Claims Rejection Ratio (PI7902)

This metric is intended to capture the percentage of claims rejected by the organization during the reporting period. This metric is applicable to organizations in the insurance industry and can be used to examine the proportion of claims that were disqualified for benefit payment (rejected) for whatever reason. As an example, a 10% claims rejection ratio means that for every 100 claims reported, 90 result in a benefit payment while the other 10 are denied.

For more detail on the ratio and for guidance on interpretation, see the Microinsurance Network's Social Performance Indicators for Microinsurance, p. 25 (https://www.social-protection.org/gimi/ShowRessource.action?id=5270/).