Claims Management and Profitability
Claims Management and Profitability
Email: olusegunmichealayodele@gmail.com
Abstract:
Claim is the largest expenses of an insurance company. Therefore, Claims management is seen
as an essential tool of image boosting in insurance industry. Excellence in claims handling gives an
insurance company a competitive edge over its competitors. For an insurance company, claims
processing is one of its core activities. It could arguably be said to be the main reason why insurance
companies are established. Managing it more effectively and efficiently, aligning it with corporate
business objectives, and achieving real – time operational awareness are high priorities of an insurance
company. This is because claims processing touches all part of the organization, affecting competitive
positioning, customer service, fraud management, risk exposure, cost control and Information Technology
infrastructure. The objective of this research therefore, is to empirically investigate the impact of claims
management on the profitability of non – life insurance companies in the Nigeria insurance industry.
Hypotheses were tested to find out whether claims management is significantly related to profitability of
non – life insurance companies in Nigeria. The study adopts longitudinal design which follows the same
sample over time and makes repeated observations; hypotheses were tested using correlation analysis.
The study revealed that there is a significant relationship between claims management and the operating
cost of non-life insurance companies in Nigeria. However, the study revealed that there is no significant
relationship between claims management and profitability of non-life insurance companies in Nigeria. It is
recommended that the claims management department should be properly structured with highly
technical, trained and experienced staff so as to manage the claims of the insurance companies properly
Keywords: Claims, Claims management, insurance, profitability, insurance fraud, total cost and
policyholders
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1. INTRODUCTION
Insurance company core activities could be divided into three major parts – which are underwriting,
investment and claims processing. Of these core activities, claims processing is one that touches all parts
of the organization. Claims processing touches all part of the organization, affecting competitive
positioning, customer service, fraud management, risk exposure, cost control and Information Technology
infrastructure. Hence, the need for a structured claims management principles and practice.
Claims management includes all managerial decisions and processes concerning the settlement and
payment of claims in accordance with the terms of insurance contract (Redja, 2008). Insurance claims
range from straight forward domestic building and contents claims that are settled within days of
notification to complex bodily injury claims that remain open for many years (Michael, 2008) and
according to Yusuf and Abass (2013) claims payment is the defining moment in the relationship between
an insurance company and its customer. In case of a claim, measure to mitigate the loss need to be
taken immediately and have to be coordinated. This is necessary because from the polic yholders’ point of
view it is, in case of a claim, important how quickly a claim is settled as this demonstrates the
compensating function of the insurance cover to be effective. An immediate and correct way of handling
genuine claim is crucial for a successful claims management. This can only be achieved when a
functioning internal risk control or claims management department ensures that obligations are fulfilled.
Achieving all that is a daunting task, therefore for clarity of purpose, it is important for an insurance
company to have a claims management philosophy which is clearly, documented, communicated within
the claims department and reflected in the management and organization of the company (Lloyd's
Okoli (2011) explains that the essence of setting up a business organization is to make profit. W ithout
profit, a business is bound to fail as it would not be able to meet some of its short – term obligations and
goals. Profit is the financial return or reward that entrepreneurs aim to achieve to reflect the risk that they
take. It is the difference that exists between revenue and cost. i.e Profit = Total Revenue (TR) – Total
Cost (TC). It has been established in literature that only customer with repeat purchases are profitable
(Nagar, 2009).
