{"id":525,"date":"2020-10-01T12:48:13","date_gmt":"2020-10-01T12:48:13","guid":{"rendered":"http:\/\/blog.insurancesamadhan.com\/?p=525"},"modified":"2020-10-01T12:48:14","modified_gmt":"2020-10-01T12:48:14","slug":"common-problems-you-could-face-while-filing-your-insurance-claim","status":"publish","type":"post","link":"http:\/\/www.insurancesamadhan.com\/blog\/common-problems-you-could-face-while-filing-your-insurance-claim\/","title":{"rendered":"Common Problems you could face while Filing your Insurance Claim and what to do?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_76 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/common-problems-you-could-face-while-filing-your-insurance-claim\/#1_Reach_out_to_your_Insurer_Company\" >1. Reach out to your Insurer Company<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/common-problems-you-could-face-while-filing-your-insurance-claim\/#2_Filing_a_complaint_with_Final_Ombudsman_Service\" >2. Filing a complaint with Final Ombudsman Service<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/common-problems-you-could-face-while-filing-your-insurance-claim\/#3_Reach_out_to_Insurance_Samadhan\" >3. Reach out to Insurance Samadhan<\/a><\/li><\/ul><\/nav><\/div>\n\n<p>Getting an insurance secures you from any and all unfortunate calamities of life. However, after filing a claim, you may encounter some problems. For example, the\u00a0<a href=\"https:\/\/www.insurancesamadhan.com\/blog\/how-insurance-samadhan-help-covid-patients-in-settling-insurance-claims\/\">insurer company<\/a>\u00a0may refuse to pay the entire amount or pay a partial amount of what you claimed. We are here to guide you on what you can do if you face such problems-<\/p>\n\n\n\n<p><center><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=google&#038;utm_medium=organic&#038;utm_campaign=blog_banner&#038;utm_content=http%3A%2F%2Fbit.ly%2F2kuc159\"\/><img decoding=\"async\" src=\"https:\/\/www.insurancesamadhan.com\/assets\/img\/contact.png\" alt=\"Get Resolutions for Insurance Complaints\"\/><\/a><\/center><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"1_Reach_out_to_your_Insurer_Company\"><\/span>1. Reach out to your Insurer Company<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Your Insurer company may possibly have a valid and reasonable basis as to why they have decided to reject your claim. &nbsp;Therefore first things first, reach out to your Insurer company.<\/p>\n\n\n\n<p>Check your policy guidelines, familiarise yourself with what is covered in your policy to ensure that you can submit a detailed complaint with best of your understanding.<\/p>\n\n\n\n<p>If you think your complaint stands valid despite hearing their justification, you &nbsp;can write &nbsp;to your insurer and lodge a formal complaint. Give a more detailed account of your complaint &nbsp;and inform them about what you would like them to do. At this point, ensure that you keep a record of the complaint.<\/p>\n\n\n\n<p>If you are still not satisfied with the outcome of your formal complaint, don\u2019t worry, there\u2019s still hope.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_Filing_a_complaint_with_Final_Ombudsman_Service\"><\/span>2. Filing a complaint with Final Ombudsman Service<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The insurance watchdog, IRDAI is the final solution to all your insurance disputes. If you have a complaint about your insurer company or have an insurance dispute, you can reach out&nbsp;<a href=\"https:\/\/www.insurancesamadhan.com\/blog\/protection-of-policy-holder-interest-by-irda\/\">IRDAI<\/a>&nbsp;and take it to the Financial Ombudsman &nbsp;Service. This is a free of cost service which is available to you if you have already lodged a formal complaint with your company.<\/p>\n\n\n\n<p>Using mediation, Financial Ombudsman &nbsp;Service will try to resolve your dispute. If not through mediation then they will initiate a formal investigation into your dispute. The final decision given at the end of the investigation is &nbsp;binding to your insurer. Non-compliance to the terms of decision made by the Ombudsman is illegal and therefore, all companies easily comply.<\/p>\n\n\n\n<p>However, please note that this decision is &nbsp;not &nbsp;binding to customers. In this scenario, if you still do not &nbsp;agree with the final outcome, you can &nbsp;sue the company and &nbsp;take the insurer to &nbsp;court.<\/p>\n\n\n\n<p>Filing a legal complaint and going to court can be stressful and cost you a lot of money. However, this is your last resort &nbsp;to claim your money.