Bajaj General Health Insurance Claim Settlement Ratio

Bajaj General Insurance Limited (formerly known as Bajaj Allianz General Insurance Company Limited) has been a major name in the Indian insurance space since 2001. It is India’s second-largest private general insurer, holding a market share of over 7%. Over the years, the company has built a wide-ranging portfolio from basic health plans to premium policies with OPD cover, maternity benefits, reinstatement options, and top-ups for added financial protection.

But when it comes to choosing the right health insurer, features and benefits don’t tell the full story. What truly matters is how reliably and efficiently the insurer settles claims when you or your family need support the most. That’s where the Claim Settlement Ratio (CSR) becomes one of the essential factors to evaluate.

In this article, we’ll break down Bajaj General Health Insurance's claim settlement ratio, how it has performed over the years, and whether its claim track record lives up to the reputation it has built.

Note: The figures below are sourced from Insurer’s public disclosures (Form NL 37):

Bajaj General Health Insurance's CSR remains consistently high at around 96–97%, outperforming the industry average by a wide margin.

Its steady three-year average of 96.78% reflects strong, reliable claim-settlement practices and dependable service for policyholders.

How to Calculate Bajaj General Health Insurance Claim Settlement Ratio?

The claim settlement ratio (CSR) reflects how many claims an insurer actually settles out of all the claims it had to decide in a financial year. As a rule of thumb, a CSR above 90% points to smoother claim handling and a more dependable insurer.

You might notice that the CSR numbers shared by insurers don’t always match the ones we publish. That’s simply because insurers may follow their own calculation standards.

At Ditto, we use a clear and consistent method:

CSR = (Claims settled ÷ Total claims that required a decision) × 100

“Total claims that required a decision” includes all unsettled claims carried forward from the previous year plus new claims filed, minus those closed without payment and those still pending.

To assess an insurer more accurately, we rely on a 3-year average instead of a single year’s number. This smooths out unusual spikes or dips and reflects the insurer’s true long-term reliability.

• Average Complaints: Bajaj General Health Insurance maintains an impressively low complaint count over the last few years, highlighting their strong post-sale service and efficient claim-handling practices. 
• Incurred Claim Ratio (ICR): With an average ICR of 83.29% (2021-24), Bajaj General Health Insurance stays comfortably within the ideal 50–80% range. This suggests that it pays a healthy proportion of claims while still keeping the business financially sound. 
• Annual Business / Gross Written Premium (GWP): Bajaj General Health Insurance has shown strong growth in its Gross Written Premium, rising from ₹3,373 crore in FY 2022–23 to ₹8,043 crore in FY 2024–25. This rapid increase points to expanding customer trust and a growing market share. 
• Network Hospitals: Bajaj General Health Insurance offers access to 12,000+ network hospitals, giving policyholders wide cashless treatment options across the country. 

Insights: Bajaj General Health Insurance ranks 3rd among the top 10 health insurers with an impressive three-year average CSR of 96.78%  that places it firmly among the most reliable claim settlers in the country. While New India Assurance and Digit occupy the top two spots with near-98% averages, Bajaj General Health Insurance stands out for its consistency. 

Why Choose Ditto for Health Insurance?

At Ditto, we have assisted over 700,000 customers with choosing the right health insurance policy according to their needs and goals. Why customers like Aaron love us:

• No-Spam & No Salesmen
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Bajaj General Health Insurance Claim Settlement Ratio (Ditto’s Take)

Bajaj General Insurance’s key metrics reflect a healthy balance between claim payouts and financial stability. A primary  advantage is its in-house claims team and fairly priced recent plans, though some older products still have restrictions, sub-limits, and exclusions. Even so, Bajaj General Health Insurance’s consistent claim performance and efficient service make it a strong choice for anyone prioritizing smooth and timely claim support.