Paramount Tpa — Irregularity in Processing Claim

Website:Post Hospitalization Claim

Team,

My Name is Amit Sheth and My Father who was hospitalized in November 2020 for Covid Treatment. He got Discharged on 15th of November and I submitted my claim with Paramount on 19th November.

Policy Holder Name: Rajesh Sheth
Policy Number:[protected]

Below issues I have faces so far,

1. Post submission of Claim online on 19th December got first Acknowledgement on 26th November. (They took 6 Days just to process online submitted document???)

2. They commit claim processing period as 20 Days which seemed impossible so I started following up 2 times a Week. First email I received on additional documentation on 5th December which I submitted.

3. I got same email with same Query number to submit those documents again on 12th December. So I started email chain.

4. Since 12th December I am asking for further updates but they are still checking god knows what?

5. On 2nd January I received another email after almost 5 email and 10+ calls on additional documents which I submitted on 19th November itself.

6. Senior Executive Mr. Abdul Jamadar is not even answering my calls or MSGes with whom all email communication is happening.

7. Till today there is no response and Claim Amount is not small, during this difficult time we also need money to survive and these guys are wasting my energy in such follow ups which ideally should get resolved in 5 Days.

It's now 45 days but no update and they are still checking documents. I would like to highlight this as Mental and Physical Harassments where no one takes ownership of the service they supposed to provide.

Kindly help on this matter as next step from my side will be to file FIR with nearest Police station and Submit same with IRDA.

Regards,
Amit Sheth
[protected]
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