Oriental Insurance Company Complaints & Reviews

Complaint category car & Life Insurance
Oriental Insurance Company — Motorcycle accident claim file no 42255/6. Not properly respond by senior officers. at regional office, nodal office [Resolved]
mr umesh bhai .d.parmar sep 20, 2016
In the above matter I'm telephonic contact with Regional office, Ahmedabad, all senior officers but they have not respond all are say we have lot of file and too burden we have no time to give reply
matters is that dealers...recovered..double Labour chargers...to paid...for passing claim and with tie up arrangement
please do needful
umesh parmari

gujArat
[protected]

Requested Sir,

I had a septoplastic surgery on 12-Nov-2016 at Asian Institute Faradabad. Before surgery I claimed for the surgery fees approvel and on 6-Nov-2016 you send pre-auth approvel for this surgery for Rs. 37, 280 and total claimed amount was Rs. 77, 280 and you mention this is pre-auth approvel and rest amount would be sent on the time of discharge. But at the time of discharge when the TPA sent all the bill to you, then claim denied by you for full payment and hospital took full payment from me and then they discharged me. You mention the denied reson was that I am not a regular bonified student. How this matter to you that I am a student till or not. I am dependant to my father it should be matter to you. Even when I renew this policy on May-2016 then why you renewed this if this type of issue you have.

Now my concern is that if you have any issue like this then why you send pre-auth approval. On basis of your pre-auth approval I was went to admit in the hospital. Then after surgery you denied the claim. This is not a good service. I cant afford this money. May be if you denied this before admit then might be possible that I not admit to hospital or I went to another hospital where surgeny amount is less. I went this hospital because this hospital is in your panel. I had to ask borrow for this money at that time. Please return back my money. Other wise I will have to go consumer court for your worst policies. Because people are suffering with your policies.
The Claimed Id is[protected]

Thanks,
Deepak Garg S/o Rajkumar Gupta
[protected], [protected]

In the above matter I'm telephonic contact with Regional office, Ahmedabad, all senior officers but they have not respond all are say we have lot of file and too burden we have no time to give reply
matters is that dealers...recovered..double Labour chargers...to paid...for passing claim and with tie up arrangement
please do needful
ramesh shrimali
Himmatnaga
gujArat
[protected]

I have complaint many times to grievance redressal officers mail

id but there is no any response means no body is talking

everybody dont want to listen me

please take any serious action againt the company'

i havent received my payment i have give cheques & also all

necessary documents.

& no body call back against this issue

Thanks,
Manish Gullani
[protected]
[protected]

I have send this message many times to grievance officers mail id but there is no any response, the mail is as follows:-
Dear sir,

I have called on your tollfree number for my claim issue & i have discussed for claim but in a second he said i cant understand you & he threat me that give my complaint to redressal, i dont care, please take serious action immediately, this is my first & last mail otherwise i will go through consumer court tommorrow.
His name is Ravi (7052) & when i asked for surname he said that i cant give personal information.

Thanks,
Manish Gullani
[protected]
[protected]

Respected sir,

I yogesh d aute
Employee of msedcl,
Ubmitted 3 different original documents file for reuimbersment of rupees 3 lacs/- on date 10/10/16,
In marine line (Md india, oriental insurance company, mumbai office)
As per the requirements,
Yet, i hd not got any updates from the office.
I called customer care they told we had lost your documents,,
I had taken received from them before submitting documents.
Copy enclosed with this letter,
My md id no-[protected]
Employee no-2486938
Ph-[protected]

Plz help me.

Dear Sir,
This is related to delay in settlement of my car insurance with Oriental Insurance company Policy No: 345702/31/2017/3249
My car accident happened on 31/08/2016 in the morning around 8.00 AM at my residence while moving for office, same time i called the customer care to book complaint but they told me to approach local branch and on the next day i approached local branch and book my complaint. As per their instruction...

My car, Honda City bearing registration number GJ5CF 2865 met with an accident and was repaired under information to the insurance company in Sep 2015. While all appraisal was done and promise made that the requisite money shall be reimbursed to me after due approval, I have not been paid yet. Matter pertains to Bhubaneswar in the State of Odisha. I wish to know why the same is delayed for so long and also whether the rightful receivable is forthcoming.

Respected sir

Ub;non receipt of my oritental insurance policy bond and id card

I am balan. K, kunnumal house, (Po) moozhikkara, koppalam, thaslsssery. My a/c no.[protected] in punjab national bank. I have not yet received my oritental insurance policy bond and id card. I enquired about my policy to the bank manager, he replied and show me the amount of rs3500/- (Two lakh policy) was debited by dd on 06/10/2016. But the calicut circle office planning department no t taken any appropriate action in this regard. The manager of punjab national bank kuthuparambha show me the mailed documents of my policy. Kindly send my policy document to my address please.

