How to File a Consumer Complaint Against an Insurance Company?

A person purchases an insurance policy to have a financial backup against unforeseen losses through a contract with an insurance company. Insurance is the financial protection against any loss, whether it be the loss of life, health, or property. The insurance firm must pay the policy amount to the insured or nominee upon maturity, and the person is expected to pay a charge in exchange for minimizing their loss. However, there are some situations when the insurance provider may decline to pay the insurance sum or where there may be a disagreement between the insured and the insurer over the premium paid; in order to address these types of complaints, one must file a complaint against the insurance company.

Read also this -: How to File a Consumer Protection Online Complaint Form

The purpose of today's blog is to provide you with some advice on how to complain to the insurance company if you experience service-related issues or any other shortcomings on the part of the firm that prevent you from receiving insurance benefits.

Process to Lodge a Complaint against the insurance company

1)Filling complaint in IRDA

  • The first stage in the process of filing a complaint against the insurance company
  • is to go to the office of complaint resolution of your insurer. You may also file through the official website of the government with the necessary supporting documentation.
  • The complaint must be resolved within 15 days of being filed, after which it is sent to the IRDAI department. You will then receive an acknowledgment that includes the date of filing the complaint.
  • If the Ombudsman or IRDA does not respond, the policyholder may file a complaint against the insurance company.
  • Before acquiring the insurance policy, the insured must review the insurance documentation to assess the terms and conditions of the policy and reveal all information that could result in the claim being denied. In the event that this is not done, the final step is to file a complaint against the insurance company which can be done with the aid of a Legalraasta agent.
  • The next step is to get in touch with the agent or business through which the insurance policy was obtained after the policy paperwork has been examined and no problems are discovered.
  • The company often fixes the issue and pays the policy amount if the rejection was caused by a service-related fault, but you also have the option to file a consumer complaint.

    • 2)Insurance Ombudsman

    The Insurance Ombudsman serves as a mediator, enabling policyholders to reach an out-of-court agreement with the insurance company over their insurance problems without having to directly complain about the insurance company. There are 17 Insurance Ombudsmen in various cities throughout India, and the insured may file a complaint with one of them only if their insurance claim is denied, they do not receive a response to their claim within 30 days, their total claim value is up to 30 lakhs, or their insurance policy is not being followed. The final step is to file a complaint against the insurance company if this doesn't happen.

    3)Consumer complaints in court

    On the basis of the policy amount and the compensation sought, a consumer complaint can be made a complaint against the insurance company. Cases can be filed in consumer courts in India at three different levels based on capital: District Forum (cases worth less than Rs. 20 lakhs), State Consumer Dispute Redressal Forum (cases worth more than Rs. 20 lakhs but less than Rs. 1 crore), and National Commission (cases worth more than Rs. 1 crore).

    Read also this -: File a Criminal Complaint in India: A Step-By-Step Process

    Conclusion

    We can now state that you have a decent notion for filing a complaint against the insurance company, which assists in controlling risk related to a person's property or life. The cost of any unforeseen loss is also shifted to the insurance provider when a customer buys an insurance policy. In order to receive the right quantity of insurance, you need to contact Legalraasta, who can provide you with complete filing instructions.

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