Bajaj Allianz Claim Settlement Ratio
  • CSR of the company
  • Types of claims offered
  • Claim filing process
Bajaj Allianz Claim Settlement Ratio
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Simran Kaur Vij
Written By:
Simran

Simran Kaur Vij

Health and Term Insurance

Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.

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Reviewed By:
Raj Kumar

Raj Kumar

Health Insurance

Raj Kumar has more than a decade of experience in driving product knowledge and sales in the health insurance sector. His data-focused approach towards business planning, manpower management, and strategic decision-making has elevated insurance awareness within and beyond our organisation.

Bajaj Allianz Health Insurance Claim Settlement Ratio

Bajaj Allianz health insurance claim settlement ratio indicates the claims settled by Bajaj Allianz within a given time frame. Claim settlement ratio is important because a higher claim settlement ratio indicates the company’s reliability and prompt claim processing, instilling trust and reliability among policyholders. This ratio is calculated as the percentage of claims the company has paid against the total outstanding claims during a financial year.

Bajaj Allianz Health Insurance Claim Settlement Ratio

The claim settlement ratio of 93.54% showcases the strong commitment to honoring the financial security of policyholders and their families in times of need. They have more than 18,400 network hospitals across India.  Established in the year 2000, the company has rapidly grown to become one of the prominent insurance companies in India.

Bajaj Allianz Health Insurance Claim Settlement Processes

The company offers two types of claim settlement processes designed according to the needs of the customers:

  • Cashless Claims
  • Reimbursement Claims

Let’s look into each one of these in detail:

Cashless Claims:

These claims are simpler for the policyholder since they are quick and hassle-free, and do not require advance payments. The process for cashless claims with Bajaj Alliance is mentioned below:

  • Step 1:

    Visit any of the Bajaj Allianz network hospitals.

  • Step 2:

    Once you notify the hospital about your health insurance, the hospital will send a filled pre-authorized form to the Health Administration Team (HAT) of Bajaj Allianz.

  • Step 3:

    After the company verifies all the submitted details, it will send the approval to the healthcare provider in 60 minutes. After this, you do not need to pay anything at the hospital.

  • Step 4:

    If by chance the insurer needs some further information, they will send a letter to the hospital asking for relevant details. If the cashless claim is denied, you can still get treated at the hospital and later file for a reimbursement claim with all the necessary information at hand.

Reimbursement Claims:

Through reimbursement claims, the policyholder pays the hospital bills out of pocket before filing the claims with the insurer. The policyholder can visit any hospital of his choice and not necessarily the network hospital to get a reimbursement claim. The steps for filing a reimbursement claim with Bajaj Allianz are as follows:

  • Step 1:

    After the completion of your treatment, collect all the documents and submit them to the Bajaj Allianz General Insurance Company Limited - Health Administrative Team.

  • Step 2:

    After the submission of the documents, the company will go through them and/or request for some more information from you if it is necessary or missing. If not, the company will initiate the claim via ECS within 7 working days.

  • Step 3:

    If you are unable to provide the requested information, the company will send you 3 reminders after 10 days. If you are unable to respond post these 3 reminders i.e. 30 days the company will reject the claim.

Bajaj Allianz Health Insurance Network Hospital List

Bajaj Allianz Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Bajaj Allianz Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

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Explore other Bajaj Allianz Health Insurance

To cater to the different medical needs of an individual & their family, Bajaj Allianz Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Bajaj Allianz Health Insurance plans explore more:

Individual

This plan allows HER to be in HERizon! Bajaj Allianz HERizon Care is a groundbreaking policy that addresses the holistic health and wellness of women....