Yours faithfully

K. Balan

Sir, I have claimed For a motor accident At motor accident claim tribunal Darrang. And same has been settled by the tribunal Darrang Mangaldai on dated 2/6/2015 .The case number is that Mac 186/12. But the authority has not yet paid the awarded money. So my request kindly take necessary action regarding this matter. I have also sent demand notice.but I have not received any response from the authority.

My car was hit at red light on 22/11/16. At 10 pm.the claim department did not give full claim.the surveyor left one rear light in the claim.i have called so many times.but no action is taken by oriental.
I was standing at the red light.the delhi police bus hit my car from backside.and dragged my car also.i have properly mentioned in the claim form

From Sri Ramkripal Bhattacharjee
73, Tarafdar Para Road
P.O. Authpur
Dist. North 24 Pgs.
West Bengal
Pin.743128
Mo.[protected]

To
The Chief Manager Customer Care.
Sri Krishna Arcade”,
47/1, 9th Cross,
1st Main Road,
Sarakki Industrial Layout,
3rd Phase, J P Nagar
Bangalore
Bangalore District
Karnataka
India - 560078
Sub. Sanction and approval of
Ref. Policy No.311700/48/2017/4635
PNB Oriantal Royal Mediclaim PolicySchedule
Agent BC [protected] PNB Jagatdal CR3795
Cashless request from Disha Eye Hospital Pvt.ltd.
Claim no.13557250 dt.15.11.2016 at t4.03PM


Sir,
With due honor I am very sorry to inform you that in spite of several representations
to approve and sanction of Rs.18000.00 for operation of CATARACT at Disha Eye Hostital
fixed on 24.11.2016 no action has yet been taken and no information is received yet
either from your side or from Disha’s side.
I have submitted all the requisite documents including Biometric Report and every thing
to Disha TPA’s office.
It is not understood why Disha has not yet submitted duly filled Annexure C AS PER
AGREED PPN PACKAGE, please expedite Disha to receive the same as per your requirement
So that customers are not harassed due to the negative motivation of the Disha.
Please ensure that my operation is tabled on 24.11.2016 as per scheduled .
Hope your good self will look into the matter so that customers are not suffer due to the laps on part of your management to avoid any future complications .

Thanking you,
Yours faithfully,
Ramkripal Bhattacharjee
Dated 21.11.2016

Copy to
1. M/s. Med Assist India TPA priavate Limited
2. [protected]@orientalinsurance.co.in

Mailbox of shetty. [protected]@rediffmail.com print cancel

From: hareesh shetty
To:
Subject: fw: ticket received - ticket received - my claim no 1333373. Policy from jeeves i s p ltd bangalore[protected]
Date: wed, 16 nov 2016 12:07:59 ist
Cc:
Dear sir
I am a senior citizen suffering from severe back pain,
Having served in a nationalised bank as branch manager,
Giving ur insurence company lots of business, am admitted
To hospital for treatment. As could not move the hospital
Is 36 km from my village. By great difficulty i travelled
There and took medical care tablets and daily three to
Four injections, i was likely to be operated but due to my
Old age i did not seek operation for fear of
Complications, and stayed there, for a week getting
Treatment and they have asked me to take rest at home and
Continue medicine for a month after one month i visited
Once again and the physicia has advised me to continue
Medicine treatment for another month still i am under
Their treatment and have more than rs 6000 bills incurred
For post hospitalisation treatment yet to be submitted to
Medi asst. And hospital submitted my bills of rs 27281
To med asst of medbuddy. They have declined the cash less
Felicity without deputing their personel to hospital tp
Verify the position of the senior citizen who was unable
To move, and asked to submit the claim directly to their
Office, inspite of me having oriental insurence policy and
Having lot of business for 35 years in banks they did not
Care and deliberately harrased me for settling the claim.
They have sent me the papers that rs 932 is declined from
My claim of rs 27281, and there is nomissing documents to
Be submitted by me, there is no reason for denial as per
Their letter which is attached herewith,
Later on i complained to them to settle the claim, then on
18102016 they gave me their ticket no 720324 and told me
Their representative shall call /talk to me within 24
Hours, they did not do it, again i reminded them to settle
My claim on 19102016 a ticket no 724811 is given to me and
Told their men will contact me within 24 hours, again
There was no reply from them again on 1112016 i contacted
Them a ticket no 807078 is given with a promise that
Within 24 hours they will talk to me.
Pl note they did not attend to hospital for verification
Again 3 times they did not respond to their tickets within
24 hours, this lethargic attitude to harass old aged
Senior citizen and givin them hardship and mental agony
And leaving them to die in hospital in spite o[censored]s paying
Huge sum as policy premium attracts compensation of rs 16
Lakhs plus rs 27281 with interest at 18%.
As u have enrolled them to give service as principal u
Have to compensate me with this amount of compensation for
Dereliction of duty for lack of customers care, harrasing
And giving mental agony and i could not get cashless
Medical benefit if die a compensation of re 80 lakhs has
To be credited to my legal heir. Thanking u
Sandhya shetty
Mob [protected]
— original message —

