Oriental Insurance Company Complaints & Reviews

You have lodged a claim for Malaria with Gastritis for which you were admitted in xxxxx hospital on 01/1/2011 and discharged on 04/1/2011. After scrutinizing claim documents and on investigation it is observed that you have taken treatment by Dr. Xxxxx having BAMS -Ayurvedic physician and this allopathic treatment in claim file not admissible. Hence your claim has been repudiated as per policy terms and condition.

is there a valid reasone or just making FOOL?????

Dear Sir,

I'm having a Oriental Insurance mediclaim policy family floater # 12400/48/2010/29650, under which I made a claim for Rs. 36000/- for my right eye cataract surgery on 5th Jan '11 afternoon, at Hiranandani Hospital, Mumbai. The Raksha TPA was intimated by Fax, email and courier on 7th Jan well within 48 timeline for intimation and all the original docs were submitted to them on 10th Jan.

The Raksha TPA website shows that my claim has been rejeted for the following reason. Besides this I ve not received anything in writing from them.

"We are in receipt of your claim documents. As per available documents, patient was admitted for Rt.eye cataract. Patient was been admitted on 05/01/2011 and discharged on 05/01/2011.As per policy terms & condition claim should be intimated to TPA within 48 hours from date of hospitalization. Hence this claim stands non payable under Exclusion Clause 5.4"

The website also mentions that "24-JAN-2011 BLUE BIRD MAIL SERVICES PVT.LTD(Nonpayable Letter)" which is not received by me so far.

I ve made a complain to Oriental Insurance on the same dated 27th Jan as per their website status, and so far not received any comm. from them too.

Please advise what should I do next. Thanks Regards, Manoj agrawal, [protected], [protected]@hotmail.com

Dear Sir/Madam,

My Self Kapil Jain I have applied for the insurance claim for theft of Vehicle (Eicher canter, model11.10) no. HR38M-1011. It is registered by the name of Mr. Kapil Jain. I will give all the paper (Like as RC Photocopy, Driving license, NOC, NCR Report, FIR Copy, Fitness Report) last (30th Jul ’09) 1.5 years before to Mr. Mahender Dawar. He is the HR Manager who is deputed for the Oriental Insurance Company Ltd, payal Cinema, Sec-14, and Gurgaon. But now this time i can't receive the insurance claim. Please do the need full for releasing that amount
But now 1.6 year has gone and I haven’t received any cheque.

But I am sorry to inform you that till date we have not received our claim and your respected Officers are postponing it day by day by telling us some or the other reason although we have submitted all the documents and in opinion all the things are fine and valid.

I have also visited to the nearest Oriental insurance office which is based at sec-14 Payal cinema gurgaon to get status of my cheque but they said yours case is already in pipeline but not gets any response and no one give me the finalization day.

Policy no. : - 215300/31/2009/5966
Policy date: - 18-oct-2008 to 17-oct-2009
Vehicle no.:- HR38M 1011
Type of policy: - Comprehensive
Company name:- Oriental insurance company limited


Still i am waiting for reimbursement cheque.

Thanks & Regards
kapil jain
[protected]
[protected]

Hi this is mayank, my father had taken a mediclaim policy from ORIENTAL INSURANCE CO ltd and the TPA is M/s MD INDIA HEALTH CARE LIMITED.

Policy no is [protected]. My father has expired on 13 sept 2010 and we have sent all the documents to MD INDIA HEALTHCARE LTD (TPA). The bill amount was 33000/- approx and we have send the claim amount of rs 25000/- approx.

Even after four months of sending the claims we have still not recieved our claim amount.

The agent Mr. Raju mohile ( mob no[protected] is neglecting the claim from the day we have submitted the documents even he has stopped responding our calls.

The TPA is everytime sending us different queries. This is a death claim which ideally should not take more than 30 days to process. But in the above case its more than 3 months now. Till date the TPA has again send some more queries to the claim settlement.

Please help us know what should a normal customer should do.