Unique Features

  • Exclusive plan for women
  • Covers prophylactic surgeries
  • Vita Shield and Cradle Care

Bajaj Allianz HERizon Care (Pros)

Bajaj Allianz HERizon Care
  • Surrogacy support
  • Oocyte donor cover
  • Nurture nest

Bajaj Allianz HERizon Care (Cons)

Bajaj Allianz HERizon Care
  • Waiting period
  • Diagnostic tests not included
  • Non-medical items

Bajaj Allianz HERizon Care (Other Benefits)

Bajaj Allianz HERizon Care
  • Prophylactic Surgeries
  • Legal Expense Support
  • Fetal Flourish

Bajaj Allianz HERizon Care (Eligibility Criteria)

Bajaj Allianz HERizon Care
  • Entry age - 90 days
  • Max entry age - 80 years
  • SI - INR 3 L to 2 Cr
  • Waiting Period - 30 days

Individual

Bajaj Allianz Critical Illness plans provide a multitude of benefits that protect the insured from life-threatening critical diseases. The numerous cr...

Unique Features

  • 43 CI cover
  • All-stage cancer cover
  • Physiotherapy care

Criti Care (Pros)

Criti Care
  • 43 critical illnesses cover
  • All-stage cancer cover
  • Physiotherapy care available

Criti Care (Cons)

Criti Care
  • ICU cover not available
  • No pre and post-hospitalisation cover
  • No room rent cover

Criti Care (Other Benefits)

Criti Care
  • Early Stage Cancers
  • Carotid Artery Surgery
  • Removal of one Kidney

Criti Care (Eligibility Criteria)

Criti Care
  • 18 to 65 Years

Top Up and Super Top Up

Bajaj Allianz Extra Care Plus is a super top-up plan launched by Bajaj Allianz that covers all your medical expenses. Bajaj Allianz Extra Care Plus is...

Unique Features

  • Bajaj Allianz Super Top-Up
  • Avail High Sum Insured
  • Entry Age Up To 80 Years

Bajaj Allianz Extra Care Plus (Pros)

Bajaj Allianz Extra Care Plus
  • High sum insured
  • Entry age up to 80 years
  • Cover for family members available

Bajaj Allianz Extra Care Plus (Cons)

Bajaj Allianz Extra Care Plus
  • AIDS not covered
  • Self-inflicted injury not covered
  • Global coverage not available

Bajaj Allianz Extra Care Plus (Other Benefits)

Bajaj Allianz Extra Care Plus
  • Comprehensive features
  • Affordable premiums
  • Family cover

Bajaj Allianz Extra Care Plus (Eligibility Criteria)

Bajaj Allianz Extra Care Plus
  • Entry Age: 18 Years
  • SI: Up to 50 L
  • Initial Waiting Period: 30 Days

Senior Citizen Health Insurance

Bajaj Allianz Silver Health Plan for Senior Citizens is an adequate health plan if you are a senior citizen and are looking for an insurance plan or j...

Unique Features

  • Cover 15 Critical Illnesses
  • Preventive Health Check-ups
  • Long Term Policy

Silver Health Plan (Pros)

Silver Health Plan
  • Cover 15 critical illnesses
  • Preventive health check-ups
  • Long term policy

Silver Health Plan (Cons)

Silver Health Plan
  • Organ donor expenses not covered
  • Vaccination charges not covered
  • Self-inflicted injury not covered

Silver Health Plan (Other Benefits)

Silver Health Plan
  • 2 Plan variants
  • Preventive Health Checkups
  • Modern Treatments Covered 

Silver Health Plan (Eligibility Criteria)

Silver Health Plan
  • Entry Age: 46 to 80 Years
  • SI: Up to 10 L
  • Initial Waiting Period: 30 Days

Accident Health Insurance

Bajaj Allianz Personal Accident Policy is a safety net for policyholders as life is uncertain and can throw any curveballs your way. Bajaj Allianz's P...

Unique Features

  • High sum insured
  • Death cover
  • Disability cover

Bajaj Allianz Personal Accident Policy (Pros)

Bajaj Allianz Personal Accident Policy
  • High sum insured
  • Death cover
  • Disability cover

Bajaj Allianz Personal Accident Policy (Cons)

Bajaj Allianz Personal Accident Policy
  • Hospitalization out of war/riot/strike NA
  •  Intentional self-injury

Bajaj Allianz Personal Accident Policy (Other Benefits)

Bajaj Allianz Personal Accident Policy
  • Affordable premiums
  • Complete security

Bajaj Allianz Personal Accident Policy (Eligibility Criteria)

Bajaj Allianz Personal Accident Policy
  • 18 to 65 Years

Individual and Family Health Insurance

A versatile policy covering every family member. Bajaj Allianz Arogya Sanjeevani is a comprehensive health plan for individuals and families alike. Av...