From: "hareesh shetty"shetty. [protected]@rediffmail.com
To: hospital. [protected]@mediassistindia.com
Subject: re: ticket received - ticket received - my
Claim no 1333373. Policy from jeeves i s p ltd bangalore -
[protected]
Since 19th oct neither u have settled/credited medi claime
Claimed amount nor credited rs 8 lakhs compensation nor ur
Representative contacted me within 24 hours since 19 th
Oct. Hence compensation amount has to be increased to
Double that is rs 16 lakhs for harassing senior citizen
And giving mental agony and hardship. Pl credit the
Claimed amount with 16% interest within 24 hours from now
Thanking u
Yours faithfully
Sandhya shettyy

On wed, 19 oct 2016 16:17:35 +0530 hospital medibuddy
Wrote


Dear hareesh shetty,

Thank you for writing to us.

We would like to acknowledge that we have received your
Request and a ticket has been created. Please refer the
Ticket number 724811 in the subject of this email and
Quote the same in all your future correspondences in line
To this query

A support representative will be reviewing your request
And will send you a personal response within 24 hours

We thank you for your patience in the interim and assure
You that we are committed to serving the best interests of
Our customers.

Sincerely,
Medi assist support team



724811

Print cancel

My name is Omkar Reddy and I am working in Accenture, USA and my company has taken a Group Health Policy No: 421300/48/2015/P2_Ex with Oriental Insurance Co.Ltd, which covers me and my family including my parents. My Emp.ID No: is 10865397, joining date: 15/04/2013, policy period: 17/10/15 to 16/10/16. My father was hospitalized and operated for Heart problem. the total hospital expense came to approx: Rs.3.75 lakhs. My younger brother who is working in HCL Company, has covered him in his Health policy also taken from Oriental Insurance Co. Ltd. He had already claimed Rs.2.83 lakhs from Vidhal(formerly TTK TPA). As his Sum insured was exhausted, I had applied for reimbursement from my company as I too have covered my father in the Policy. I gave all the bills and discharge summary copy(as original was already submitted to Vidhal TPA), totalling to Rs.83, 500-approx, but till date even though after many teletalk and request the claim has not been settled, though I had contacted both the Oriental Insurance Co, who has taken the insurance and also MediAssist who is the TPA. Their response was really very unsatisfactory and not what a customer expects from PSU which boldly claims that they are always there for customers needs. As the policy is expired and not renewed with them the company and the TPA is not at all interested to take up the matter and settle the claim. I feel being a public sector company their duty is to first attend to the customer's need and settle the claim at the earliest. I hope after submitting my grievance this matter will be taken up and resolved at the earliest, .My mail.id is : omkarreddy.[protected]@accenture.com. For any queries you can contact my brother, Mr.Ravi Reddy in his mobile no: [protected]

Sir,
I am one of your insurance policy holder name sreemon.s, from Kerala. I already claimed my vehicle in case of accidental claim to oriental insurance alappuzha branch Kerala.I have taken the insurance from another branch in oriental Kottarakkara.I did not get my fund till today.it's been a long time since I claimed. And I here noticing you that it's very very disappointing approaches from your satffs from each branches I have noticed early. Nobody taking the responsibility of this issue and I already tried to contact those branches by phone since I can't able to present there by myself. And nobody is taking my phone calls since a week ago.And once again am telling you that your customer service is very very poor as compared to other insurance companies. And kindly request you to make an arrangements to contact them at the earliest.
I hearby attaching my claim details below and expecting your mail very soon.
Sreemon.s
Claim no - 443000/31/2016/14784
Issue office name- Kottarakkara DO
Vehicle no- KL 32 H 8645

Thanking you
With regards
Customer

Respected Sir,

This is to inform you that I, Barun Kumar Pal, am a mediclaim policyholder of Oriental Insurance Company. My policy details are mentioned below. This email is regarding an issue, which I seem to have no solution for and am bound to reach you with hope. My wife, Mrs. Lipika Pal, who is also mentioned on my Mediclaim policy, was admitted to the hospital unexpectedly due to bad health conditions. Being a senior citizen, I was advised to claim the hospitalization bill for a better helping hand in such delicate situations. With god’s grace and the love and support of my family, my wife has been discharged and is recovering well and fast.

Since, my choice for taking a policy from Oriental Insurance company was because of the high quality reputation that everyone was talking about and quick service responses, which were a part of brief given to me before going ahead and taking up the policy. However, this moment seems to look otherwise.

