[Resolved]  Icici Lombard — Motor Vehicle Insurance Claim - Claim Rejection on Improper Grounds

On 27th November 2021, I had given my vehicle BMW G310GS with registration number UP16CN0142 for an Insurance claim at BMW Authorised Service Centre.

The Details of the vehicle are as follows:

Make: BMW
Model: G310GS
Registration: UP16CN0142
VIN Number: WB30G0201KR817196
Registration Date: 29/02/2020

The insurance policy is from ICICI Lombard General Insurance. The details of Insurance Policy are as follows:

Proposal No: PIMS275643
Policy No: 3005/O/BM[protected]/00/000
Policy Period: 06/01/2021 to 08/01/2022

The damage to the vehicle was done by a rodent (Rat) which is covered by my Insurance Policy as confirmed by the ICICI Lombard Customer care executive against my policy number on date 27th Nov'21.

The survey against my vehicle was done on 3rd Dec'21 by Manoj Medhiratta Designation: Surveyor & Loss Assessor. The Supervisor assigned is Sanjeev Yadav on behalf of ICICI Lombard. In the claim form (photos Attached) on Page 3 in description of the incident it was clearly mentioned the reason for damage to vehicle as damage by Rodent. Despite the clear description the surveyor Sanjay Medhiratta has rejected my insurance claim with the reason as stated, "Damages being demanded by insured/workshop does not correlate with cause of loss mentioned in the claim form. Hence the insurer is not liable to pay the claim."

I find this as a case of rejection of insurance claim on Improper grounds. The Insurance company is denying me my claim by using unfair / unjustified means and I seek the help of Consumer Forum for proper redressed.

I want the company to take responsibility and provide me with the amount of insurance claim as requested by me against the damages incurred to the vehicles within the scope of policy coverage.

My Details are as follows:
Name: Parth Rohan Singh
Ph.No.: [protected]
Email ID: [protected]@gmail.com
+5 photos
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Feb 3, 2022
Complaint marked as Resolved 
ICICI Lombard customer support has been notified about the posted complaint.
Verified Support
Dec 21, 2021
ICICI Lombard Customer Care's response
Dear Parth,

Apologies for the unpleasant experience. We have made a note of the details and will get back to you with an update.

Regards,
ICICI Lombard General Insurance
Verified Support
Dec 31, 2021
ICICI Lombard Customer Care's response
Dear Mr. Singh,

Thank you for contacting ICICI Lombard General Insurance Company Ltd.

We write this with reference to your below concern regarding your motor claim number MOT11655744.

We wish to inform you that we are reviewing your claim and we shall revert you maximum within 4 working days.

We request your co-operation in the interim and look forward to serve you.
Verified Support
Jan 03, 2022
ICICI Lombard Customer Care's response
Dear Mr. Singh,

Thank you for contacting ICICI Lombard General Insurance Company Ltd.

We write this with reference to your below concern regarding your motor claim number MOT11655744.

We would like to inform you claim is processed from our end and delivery order has been sent for cashless release.

For any further clarification please get in touch with our claims manager Mr. Sanjeev Yadav on [protected], he will assist you accordingly.

We anticipate your understanding in this matter and look forward to serve you.
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