Regds
Mayank
[protected]

Re: Claim A/g my Policy “Happy Family Floater Policy Schedule” Poly. No. 271900/48/2010/3156.

This is to inform that my son Mst. JAI was injured and hospitalized on 25th Sept 2010, and operated by Dr. SP Bajaj at Jaipur Golden Hospital. The case was informed to your Div. Officer Mr Atul Srivastav ji , there after we were said to fill the form for claim and verify from hospital and submit to TPA M/s Med Save India . And...

I have not received policy document though i paid renewal premium vide receipt no 51-01/[protected] dt 17-9-10 indo3-code311300. Plicy no statedin receipt is2011/3319. More than 10weeks have elapsed..Please do needful failing which i will have option but to approach ombudsman/press/irda .Kindly ensure that document reaches me within a week
Regaeds
Vasantkumar j thacker
Ph:[protected]
Email address: [protected]@hotmail.com

Dear,

My gaadi tata indca no. HR 34 A 9821 insured by Oriental Insurance was accident on[protected], after that every formalty has been done & we got a message that your claim amount is 170000 approx.

But till now we didnot get any amount from the oriental office Narnaul, we have visted 200 times to the office but every time they are saying that it will be cleared within next one week, they are giving the excuse that they dn`t have money in the account of narnaul oriental & they will transfer the amount as soon as amount received from head office:


I just want to know at what time i will get the claimed amount

Vechile no. HR 34 A 9821
Insurance no. 1029510
Insured time duration: 8-jan-09 to 7-jan-10
owner name: Parmod Kumar
Insurance company name: oriental insurance, Narnaul, Mohinder Garh-123029

Regards
Shiv Aggarwal
[protected]

MY CLIENT WAS THE MEMBER OF DAUPHIN TOUCH INDIA BEARING ID NO. 893600 AND SPONSORED ID OF MY CLIENT WAS 879063. AND ASSOCIATED WITH STANDARD PACKAGE AND THE CARD NO. OF MY CLIENT WAS 1060342 AND THE DATE OF JOINING WAS 04/09/2009. BUT HE HAD MET WITH ACCIDENT AND DIED ON THE SPOT. AN FIR WAS LODGED BY THE POLICE REGARDING THE SAID ACCIDENT. THE FIR NO. IS 139 T. 20/05/2010. Postmortem was conducted bu M.O. General Hospital Narwana.He was a G.P.A. policy holder no.271700/48/2010/937, covernote no.[protected] and certificate no. OIC/GPA-8749DATED 24/09/2009 namly the policy holder as Karambir and
covered with a policy of cover risk rs. 5,00,000/- as accidental death . But After Repeated Request the amount of cover risk is not paid Hence this complaint.

Hi Sir,

As I paid my vehicle insurance online, I got the Softcopy but I still dint the original copy my insurance. As I customer care[protected] they told me that you will get original copy as soon possible not to worry. As I waited for more than 2 month till now I dint get the Original copy my insurance.

When I contacted the customer care regarding this again they give me email Id to contact and I sent an email they replied saying that we raised your issue to concern department. I have waited for again one to get the response and email them back to same email id still now I dint get the any reply from tham.
Can look into this issue


Thanks
Gururaj Vairag

Dear Concerned

My father bought a Bajaj Discover bike, No. PB18 L 1132, in around March, 2007 and got Oriental Insurance done on 21-Mar-2007 for 1 year. The bike was stolen from my house on 4th Mar, 2008 and I lodged a complaint in Thana, City Batala (complaint no. 13) and informed the Insurance company about the theft. I have been following up with Oriental Insurance since then for the insurance amount but in vain.

In between, I lost my father and now after 2 years of repeated visits to their office, they are telling me that since the policy was in my father's name and he has expired, they will not give the insurance amount. This following up has not only costed me money but lot of time and effort. Also, my mother is the nominee of my father for all matters and we can produce all required documents. Please help us in settling this.

