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Claim Rejected or Delayed

Claim rejection is when an insurance company reviews the claim and rejects the claim settlement amount. Often, the insurance companies delay the claim process to pay the claim settlement amount of the policyholder. In both cases, a policyholder feels a strong sense of desperation to get the claim to avoid financial woes.
Health insurance claim Health insurance claim

Here are the key reasons for claim rejections or delays:

  • Improper documentation
  • Lack of explanations
  • Lack of references
  • Lack of proper follow up
  • Coverage exclusion or exhaustion, etc
  • Not the case? Then you may bring your complaints about the Insurance company to us. We will help you get your claim without any further delay. A standard death claim settlement TAT is 30 days. If you are getting delayed, connect with us to get the claim that is rightfully yours.

Frequently Asked Questions

I faced a claim rejection, what do I do now?

There is still hope! Depending on the reason behind your claim rejection, the mistakes can be corrected and you can get your fair compensation. If your claim was rejected unjustly, contact our experts to help guide you through it and be your voice on the way.

How can I prevent insurance claim rejection?

prevention is indeed better than cure. A few of the steps to avoid claim rejections altogether are -
● Double checking documents
● Being attentive to policy terms and conditions
● Being aware of exclusions
● Timely intimation and submission of documents.

How to handle a Delay in claim process?

The first step would be contacting your insurance provider to find the status of your insurance claim and address any issues arising. If their answers are not satisfactory or seem fishy, contact us. We shall handle it for you.

What are my rights if my insurance claim is rejected without a valid reason?

If you believe your claim rejection was unjustified, review the reasons provided by the insurance company and gather any necessary documentation. Contact the insurance company to discuss the claim rejection.

If the issue is not resolved, file a complaint about the insurance company and consider consulting Bima Seva Kendra’s claim rejection services.

What is the difference between claim rejection and claim settlement delay?

Claim rejection occurs when the insurance company denies the claim, usually due to non-compliance with policy terms or missing information.

A claim settlement delay, on the other hand, means the claim is still under process but taking more time than the average claim duration.

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