Claim Management in Life Insurance
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Questions and Answers

What is the primary purpose of life insurance?

The primary purpose of life insurance is the protection of family in case of death.

What are the two main objectives of life insurance?

  • Retirement planning and tax benefits
  • Health insurance and savings
  • Risk coverage and investment (correct)
  • Financial security and long-term savings
  • What does the "death benefit" refer to in life insurance?

    The death benefit is the primary benefit offered by a life insurance policy, which is the amount paid to the nominee upon the death of the policyholder.

    What does the "maturity benefit" refer to in life insurance?

    <p>The maturity benefit is a benefit received by the policyholder upon the maturity of the policy, in case they outlive the policy term.</p> Signup and view all the answers

    Which of the following is NOT an advantage of life insurance?

    <p>Guaranteed returns</p> Signup and view all the answers

    High premiums for aged people is a disadvantage of life insurance.

    <p>True</p> Signup and view all the answers

    What are "riders" in life insurance?

    <p>Riders provide enhanced coverage to the policyholder, adding additional benefits such as accidental death benefit, disability benefit, or waiver of premium.</p> Signup and view all the answers

    Which of the following is NOT a common type of life insurance?

    <p>Health insurance</p> Signup and view all the answers

    The Life Insurance Corporation of India (LIC) was established on 1st September 1956.

    <p>True</p> Signup and view all the answers

    What percentage of maturity claims are settled on or before due date by LIC of India?

    <p>97% of maturity claims are settled on or before due date by LIC of India.</p> Signup and view all the answers

    What percentage of premium collected by carriers is absorbed by losses and loss expenses?

    <p>Losses and loss expenses absorb 80% of premium collected by carriers.</p> Signup and view all the answers

    What is the primary objective of claim management?

    <p>To ensure customer satisfaction</p> Signup and view all the answers

    Implementing claim management strategies can help insurance companies adapt to changing market scenarios.

    <p>True</p> Signup and view all the answers

    Which of the following is NOT a suggestion for insurance companies regarding claim management?

    <p>Reject the claim without knowing the proper reason</p> Signup and view all the answers

    Insurance fraud is a deliberate act of deception or dishonesty committed for financial gain.

    <p>True</p> Signup and view all the answers

    What are the two main categories of fraudulent claims?

    <p>The two main categories are claims where the cause or the claim itself is fraudulent, and claims where the claim is genuine, but the evidence or information is fraudulent.</p> Signup and view all the answers

    What is the primary document needed for a death claim?

    <p>The death claim form is the primary document required for a death claim.</p> Signup and view all the answers

    Insurers generally settle life insurance claims within 30 days of receiving all necessary documents.

    <p>True</p> Signup and view all the answers

    Maturity claims are paid to the policyholder on the policy's maturity date and include the sum assured plus any bonuses or incentives.

    <p>True</p> Signup and view all the answers

    What are "riders" in life insurance with respect to claims?

    <p>Riders are additional benefits added to a life insurance policy, and their settlement process can vary depending on the type of rider.</p> Signup and view all the answers

    The survey method was used to collect data for the study in the provided document.

    <p>True</p> Signup and view all the answers

    What was the sample size used for the study?

    <p>The sample size was 50 respondents.</p> Signup and view all the answers

    Data for the study was collected solely from primary sources, such as questionnaires.

    <p>False</p> Signup and view all the answers

    The research for the study was limited to the Mumbai region.

    <p>True</p> Signup and view all the answers

    The study concludes that a majority of people are aware of claim management practices in life insurance.

    <p>True</p> Signup and view all the answers

    The study indicates that most people have filed a claim at some point.

    <p>False</p> Signup and view all the answers

    The study found that most people are satisfied with the facilities provided by their life insurance company regarding claim settlement.

    <p>False</p> Signup and view all the answers

    The majority of respondents had complaints regarding claim settlement.

    <p>False</p> Signup and view all the answers

    According to the study, what is the major role of insurance programs?

    <p>Insurance programs primarily aim to indemnify individuals who are averse to risk and might be negatively impacted by natural phenomena.</p> Signup and view all the answers

    The provided study found that customer service plays a significant role in the success of an insurance company.

    <p>True</p> Signup and view all the answers

    The study concludes that insurance companies should prioritize technological advancements in their operations, particularly in the area of claim management.

    <p>True</p> Signup and view all the answers

    Study Notes

    Project Report Details

    • Topic: A study on Claim Management in Life Insurance
    • Submitted by: Mr. Yash Rakesh Kondalkar
    • Roll No: 2021331
    • Semester: VI
    • Course: TYBBI (B.Com-Banking and Insurance)
    • College: Lala Lajpat Rai College of Commerce & Economics
    • University: University of Mumbai
    • Academic Year: 2022-2023
    • Project Guidance: Dr. Vaidehi Kamath
    • Submitted to: University of Mumbai

    Declaration

    • The student, Mr. Yash R. Kondalkar, declares the project, "A study on Claim Management in Life Insurance," is original work.
    • The information in the project is true and accurate to the best of the student's knowledge.

    Acknowledgement

    • The student thanks the University of Mumbai, Principal Dr. Neelam Arora, Coordinator Dr. Vaidehi Kamath, and College Library for support and guidance.
    • Special thanks are given to the student's parents and peers for their cooperation throughout the project.
    • Respondents are thanked for completing questionnaires.

    Executive Summary

    • Insurance has grown significantly in the 20th century.
    • Claim management is a crucial aspect of the insurance industry.
    • It involves handling many stakeholders and managing logistics.
    • Efficiencies in data management can improve claim handling, which in turn improves customer confidence in insurance.
    • The claim management system is responsible for assessment and regulation for general damages.

    Index

    • Chapter 1: Introduction (pages 1-27): Provides an introduction to life insurance and a brief history of the insurance sector. Details about claims management, delays, and frauds in insurance claims are discussed. Also the required documents for life insurance claim management.
    • Chapter 2: Research Methodology (pages 28-32): Explains the research methods and details used in the study.
    • Chapter 3: Literature Overview (pages 33-43): Reviews the current literature on the subject. Also presents details about data analysis and interpretation.
    • Chapter 4: Data Analysis & Interpretation (pages 44-47): Presents the results of the study.
    • Chapter 5: Case Studies (pages 48-49): Focuses on specific examples of claims management and the processes involved. Includes three cases: Sunanda Kanthale, Neelam Mehta, Lily Rani Roy.
    • Chapter 6: Findings & Conclusion (pages 50-51): Explains the findings of the study and summarizes the key findings
    • Chapter 7: Suggestions (page 56): States suggestions and recommendations regarding claim management
    • Bibliography (page 57)
    • Webliography (page 58)
    • Annexures (page 59-60): Presents raw data (questionnaires, etc.) collected in the research.

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    Description

    This project report explores the intricacies of Claim Management in Life Insurance, focusing on its relevance and implementation within the banking and insurance sectors. Conducted as part of the TYBBI course at the University of Mumbai, the study is guided by Dr. Vaidehi Kamath and submitted by Mr. Yash Rakesh Kondalkar.

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