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Insurance Claims Data Analysis

This document provides claims data for an insurer for the quarter ending Q1 FY 2022-23. It includes numbers of claims outstanding at the beginning of the period, claims reported or reopened during the period, claims settled during the period through payments or being repudiated, and claims outstanding at the end of the period broken down by time periods. It also provides the same claims experience data in Indian rupee amounts (in lakhs). The claims data is broken down by line of insurance such as fire, marine cargo, motor vehicle, health, and others.

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69 views1 page

Insurance Claims Data Analysis

This document provides claims data for an insurer for the quarter ending Q1 FY 2022-23. It includes numbers of claims outstanding at the beginning of the period, claims reported or reopened during the period, claims settled during the period through payments or being repudiated, and claims outstanding at the end of the period broken down by time periods. It also provides the same claims experience data in Indian rupee amounts (in lakhs). The claims data is broken down by line of insurance such as fire, marine cargo, motor vehicle, health, and others.

Uploaded by

equalserious
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM NL-37-CLAIMS DATA

Name of the Insurer: Upto the quarter ending _Q1 FY 2022-23

No. of claims only


Sl. No. Claims Experience Fire Marine Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal Travel Total Health Workmen’s Public/ Engineering Aviation Crop Other Miscellaneo Total
Cargo Accident Compensati Product Insurance segments ** us
on/ Liability
1 Claims O/S at the beginning of the period 3,522 2,809 14 2,823 10,609 50,027 60,636 129,395 1,130 772 131,297 Employer’s
385 540 1,309 141 168,629 - 11,024 380,306
2 Claims reported during the period
(a) Booked During the period 1,791 7,135 - 7,135 152,538 3,907 156,445 227,085 4,666 354 232,105 560 123 434 10 430,703 - 60,403 889,709
(b) Reopened during the Period 93 86 - 86 290 599 889 12,212 321 69 12,602 54 1 4 4 3,643 - 266 17,642
(c) Other Adjustment (to be specified)
(i)__________
(ii) - - - - - - - -
3 Claims Settled during the period
(a) paid during the period
_____ 966 4,807 - 4,807 129,638 3,228 132,866 251,506 4,419 367 256,292 227 16 259 3 316,623 - 36,998 749,057
(b) Other Adjustment ( to be specified)
(i)_Partial Payments
(ii)_______ - - - - - - - -
4 Claims Repudiated during the period
Claims Repudiated during the period 94 154 - 154 2,070 454 2,524 7,278 185 52 7,515 24 5 14 - 13 - 6,079 16,422
Other Adjustment ( to be specified)
(i)_Other than Repudiated Claims
(ii)_____________ 410 1,473 - 1,473 8,521 286 8,807 16,627 198 106 16,931 190 38 84 10 2,755 - 16,712 47,410

Unclaimed (Pending claims which are


5
transferred to Unclaimed A/c. after the
mandatory period as prescribed by the Authority) - - - - - - - - - - - - - - - - - - -
6 Claims O/S at End of the period
Less than 3months 849 1,240 - 1,240 17,802 4,136 21,938 52,598 913 203 53,714 240 108 144 1 193,895 - 9,179 281,308
3 months to 6 months 499 493 - 493 1,931 3,809 5,740 17,000 142 269 17,411 32 76 69 10 15,892 - 394 40,616
6months to 1 year 321 144 1 145 1,143 6,263 7,406 23,214 102 47 23,363 32 95 78 1 7,410 - 314 39,165
1year and above 2,267 1,719 13 1,732 2,332 36,357 38,689 469 158 151 778 254 326 1,099 130 66,387 - 2,017 113,679

Notes:-
(a) The Claims O/S figures are consistent with all relevant NL forms
(b) Repudiated means rejected, partial rejection on account of policy terms and conditions
(c) Claim o/s should be exclusive of IBNR AND IBNER reserves
Upto the quarter ending _Q1 FY 2022-23
(Amount in Rs. Lakhs)
Sl. No. Claims Experience Fire Marine Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal Travel Total Health Workmen’s Public/ Engineering Aviation Crop Other Miscellaneo Total
Cargo Accident Compensati Product Insurance segments ** us
on/ Liability
Employer’s
liability
1 Claims O/S at the beginning of the period 122,230 10,319 2,480 12,799 25,425 406,058 431,483 38,063 5,898 2,469 46,429 1,724 36,400 21,200 5,361 17,071 - 14,656 709,352
2 Claims reported during the period
(a) Booked During the period 20,591 5,699 - 5,699 44,907 37,433 82,340 70,682 3,802 119 74,603 1,054 1,188 4,775 0 41,499 - 7,765 239,515
(b) Reopened during the Period 759 157 - 157 691 2,233 2,923 3,304 984 45 4,334 94 1 103 75 75 - 127 8,646
(c) Other Adjustment (to be specified)
(i)_Change in Reserve
(ii) (7,697) 172 - 172 (351) 3,724 3,373 (224) (158) 27 (355) 42 (103) (594) (499) 502 - (526) (5,685)
3 Claims Settled during the period
(a) paid during the period
_____ 4,437 1,891 - 1,891 31,084 15,384 46,468 69,625 1,899 339 71,863 475 696 910 4 25,977 - 4,202 156,923
(b) Other Adjustment ( to be specified)
(i)_Partial Payments
(ii)_______ 3,643 202 - 202 780 5,125 5,905 2,562 184 57 2,803 63 1,307 141 0 451 - 1,146 15,660
4 Claims Repudiated during the period
Claims Repudiated during the period 502 307 - 307 764 2,753 3,518 2,578 837 18 3,433 38 24 133 - 21 - 316 8,291
Other Adjustment ( to be specified)
(i)_Other than Repudiated Claims
(ii)_____________ 3,950 943 - 943 2,481 2,648 5,129 4,361 973 74 5,408 249 312 305 - (30) - 1,220 17,486

Unclaimed (Pending claims which are


5
transferred to Unclaimed A/c. after the
mandatory period as prescribed by the Authority)
6 Claims O/S at End of the period
Less than 3months 16,336 3,827 - 3,827 18,647 38,319 56,966 21,507 4,122 294 25,923 692 1,227 4,423 71 21,669 - 3,623 134,757
3 months to 6 months 17,177 1,459 - 1,459 4,983 38,110 43,092 4,641 593 579 5,813 123 1,731 2,512 83 1,086 - 1,528 74,604
6months to 1 year 20,251 872 732 1,604 4,040 62,740 66,779 5,948 1,167 288 7,403 278 4,504 5,531 1 869 - 1,579 108,798
1year and above 69,587 6,848 1,748 8,595 7,894 284,368 292,261 602 750 1,013 2,365 997 27,684 11,529 4,779 9,102 - 8,408 435,308

Notes:-
(a) The Claims O/S figures are consistent with all relevant NL forms
(b) Repudiated means rejected, partial rejection on account of policy terms and conditions
(c) Claim o/s should be exclusive of IBNR AND IBNER reserves

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