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Insurance is marketed not only as a financial mechanism to provide indemnity on covered losses, but also
to ensure peace of mind after a loss has occurred. An effective claim settlement process, which is a sub-
set of claims management, help to ease the burden of policyholders’ who had suffered a loss. Hence,
claims management hopes to influence policyholders’ to patronize and become loyal to the organization’s
offering which dovetail into repeated purchase(s). It should be noted that consumer’s commitment is
important for repeated purchases. Repeated purchases lead to revenue generation and profit ceteris
paribus (Nagar, 2009). Insurance companies therefore need to develop their claims management
philosophy into such that will not only reinforce customer’s commitment but also encourage repeat
purchases. Claims experience is a primary driver of polic yholders’ satisfaction and loyalty (Yusuf &
Abass, 2013). Policyholders’ satisfaction and loyalty lead to repeated purchases. Repeated purchases
lead to more revenue generation and profitability. Claims management, through easy claims settlement,
influence policyholders’ to patronize and become loyal to organization’s offering and this dovetail into
repeated purchases. Claims management could also help to minimize insurers’ operating cost by
avoiding payment of fraudulent claims. W hen cost is reduced and revenue generated is greater than the
From the aforementioned, it could be deduce that claims management supports the insurer’s profit goal
and avoid paying for fraudulent claims. Insurance companies, just like every other company in any
industry, are set up to maximize the wealth of their shareholders. Since, insurance companies operates in
a competitive market, claims management can be an effective tool in an highly competitive market, when
the objective is to convince policyholders’ to purchase its product or influence policyholders’ to select its
products over those of competitors and avoid paying for fraudulent claims.
Statement of Problems
The insurance industry unlike its sister industry, in the financial sector, have been experiencing low
patronage. The insurance industry is also experiencing undesirable sales performance as evidenced by
low insurance coverage and the low percentage insurance industry in Nigeria contributes to the nation’s
gross domestic product (GDP) compared to what other financial industry contributes. One of the major
factors contributing to this undesirable sales performance and low patronage is the Nigeria populace
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Africa, 2017). Majority of the Nigeria populace believe it is a waste of money buying insurance which they
termed as “Legalized 419” as they assume/believe they would not get their benefit when claims arises.
They would rather opt for a compulsory insurance rather than buy insurance willingly (Insurance Blitz,
2016). Insurance products belong to the “experience” goods category. In this category, customer
satisfaction is defined only after a customer experiences the services provided by the carrier. W ith the
convergence of products offerings from different insurers, policyholders’ often use quality of service as an
important differentiating factor to choose their insurance provider or rate their satisfaction with the insurer.
As an exceeding crucial point for insurance customers, claims management is a critical process that often
determines customer experiences (Yusuf & Abass, 2013). Given that the claims experience is a primary
driver for polic yholders’ satisfaction and loyalty, there is need to have a virile claims department headed
by a seasoned technocrat who will deliver high quality experience and equally cut costs and a major way
of cutting cut and enhancing profitability is by identifying genuine and fraudulent claims (Yusuf & Abass,
2013).
It has however been observed that despite insurance companies dedication of manpower and resources
to the claims department, in order to pay genuine claims and avoid fraudulent claims, fraudulent clients
are still sometimes paid while genuine claims are still, sometimes, unknowingly declined. This leads to
increased operating cost, high customer dissatisfaction and low patronage affecting the overall
Therefore, this research will be focused on empirically investigating the impact of claims management on
the profitability of non – life insurance companies in Nigeria. Hypotheses are formulated to address those
factors affecting profitability – increased operating cost, high customer dissatisfaction and low patronage
2. LITERATURE REVIEW
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loss to his/her pre-loss position. Thus, handling claims is one of the functions of insurers. For an
insurance company, claims processing is one of its core activities. It could arguably be said to be the
main reason why insurance companies are established. Claims, more than often, is the factor that
awakens the minds of the insuring public towards their insurer, as many consumers pay little attention to
their insurance coverage until they have a loss (Yusuf & Ajemunigbohun, 2015). Claim is the critical
moment of truth that shapes a customer’s overall perception of their insurer (Crawford, 2007). It is the
chance to show that the years spent paying premiums were worth the expense (Butler & Francis, 2010).
