When a claim process gets delayed, one land in waters of hopelessness and helplessness and we couldn’t agree more. This is an unwelcome move where despite having an insurance, you had to bear all costs and now the reimbursement stands delayed. Especially in this digital age, where documents sharing and verification between the insurance company and hospitals should be a seamless process yet delays in insurance claim approval are quite common.
Bear in mind that majorly, the insurance claim approval process depends on the administrative efficiency of the insurance company and the healthcare provider. However at your end, to fasten the process of claim settlement, it is important that you inform the administrative department of the hospital to prepare all relevant paperwork needed. If possible, take an estimated discharge date and work around that date to ensure that you are prepared with all the paperwork needed beforehand. Also don’t hesitate to keep a tap on the insurance company in order to fast-track your insurance claim approval process. If you approach this process proactively, you can ensure that you get claim settlement quicker.
While it's an endeavor of every insurance company to settle the insurance claim at a faster pace for a better customer experience but sometimes there are certain questions raised which need to be answered technically to get the insurance claim disbursed. We can understand your case and can help you answer the questions in the correct manner.
At Insurance Samadhan, 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's in servicing their policies, and much more.
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As of 2016, 80% of consumer complaints in the Insurance Sector were related to Insurance Claims alone. Ranging from fraud and lack of awareness to inappropriate documentation, imbalance in the Insurance Sector looms larger than ever before owing to the rise of the Indian middle class and a shift towards more educated investments. Despite numerous checkpoints imposed by the IRDA, an end-to-end solution for this problem seems far-fetched. New measures like the Introduction of KYC (Know Your Customer), Prohibition of Third-Party Payments, Fixing Accountability for Distributors, etc. have not yet completely resolved these issues. Due to lack of financial know-how and awareness, issues like data theft and fake calls posing as IRDA remain common. Insurance Samadhan has accepted this challenge and we aim to achieve the goal of removing these obstacles for our clients. We ensure that your case is excellently represented, protocol is followed and your life insurance complaints are resolved as quickly as possible.
The Healthcare and Medical Services sector of any country is critical for its welfare. Government, employers and the society at large need to understand health insurance clearly. Only then can they implement productive strategies for managing health and medical insurance. Presently, the majority of disputes usually occur due to misunderstandings, exclusions and non-standardization of laws related to medical insurance. Corporate Hospitals have TPA (Third Party Administration) desks but similar facilities are unfortunately not available everywhere. Additionally, incorrect declaration at the time of policy initiation and poor documentation create even more issues. Once again, we firmly believe in the transparency and integrity of the system and understand the limitations faced by the common man who has trouble understanding the “Heavy Words” of the industry, like understanding exclusions and permissible limits linked to room rent. Which is exactly why at Insurance Samadhan we work relentlessly on case representation at all forums with the intention of resolving various health insurance complaints of the very aggrieved customers we often assist.
Non-Life Insurance Policies such as Automobile Insurance and Homeowner Policies are classified as “General Insurance”. These policies provide cover and payment depending on the loss from a particular financial event. Other Examples of General Insurance include Health Insurance, Travel Insurance, Marine Insurance, Commercial insurance etc. Despite the modernization of Insurance products and practices in India consumers face a number of problems with General Insurance. The general public looks at these policies as unnecessary due to a lack of awareness. People are scared by the technical and difficult language which is hard for them to understand. Thirdly, misrepresentation and selling inappropriate policies has created a bad impression in Public. These combined with the notoriously slow claim settlement process actively discourage consumers from purchasing these policies. Insurance Samadhan works relentlessly to solve these problems by helping consumers in understanding their policies, representing them with concerned authorities and helping them recover their claims. We understand the problems well due to our experience in the industry and so our solutions for general insurance complaints are suitable and easy to understand for Indian consumers.
Insurance Samadhan is not related to IRDA/Ombudsman in any manner. Copyright © 2016-2022 Insurance Samadhan. All rights reserved.
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