Aditya Birla Health Insurance — Claim Amount not Settled

Hi Team,

I have taken Aditya Birla health insurance thinking I will get good support during any health issues but I didn’t think that this will be a situation where I will be landed to escalate when related teams don’t do their work properly due to which I am suffering from my claim amount not getting cleared even after 45 to 60days. I have been rigorously following on the customer support engineers – where I didn’t get required information or claim status as well on the email support

I have been submitted all the related documents of the hospitalization for the claim, upon following it multiple times documents have picked up for the claim process after 30days when I call the support team they said it wasn’t picked for any claim and one of the engineers said it will be picked on priority and I will get a response in next 15working days, I didn’t get any response which is not surprised since your company(ABC) doesn’t treat customers claim amount has priority and its need for customers

If I need to renew the policy same company will call me million times to get the amount from my end but why don’t your teams work during the claim process to settle. I am very frustrated with the delay and not getting the service or response from any of them

During November end and December 6th when I called executives confirmed I will get claim amount and email by December 10th, as expected no call/email till 14th and I was been forced to redial to customer care on 15th and one of your executives said I will be receiving a call in next 2 hours again as expected no call/response. I waited for 24hours and redialled on 15th December, spoke to one of the floor managers, and forced him to provide an update. After putting me on HOLD multiple times he said there is an update on 8th December to provide some doctor documents, unfortunately, no one has been reached out to me for this request even when I called on 14th which is ridiculous and an Insane service which is been provided to me. After such a delay from ABC company I can't go to the doctor to ask for any details because for sure doctor won't be having all the information after 45 to 60 days and he might not respond at once(there are all chances I need to visit him multiple times) and I am not the same town, I request whatever the information you required please arrange any person to visit the hospital to get any details you need since the delay was been made from your end. If this can be done I will be to close the Insurance with your company(ABC) and I will take insurance which I get good support at least when we are in need.

PLEASE BE MINDFUL KNOW THAT HEALTH INSURANCE IS MEANT TO USE WHEN WE ARE NOT FEELING WELL AND AVAIL OF THE FACILITIES DURING HOSPITALIZATION, CLAIM PROCESS HAS TO BE DONE WITHIN THE TIME FRAME WHEN WE HAVE PROVIDED ALL THE REQUIRED DOCUMENTS. I UNDERSTAND THERE WILL BE A DELAY BUT NOT FOR A 45 TO 60 DAYS DELAY. I REQUEST YOU GUYS TO UNDERSTAND THIS IS A CLAIM POLICY AMOUNT NOT SOMETHING I AM CLIMBING FOR THE TRIPS I WENT

Note:
1. I do have the executive and floor manager names but I am not sharing it purposefully since its an entire team mistake, not just one person
2. Aditya Birla Company(ABC) is cheating customers without clearing the claim amount and response is so pathetic from the Executive on the calls and on the emails too. It’s been ~2months since I submitted my claim documents and it’s very sad to see the response on the status
3. I am not asking Aditya Birla company for the fee amount or any social service, Since I have paid the amount for Insurance and I have all the rights for the claim but looking at the claim status it's very pathetic and PLEASE STOP CHEATING CUSTOMERS by not settling the claim amount
policy no.[protected]
Certificate Number GHI-21-LR2-[protected]