Claim Ratio Analysis
Understanding claim ratios and their impact on your group health insurance premiums.
What is Claim Ratio?
Claim ratio is the proportion of claims paid out by an insurer relative to the premiums collected. It's a key metric that affects your premium rates during policy renewals.
For example, if your organization paid ₹10 lakhs in premium and filed claims worth ₹8 lakhs, your claim ratio would be 80%.
A high claim ratio often leads to premium increases, while maintaining a low claim ratio can help negotiate better rates at renewal.
Ideal Claim Ratio
For premium stability
Insurer Claim Ratio Benchmarks
Compare average claim ratios across our partner insurers to understand market trends.
Star Health
Premium Impact: Moderate
HDFC Ergo
Premium Impact: Low
ICICI Lombard
Premium Impact: High
Bajaj Allianz
Premium Impact: Low
Managing Your Claim Ratio
Strategies to maintain a healthy claim ratio and optimize your premium costs.
Preventive Healthcare
Implement wellness programs to reduce illness frequency among employees.
Claims Analysis
Regularly review claims data to identify patterns and implement targeted interventions.
Employee Education
Educate employees about appropriate healthcare utilization and cost-conscious behavior.
Need Help Analyzing Your Claim Ratio?
Our team can provide a detailed analysis of your current claim ratio and recommend strategies to optimize it.
Request a Consultation