HEALTH CLAIM PAYMENT STATUS OF NEPALESE LIFE INSURANCE COMPANIES

Abstract

This thesis examines the factors that affected the claim settlement of Life Insurance of Companies in Nepal having Four samples companies Namely, they are National Life Insurance company, Himalayan Life Insurance Company Limited ,Asian Life Insurance Company and Nepal Life Insurance Company Limited out of 14 listed Life Insurance Companies in Nepal Stock Exchange. The Main Objective of the study is to find out the claim payment status of Life insurance companies and the cause of claim settlements delay. These four companies have purposively been selected to achieve the objective and answer the research questions. These four sample insurance companies have been selected on the basis of availability of data. In this study, secondary data is used. The ten fiscal year data is incorporated, from 2012/13 to 2021/22 in this study. The study is based on secondary data and primary data collection technique. The study found that the claim amount, claim submission date, policy type affected the claim settlement process. The analysis data collection from primary data that shows claims payouts and claim processing can boost or improved for claim settlements. The companies should focus on claims payouts and improving their underwriting polices and claim processing procedures. The insights offer valuable implications for industry practitioners to sustain a competitive edge. Further, research could explore other factors influencing net profit margin in the insurance sector.