IRDAI 2024-25 Data
Claim Settlement Ratio (CSR) 2026 Rankings
Every insurer markets a 99% settlement ratio. We dive into the official IRDAI data to show you the reality behind the marketing.
What they don't tell you about CSR
CSR is calculated as `(Claims Settled / Total Claims Received) * 100`. It groups all claims together. A 95% CSR sounds great, but if those 5% rejected claims were the massive ₹20 Lakh cancer claims, the ratio is misleading. General insurers look artificially higher because motor claims (which settle easily) skew their statistics upwards.
Health Insurers CSR (IRDAI 2024-25)
| Insurer Name | Claim Settlement Ratio (By Volume) | Claim Repudiation Rate (Rejections) |
|---|---|---|
| Care Health Insurance | ~94.2% | ~2.8% |
| HDFC ERGO | ~97.1%* | ~1.2% |
| Niva Bupa Health Insurance | ~91.9% | ~3.9% |
| Star Health | ~83.7% | ~5.4% |
| Aditya Birla Health | ~95.8% | ~3.1% |
*HDFC ERGO's figure includes non-health general claims. Source: IRDAI Annual Report & Handbook of Insurance Statistics 2024-25 (claim settlement by number of policies).
Stop buying based on one metric.
An insurer with a slightly lower CSR might actually offer a much better plan for a diabetic patient. True advisory matches the medical underwriting to your specific profile.
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