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Does Microinsurance work for India’s poor?

Microinsurance schemes target the betterment of the low-income segment whose daily income is less than ₹250 per person. The term “micro” refers to the small financial transactions generated by insurance policies. Since the introduction of the Microinsurance Regulation of 2005, 15 companies have registered more than 23 products with IRDA (Insurance Regulatory and Development Authority of India). But sadly, the Indian insurance sector has achieved a penetration rate of only 3.49% and the majority of it comes from the urban population.

Microinsurance can be delivered through a variety of channels like licensed insurers, health care providers, microfinance institutions, community-based and non-governmental organizations. Despite so many open channels and nearly 15 years of operation, microinsurance products are not easily accessible to the rural populace. 

In this article, we will discuss why private insurers are unable to reach rural India and the ways to effectively distribute these schemes to the rural mass.

Why Insurance Companies are Unable to Reach Rural India for Microinsurance Policies?

The low penetration levels and the large protection gap is a major challenge for the Indian insurance industry.

Casparus Kromhout, MD & CEO, Shriram Life Insurance
Gaps in microinsurance policies reaching rural areas

Flaws in Traditional Insurance Methods

Typically, insurance companies recruit agents who can charge their clients up to 20% of the premium as fees. Insurance companies appoint agents under the ‘Deed of Agreement’ or ‘Memorandum of Understanding’. The point is, the insurance companies and agents (or community workers) lack tight coupling. And most of the time, insurance agents don’t prefer sharing their client data with the insurer. Therefore, the insurance companies have data about the policies sold but are missing complete customer details.

Insurance companies are also the late adopters of technology. For some, budget is the constraint while for many it is the perception about technology that is creating a roadblock. There is a cost associated with building technology according to the organization’s needs, implementing it, and also training the stakeholders to use it. Although, it is a one-time investment, still, many insurance companies are hesitant to spend in technology.

Overcoming Operational Challenges in the Rural Microinsurance Space through Technology

Automating manual processes can reduce operational cost and improve efficiency. 

webinar: AI for data-driven Insurers

Join our Webinar — AI for Data-driven Insurers: Challenges, Opportunities & the Way Forward hosted by our CEO, Parag Sharma as he addresses Insurance business leaders and decision-makers on April 14, 2020.

For example, Gramcover, an Indian startup in the microinsurance sector uses direct document uploading and processing for faster insurance distribution in the rural sector.

Similarly, MaxBupa, a leading health insurance venture uses
FlowMagic automated solutions for processing inbound documents. It has simplified the operations by lowering manual dependencies and by being adaptable to the existing organizational processes.

The Scope of Consumer Technology and Insurance Companies in Microinsurance Space

Consumers value convenience. Insurance companies that can provide 24/7 services are at a bigger competitive advantage. 

However, technology alone cannot reform the microinsurance sector. There still needs to be human ‘touchpoints’ to educate rural customers. Insurance companies can deploy technology for improving operational efficiency. 
India accounts for nearly 65% of Asia’s microinsurance market, and with the right strategies that meet these challenges, insurance companies can reach out to actual Bharat — who are otherwise deprived of microinsurance benefits.

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NPS in Insurance Claims: What Insurance Leaders Are Doing Differently

Claims are the moment of truth. Are you turning them into moments of loyalty?

In insurance, your app interface might win you downloads. Your pricing might drive conversions.
But it’s the claims experience that decides whether a customer stays—or leaves for good.

According to a survey by NPS Prism, promoters are 2.3 times more likely to renew their insurance policies than passives or detractors—highlighting the strong link between customer advocacy and retention.

NPS in insurance industry is a strong predictor of customer retention. Many insurers are now prioritizing NPS to improve their claims experience.

So, what are today’s high-NPS insurers doing differently? Spoiler: it’s not just about faster payouts.

We’ve worked with claims teams that had best-in-class automation—but still had low NPS. Why? Because the process felt like a black box.
Customers didn’t know where their claim stood. They weren’t sure what to do next. And when money was at stake, silence created anxiety and dissatisfaction.

Great customer experience (CX) in claims isn’t just about speed—it’s about giving customers a sense of control through clear communication and clarity.

The Traditional Claims Journey

  • Forms → Uploads → Phone calls → Waiting
  • No real-time updates
  • No guidance after claim initiation
  • Paper documents and email ping-pong

The result? Frustrated customers and overwhelmed call centers.

The CX Gap: It’s Not Just Speed—It’s Transparency

Customers don’t always expect instant decisions. What they want:

  • To know what’s happening with their claim
  • To understand what’s expected of them
  • To feel heard and supported during the process

How NPS Leaders Are Winning Loyalty with CX-Driven Claims and High NPS

Image Source: NPS Prism

1. Real-Time Status Updates

Transparency to the customer via mobile app, email, or WhatsApp—keeping them in the loop with clear milestones. 

2. Proactive Nudges

Auto-reminders, such as “upload your medical bill” or “submit police report,” help close matters much faster and avoid back-and-forth.

3. AI-Powered Document Uploads

Single-click scans with OCR + AI pull data instantly—no typing, no errors.

4. In-the-Moment Feedback Loops

Simple post-resolution surveys collect sentiment and alert on issues in real time.

For e.g., Lemonade uses emotional AI to detect customer sentiment during the claims process, enabling empathetic responses that boost satisfaction and trust.

Smart Nudges from Real-Time Journey Tracking

For a leading insurance firm, we mapped the entire in-app user journey—from buying or renewing a policy to initiating a claim or checking discounts. This helped identify exactly where users dropped off. Based on real-time activity, we triggered personalized notifications and offers—driving better engagement and claim completion rates.

Tech Enablement

  • Claims Orchestration Layer: Incorporates legacy systems, third-party tools, and front-end apps for a unified experience.
  • AI & ML Models: For document validation, fraud detection, and claim routing, sentiment analysis is used. Businesses utilizing emotional AI report a 25% increase in customer satisfaction and a 30% decrease in complaints, resulting in more personalized and empathetic interactions.
  • Self-Service Portals: Customers can check their status, update documents, and track payouts—all without making a phone call.

Business Impact

What do insurers gain from investing in CX?

A faster claim is good. But a fair, clear, and human one wins loyalty.

And companies that consistently track and act on CX metrics are better positioned to retain customers and build long-term loyalty.

At Mantra Labs, we help insurers build end-to-end, tech-enabled claims journeys that delight customers and drive operational efficiency.
From intelligent document processing to AI-led nudges, we design for empathy at scale.

Want a faster and more transparent claims experience?

Let’s design it together.
Talk to our insurance transformation team today.

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