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[Resolved]  ICICI Lombard — Issue with ICICI Lombard in Claim Settlement - Claim No-SCM[protected]

I am not satisfied with the process of claim settlement in ICICI Lombard. My Claim intimation date is 12/Sep/2020 but still we have received multiple queries. I have already approach many times icici lombard Grievance, but no response.

Policy & Claim Information :
Policy Number: 4173/[protected]/00
Claim Ref. No. SCM[protected]
Claim Intimation Date : 09/12/2020
Interaction ID [protected]

Mail received on 14-Sep-2020 - Stated like need to submit "Diagnostic/ Lab report confirming COVID-19 diagnosis". I submitted on the same day

Mail received on 01-Oct -2020 Stated - "provide the covid 19 positive confirmation ICMR referral form with seal and signature of the Lab". I submitted on same day

Mail received on 10-Oct-2020 Stated - "Please Provide RT-PCR test report" -

I don't know Why are they are asking Covid Positive confirmation report with different names/actions. they are bluffing for claim settlement.

I don't know what the RT-PCR test is. I had symptoms and I tested in Primary Health center bangarupeta, venkatagiri Mandal, Nellore-524132 on 10/Sep/2020. I got a positive confirming report from AP Govt health dept(Sample Id - 8631129 you can enquire ICMR or through hospital) and we don't have any other report to give. I am really not satisfied with the claim settlement process because I submitted all required documents on time.

They are finding various excuses to reject Covid claims

it is more than one month since I submitted my claim and there is no update as yet.

Their service quality stands to be questioned.

They do not provide timely updates. one needs to follow-up regularly.

The size of a company does not necessarily matter. It is the values
integrity, honesty and transparency that matter.

I sometimes wonder whether it is worth buying an insurance policy if you have to literally chase the company for geting your money reimburse.
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Nov 2, 2020
Complaint marked as Resolved 
Complaint Resolved
Oct 22, 2020

Complaint Status

ICICI Lombard customer support has been notified about the posted complaint.
Verified Support
Oct 22, 2020
ICICI Lombard Customer Care's response
Dear Sir/Madam,

Apologies for the inconvenience caused. We have made a note of the details mentioned. We will check this from our end and get back to you with an update on the same

Regards,
ICICI Lombard General Insurance
Oct 27, 2020
Updated by Syed143
ICICI Lombard not mentioned like required type of test confirmation in COVID Policy.

Mentioned in policy like below:

Important Note and Major Exclusions
Liability to make payment for any claim under this policy in respect to an Insured Person, are subject to the following:

Tested in Government designated laboratories
The insured must have tested positive for COVID-19 by a Government designated laboratory in India using only those specific test(s) as defined by
Government authorities.

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    ICICI Lombard House, Old Tata Press Building, Near Siddhivinayak Temple, 414, Veer Savarkar Marg, Prabhadevi, Mumbai, Maharashtra, India - 400025
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