标题:CRITICAL REVIEW OF CLAIMS MANAGEMENT PROCESS EFFECTIVENESS IN LIFE INSURANCE COMPANIES IN INDIA DURING PANDEMIC -COVID 19: LESSONS OVERWRITING CONTENTS IN TRADITIONAL BOOKS
期刊名称:International Journal of Early Childhood Special Education
电子版ISSN:1308-5581
出版年度:2022
卷号:14
期号:3
页码:981-997
DOI:10.9756/INT-JECSE/V14I3.123
语种:English
出版社:International Journal of Early Childhood Special Education
摘要:Background: No activity in any Life Insurance Company is of more importance than the settlement of Claims to the satisfaction of the beneficiary, in case of premature death of the life Assured. It is the ultimate moment of Truth in the contract of Life insurance. The Life Insurance Companies must be conscientious enough to understand that claim settlement is the very purpose of their existence in the society in fulfillment of the promise made to policyholders. The process of claim settlement from the perspective of policyholders or the beneficiaries revolves round a. Time taken to settle the claim and b. Ease of claim settlement in terms of number as well as type of documents called for. The companies tries to achieve this objective without compromising on basic checks encompassing over things such as genuineness of the claim etc. Accordingly, the companies have established standard processes and checklist of documents that is called for at the time of claim. The claim management process consists of claim initiation by the nominee or the policyholderas the case may be under the policy, claim process or enquiry by the insurer to check the genuineness of the claim and Claim settlement within the Regulations as indicated by the Death Claim settlement Ratio (DCSR), Solvency Ratio (SR) etc., The Covid19 pandemic caused severe health disorders that resulted in more deaths, impacting the above claims process adversely warranting companies to have relook at the entire process and the checklist of documents so thatTurn around Time is maintained whatever be the number of claims intimated without giving room for entertaining any fraudulent claims.
关键词:No activity in any Life Insurance Company is of more importance than the settlement of Claims to the satisfaction of the beneficiary;in case of premature death of the life Assured