The word “claim” was derived from the Latin word, “Clamare” which means to “call out” (Kapoor, 2008)
Asokere and Nwankwo (2010) define Claims as a demand made by the insured person to the insurer for
the payment of benefits under a polic y. The insurance mechanism is such that an individual called the
insured, exchange his unknown fortuitous loss for a known cost called the premium, with the hope that
he/she will be indemnify by the insurer when he/she suffers a loss. Hence, the underlining reason for the
relationship between an insured and insurer, abinitio, is claims payment. This is why Barry (2011) defines
insurance claims as all activities geared towards monitoring insured’s compensation, restitution,
repayment or any other remedy for loss or damage or in respect of doing their obligations. Vaughan
&Vaughan (2008) define a claim as a notification to an insurance company that payment of an amount is
due under the terms of a polic y. An insurance claim, therefore, is a demand by a person or an
organization seeking to recover from an insurer for a loss that an insurance policy might cover (Brooks,
Popow, & Hoopes, 2005). Insurance claims range from straightforward domestic building and contents
claims that are settled within days of notification to complex bodily injury claims that remain open for
many years (Michael, 2008). Claims outline the benefit of the insurance promise (Kapoor, 2008).
Claims management is a concept that resulted from the operationalization of two independent concepts –
the claims concept and the concept of management. The way an insurer handles a claim often
determines to a large extent the insured’s opinion of and loyalty to the insurer (Yusuf & Ajemunigbohun,
2015). Gallagher (2012) opines that claims management involves administration of claims arising from
loss events. This was in line with Marquis (2011) assertion about insurance claims management. He
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industry practices that insurance firms use to validate polic yholder payment or reimbursement requests.
Redja (2008) outlines that the main objectives of claims management are to verify that a covered loss has
occurred for fair and prompt payment of claims and to provide personal assistance to the insured after a
covered loss occurs. Claims, being the largest single cost item for insurers (Yusuf & Ajemunigbohun,
2015) must be well managed and properly supervised to achieve the set out objectives of the insurance
company. This function is often carried out by claims personnel that include managers, supervisors,
claims representatives, customer service representatives, special investigation unit personnel, in-house
council and third-party administrators (Brooks et al, 2005). Insurers can transform the claims processing
by leveraging modern claims systems that are integrated with robust business intelligence, document and
content management systems which will enhance claims processing efficiency and effectiveness.
According to Butler & Francis (2010), key issues that assist the claims department in achieving its
objectives include understanding the customers, choosing the right claims model for the business,
developing a mutually beneficial relationship with service providers, gaining an information advantage and
taking a greater control of the claims process. The claims management process starts once an accident
has happened and usually involves repair to damaged property and/or compensation for any injuries
and/or losses caused (eg personal injury (PI), vehicle write-offs, loss of vehicle use or loss of earnings).
Organization for Economic Co-operation and Development (2004) assert that insurance claim
management is a core issue for the protection of insurance polic yholders and hence a priority concern for
insurance company. This is because from the insurance company viewpoint, claim management is a key
element in the competition between insurance providers and for the improvement of industry’s public
image. Claims management is critical to an insurer’s success. W hen done right, it solidifies customer
relationships, aids in regulatory compliance and prevents fraud (Computer Sciences Corporation, 2011).
A good claim management embraces: proactive in recognizing and paying legitimate claims; assessing
accurately the reserve associated with each claim; reporting regularly; minimizing unnecessary costs;
avoiding protracted legal disputation; dealing with claimants courteously; and whatever possible, handling
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evaluation of the promptness, fairness, efficiency, and effectiveness of benefit decisions made by the
Department of Labor and Industries and the various self-insurers authorized to pay their own claims.