Unique Features

  • Life-long Renewability
  • Hassle-free Claim Settlement
  • Flexible Payment Modes

Bajaj Allianz Arogya Sanjeevani (Pros)

Bajaj Allianz Arogya Sanjeevani
  • Lifelong renewability
  • Affordable premiums
  • Cover for pre-policy health checkups

Bajaj Allianz Arogya Sanjeevani (Cons)

Bajaj Allianz Arogya Sanjeevani
  • Low SI options
  • No cover for dental treatments
  • No cover for mental illness

Bajaj Allianz Arogya Sanjeevani (Other Benefits)

Bajaj Allianz Arogya Sanjeevani
  • Pre-policy health check-up coverage
  • Daycare procedures covered
  • Ambulance cover available

Bajaj Allianz Arogya Sanjeevani (Eligibility Criteria)

Bajaj Allianz Arogya Sanjeevani
  • 18-65 Years

Accident Health Insurance

Bajaj Premium Personal Guard supports you in the hour of crisis and helps you to sustain the unforeseen risks providing security for the future and en...

Unique Features

  • In-house claim settlement team
  • Multiple Sum Insured Options
  • Lifelong Renewability

Premium Personal Guard (Pros)

Premium Personal Guard
  • In-house claim settlement team
  • Multiple sum insured options
  • Lifelong renewability

Premium Personal Guard (Cons)

Premium Personal Guard
  • Does not cover self-inflicted injury
  • No AIDS cover
  • Organ donation not covered

Premium Personal Guard (Other Benefits)

Premium Personal Guard
  • High sum insured up to INR 25 Lakhs
  • Lifetime renewal
  •   Annual policy

Premium Personal Guard (Eligibility Criteria)

Premium Personal Guard
  • 18 to 65 Years

Individual

Bajaj Allianz Health Infinity Plan is a unique health insurance plan. Bajaj Allianz Health Infinity Plan has been designed to give policyholders unlim...

Unique Features

  • Comprehensive Health Plan
  • Lifetime Renewability
  • Quick Claim Process

Bajaj Allianz Health Infinity (Pros)

Bajaj Allianz Health Infinity
  • Comprehensive coverage
  • Lifelong renewal
  • Easy and quick claim process

Bajaj Allianz Health Infinity (Cons)

Bajaj Allianz Health Infinity
  • OPD not covered
  • Infertility treatments not covered
  • Organ donor coverage not available

Bajaj Allianz Health Infinity (Other Benefits)

Bajaj Allianz Health Infinity
  • Pre- Hospitalization
  • 60 days Coverage for Day Care Procedures
  • Pre-existing disease covered after 36 months

Bajaj Allianz Health Infinity (Eligibility Criteria)

Bajaj Allianz Health Infinity
  • 18 to 65 Years

Individual and Family Health Insurance

Bajaj Allianz Health Guard plan provides policyholders with a comprehensive range of benefits, ensuring that they are covered for the larger expenses ...

Unique Features

  • About Health Guard Variants
  • Buying Process ’On a Go’
  • Quick Claim Settlement

Bajaj Allianz Health Guard (Pros)

Bajaj Allianz Health Guard
  • Lifelong entry age
  • SI upto 1 Crore
  • Variants available

Bajaj Allianz Health Guard (Cons)

Bajaj Allianz Health Guard
  • Domiciliary not covered
  • E-consultation not available
  • No second medical opinion

Bajaj Allianz Health Guard (Other Benefits)

Bajaj Allianz Health Guard
  • 3 variants available
  • Comprehensive coverage
  • Different family sizes covered

Bajaj Allianz Health Guard (Eligibility Criteria)

Bajaj Allianz Health Guard
  • 18 Years to Lifelong

Individual and Family Health Insurance

Health Care Supreme is a comprehensive health care plan offered by Bajaj Allianz Health Insurance that provides lifetime coverage against the medical ...