Regards
Rohit Arora
+91-[protected]

Oriental Insurance Co. (O.I.C.) Mediclaim policy No. 311990/48/2009/90 (Second year), validity from[protected] to[protected] of Proposer: SEEMA MURUGAN for patient: SIVABHARATHI

The chronological account of events in the reported matter since the 9th Dec., 2009:

1.[protected]: The complainant’s elder daughter, SIVABHARATHI, admitted for Punch Grafting VITILIGO surgery at Apollo Hospital, Canal Circular Rd., Kolkata.

2.[protected]: The complainant, i.e. M & N/G of SIVABHARATHI, applies for insurance at the Insurance Desk, Apollo Hospital, Kolkata.
Miss Moushikha, of Insurance Desk, Apollo Hosp., Canal Circular Rd., Kolkata, faxes the cashless request to H.H.S.P.L. (T.P.A. of O.I.C.) at 2-43 p.m. the same day.

3.[protected]: Complainant makes telephonic request for certificate 64VB to Mr. K.Chandrasekhar (employee of O.I.C., Kharagpur ext.n counter, Midnapore Br. Office) several times - each time was verbally abused with indecent language, and threatened with non compliance of request.

4.[protected] &[protected]: Since Telephonic requests/any conversation with Mr K. Chandrasekhar became impossible, SMS-es were sent by the complainant as per details below:
a.11.12.2009 at 15.42.42 with Fax nos. & appeal
b.11.12.2009 at 15.42.53 with Fax no of Apollo.
c. 12.12.2009: repeat request at 14.56.22.
d. 12.12.2009: URGENT request at 15.16.22.
e. 12.12.2009: URGENT request for the same at 15.16.31.

5.[protected]: Finally after more than 48 hrs., certificate 64VB was faxed at 3-49 pm by which time the complainant had undergone IMMENSE mental harassment & loss of dignity on a/c of the verbal assault, misbehavior & deliberate delay in issue of 64 VB by Mr K.Chandasekhar.

6.[protected]: First Email complaint reg. above-mentioned (sl. no. 3 to 5) to CMD, OIC, & all important Officers in the H.O. of O.I.C., New Delhi.

7.[protected]:Hard copy of the aforementioned email complaint (mentioned in sl. no.6) was personally submitted to the nearest Br. Manager, Midnapore Branch, O.I.C. Since the Branch Manager was absent, it was received by Mr Dasarath Mandi & Mr Bikash Gope namely.

8. The two officers (mentioned in sl. no. 7) MISDIRECTED the complainant to submit an application to the effect that Servicing Branch for the Mediclaim policy may be changed from Kharagpur to Midnapore since by this method the customer would no longer have to deal with Mr K.Chandrasekhar directly. And thus the O.I.C. would continue its policy as well as their employee is spared the complaint.
9.[protected]: Since nothing was heard on the compliant from the O.I.C. for one month (w.e.f.[protected], a repeat email was dispatched to the new CMD of O.I.C., (Dr R.K. Kaul) along with important functionaries in the H.O, New Delhi, appealing for justice as in the initial Email complaint of[protected].

10.[protected]: Hard copy of email (mentioned in sl. no. 9) was speedpost-ed to Dr RK Kaul (C.M.D, O.I.C.) with hand written request to inquire into the matter & provide delayed justice.

11.[protected]: In the interim, because of some follow-up telephonic inquiries at the office of the C.M.D., a single line letter was received from the Customer Service Deptt. of the H.O., O.I.C., N.D., stating that the concerned office(s) are "also being asked to expedite the matter & inform (the undersigned) the position directly to avoid delay".

12.[protected]: In view of aforementioned letter (sl. no. 11), the complainant visited the Midnapore Br. office where in the presence of the Br. Manager, she was once again taunted & verbally abused by Mr. K.Chandrasekhar. All this while the manager did not at all try to rescue the complainant, apart from simply assuring her that he would expedite the matter & intimate her their decision of judgment ASAP.