Promptness refers to how quickly key claim decisions are made; fairness refers to whether or not
decisions made are non-biased and consistent across claims; efficiency refers to whether the cost of the
W ashington s ystem produces acceptable claim outcomes in comparison to other systems; and lastly,
effectiveness refers to whether the claim outcomes meet legislative intent. To significantly improve claims
management and swiftly adapt to changing situations, insurers must make more profound infrastructure
changes that align claims processing with corporate objectives for customer service, operational cost and
Claims management involves making literally hundreds of decisions. Those decisions that is most
important to achieve the best outcomes for insured and insurers. Decisions on whether their claim is
covered or not; decisions on benefits paid and primary services provided; decisions on assistance in
returning to work; decisions when there are disagreements on a claim; and decisions about the reopening
and closing of claims. Major components necessary for effective claims management process according
to AIRMIC (2009) include culture and philosophy, communications, staff or people, infrastructure, claims
procedures, data management, operations, monitoring and review. The role of claims manager in claims
process is crucial to the survival of insurance companies because the process of claims settlement is the
final point of an insurance contract and its application is to invoke the benefit of the insurance promise
One of the challenges of claims management, however, is the valuation of property when a loss arises.
Most time the problem is not always about the risk insured against happened or not. The dispute is about
the quantum of loss. Another challenge of insurance companies is integrating technology into the claims
management process. According to Aparna 2014, the adoption of mobile technologies by insurance
companies enables field representatives to establish virtual offices, provide service on the go, and deliver
services much more quickly. Mobile devices with the right technology also offer an extended point of
service for customers and enable insurers to promote their products and brand. Although, mobile
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organizations need to focus on key customer interactions such as claims processing, policy
renewals, buying new products, referrals, and understand what those experiences are like for
x How to control claims payout and operational costs — Claim payouts and loss adjustment
expenses represent the largest portion of all insurance expenses. Insurers that rely on static,
manual processes to handle simple claims or rely on subjective opinion to determine subrogation
opportunities, will suffer unnecessary costs and worsened combined ratios in comparison to
x How to manage risk — Detecting and avoiding unnecessary payments from fraud represents an
“easy target” for insurers to reduce risk exposure and control losses.
W ays were also suggested as a means of improving claims management. These are:
x Know your customers - To transform customer relationships, and improve retention and
profitability, insurers need to optimize every customer interaction, especially the experience of
filing of a claim. But in order to do so, they first need to understand who their customers are and
x Improve operational efficiency – This is achieved by determining the right resource for a particular
claim based on its complexity, likelihood of fraud or churn risk. Simple, low-risk claims can qualify
for immediate payment, while more complex claims can be sent to the right person directly,
without the usual escalation process. Because claim payouts represent the largest portion of
insurance expenses, faster and more efficient claims handling through business analytics can
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profit, a business is bound to fail as it would not be able to meet some of its short – term obligations and
goals. Profit is the financial return or reward that entrepreneurs aim to achieve to reflect the risk that they
take. It is the difference that exists between revenue and cost. i.e Profit = Total Revenue (TR) – Total
Cost (TC). Profit is an excess of revenues over associated expenses for an activity over a period of time.
Every business should earn sufficient profits to survive and grow over a long period of time. Thus, profit is
the main reason for the continued existence of most business organization. Owolabi and Obida (2012)
pointed out that the concern of business owners and managers all over the world is to devise a strategy
of managing their day to day operations in order to meet their obligations as they fall due and increase
profitability and shareholder’s wealth. Profit is one of the key measures of organizational performance
(Yusuf & Dansu, 2014). It is the index to the economic progress, improved national income and rising
standard of living.
