Oriental Insurance Company — Abnormal delay in the settlement of claim

Address:Anand, Gujarat, 388001
Website:orientalinsurance.org.in

Details of claim is as under
· Name of Insurance Company The Orient Insurance Company Ltd.

· Policy No. 172301/48/16/06015

· Claim ID MDI2944773

· MDIndia ID MDI5-[protected]

· Insured Name Ashwinkumar Ramanlal Shah

· Patient Name Ritaben A Shah

· Relation Spouse

· Diagnosis Left eye cataract

· Date of surgery[protected]

· Date of prior intimation[protected] copy of mail attached)

· Date of Claim[protected]

· Reminded to the customer care on Feb 2 and Feb 14 ( copy of the mails attached)

Sir,

I submitted the claim personally to the Insurance Company at Vallabh Vidyanagar, Gujarat Branch. Since the cheque details was missing, sent the scanned copy of cheque on mail on the same date i.e.[protected] copy of the mail attached)

Still the settlement of the claim is not done. Today, on Inquiry through toll free number (MD India), I was told that some query relating to the holding of policy duration is pending with the Insurance Company.

My claim is pending with the Company for more than three months. I am least concern with MD India. I have a contract with the Insurance Company. Delay by the Insurance Company is unacceptable. I submit for the early settlement of the claim along with penal interest.

There was a demand of bank details from MD india, though the same was submitted to the insurance Company. As I was at Vipassana centre and out of any communication there, could not reply immediately. However, the same was sent to MD India on[protected] copy of the mail attached) . I believe the bank details are for the payment of the claim and not the sanction or settlement of the claim. The claim process could have been completed till the details come.
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Comments

This may be due to delay on part of tpa for not taking any action in spite of all formalities & you may insist he insurer to settle the claim early.

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