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Insurance Claims

Challenges to rejected or short-settled health, life, motor, fire and property insurance claims.

Consumer, Insurance & Accident Claims · Lucknow

Insurance claims are often rejected on grounds such as non-disclosure, policy exclusions or delay in intimation — not all of which stand up to scrutiny. A policyholder can first complain to the insurer's grievance cell, then approach the Insurance Ombudsman (for claims up to ₹50 lakh, within a year of the insurer's final reply) or a Consumer Commission.

We assess the rejection, advise on the best forum, and pursue the claim with interest and compensation.

When you may need this

  • Your health or life insurance claim has been rejected
  • Your claim has been paid only in part
  • The insurer is delaying settlement
  • A fire, theft or property claim has been denied

How we handle it

  1. We review the policy, claim and rejection letter
  2. We file a grievance with the insurer
  3. We approach the Insurance Ombudsman or Consumer Commission
  4. We argue the claim and pursue payment

Documents to bring

  • Policy document and proposal form
  • Claim form and rejection letter
  • Medical, police or surveyor reports
  • Correspondence with the insurer

Questions about Insurance Claims

Where can I complain if my insurance claim is rejected?

First complain to the insurer's grievance cell. If unresolved, you can approach the Insurance Ombudsman for claims up to ₹50 lakh within one year of the insurer's final reply, or file a complaint before a Consumer Commission.

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Need legal advice?

Speak to an advocate at Neeraj Associates. Tell us about your matter and we'll guide you on the next step.

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