Ayele (2012) defines profit as the difference between total earnings from all assets and total expenditure
on managing entire asset-liabilities portfolio. No doubt, profit is the legitimate object, but it should not be
over emphasized. Management should try to maximize its profit, keeping in mind the welfare of the
society. Thus, profit is not just the regard to owners but it is also related with the interest of other
segments of the society. Profit is the yardstick for judging not just the economic, but the managerial
efficiency and social objectives also. Profit is important to investors and management as sources of
dividends and growth while to the insured and regulators, profit provides additional security against
insolvency (Yusuf & Dansu, 2014). According to Owolabi and Obida (2012), profits are essential, but all
management decision should not be profit centered at the expense of the concerns for customers,
employees, suppliers or social consequences. It should be noted however that only customer with repeat
purchases is profitable (Nagar, 2009). Though profitability is an important yardstick for measuring
efficiency, the extent of profitability cannot be taken as a find proof of efficiency. Sometimes satisfactory
profits can mark inefficiency and conversely, a proper degree of efficiency can be accompanied by an
absence of profit. This is why Owolabi and Obida (2012) pointed out that profitability is the relationship of
income to some balance sheet measure which indicates the relative ability to earn income on assets. It
was further outlined that irrespective of the fact that profitability is an important aspect of business, it may
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It should be noted at this point that profit and profitability are two different words though they are used
interchangeably. Profit is the financial return or reward that entrepreneurs aim to achieve to reflect the risk
that they take while Profitability is ability to continually make profit from all the business activities of an
organization, company, firm, or an enterprise for over a long period of time. It shows how efficiently the
management can make profit by using all the resources available in the market. It measures management
efficiency in the use of organizational resources in adding value to the business (Owolabi & Obida, 2012).
Ayele (2012) clarifies profitability ratio as a class of financial metrics that are used to assess a business’s
ability to generate earnings as compared to its expenses and other relevant costs incurred during a
specific period of time. Al-Shami (2008) and Malik (2011) agree on a number of ratios for the
measurement of profitability. These include Return on Assets (ROA), Return on Equity (ROE) and Return
on Invested Capital (ROIC). ROA is an indicator of how profitable a company is relative to its total assets.
It shows how efficient the management uses its assets to generate earnings. W hereas ROE measures
how much profit a company generates with shareholders’ investment. ROIC is a measure used to asses a
company’s efficiency in allocating the capital under its control in profitable investments.
3. RESEARCH METHODS
Research Design is the framework that guides the researcher in the process of collecting and analyzing
data (Bryman & Bell, 2011). Essentially, this study is based on longitudinal design which follows the
same sample over time and makes repeated observations. In longitudinal design, changes in the
variables of study at different points in time are studied and related to variables that might explain why the
changes occurred. According to Fabayo (2009) a population is a set of existing units (people, objects,
events, etc.) that we wish to study. The population of the study is the total number of non – life insurance
companies in the Nigeria insurance market. There are 41 of these companies operating in Nigeria
according to 2015 Nigeria Insurers’ Association (NIA) Insurance Digest. This research study adopted
stratified sampling technique for this research by drawing out ten (10) of the forty one (41) insurance
companies transacting non-life business in Nigeria. The researcher further divided the selected ten (10)
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is achieved based on the member companies ranking in order of premium from direct non-life business as
reported in the 2015 Nigeria Insurers’ Association (NIA) Insurance Digest. The selected non – life
insurance company are Leadway Assurance Co. Ltd, Custodian & Allied Insurance, Mutual Benefits
Assurance Ltd, NEM Insurance Plc, AIICO General Insurance Co. Ltd, Great Nigeria Insurance Plc,
Nigerian Agricultural Insurance Corporation, NICON Insurance Plc, Guinea Insurance Plc, Investment &
Allied Insurance Plc. The secondary data extracted from the Nigeria Insurance Digest which contains the
reports of all member companies, is observed for a period of 10 years. The data gathered for this
research study were statistically presented and analyzed using tables, percentages, frequencies etc. in
order to summarize, present and describe the data collected. Correlation coefficient with the aid of SPSS
were used to test the hypotheses formulated to determine the presence of a relationship as well as the
direction, strength and association of the relationship among the study variables.
Raw data collected without adequate analysis is of no value and it is based on the above premises that
orderly presentation and analysis of data is a necessity. In order words, this section supplies analysis of
data collected through annual report and account of the selected insurance companies in order to
ascertain the impact of claims management on the profitability of non – life insurance companies in
Nigeria using a case study of selected insurance companies. The data were collected from Nigeria
Insurance Digest and correlation analysis method was adopted in analyzing the data and testing the
hypothesis.