13.[protected]: Three complete months after the undersigned received the letter from the C.S.D., O.I.C., New Delhi, the undersigned visited the Midnapore Br. Office to enquire into the progress of the matter. Since the Br. Manager was absent, the undersigned submitted a letter reiterating her request of[protected], & provided her mob. no. in case the Inquiry Committee would like to contact her for securing the ends of natural justice.

14.[protected]: Since nothing was heard from the O.I.C. (H.O., N. Delhi, since[protected] or B.O., Midnapore), punctuated by follow-up requests & meetings as detailed above in sl. nos. 9 to 13) the customer PERSONALLY met Mr AR Joshi, C.M. C.S.D, O.I.C., New Delhi, & was shown documents to the effect that the Inquiry had been very conveniently closed (since it had been very mischievously turned by the concerned Inquiry Committee / Inquiring office into that of customer Grievance of cashless facility not being provided).
Therefore on[protected], the complainant submitted a fresh appeal to Mr. A.R. Joshi through a hand written letter on[protected] attaching Xerox copies of her complaint letters dt.[protected]sl. no. 6), and[protected]sl. no.14) as requested by Mr. A.R.. Joshi.
Thereafter, once every fortnight, the complainant made a telephonic enquiry with Mr. A.R. Joshi on the progress of the Inquiry, and was verbally assured by the latter that the Kolkata office (Mr. T.K. Chattopadhyaya) was making some sort of Inquiry whose report was awaited.

15.[protected]: Since more than 41 days were over (w.e.f.[protected] & there was nothing to be heard either from the B.O. Midnapore, or the R.O. Kolkata, or the H.O. New Delhi, the complainant dispatched an email (at 854 am) to Dr R.K.Kaul, C.M.D., O.I.C., N. Delhi, with copies to important functionaries of the H.O. (including Mr AR Joshi), reiterating her request for breaking the complete silence on the matter & total deliberate keeping I dark / ignoring the complainant since the initial complaint dt.[protected].

16.[protected]: On a mobile call to Mr A.R. Joshi (at around 11 am) reg. sl. no. 15, the complainant was informed that Mr K. Chandrasekhar had denied all the complaints of mental harassment & verbal assault and that the complainant was “under some sort of confusion” to which the complainant replied by email at 1145 am.
Once again she requested for justice on her Inquiry application pending with the O.I.C. since the[protected].

17.[protected]: At 1143 pm Mr A.R. Joshi sent an email in which the complainant was informed that Mr K. Chandrasekhar was given a clean chit & the complaint was “being closed on the basis of the report of (OIC’s) Dy. Gen. Manager of Kolkata Region”.

18.[protected]: At 246pm the complainant made a very clean & specific complaint of DELIBERATE DELAY (MISCONDUCT & NEGLIGIENCE OF DUTY) reg. the undue delay in issue of certificate 64 VB for more than 48 Hrs. since application which led to extreme mental harassment to the complainant.

19.[protected]: The complainant PERSONALLY met the C.M.D. of O.I.C., Dr R.K. Kaul, at the H.O., New Delhi & made a fervent appeal for securing justice in the matter of mental harassment by Mr. K. Chandarsekhar on a/c of deliberate delay in issue of certificate 64 VB for more than 48 hrs as an issue of misconduct & negligence of duty.

20.[protected]: The complainant dispatched an email to Dr. R.K. Kaul, Mr. A.R. Joshi & other important functionaries of the H.O., New Delhi apprising them of the meeting with Dr. R.K. Kaul & once again appealing for justice.

21. 18.07.2010: Late evening the complainant received a letter from Ms. Indira Mridha (D.M., Haldia, D.O. of the O.I.C.) reg. closure of her complaint since they had “found Mr Chandrasekhar not guilty of the charges labelled” by the complainant.

22.[protected]: Despite having closed the chapter, the above-named (sl. no. 21) tried to reopen the chapter with the complainant by phone calls & sending email that she wanted to discuss the matter in the presence of high level official from Kolkata. The complainant had by this time having suffered IMMENSE HARRASSMENT due to O.I.C dragging its feet & finally hushing up the matter in a totally one-sided Inquiry.

