by value. Of the claims that were not paid, ₹15,100 crore worth were "disallowed according to terms and conditions of the policy contract".

The IRDAI sought to bring in changes to improve insurance services in June 2024 after LocalCircles, a community social media submitted a report highlighting the slow health insurance claim processing. However, LocalCircles says, going by complaints and other social media and media reports, they are still facing problems.