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LOSS RO A RO E RO I ER
RATIO
2006 0.117913 0.031571 0.05523 0.639055 0.294418337
2007 0.641761 0.036966 0.056269 0.710335 0.97404342
2008 1.240918 0.040448 0.089735 0.369824 0.777045232
2009 0.086536 0.027545 0.086018 1.924485 0.057986908
2010 0.379639 0.035816 0.121693 0.112468 0.189120859
2011 0.367606 0.024507 0.092454 0.071302 0.153866977
2012 0.255391 0.010156 0.056194 0.050732 0.112050429
2013 0.227362 0.028219 0.111079 0.047565 0.252178922
2014 0.666603 0.057624 0.176008 0.099268 0.641070223
2015 0.975872 0.144179 0.314202 0.23154 0.797932
Table 2: Field Study, 2017
Although 2012 was the year with the highest claims payment, the loss ratio for that year was not the
highest. The year with the highest loss ratio was 2008. This is because loss ratio takes into consideration
the net premium earned for each year. It is a ratio that shows how much claims was paid from the net
premium earned. The lowest Loss Ratio was experienced in 2009. 2012 was the year with the highest
total assets. However, the Return on Assets (total assets when compared in relation to the PAT) shows
that 2012 was the year with the lowest ROA. The highest ROA was experienced in 2015. 2015 was the
year with the highest shareholders’ equity and it is also the year with the highest Return on Equity. 2006
is the year with the lowest shareholders’ equity and it is also the year with the lowest ROE. Although,
2013 was the year with the highest total investment, it wasn’t the year with the highest Return on
Investment. Year 2009, the year with the lowest total investment experienced the highest ROI with 2008
experiencing the lowest ROI. Year 2007 was the year with the highest expense ratio while year 2009 was
the year with the lowest expense ratio. The expense ratio is the ratio that shows the relationship between
the company’s net premium and the expense incurred in acquiring the net premium. The mean of the loss
ratio, ROA, ROE, ROI and E/R are 0.495959931, 0.043703106, 0.115888283, 0.425657358, and
0.424971 respectively. The aforementioned are depicted in the chart below
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1.5
0.5
0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Graph 1: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of Leadway Insurance
CUSTODIAN AND ALLIED INSURANCE
NET PAT TOTAL SHAREHOL NET TOTAL
MGT
CLAIMS ASSET DERS’ PREMIUM INVESTME
EXPENSE
INVESTME WRITTEN NT
S
NT
‘000 ‘000 ‘000 ‘000 ‘000 ‘000 ‘000
2006 173,316 576,148 329,727 5,596,537 3,034,941 1,381,583 266,342
2007 302,733 916,952 534,913 5,664,176 4,564,904 2,232,603 662,320
2008 696,432 1,559,551 650,217 11,941,319 8,944,159 3,169,309 1,225,405
2009 696,432 2,032,217 782,188 14,135,877 11,133,800 3,596,489 1,295,136
2010 1,457,634 1,980,229 901,788 16,004,196 12,029,586 5,320,717 10,489,143
2011 1,457,634 1,308,776 886,813 18,013,383 12,420,210 4,732,284 3,235,954
2012 2,062,456 822,674 1,137,455 24,340,553 12,039,647 6,579,191 16,733,604
2013 3,411,509 2,065,076 1,752,675 29,176,148 10,082,795 10,284,842 16,066,502
2014 3,484,692 2,197,842 1,812,400 27,574,450 10,494,326 4,426,287 18,451,574
2015 2,596,481 2,801,671 1,999,057 27,874,257 11,968,436 5,746,710 15,144,854
Table 3: Extracted from Nigeria Insurance Digest 2006 – 2015
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2.5
1.5
0.5
0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Graph 2: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of Custodian Insurance
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10
8
6
4
2
0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
-2
-4
-6
-8
Graph 3: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of Mutual Benefit Insurance
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0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
-1
Graph 4: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of NEM Insurance
