[Resolved]  Star Health Insurance Company — Claim is not provided in full and no response

Address:

Gautam Buddha Nagar, Uttar Pradesh

Hi,

I got a policy for my mother 2 years back from Star Health Insurance and had filed the claim first time in the month of Dec2010 . My policy details are:
( Name : Kamla Matta ) , policy ( p/161100/01/2010/001606 ) ( claim no is 0073604 )
I would like to bring to your notice the way these people treat you when it comes to claim
settlement is that firstly they will not accept the papers and keep on demanding for this bill in orginal and will trouble you for papers , in my case i had sent my person 3 times at their claims office in Delhi to submit the papers and then finally they were submitted in 20 days , then started the next story of claim settlement, every time i use to call them and followup with them the only response i could get was we have sent the papers to our chennai office and they will call you , after 2 months time i myself chased them and asked them for chennai office contact person and contact number then called up that office and the respone was same, will call you , then again the followup started on mails and phone calls the response was we have raised a query for papers finally this again went on for 15 days and finally in all this 2 and half month had passed and there was no clue of the claim status, I will attach the chain mail for your refrence.

FINALLY after all this mental harrassment and time of followingup and chasing them day & night I got a call from the agency from whom i had purchased this policy ( Winnage Consultancy Services Pvt Ltd
B-97, LGF, Sarvodya Enclave, New Delhi-110017) they have helped me a lot in chasing these people at star health)
that they have got a call from claims office that my claim is settelled, i was happy to hear this news after 3 months but then when i asked the amount they said that they dont know, i called up the claims office and had a word with Mr. Ajay Sharma ( manager at the claims office ) he said i dont know let the cheque come and will let you know.

I called up the toll free number after waiting for 3 days and then i came to know that aginst my bill for 1,16000/- the claim settlement is done for only Rs. 17000/- when i asked them the details for this the response was please check with your Delhi branch.

Till today i have no clue for that cheque where it is , no call or information from anyone i again started following up with the star health people and the agency to check with them on what grounds this sttlement amount is given and where is the cheque, below is trail mail for all this. Even the senior people the DGM Ashok Tandon at the Delhi Branch is not responding on this case....................... OR I SHOULD SAY AT ANY CASE.

CAN YOU HELP AND LOOK INTO THIS AS THIS COMPANY IS OPENLY CHEATING INNOCENT PEOPLE THEY ARE SELLING THE SENIOR CITIZEN POLICY ( RED CARPET ) AS NO OTHER COMPANY PROVIDES THE SENIOR CITIZEN POLICY COVERAGE SO PEOPLE ARE BUYING THIS AND THIS HOW THEY ARE TREATED AND FOOLED AT THE TIME OF CLAIMS.

THANKS
SUMAN SHARMA
Below are the mails:

From: cheena Bhasin [mailto:[protected]@winnage.in]
Sent: Wednesday, March 23, 2011 4:08 PM
To: 'ajay sharma SH 5887'
Cc: 'Richa Gupta SH4185'
Subject: FW: urgent
Importance: High

Dear Ajay,

As per my telecom with Mrs. Suman Sharma, she has confirmed from the toll free No that only INR 17000/- has been settled towards her claim.

However the claim amount was INR 1,16,000 .

( Name : Kamla Matta ) , policy ( p/161100/01/2010/001606 ) ( claim no is 0073604 )

Client has been questioning us that when she has taken a policy for INR 1,00,000 and under that she is eligible for 70% reimbursement, than how come only INR 17000 has been reimbursed.

Would request you to kindly give me a break up for this complete claim settlement amount.

Besides, the customer has got an approval for this claim after lot of efforts and pain. She has been following up on this for ages. Such kind of amount would come as a shock to anyone who has taken this policy.

Ajay, would request you to prioritize this case and do whatever best can be done. Client is very upset and i don’t want to loose out on any of our customer for any such reason.

Please revert asap.



Thanks and Regards,

Cheena Bhasin
Winnage Consultancy Services Pvt Ltd
B-97, LGF, Sarvodya Enclave, New Delhi-110017
+[protected]D),
Mobile: +91 [protected]
www.winnage.in



Hi Cheena,

It’s high time that I had been following up on emails & phone calls for this claim , can you let me know will this be done or not.

Thanks
Suman



From: cheena Bhasin [mailto:[protected]@winnage.in]
Sent: Tuesday, December 14, 2010 2:46 PM
To: Suman Sharma
Subject: FW: Help required for Processing the claim papers

Dear Mam,

We will definitely get this done...as per the last mail that I have received from them, they are waiting for the cash receipt which you have sent through courier.

Will keep you updated!

Thanks & Regards

Cheena Bhasin

From: HIMANSHU WALIA [mailto:himanshu.[protected]@starhealth.in]
Sent: 14 December 2010 14:33
To: cheena Bhasin
Subject: Fwd: Help required for Processing the claim papers

FYI
[protected] Forwarded message[protected]
From: ashok.tandon tandon <ashok.[protected]@starhealth.in>
Date: Tue, Dec 14, 2010 at 2:23 PM
Subject: Re: Help required for Processing the claim papers
To: HIMANSHU WALIA <himanshu.[protected]@starhealth.in>
Cc: PRADIPTA CHANDRA TRIPATHY SH7448 <Tripathy.[protected]@starhealth.in>, VIJAY KAPOOR SH5470 <vijay.[protected]@starhealth.in>


Dear Himanshu

In this case the cash receipt is still pending and just now client has confirmed to Vinita that she has sent through courier. Once the same is recd we will process the claim.

regrds

ashok tandon

On Tue, Dec 14, 2010 at 1:15 PM, HIMANSHU WALIA <himanshu.[protected]@starhealth.in> wrote:
Dear Mr Tandon

Pls look in to this case .
[protected] Forwarded message[protected]
From: cheena Bhasin <[protected]@winnage.in>
Date: Tue, Dec 14, 2010 at 12:56 PM
Subject: RE: Help required for Processing the claim papers
To: himanshu.[protected]@starhealth.in, Richa Gupta SH4185 <richa.[protected]@starhealth.in>
Cc: ajay sharma SH 5887 <ajay.[protected]@starhealth.in>
Dear Himanshu,

This is in reference to one of my clients , Mrs. Kamla Matta policy ( p/161100/01/2010/001606 ) . She has been my client for a very long time and I have always ensured her best of the services. But this is very unfortunate that she is facing so much of botheration at the time of claim.
Would request you to please take a special initiative and resolve her claim status asap. Also, attached is the trail mail sent by her.

Let me know what needs to be done asap.

Thanks & Regards,

Cheena Bhasin

From: Suman Sharma [mailto:[protected]@cadence.com]
Sent: 09 December 2010 16:48
To: [protected]@winnage.in
Cc: s.[protected]@gmail.com
Subject: Help required for Processing the claim papers

Hi Cheena,

Please help me to get the claim processed for My mom’s ( Name : Kamla Matta ) , policy ( p/161100/01/2010/001606 ) ( claim no is 0073604 ) that I had taken from you 2 yrs back, I tried submitting the docs twice but they were

returned back to me

Stating that they are incomplete, no one gives a clear requirement at your claims department civil line office.

Finally I had sent my boy personally third time yesterday and then Vinita Tanwar called me saying that we also need cash receipts , now they have taken the papers and asking for this one. If at one time only a clear document requirement is given this would help the claimant to arrange the required documents and the process can be timely done.

Kindly help on this one.

Thanks
Suman

[protected].



--
Warm Regards
Himanshu Walia
[protected]



--
Regards

Ashok Tandon



--
Warm Regards
Himanshu Walia
[protected]