23.[protected]: Complainant applies under the R.T.I ., 2005, to the C.P.I.O. of the O.I.C., Kolkata, for “complete action taken report & all the file notings (in the matter of Mr. K Chandrasekhar’s MISBEHAVIOUR & MISCONDUCT) with all officers of the O.I.C.”
24.[protected]: The S.P.I.O. & R.M. of the O.I.C., Kolkata dispatches a totally incomplete & truncated reply to the above-mentioned R.T.I. application of the complainant.

Mediclaim Policy from Oriental Insurance

I Have a family floter Mediclaim Policy from the Oriental Insurance Company Since 25th March 2009. The policy is renewed on the time. I have no any Disease at the time of policy taken. Before three i was face problems in my nose and before one month i have consult from ENT doctor. and the doctor has given me treatment for 15 days. I have taken the 15 days treatment after then I have against consult with the ENT doctor. The doctor has advice me for CT Scan of my nose. I have do the CT Scan report and again consult with my doctor. The Doctor has advice me for operate the nose due to blockage in the nose. I have apply with TPA for Cash Less. Today I have received a massage from TPA that the Disease is not covered before two years. I have seen on the site that the pre - insurance Disease are not covered under the policy. But I have no any pre insurance Disease. I am facing the problem from last three months . Please advice me what I do. My email address is [protected]@gmail.com

Dear Team,

This is kindly inform that i have purchased a new bike Bajaj pulser in Nov'09 and bike was insured under oriental Insurance Company limited under the policy number 271700/31/2010/7471 and bike number was UP-16Y-4401 My motor cycle was stolen on 25th December 2009.For the same i have already submitted all the requested documents including same days police intimation report, FIR report, FIR final report and all other required papers.
While talking to them for my claim initially they told that as per the policy you have not given the written intimation letter to our main office with in 48 hours of bike stolen so your claim will not be processed.
Later they said that as you have not informed us with in 48 hours so only 75% of the insured amount can be processed.
when i was not agreed on 75% on the amount ( total amount insured is 57983/- Rs) they have stopped responding.

I have send them final legal notice of 20 days to there head office (A-25/27 Oriental house, Asaf Ali road New Delhi 110002) through registered post from Noida on 21st July to settle down my claim but till now 1 month passed already and there is no response from oriental insurance so i have decided to file the complaint against Oriental Insurance Company as its already 8 month passed and i m waiting for my claim.

Please help me in this as soon as possible.

For any further query i am reachable at :

Sooraj singh
Mob -[protected]
suraj.[protected]@gmail.com

I have been Passed by Stone Operation on 30.06.2010 from Siddhi Vinayak Hospital, Kankaria, Ahmedabad.

My MD India CCA No. 0715038. On 14.07.2010 i have to take out Stane kept after operation of Stone, & i have submitted all the required papers into Insurance co on 16.07.2010, as i have received all papers from above hospital on 15.07.2010 at evening.

I have applied for Cash-Less which was rejected for Lapse in Policy in the year[protected].

My Insurance in D.O.-III, 3rd Floor Agrawal Chambers, Nr. Town Hall, Ellisbridge, Ahmedabad.

I have visited my Oriental insurance Co.Ltd office on 03.08.2010 & contacted Divisional Manager for my Claim. Before that i have send a mail to D.M on 03.08.2010 from my email id for solving the problem, Divi.Manager told me that i will receive Answer of my mail within a week, but till today No answer is being Received by me.

Even than after I have called Divisional Manager on 12.08.2010 & requested to reply to my mail, but Divisional Manager replied that all Claim Department persons are busy in Flood Claim, so my answer will be send by her/his till some days & cut out my Phone.

Another thing, i have gone through Docket of my Mediclaim in the Division & found that At the time of said Lapse Policy, Authorised Person has Noted as below:

Sum Insured Renewed. Nothing else was written on it.