To claim the bills I had settled personally to the hospital, I went through the rigorous procedure of collecting all the documents, including those from the TPA desk of the hospital, Doctor’s Signature and details, Discharge Summary, Bills, Detailed Bill, Final Bill etc. (All Original Documents) which the company requires to help me claim the insurance, and submitting it through courier to the Registered Address Mentioned (Same as the one written under your name at the top of this email) (Oriental House, A-25/27, Asaf Ali Road, New Delhi 110002) as mentioned in the form. My package had almost 40 sheets of supporting documents, with the claim form attached with my policy and all the other required details, all original documents. There seems to be a major point of concern when I do not receive any kind of acknowledgement for the documents sent to the company at the right time within the time frame mentioned. I stress at this point that all the documents sent were original for which I have all the duplicates with me as I had kept a copy of the same with myself in case of such incidents.

I personally tried getting in touch with the company several times, but I was redirected from one person to another constantly. At my age and this time in life, it is getting very difficult to manage such amount of running around for a claim, where as I was told that I would be as easy as slicing a butter, before taking up the policy. I request you to take a look in to this matter with some amount of concern as it has become highly impossible for me to trace my package with all the documents which I will not be able to gather together again as originals for the claim.

Having done everything that was required off of me, I feel that someone should at least acknowledge the fact that my package has arrived or we have started the process, we are reviewing it etc. Anything!
As the incharge of this well reputed firm, I am sure you will be the only one to help me with this situation and bring some peace in my life with regards to this claim. I am typing all the details below.

Name: Barun Kumar Pal & Lipika Pal
Policy Number: 272900/48/2016/14737
Insured Code: 57774772
Address: DDA SFS Pocket F, Flat E-22 Shek Sarai Phase 1, New Delhi
Agent Broker: BE[protected] PNB, Chirag Delhi
TPA ID: YA[protected]
TPA Reference Number (For Claim): 10385063
Note – This reference number for given by TPA over a phone call before the claim document was submitted

Documents Submitted
- Claim Form (Duly Filled) A & B
- Hospital, TPA Authorization
- Doctors, Details with Signature
- Discharge Summary
- Final Bill
- Card Swipe Slips
- Detailed daily report of all the tests
- A covering letter for the TPA reference number
- Policy details

Date when couriered: 29/09/2016
Courier company: DTDC

At present, no one is able to guide me with the package. I would request you to take a look into this matter and help me resolve this as soon as possible as my energy level and belief in this is draining day by day. If not anything else, just an acknowledgement of the package being received will at least bring some peace within.

Yours truly,
Barun Kumar Pal,
+91-[protected]

Awaiting quick action and payment of balance medicalim rs. 85, 081

Policy details
Phs id 23271228
Policy number 121100/48/2016/7419
Policy period 31/03/2016 to 30/03/2017
Imsurance company the oriental insurance company ltd
Employee number 411960
Group name rieter india pvt ltd
U/w office nmae do2 mumbai

Personal details
Beneficiary name diksha jain
Name of proposer/employee rajendra sukan raj jain
Age 13
Date of birth 9/5/2003
Gender female
Address shirwal, pune-4112208

I submit bhavishya arogya polycy no.2005/771 rs.9401/ and policy no. 2006/548 rs.9078/- for redumption with original original policy and receipt at your madina building branch, raipur on 14.03.2016. After many reminders and personal contact i have not received the above payment till date.

I also sent a copy to your office on 16.09.2016 by speed post but not any response at your end.

I request you please instruct your raipur branch office for early paymant.

Thanking u,

I shri kant vyas (ph no. [protected]) have deposited a dd of rs. 6960.0 dd no. 3842235 dated 12.05.2016 for issuance of mediclaim policy but neither i have recieved policy documents nor mediclaim card. i am highly disappointed with the dissatisfied treatment. i have been calling the manager of oriental bank of commerce, kirorimal college delhi. i have visited the branch many a times but everytime manager asks me to wait. its a high time now and i want to recieve my money to be refunded so that i can buy a policy from a sensible and customer friendly company.

Kindly revert back withb your reply. i would be thankful to you.

Regards

Shrikant vyas
Vish. [protected]@gmail.com

I was provided 2 mediclaim policies by oriental insurance company for my parents. I had the provision to use either or both the policies, depending on the expense incurred. My father was operated on angioplasty and the total expense was around 4lac rs. My each policy cover was 2.5lac rs. I was expecting one policy to cover 2.5 lac and other to cover 1.5 lac.

When i submitted the claim, one of the policy reimbursed 1.4 lac rs. So i submitted the claim under another policy for the remainder of the amount. But the claim was rejected, stating that i have already reimbursed my amount from one of the policy.

I have been trying to speak to the officers, but they have either been non responsive, or passing the parcel from one office to another.

Following are the policy details -

124200/48/2016/10929 - policy under which partial claim was approved
131401/48/16/00187 - policy under which the claim was rejected

Insured person nae - naresh simepurushkar