Raksha Health Insurance TPA — Non settlement of claim (claim not registered)

Darshana28

Address:

Andheri kurla road sakinaka Mumbai

I Darshana working in Bank of India having PF no.184661.I have submitted my claim on 11.12.2019.from that date am continuously taking follow up with Miss.Swati Malusare Mob.No [protected](Who is very arrogant). She has given me every time wrong information ... Very bad service by her.
Details of the follow up through mail.
1. Submission of claim on 11/12/2019 through speed post no.EM[protected]IN
2.Reply received on 8th January 2020 from TPA-Name Mismatch with policy
3.Confirmation regarding Name change given by us on 15th January 2020.
4.Daily follow up with Swati Malusare... She was not picking up call.. And not respoding to mail.
5.As per telephonic talk had with swati Malusare she informed we require confirmation mail form HR dept.
6.HR dept send confirmation mail on 12th Feb 2020 & again on 14th Feb 2020
7.After sending all required details I tried to call her lots of time but she is not responded to my call.
8.Since March-July 2020:reply from Miss.Swati- I'm working from home. I will update you shortly and asked to contact to Mr.Jagat Bhadur (Executive Corporate relation)
9.on 18th July2020 -i sent reminder as Extreme delay in Claim settlement... reply received from Mr.Jagat Bahadur-Details acknowledge, update you at the earliest.
10.reminder mail sent on 10th August 2020, 24th September 2020- No response from Raksha Tpa so many times I called Swati Malusare she is not picking up call it is really painful to note that it has been a year and the claim is not yet registered nor settled.

Thanks & Regards
Darshana
Bank of India

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Raksha Health Insurance TPA customer support has been notified about the posted complaint.

Oct 01, 2020

Updated by Darshana28 I Darshana working in Bank of India having PF no.184661.I have submitted my claim on 11.12.2019.from that date am continuously taking follow up with Miss.Swati Malusare Mob.No [protected](Who is very arrogant). She has given me every time wrong information ... Very bad service by her.
Details of the follow up through mail.
1. Submission of claim on 11/12/2019 through speed post no.EM[protected]IN
2.Reply received on 8th January 2020 from TPA-Name Mismatch with policy
3.Confirmation regarding Name change given by us on 15th January 2020.
4.Daily follow up with Swati Malusare... She was not picking up call.. And not respoding to mail.
5.As per telephonic talk had with swati Malusare she informed we require confirmation mail form HR dept.
6.HR dept send confirmation mail on 12th Feb 2020 & again on 14th Feb 2020
7.After sending all required details I tried to call her lots of time but she is not responded to my call.
8.Since March-July 2020:reply from Miss.Swati- I'm working from home. I will update you shortly and asked to contact to Mr. Jagat Bhadur (Executive Corporate relation)
9.on 18th July2020 -i sent reminder as Extreme delay in Claim settlement... reply received from Mr. Jagat Bahadur-Details acknowledge, update you at the earliest.
10.reminder mail sent on 10th August 2020, 24th September 2020- No response from Raksha Tpa so many times I called swati Malusare she is not picking up call
It is really painful to note that it has been a year and the claim is not yet registered nor settled.

Thanks & Regards
Darshana
Bank of India