Wondering what to do when an insurance claim is rejected — and how it can still be won?
In this video we share a real victory from Varanasi: a policyholder’s claim was unfairly rejected, but Insurance Samadhan stepped in, fought the case, and helped secure the rightful settlement. Watch to learn the step-by-step approach, the legal options available, and how you can escalate your own rejected or delayed claim.
What You Will Learn:
Case snapshot: What happened in the Varanasi claim — rejection, grounds given by the insurer, and why the policyholder sought help.
Common reasons for claim rejection: Typical insurer objections (non-disclosure, procedural lapses, waiting period, documentary gaps).
Immediate steps to take after rejection: Preserve documents, get medical records, ask for written rejection reasons, and note timelines.
Evidence that matters: Policy copy, claim form, hospital bills, diagnostic reports, prescriptions, discharge summary, and communication logs.
How Insurance Samadhan helped: Case assessment, documentation support, grievance escalation, and representation before the insurer/ombudsman/consumer forum.
Where to escalate: Insurer grievance cell → IRDAI Ombudsman → District/State/National Consumer Dispute Redressal Forum (how each forum works and when to approach them).
What remedies you can expect: Claim settlement, interest on delayed payment, compensation in consumer forum cases (depending on judgement).
Timelines & process tips: When to file a grievance, typical response windows, and how to avoid avoidable delays.
Preventive tips: How to reduce rejection risk — accurate disclosure, timely filing, complete documentation, and following insurer timelines.
How to get help: Register with Insurance Samadhan for expert support and escalation assistance.
Have a complaint about claim rejection, short settlement, delay, or possible mis-selling? Register here for help: http://bit.ly/3OuT0ck
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