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LOSS RO A RO E RO I E/R
RATIO
2006 0.020775 0.055571 0.082403 1.255176 0.409978
2007 0.048541 0.023494 0.048282 0.528795 0.464683
2008 0.254193 0.085099 0.128986 1.077182 0.627104
2009 0.217132 0.029816 0.158787 1.871198 0.324324
2010 0.365359 0.032757 0.063497 0.259909 0.170957
2011 0.111106 0.045356 0.130091 1.155171 0.118821
2012 0.114712 0.035791 0.107677 0.210215 0.071438
2013 0.354188 -0.0223 -0.0874 -0.14269 0.273414
2014 0.516176 0.16886 0.183235 0.274211 0.535038
2015 0.315046 0.069082 0.102328 0.11266 0.545837
Table 10: Field Study, 2017
The company’s loss ratio was at the highest in 2014, the year with the highest claims payment and the
lowest was in the year 2006 which was also the year with the lowest claims payment. The highest ROA
was in 2014 and the lowest in 2013. The company’s highest ROE was in 2014 and the lowest in 2013
even though the company’s shareholders’ investment was at the highest in 2010. The company’s ROI
was at the highest in 2006, though that was the year with the lowest total investment accumulation and at
the lowest in 2013. The company’s highest expense ratio was in 2008 and the lowest was in 2012. The
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1.5
0.5
0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
-0.5
Graph 5: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of AIICO Insurance
GREAT NIGERIA
NET PAT TOTAL SHAREHOLD NET TOTAL
MGT
CLAIMS ASSET ERS’ PREMIUM INVESTM
EXPENSES
INVESTMENT WRITTEN ENT
‘000 ‘000 ‘000 ‘000 ‘000 ‘000 ‘000
2006 15,299 -155,355 301,245 6,931,183 5,967,390 425,252 200,642
2007 32,681 90,249 264,771 6,882,672 6,059,241 748,216 351,556
2008 234,320 -295,634 336,976 3,898,414 3,188,982 704,217 88,435
2009 234,320 -2,288,756 405,871 2,135,598 1,362,975 801,956 837,023
2010 263,549 19,158 71,825 2,427,782 5,366,034 1,017,539 942,194
2011 263,549 143,800 380,586 2,685,712 4,262,540 1,154,831 942,194
2012 13,157 903,096 501,780 2,787,000 5,352,912 1,188,542 1,331,699
2013 13,157 903,096 501,780 2,787,000 5,352,912 1,188,542 1,331,699
2014 474,112 -101,697 817,522 4,495,885 5,318,376 1,118,889 2,867,667
2015 474,112 -101,697 817,522 4,495,885 5,318,376 1,118,889 2,867,667
Table 11: Extracted from Nigeria Insurance Digest 2006 – 2015
LOSS RO A RO E RO I E/R
RATIO
2006 0.035976 -0.02241 -0.02603 -0.77429 0.708392
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-1
-1.5
-2
-2.5
-3
-3.5
-4
Graph 6: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of Great Nigeria Insurance
LOSS RO A RO E RO I E/R
RATIO
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0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
-1
Graph 7: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of Nigeria Agricultural Insurance
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50
40
30
20
10
0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
-10
Graph 8: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of NICON Insurance
GUINEA INSURANCE
NET PAT TOTAL SHAREHOL NET TOTAL
MGT
CLAIMS ASSET DERS’ PREMIUM INVESTME
EXPENSE
INVESTMEN WRITTEN NT
S
T
‘000 ‘000 ‘000 ‘000 ‘000 ‘000 ‘000
2006 12,417 90,928 185,942 1,324,642 679,736 669,296 15,310
2007 23,796 92,605 142,003 4,053,981 3,513,186 244,808 53,989
2008 42,027 75,348 48,096 4,090,872 3,337,995 900,583 199,441
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Graph 9: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of Guinea Insurance
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Graph 10: Loss Ratio, Return on Assets, Return on Equity, Return on Investment and Expense
Ratio of Investment and Allied Insurance
4.2 TEST OF HYPOTHESES
After a careful and systematic analysis of the data obtained for the purpose of this research work, the
following hypotheses were tested using correlation analysis with the aid of Statistical Packages for Social
Sciences (SPSS) 20.0.
