Settlement of any insurance claim within proper time and for the proper amount have the same importance as taking the insurance.
Some time unnecessarily delay and undue deduction in claim amount defeated the object of Insurance
Proper guidance , sufficient knowledge and right procedure is the only way to come out from any adverse situations in claim settlement.
Insured being the policy holder know your Right.
The IRDA provided in his guidelines for settlement of grievances of policy holder with in prescribed time limit .This all process comes under PPHI Regulation 2002 and regulator has given the detail guidelines and time limit w.e.f. July 2010.
The time limit For settlement of grievance is TWO WEEKS.
Insured if not satisfied with the reply of Insurer , can go to Insurance Ombudsman . The Ombudsman has the authority to settle the case up to 20 Lakh.
Still the Insured is not satisfied he can go to the Consumer Forum and he need not to contact Ombudsman before going to Consumer Forum.
We being the claim consultant provide you the consultancy in your time of needs through our expert and experience consultant.
Our main services are as under
Procedure & guidelines on all type of claim .
Expert Advise on your routine and specific claim.
Legal and grievances proceeding on claim with Grievance Department of Insurer, IRDA ,Insurance Ombudsman and Consumer Forum.
Guidance in Court case through our advocate and Legal Expert.
We also provide you Corporate Consultant for your day to day , regular and routine requirement in claim and insurance .
Different Important documents required for different Claims
- Intimation / Claim Notice
- Claim bill / Estimate
- F I R / Final Report
- Claim Form
- Fire Brigade Report
- Inspection Report
- GR / Bill of Lading / AWB / Bill of entry etc.
- Damage Certificates / Technical Report
- Bill / Cash Memos
- Survey Report
- Accounts Book / Stock Register
- Doctor’s Report / Post Mortem Report
Important and valuable rules about Different Personal line Claims
Fire claim may be on Building , Stocks or Contents.
Normally deduction in claims is due to under insurance , average clause or excess clause.
The Claims are not payable happens due to excluded perils.
MOTOR CLAIMS :-
The amount in claims may be deducted f due to depreciation and excess clause.
The claim is not payable in case of wrong declaration to avail NCD
The amount of claim may be deducted for medical expenses over the limit of policy. Weekly expenses are paid only for the period required and the rest is deducted from the claim.
The claim are rejected if misshaping due to other than accident.
The amount of claim in Health Insurance may be deducted for Admission Charges , Excess Clause , Consumable and the amount exceeds in a particular Head.
The claim may be rejected for deceases excluded from the coverage of policy , For Pre exesting Deceases and claim during the first 30 days of the policy.
Being the different section in the householders insurance , the claim may be deducted as per the different clause applicable in the different section for excess , depreciation ,average and under insurance.