Health
Claim Settlement Ratio vs. Incurred Claim Ratio: Which Metric Matters More?
Having health insurance is not enough; choosing the right insurance is what matters. Take the case of Raj, whose mother was hospitalised for a heart surgery. He was relieved, thinking that at least the health insurance he had purchased would take care of the hospital bills. Soon, his relief turned into anxiety when he faced documentation hassles, a delay in settlement and only a partial amount was settled at the end. That is when he realised the importance of choosing the right health insurance policy.
The service quality varies from one insurance company to another. With thorough research and looking at a few details like claims ratios and other factors, you can evaluate the track record of the health insurance provider. When it comes to claim ratios, the claim settlement ratio as well as the incurred claim ratio are the two important metrics that give important insights for evaluation. Let us explore both the ratios, differences in them and which metrics matter the most.