The National Commission for the Protection and Defense of Users of Financial Services (Condusef) reported that in the first quarter of 2021 the insurers with major complaints by its customers in the product of major medical expenses they were Bupa Mexico with 102; Axa Seguros with 21 and Metlife México with 14.
According to the agency, the average for the sector was 3 claims for every 100,000 insurance contracts of medical expenses.
According to the agency, from January to March 2021, the percentage of favorable resolution of the insurance sector regarding insurance for major medical expenses was 14%. Thus, the insurers that resolved the most in your favor in the industry were: Zurich Santander with 42%, HSBC Seguros with 33% and Seguros Monterrey with 19%.
Regarding the time it takes for insurers to resolve their clients, from January to March 2021, the industry average for claims related to major medical expenses was 23 business days. Thus, the firms that took the longest to resolve the complaint were Bupa México with 47 days on average, Metlife México with 37 and Mapfre with 31.
The Condusef also highlighted that the insurers that best treated their clients were Bupa with 9.8, followed by Chubb and HSBC Seguros with 9.7; and Citibanamex and Mapfre with 9.5.
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According to the survey National Financial Inclusion 2018, 20.1 million people in Mexico have at least insurance, of which 5 million correspond to medical expenses insurance.
In the days of the Covid-19 pandemic, in Mexico, the accident and illness operation registered a real growth of 7.1% in the first quarter of this year, which caused its participation to reach 17.7%, equivalent to 31 thousand 777 million of pesos of the total premium issued by the insurance sector.
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