• Dr. Nikita Singhal

Health insurance claims settlement is a critical aspect of the healthcare industry, playing a pivotal role in ensuring timely reimbursement for medical expenses incurred by policyholders. However, this process is fraught with challenges that impede efficiency, accuracy, and customer satisfaction. This research article explores the challenges faced in health insurance claims settlement, strategies to address these challenges, and the overall impact on the sector. Through a comprehensive review of industry practices, this article highlights common challenges such as complex regulatory requirements, manual processes, data inconsistencies, and technological limitations. Furthermore, it examines innovative strategies such as technological advancements, streamlined processes, collaboration with healthcare providers, continuous process improvement, and customer education and empowerment. By assessing the effectiveness of these strategies, this article provides insights into best practices for optimizing claim settlement efficiency, reducing costs, and enhancing customer experience. This research contributes to a deeper understanding of the health insurance sector dynamics. It offers practical recommendations for insurers, healthcare providers, policymakers, and other stakeholders to improve claims settlement processes and outcomes.

Insurance, Claim Settlement, COVID-19, Challenges, Customer satisfaction.

"Health Insurance Claims Settlement: Addressing Challenges, Strategizing Solutions, and Assessing Sectoral Impact", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 4, page no.o648-o656, April-2024, Available :http://www.jetir.org/papers/JETIR2404F89.pdf

"Health Insurance Claims Settlement: Addressing Challenges, Strategizing Solutions, and Assessing Sectoral Impact", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 4, page no. ppo648-o656, April-2024, Available at : http://www.jetir.org/papers/JETIR2404F89.pdf