Hypothesis 1:
There are no significant relationship between claims management and profitability of non – life insurance
companies in the Nigeria insurance industry.
Correlations
Descriptive Statistics
Mean Std. Deviation N
LOSS RATIO 7.7336640 16.24417055 10
PROFITABILIT
10.9798872 14.21037844 10
Y
Correlations
LOSS PROFITABILI
RATIO TY
Pearson Correlation 1 -.448
LOSS RATIO Sig. (2-tailed) .194
N 10 10
Pearson Correlation -.448 1
PROFITABILIT
Sig. (2-tailed) .194
Y
N 10 10
The table above shows the correlations between loss ratio (which is used to measure claims
management) and profitability of selected non-life insurance companies in Nigeria. From the correlation
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i. The finding shows that claims negatively affect the profitability of selected non – life insurance
companies. Therefore, it is recommended that insurance companies empower their underwriting staffs
through proper trainings and seminar so as to avoid adverse selection. This is in line with Yusuf T. O and
Dansu F. S (2014) suggestion that Nigerian insurers should pay due attention to their underwriting
activities to ensure objective risk selection and management and Tribuzio (2009) who postulated that a
good claims system all starts with the right selection of risk.
ii. It is recommended that the claims management department should be properly structured with
highly technical, trained and experienced staff so as to manage the claims of the insurance companies
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Yusuf T. O and Abass O. A (2013) assertion that excellence in claims handling gives an insurance
company a competitive edge over its competitors therefore the head of claims should be part of top
management team, staff in claims department must be exposed to training and insurance companies
must internalize organizational philosophy on claim handling process. Nagar (2009) also asserts that only
iii. It is recommended that insurance companies should have a proper documentation for claims and
a well-structured strategy in place before the occurrence of claims. This is in line with Yusuf T.O and
Ajemunigbohun S. S. (2015) suggestion that claims manager should put forward strategic plans to
ensuring that insurance claims complaint files are properly kept, monitored and handled for needs that
iv. It is recommended that insurance companies annex their efforts with that of other experts (claims
analysts, law enforcement agencies etc.) in the field of claims management and government so as to
have the best results. This is in line with Yusuf T.O and Ajemunigbohun S. S. (2015) suggestion that
government should ammonize their resources and technical know-how with the Nigerian insurance
industry in ensuring that insurance claims are well designed to curtail fraudulent claims experienced in the
past.
v. Finally, it is recommended that insurance in a bid to make profit, should not forget the main
reason for their existence which is bringing the insured back to his/her pre-loss position by paying
genuine claims. Hence, all efforts should be made to pay genuine claims promptly as this will increase the
6. CONCLUSIONS
From the aforementioned findings, the research study concludes that loss ratio is better parameter to
show if a company’s claims management process is effective. This is because a company who pay high
claims might have a low loss ratio compared to a company who pays lower claims with a high loss ratio.
Loss ratio put into consideration the amount of net written premium accumulated by the company in its
calculation.
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influences profitability. This means that as the loss ratio increases, the profitability of the selected non-life
insurance company is expected to decrease although there is no significant relationship between claims
management and profitability of selected non – life insurance companies. An insurance company with a
high claims could still have a lot of profit from good investments which could cushion the impact of the
high claims payment. It could also be concluded that claims management positively influences the
operating cost of the selected non – life insurance companies. This means that as loss ratio increases so
Based on the findings from the correlation analysis, it could also be concluded that there is a significant
relationship between claims management and operating cost of the selected non-life insurance
companies. This is so because claim is the largest single cost item for insurers. Therefore, a high claims
payment could increase the operating cost of an insurance company and vice versa. The study also help
to make conclusion that claims management improve insurance patronage and revenue generation in the
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