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People frequently purchase Life Insurance, General Insurance, and Health Insurance plans only on the advice of their loved ones, co-workers, friends, or a representative of the insurance business. This might lead to utter unhappiness with the services. And occasionally, even insurance coverage you purchase after thorough study can disappoint you. You may not be happy with a specific Life Insurance, General Insurance, or Health Insurance company for various types of reasons, and you may want to lodge a complaint against insurance company.
It is best to register a complaint with the insurance company directly before going somewhere else. You can approach the insurance company's Grievance Redressal Officer (GRO) with a written complaint if you do not receive a satisfactory solution to your issue from the branch office or customer care division of the insurance provider. You can contact the insurance company with a complaint by:
On the official website of the insurance company, you may find the GRO's official email address. It is advised to send all supporting documentation with your complaint itself in order to save time.
Make sure you receive the acknowledgement through letter or email (depending on the communication method you selected) within a reasonable amount of time so that you may use it to track the complaint or for future reference. The complaint number, policy number, and contact information for the Grievance Redressal Officer who will handle the issue are all included in the acknowledgement.
Each insurance company has a unique grievance redressal policy, which is available on its website of the insurance company. Here you may also find a list of all the insurers' policies for handling complaints.
The complaint must be resolved by the insurance provider within 15 days of receiving it. You can escalate the problem to the next level if you don't get a response or the remedy is unsatisfactory.
The IRDAI's Consumer Affairs Department's Grievance Redressal Cell takes up the complaints with the appropriate insurers for resolution. You can contact the IRDAI's Grievance Redressal Cell if the GRO of the insurance carrier does not respond or does so in an unsatisfactory manner.
You can file a grievance with the IRDAI's Grievance Redressal Cell by:
The Insurance Regulatory and Development Authority of India (IRDAI)
Consumer Affairs Department - Grievance Redressal Cell.
Sy. No. 115/1, Financial District, Nanakramguda,
Gachibowli, Hyderabad - 500 032.
The Grievance Redressal Cell responds to complaints submitted by claimants or insureds. On behalf of the policyholder, complaints submitted by attorneys, agents, or any other third party are not taken into consideration.
The Complaint Registration Form can be downloaded by clicking here. Without the necessary details requested in the form, the Grievance Redressal Cell will be unable to move forward with the resolution of your complaint.
The acknowledgement will inform you of the Turn Around Time (TAT), which varies for each complaint. You can take your problem to the next level, nevertheless, if you are not unhappy with the Grievance Redressal Cell's response or resolution.
You can contact the Insurance Ombudsman if you receive an unsatisfactory response from the insurance company or the IRDAI's Grievance Redressal Cell. For individual policyholders to resolve their grievances outside of the judicial system in a financially advantageous, time-saving, and unbiased manner, the Government of India implemented the Insurance Ombudsman scheme.
There are now 17 Insurance Ombudsmen spread across the nation. Any policyholder who has a complaint against insurance company may submit it in writing to the Insurance Ombudsman whose territorial jurisdiction includes the branch or office of the insurer that has been the subject of the complaint, as well as the complainant's residential address or place of residence.
In contrast to the Grievance Redressal Cell, a policyholder's legal heirs, nominees, or appointments may make a complaint on their behalf.
A complaint may be made to the Insurance Ombudsman if:
Your insurance-related grievance to the Insurance Ombudsman may be about:
The ombudsman settles the complaints in two different ways: settlement by award and settlement by recommendation.
The insurance company will be informed by the Insurance Ombudsman if you (the policyholder) accept it as a complete and final settlement, and they will have 15 days to abide by the terms.
Once the award has been approved, the insurance provider must comply with it within 30 days of receiving it and notify the Insurance Ombudsman of their compliance.
If the complaint is still not settled, you can contact the Consumer Court. Life insurance and general insurance-related complaints are handled by a special division of the Consumer Court (including Health Insurance).
If you ever face any problem regarding any kind of insurance, the experts of Online Legal India are one click away from you. They will help you file a complaint against insurance company online.