Unique Features

  • Cover 15 Critical Illnesses
  • Preventive Health Check-ups
  • Long Term Policy

Bajaj Allianz Health Care Supreme (Pros)

Bajaj Allianz Health Care Supreme
  • Cover 15 critical illnesses
  • Preventive health check-ups
  • Long-term policy

Bajaj Allianz Health Care Supreme (Cons)

Bajaj Allianz Health Care Supreme
  • Global coverage not available
  • Domiciliary hospitalisation not covered
  • No compassionate travel benefits

Bajaj Allianz Health Care Supreme (Other Benefits)

Bajaj Allianz Health Care Supreme
  • 100% of the sum insured will be restored
  • Maternity cover
  • Lifelong renewability 

Bajaj Allianz Health Care Supreme (Eligibility Criteria)

Bajaj Allianz Health Care Supreme
  • Entry Age: 18 Years to Lifetime
  • SI: Up to 50 L

Critical Illness Health Insurance

Get maximised care and an additional layer of protection against your critical illness worries. The base coverage options of Bajaj Allianz Criti Care ...

Unique Features

  • 43 critical illnesses cover
  • All-stage cancer cover
  • Physiotherapy care available

Bajaj Allianz Criti Care Plan (Pros)

Bajaj Allianz Criti Care Plan
  • 43 critical illnesses cover
  • All-stage cancer cover
  • Physiotherapy care available

Bajaj Allianz Criti Care Plan (Cons)

Bajaj Allianz Criti Care Plan
  • Sexually transmitted diseases
  • War injuries
  • Self-Inflicted injuries

Bajaj Allianz Criti Care Plan (Other Benefits)

Bajaj Allianz Criti Care Plan
  • Cardiovascular care
  • Kidney care
  • Cancer care
  • Sensory organ care

Bajaj Allianz Criti Care Plan (Eligibility Criteria)

Bajaj Allianz Criti Care Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 Cr

Critical Illness Health Insurance

Protection from critical illnesses when you need it the most! Bajaj Allianz women specific critical illness plan protects women against the serious th...

Unique Features

  • Critical illness coverage for women
  • Loss of job cover
  • Children education benefits

Bajaj Allianz Women Specific Critical Illness Plan (Pros)

Bajaj Allianz Women Specific Critical Illness Plan

Bajaj Allianz Women Specific Critical Illness Plan (Cons)

Bajaj Allianz Women Specific Critical Illness Plan

Bajaj Allianz Women Specific Critical Illness Plan (Other Benefits)

Bajaj Allianz Women Specific Critical Illness Plan

Bajaj Allianz Women Specific Critical Illness Plan (Eligibility Criteria)

Bajaj Allianz Women Specific Critical Illness Plan

Top Up and Super Top Up

Extra Care policy is an additional layer of protection that ensures adequate health coverage. Sometimes, it's not enough to have a health insurance po...

Unique Features

  • Pre & post-hospitalization cover
  • In-house claim settlement
  • Ambulance cover

Bajaj Allianz Extra Care Policy (Pros)

Bajaj Allianz Extra Care Policy
  • In-house claim settlement
  • Global expertise
  • Quick disbursement of claims

Bajaj Allianz Extra Care Policy (Cons)

Bajaj Allianz Extra Care Policy
  • War
  • Cost of spectacles
  • Rest and rehabliation

Bajaj Allianz Extra Care Policy (Other Benefits)

Bajaj Allianz Extra Care Policy
  • Uterine Artery Embolization and HIFU
  • Balloon Sinuplasty
  • Deep Brain stimulation
  • Oral chemotherapy

Bajaj Allianz Extra Care Policy (Eligibility Criteria)

Bajaj Allianz Extra Care Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 15 L

Critical Illness Health Insurance

Get additional protection against diseases carried by mosquitoes with the M-Care health policy. According to The New Indian Express report of May 2024...