I want to complain for such., because if my said policy is Lapse, than Oriental insurance should Inform me by Letter or through my divisional Officer that Your Policy is been Lapsed & now onwards this Policy will be treated as FRESh.

Also, if as per terms of Oriental Insurance, if my Policy is to be treated as FRESH, than why did above Division of OIriental ionsurance Co. did not informed me? & also they have not asked me FILL NEW PROPOSAL FORM..

I want a Letter from Divisional Office that MY POLICY(ASHESH.D.TRIVEDI) IS CONTINUE & MY CLAIM SHOULD BE PASSED & the Division should send Original Copy to MD INDIA LTD & second copy to me for Passing my claim.

I have spend Rs. 41,248/- & paid to above hospital. I have taken a Loan from my relatives to Pay such Bill of Hospital, which I have to give them back as soon as possible.

I have not received even a Letter from MD INDIA & my DIVISIONAL OFFICE with Reason of Not passing my Claim i.e. NO CLAIM LETTER, so i think that i should get a letter from ORIENTAL INSURANCE CO. LTD addressing to MD INDIA for passing my claim & second or xerox copy should be posted to me or hand over to me.

Please take this SERIOUSLY, because it has been already 1 month & 15 days after i had passed through my Operation., and 1 month for submitting my papers in Insurance Co.

Waiting for your positive & URGENT reply.

Regards
Ashesh Trivedi
[protected].

Dear Sir,
Please find the attached detail of my earlier communication with MDI.
and whereas POlicy withdrawl from Oriental Insurance Company ltd.
No answer is getting from MDI office.
Pl help.
best regards,
Rajeev Kumar Gupta
policy no 161700/48/2011/51



19th July,2010


I had not received the reply from your side, While Mr Anand Konde and MR Ashish Kadam has read the message.
So you are requested to give reply.
Thanks!
best regards,
Rajeev Gupta

Note: Forwarded message attached

-- Original Message --

From: "Rajeev Kumar Gupta"[protected]@rediffmail.com
To: [protected]@mdindia.com
Subject: Claim for policy no 161700/48/2011/51

15th July,2010

Please be informed that,I had submitted my papers on 16th june 2010 for hospitalization. Yesterday, I had visited MDI office in Nashik to find the status of my claim. Then, information received from MDI office that claim is rejected because of hemorrhoids. but paper could not received for rejection reason due to electricity problem. I have told him that, Problem was something else as Inflammatory bowel disease .As per him hemorrhoids word used and In this case two yrs policy to be completed. After that, I met with my consulting doctor and tell him the the details as above, as per him demanding the proper reason with attachment. Because they have not treated for the hemorrhoids , they have treated for IBD only , for reference Colonoscopy & biopsy report were attached. They have diagnosis hemorrhoids also. But at this time we have not treated for this. So you are requested to provide the documents of rejection. So our doctor Mr yatendra Dubey can take further action regarding this matter.
Your cooperation will be solicits.
Thanks.

best regards,
Rajeev Kumar Gupta
Policy no. 161700/48/2011/51
Second year in continuation

Dear Sir,

My Name is Devendra Prasad, i have a motorcycle insurance. this policy was end of 17/06/2009, but 31/03/09 my fotorcycel theft, i have all required document to insurance co. but till i have not received any update fron the insurance co. my policy no is 211200/31/09/880 vehicle no is DL 7SAR 6449
the name of DEVENDRA PRASAD,