<\/p>\n\n\n\n<p>We also want to point out to you that there are certain time limits for lodging a complaint with Ombudsman-<\/p>\n\n\n\n<p><strong>You must take your complaint to Ombudsman within-<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Six months of receiving a final outcome from your insurer company.<\/li><li>Six years of the event that you are lodging a complain about.<\/li><\/ul>\n\n\n\n<p>The whole process of filing a formal complaint can be confusing, stressful and sometimes you &nbsp;may require expert\u2019s opinion or advise on your disputes, which is what we are here for-<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"3_Reach_out_to_Insurance_Samadhan\"><\/span>3. Reach out to Insurance Samadhan<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>If you approach us at your first step or last, we are here to help at all times. Insurance Samadhan is the most trusted platform for &nbsp;resolving&nbsp;<a href=\"https:\/\/www.insurancesamadhan.com\/blog\/death-claim-delays-and-how-to-avoid-it\/\">insurance complaints<\/a>&nbsp;in India. After encountering many dissatisfied customers over the past two decades, we created this online portal to provide you with a redressal platform.<\/p>\n\n\n\n<p>Our experts from the insurance industry will represent you with the insurance companies and will help you to find adequate redressal for your grievances. We find solutions to any insurance-related issue that include lapsed insurance policy, assistance in case settlement, claim recovery in case of insurance fraud, assistance to NRI&#8217;s in servicing their policies, and much more.<\/p>\n\n\n\n<p><strong>Our services include-<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Mis-selling of Insurance Policy<\/li><li>Claim rejection<\/li><li>Claim process<\/li><li>Lapsed Policy<\/li><li>Policy Rejection<\/li><li>Service Issues<\/li><li>NRI services and many more.<\/li><\/ol>\n\n\n\n<p><center><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=google&#038;utm_medium=organic&#038;utm_campaign=blog_banner&#038;utm_content=http%3A%2F%2Fbit.ly%2F2kuc159\"\/><img decoding=\"async\" src=\"https:\/\/www.insurancesamadhan.com\/assets\/img\/contact.png\" alt=\"Get Resolutions for Insurance Complaints\"\/><\/a><\/center><\/p>\n\n\n\n<p>To reach us at InsuranceSamadhan.com \u2013<\/p>\n\n\n\n<p>Call us at \u2013 844 844 0626<\/p>\n\n\n\n<p>Mail us at \u2013&nbsp;<a href=\"mailto:corporate@insurancesamadhan.com\">corporate@insurancesamadhan.com<\/a><\/p>\n\n\n\n<p>Register your insurance complaint&nbsp;<a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=google&amp;utm_medium=organic&amp;utm_campaign=blog\">here<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Getting an insurance secures you from any and all unfortunate calamities of life. However, after filing a claim, you may encounter some problems. For example, the\u00a0insurer company\u00a0may refuse to pay the entire amount or pay a partial amount of what&hellip; <a href=\"http:\/\/www.insurancesamadhan.com\/blog\/common-problems-you-could-face-while-filing-your-insurance-claim\/\" class=\"more-link\">Continue Reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":526,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-525","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Common Issues or Problem that lead to Insurance Claim Denials<\/title>\n<meta name=\"description\" content=\"Common Problems you could face while Filing your Insurance 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an insurance secures you from any and all unfortunate calamities of life. However, after filing a claim, you may encounter some problems. For example, the\u00a0insurer company\u00a0may refuse to pay the entire amount or pay a partial amount of what&hellip; Continue Reading &rarr;","amp_enabled":true,"_links":{"self":[{"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/posts\/525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/comments?post=525"}],"version-history":[{"count":1,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/posts\/525\/revisions"}],"predecessor-version":[{"id":527,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/posts\/525\/revisions\/527"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/media\/526"}],"wp:attachment":[{"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/media?parent=525"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/categories?post=525"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/tags?post=525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}