Unique Features

  • Vector-borne diseases cover
  • Lifetime renewable options
  • Affordable premiums

Bajaj Allianz M-Care Plan (Pros)

Bajaj Allianz M-Care Plan
  • Dengue Fever
  • Malaria
  • Filariasis

Bajaj Allianz M-Care Plan (Cons)

Bajaj Allianz M-Care Plan
  • Only covers vector-borne diseases
  • Hospital admission for less than 24 hours
  • Diagnosis and treatment outside India

Bajaj Allianz M-Care Plan (Other Benefits)

Bajaj Allianz M-Care Plan
  • Covers the proposer/spouse/dependent children
  • Affordable premiums
  • Only 15 days waiting period

Bajaj Allianz M-Care Plan (Eligibility Criteria)

Bajaj Allianz M-Care Plan
  • Min entry age: Day 1
  • Max entry age: 65 Years
  • Initial Waiting Period: 15 Days
  • Sum Insured: Up to 75 K

Individual

Bajaj Allianz Global Health Care plan secures you from losing all the money on healthcare. With the changing facet of health complications, we need to...

Unique Features

  • International medical cover
  • Daily cash benefit
  • Mental health treatment

Global Health Care (Pros)

Global Health Care
  • Preventive health check-up
  • Pre and post-hospitalization cover
  • Compassionate visit
  • Mental health cover

Global Health Care (Cons)

Global Health Care
  • Obesity/ weight control
  • Change of gender treatments
  • COVID-19 not covered
  • Hazardous or adventure sports
  • Maternity not covered

Global Health Care (Other Benefits)

Global Health Care
  • Lifelong renewability
  • Organ donor cover
  • International coverage
  • Optional dental treatment cover
  • Air ambulance

Global Health Care (Eligibility Criteria)

Global Health Care
  • Entry Age - 3 months
  • Max Entry Age - 65 Years
  • SI - 37.5 L - 3.75 Cr
  • Waiting Period - 30 Days

Individual and Family Health Insurance

Bajaj Allianz critical illness insurance plan ensures you a round-the-clock protection against critical illnesses. With a progressive and changing lif...

Unique Features

  • Covers 10 critical illnesses
  • In-house claim settlement
  • Lifelong renewability

Bajaj Allianz Critical Illness (Pros)

Bajaj Allianz Critical Illness
  • Cover for 10 critical illnesses
  • Lifelong renewability
  • Affordable premium options

Bajaj Allianz Critical Illness (Cons)

Bajaj Allianz Critical Illness
  • No cover for childhood defects
  • No cover for HIV/AIDS
  • Survival period of 30 days

Bajaj Allianz Critical Illness (Other Benefits)

Bajaj Allianz Critical Illness
  • Long Term Policy Discount
  • Major Organ Transplantation
  • Hassle free In House claim process

Bajaj Allianz Critical Illness (Eligibility Criteria)

Bajaj Allianz Critical Illness
  • 18 to 65 Years

Individual and Family Health Insurance

We all want to give the best facilities to our families and their sound health is of supreme importance to us; hence, we want to be the best regarding...

Unique Features

  • Comprehensive Coverage
  • Cumulative Bonus
  • Life Long Renewal

Bajaj Allianz Health Ensure (Pros)

Bajaj Allianz Health Ensure
  • Comprehensive coverage
  • Cumulative bonus
  • Lifelong renewal

Bajaj Allianz Health Ensure (Cons)

Bajaj Allianz Health Ensure
  • Domiciliary not covered
  • No coverage for infertility
  • Sub-limits applicable

Bajaj Allianz Health Ensure (Other Benefits)

Bajaj Allianz Health Ensure
  • Individual and family plan
  • Flexible premium payment term
  • AYUSH cover

Bajaj Allianz Health Ensure (Eligibility Criteria)

Bajaj Allianz Health Ensure
  • 18 Years to no upper age limit

Individual and Family Health Insurance

Bajaj Allianz Tax Gain Plan is a family floater health insurance policy providing coverage for outpatient expenses and hospitalization expenses under ...

