Common Issues While Accessing IRDA Score Card & Solutions

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When seeking insurance coverage in India there are so many advertisements and marketing gimmicks, it may be difficult to know which company will actually be able to help you when you need them most - if you are ever in need of making a claim. Advertising is not the best way to determine which company is the best choice; however, a company's performance records, published by the regulated body for insurance in India, the Insurers' Regulatory and Development Authority of India (IRDAI), will provide you with the most accurate insight into a company's ability to offer you protection. It is important to know how to read the report and how the data in it relates to you.   We are going to examine these challenges together and help you to use this tool to further enhance your search for an insurer.

 

Issue #1: "Where To Find an IRDA Score?"

 

The Scorecard is out there, but if you type "Scorecard" into Google, you'll find tons of unrelated PDFs and news articles about it. The official IRDAI's website has the most accurate information regarding the Scorecard; the IRDAI's website exists to fulfil regulatory requirements, not to act as a user-friendly way to find information about the Scorecard.

 

Your Action Plan:

 

Bookmark the Source: Go directly to www.irdai.gov.in.

 

Navigate Like a Pro: Don't browse the homepage. Use the site's search function. Type: "[Insurer Name] Annual Public Disclosure [Year]". This is the official name of the document containing the scorecard.

 

Use the Consumer Gateway: Look for a section titled 'For Policyholders' or 'Consumer Affairs'. Regulators often streamline access here, with links to 'Company Performance' or 'Public Disclosures'.

 

Issue #2: "I Found the Numbers, But What Are They Telling Me?"

You’ve opened the document. Now you're faced with tables of percentages: Claim Settlement Ratio (CSR), Incurred Claim Ratio (ICR), turnaround times. It's easy to just look for the highest percentage, but that's an oversimplification.

Your Decoder Ring:

Claim Settlement Ratio: Aim for companies consistently above 90-92%. But the trend is more important than a single point. A firm holding 94% for three years is more dependable than one that just jumped from 85%.

Incurred Claim Ratio (ICR - %): This shows how much of the premium rupee was spent on claims. For health insurance, a stable ICR between 70-90% is a healthy sign. Much lower could suggest claim stinginess; much higher might indicate underpriced, unsustainable plans.

Turnaround Time (Days): This shows average claim settlement speed. Compare these numbers against the industry average usually listed in the same report. Faster is better, but consistency matters.

Key Insight: Don't just scan for the highest CSR. A company with a 95% CSR but a 50% ICR might be settling very few, simple claims. Look for the balance between a high CSR and a reasonable ICR.

Issue #3: "How To Make a Comparison?"

It's tempting to line up all insurers and pick the top CSR. But that's like comparing a marathon runner's time to a sprinter's. A massive, legacy insurer handles a vastly more complex and voluminous claim portfolio than a new, digital-only player.

How to Compare:

Segment the Market: Compare large, established insurers (e.g., ICICI Lombard, HDFC Ergo) with each other. Compare newer, digital-focused insurers (e.g., Acko, Digit) in their own group.

The Power of the Trend: A company's three-year performance trend is its most honest story. Is service improving (CSR rising, turnaround times falling) or deteriorating?

Read the Narrative: The numbers don't explain why. If a score dipped, did financial news outlets cover it? Was it a one-time event or a red flag?

Issue #4: "Is It Still Relevant?"

The IRDA score is a lagging indicator, a report on past performance. It doesn't guarantee your future claim experience. Corporate culture and processes can shift.

Using It Wisely:

It's Your Best Objective Filter: Use a strong, consistent IRDA score card as your non-negotiable shortlist criterion. Eliminate any insurer with poor or volatile performance.

Conduct a Live Test: Once shortlisted, call the insurer's customer care. Pose a specific question. How they treat you as a potential buyer is a strong hint of how they'll treat you as a claimant. Combine this real-time test with their historical score for a 360-degree view.

Check the Grievance Redressal Record: The scorecard also shows how many complaints were filed against an insurer and how quickly they were resolved. A low grievance count and high resolution rate are excellent signs.


By providing information about insurance companies so that you can make informed decisions instead being swayed by marketing, The IRDA Score card allows the passive consumer to become the active (and knowledgeable) consumer. In addition, by understanding how to locate and interpret the IRDA Score card, as well as learn from it and apply it to your decisions, you will do more than purchase an insurance policy. Rather, you will identify, based upon an established history of integrity, an insurance company that you can trust with both your money and your family security.

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