I underwent E E C P treatment at IPC Heart Care Centre in April-May2009,for Heart Disease and impoved my condition(physically & proper tests) ,even after advice by Doctor to go for By-pass surgery. It is only because E E C P treatment is non-invasive ,absolutely painless and less expensive.No cutting ,No blood, so at 60 I preferred E E C P .Then I submitted my claim to T P A.which was rejected for the reason 'it is un-proven treatment' Then I approached grievance cell of Ori Ins Co,,they also showed same reason.After I approached Ombudsman.In the hearing I submitted all supporting papers of other ins cos.govt of India ,state bank of India,Chennai port trust.Bajaj Allianz etc,,And most important document was of New India Assurance Co.who approved& riemburesed for same treatment, in same Hosp & in sameway.But in reply I found no change in status quo(recd on 15/06/2010).I think all public sector Insurance cos under one roof with same terms & conditions.My complaint is 'If New India Assu Co approves&reimburses ONE treatment,then why not Oriental Insu co? please inquire and give me justice.thanks Yours Truely Devdatt N Redkar 212,Sharda Sadan Shivaji Park Rd no 5 Mahim,Mumbai 400016 My policy no 111400/48/2010/709 Omb ref noOMB/MUM/GI-1111/09-10. Award no.IO/MUM/A-073/2010-11

Dear Sir,

Sub: Insurance clearance Status and Claim amount Payment
POLICY NO. : 411200/48/09/12345
FIR No : 20116456
Claim Ref No: 1544947

This is to inform you that we have log the Insurance claim of RS, 5648.32 against above Policy details on dated 24/08/2009 but still we have not recd the status of Claim.

We have request you to give us the Statues and how much time still waiting.

Thanks,

Your Faithfully
Jay Garachh

Sir

This is in reference to my claim in oriental insurance ltd., The policy no. of my bike is 923428.
Unfortunately, My Bike is damaged on dated 04.03.2010 at around 1:00 pm in an accident occured at ISBT.

I am fed up with the services provided by you. I have been using your service for the last 2 years and this is the very first time, I claimed for the Insurance. Its been more than 3 months and I havent recieved any positive response on the behalf of the company. Mr. Chawla ([protected]), the most sarcastic person I had ever meet in my entire life, has no manners to intract with the customer. Whenever call him, he just drop the call between the conversation and after that do not pick up the call. As per him, customer is responsible for all the documentation starting from Bill to providing survey report at the time of taking the policy.

I have repaired my Bike in Rajiv Raj, Bhajanpura, Delhi & submitted all the documents required for the claim to Mr. Rakesh ([protected]), the person aurthorised for claim. After completion all the process, Mr. Chawla (Person concerned for survey) has survey my bike & get the all clarities in showroom. Rajiv Raj Bajaj repaired my bike & confirmed to Mr.Chawla. I have paid my all bills & received my bike, I have submitted all document to Mr. Chawla but after all I am not getting any clearance from deputed Person where should i go to check the status of payment, Always he told to us that I am not responsible about this, I have submitted document to proceeding office please follow there. Mr. Chawla has provided office detail but there is no intimation about my claim. However, the claim amount is not really big but still services are really really irritating.

Kindly take the action as earliest my claim processed. Althought I am not expecting any postive response from the team

Regards
Prince Jain
C-28, B.S.Colony, St No. 3
New Usmanpur
New Delhi -53
Mob: [protected]
prince.[protected]@yahoo.in

Mediclaim Complaint:

I have submitted a medical claim reimbursement for Vascular surgery (jugular vein) under policy no.124200/48/2010 with Oriental Insurance Co. LTD. Mumbai and their (TPA) Raksha TPA pvt.ltd on 5th March 2010 with acknowledgement of claim no.[protected].

Post submission there was acknowledgement letter with a request for original document, whcih were submitted immediately. Till now there is no communication from the TPA. Whenever I rang up enquiring about the case they asked for a new document. It reveals that they are not serious in resolving the case and has been looking for pleas to delay and not settle the claim.

Details of Insurer and their TPA provided below. request if this be raised to the right desk for resolution

Oriental Insurance Company Ltd.
Lakshmi Commercial Center, Senapati Bapat Marg, Dadar West, Mumbai 400028 ,

Tel :[protected]/24373748, Fax[protected]

Rakha TPA pvt.ltd
7 Kumtha Street, Ballard Estate, Mumbai 400001
[protected], Fax –[protected],
Email : [protected]@bajoria.in

Manoj Agrawal
Mumbai-400076
Email: [protected]@hotmail.com