Unique Features

  • OPD Cover
  • Senior Citizen Cover
  • 4 Plan Variants

Bajaj Allianz Tax Gain Policy (Pros)

Bajaj Allianz Tax Gain Policy
  • Multiple plan options available
  • OPD cover
  • Coverage for senior citizens

Bajaj Allianz Tax Gain Policy (Cons)

Bajaj Allianz Tax Gain Policy
  • ICU charges not covered
  • Pre-hospitalisation not covered
  • No coverage for post-hospitalisation

Bajaj Allianz Tax Gain Policy (Other Benefits)

Bajaj Allianz Tax Gain Policy
  • Choose from Plan A/B/C/D
  • OPD and hospitalization coverage available
  • Multiple discounts are available depending on policy term

Bajaj Allianz Tax Gain Policy (Eligibility Criteria)

Bajaj Allianz Tax Gain Policy
  • 18 to 75 Years

Individual and Family Health Insurance

Bajaj Allianz Star Package Policy is a 360-degree family floater health insurance plan wherein you and your family members are protected against medic...

Unique Features

  • Super Cumulative Bonus
  • Co-Pay Available
  • 8 Benefit Options

Bajaj Allianz Star Package (Pros)

Bajaj Allianz Star Package
  • Super cumulative bonus
  • Co-pay available
  • 8 benefit options

Bajaj Allianz Star Package (Cons)

Bajaj Allianz Star Package
  • Domiciliary hospitalisation not covered
  • OPD coverage not available
  • Weight management treatments not covered

Bajaj Allianz Star Package (Other Benefits)

Bajaj Allianz Star Package
  • Select from 8 plan options
  • Hospital Cash Daily Allowance
  • Up to INR 1 Crore SI 

Bajaj Allianz Star Package (Eligibility Criteria)

Bajaj Allianz Star Package
  • 18 to 65 Years

Individual and Family Health Insurance

Bajaj Allianz My Health Care Plan is a truly flexible plan for personalized health care. The health insurer offers a bouquet of features allowing insu...

Unique Features

  • Avail Optional Cover
  • Maternity Cover
  • High SI

My Health Care Plan (Pros)

My Health Care Plan
  • High SI options
  • OPD cover
  • Cataract cover

My Health Care Plan (Cons)

My Health Care Plan
  • No cover for gender change treatments
  • No cover for obesity treatments
  • Infertility cover not available

My Health Care Plan (Other Benefits)

My Health Care Plan
  • Avail Optional Cover
  • Maternity Cover
  • High SI

My Health Care Plan (Eligibility Criteria)

My Health Care Plan
  • 18 to 65 Years

Accident Health Insurance

Global Personal Guard Policy by Bajaj Allianz is an individual and family floater global accident insurance policy that covers you against death, perm...

Unique Features

  • Death Cover
  • EMI Payment Cover
  • Hospital Cash Benefit

Bajaj Allianz Personal Guard (Pros)

Bajaj Allianz Personal Guard
  • Death Cover
  • EMI Payment Cover
  • Hospital Cash Benefit

Bajaj Allianz Personal Guard (Cons)

Bajaj Allianz Personal Guard
  • Intentional self-injury
  •  AIDS
  •  Miscarriage
  • and abortion

Bajaj Allianz Personal Guard (Other Benefits)

Bajaj Allianz Personal Guard
  • Accidental Hospitalization
  • Expenses Air Ambulance Cover
  • Loss of Income due to Disability from Accident

Bajaj Allianz Personal Guard (Eligibility Criteria)

Bajaj Allianz Personal Guard
  • 18 to 70 Years

Health Insurance Companies

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Bajaj Allianz Health Insurance CSR: FAQs

1. After the submission of the documents for reimbursement claims, how long does it take to settle the claims of Bajaj Allianz Health Insurance ?

It takes 7 working days to settle the claims after the document submission.

2. What is the claim settlement ratio of Bajaj Allianz Health Insurance Company for the year 2021- 22?

As per the latest report 2021-22, released by IRDAI, The Bajaj health insurance claim settlement ratio is 96.59%.

3. What is the name of the mobile application provided by Bajaj Health Insurance Company ?

The mobile application offered by the company is called "Bajaj Allianz GIC"

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Simran Kaur Vij

Written By: Simran Kaur Vij

Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.