Professional Documents
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Insurance other than ‘Life Insurance’ falls under the category of General
Insurance. Non-life insurance companies have products that cover
property against Fire and allied perils, flood storm and inundation,
earthquake and so on. There are products that cover property or person
against burglary, theft, policies covering machinery against breakdown,
transit policy, vehicle insurance, health insurance etc. Here we will discuss
general principals/precautions to lodge claim with the insurance company.
These guidelines/precautions will be helpful in early disposal of the claim
and shall also restrain the insurance company from repudiating the claim
on the false grounds. These are:
First of all, at the earliest stage the policy holder/claimant should inform
the insurance company about the incident which may give rise to any
claim against the insurance company. For this policy holder/claimant need
not to send any documentary proof, but only a letter mentioning the brief
facts of the incident/accident/theft/disease/ hospitalization should be sent
to the insurer through registered post/by hand against proper receipt. A
copy of the said letter alongwith postal receipt/proof of delivery should be
retained.
Secondly within time limits, as specified in the terms and conditions of the
policy, the policy holder/claimant should submit his/her claim with the
insurance company. Alongwith claim form all the documents e.g.
bills/prescription/FIR/discharge summary/copy of previous policies and
communication written to the insurer to report the incident should be
attached. A copy of the claim form, attached documents and proof of
submission of claim should be retained.
Thirdly the policy holder/claimant should regularly pursue the matter with
the insurance company through written communications, mentioning
therein the policy no., claim submission date and claim no., the said
letters should be sent through the registered post or by hand against
proper receipt and copy of the said letter alongwith postal receipt/proof of
delivery should be retained.
If the claim is not settled within the reasonable time period or if the claim
is repudiated, than the claimant have these remedies:
ii) The complaint is not made later than one year after the insurer had
replied.
iii) The same complaint on the subject should not be pending with before
any court, consumer forum or arbitrator.
4. CIVIL COURT: the policy holder can file a civil suit against the
insurance company for breach of contract. General insurance is a contract
between the insurance company and policy holder. To file a civil suit you
have to pay heavy court fees, so people generally avoid this remedy.
Regards,
Amit Jindal
9313089009