Oriental Insurance Company Complaints & Reviews

Claim under Policy No.451300/48/2013/UniverCell Sir, I had lodged a claim of my ZYNC - TABLET - DUAL 7 PLUS under the above policy on 18th July 2014 with ALEgION Insurance Broking Private Limited, Chennai. Till date my claim has not been settled. Hence, please pursue with the concerned office and settle my claim at the earliest and do the needful. Thanking you Yours faithfully, T.A.Muralidhar E-mail I.D. [protected]@ymail.com [protected]

Sir I had insurance cover for my activa scooty with motor vehicle insurance number note No. CHD-D 773345( Agency code no. 308/842) which was issued on date 14/9/2012. My scooty no. PB 10 DM 1043 met with an accident so I claimed for insurance but even after 2 years I have not received my insurance claim despite submitting all the requred documents.

Name: Seshagiri T & Ragini T ( Floater Policy) Policy No: 423001/48/2015/43 Policy taken at : Jayanagar Branch, Bangalore, Phone: [protected] TPA: Rakha TPA, Bangalore, Phone :[protected] Policy taken for the : 6th Year On request by OIC, I have provided 5 years policy documents, details of Previous claim settlement made at Hyderabad. My Grievance:- 1)No written response either from OIC or TPA past 2 months 2) The same sort of claims settled at Hyderabad, why at Bangalore not settling. Regards Seshagiri T [protected]@rediffmail.com

This might be the same old story for every one who had registered with Oriental for mobile phones. They either do not respond on time or reject the claim stating "Partial Damage" will not be covered. But I don't understand the measurement or scale that they use to classify as "Partial Damage" They never use a standard form which has to be filled by the Mobile Servicing Engineers, then on what basis they could reject the claim as "Partial Damage". In my scenario, the Servicing Engineer had clearly stated as "Mobile Phone is unable to work further", yet the staff from Oriental Insurance (which says Customer is always first and follows the Customer Friendly tradition as Motto) simply replies to any claim request with a standard note, "Partial Damage". From their third response mail, there are no responses and they wanted me to give a call back which is never answered. Humble request to every individual, "PLEASE DO NOT GO BEHIND ANY INSURANCE UNLESS IT IS MANDATORY BY LAW LIKE VEHICLE INSURANCE OR THAT PROVIDED IN OFFICE". Regards Rajasekaran S +[protected]

Respected sir,

Very long time i need solution and understand my problem.

I am strugling reciving my claim income.Giving below information please reply very fast.

My policy name is happy family floter

Policy no is 142606/48/2014/00200

Policy owner is patel hiteshkumar babulal

Patient name is babubhai a patel

I have submitted claim file do mehsana office as on 01/05/2014 but steel date i have
No reply as above subject so please consider my request .

And please give me reply as soon as posible.
My contect no.[protected] and reply my mail id.[protected]@yahoo.Co.In


Your faithfully
Hitesh patel

policy no 215500/48/2013/249 it is a happyt family floter policy issued by agent/broker - LC[protected] Adress - amba tower dc chowk sector 9 rohini delhi - 110085 our policy start on 18/05/2009 and our policy laps by mistake of this agent our five year policy is distroyed by mistake of our agent mr shushil gupta because he deposit our check with a wrong name so please as faster as u take action and in this five year we dont ever use this policy once. we give a check of 5405 rupees to our agent and he deposite it under a wrong name we give payment through check the no is = 846644 a/c name = manish kuamr jain pank name = punjab national bank shastri nagar delhi 110052 date of cheque deposit = 22/04/2014 cheque clear = 13/05/2013

Kl-59-g-1911 car got accident on[protected] and we have repaired it from our workshop.The survey was conducted by surveyor mr. Sujith and he never turned up for any further details after taking the photographs.
The owner of the vehicle is a most respectable school teacher, received award from indian president, he felt insulted from the branch office when he approached for further proceedings.At last the bill was settled with a very less amount.
As a workshop we contacted branch manager and complained to both branch and divisional managers.But the result was not positive.
Further make it sure that the dealings of the surveyors and branch staff with the customers should be decent.This would enable the working of the system smoothly.Because of these type of dealings, we are forced to complaint the concerned authorities.
I humbly request you to let me know the developments in this case and pray for justice to the customer sri.Rajagopalan ([protected]).

i am mediclaim policy holder oriental insurance company .POLICY NO 141200/48/2013/33457, CCN 9819021.My wife APRAJITA GUPTA was admitted in indian spinal injury centre on january of this year for urinary bladder surgery .i am paying regular premium, but my claim was rejected for cashless and than for reembursement after 3 month of long process in which i have submitted all document as order .reason for rejection given was that surgery is not approve by US FDA but after discussion withtreating doctor I have submitted reference taken from US FDA site for approval in 2011 .but they are not listining my point .please HELP ..

Last year i bought Samsung galaxy note2 from universal store and get it insured from oriental insurance. recently my mobile screen got damaged i applied for the claim. Insurance company rejected my claim by saying this that partial damage is not covered . But policy they provided to me in that no where it's mentioned like this that partial damaged not covered. if i contact to the company they are giving me another number if i contact on that number they provide me another number. Till now i haven’t received any proper response from company. I am totally frustrated now. I have attached the policy copy for your reference.

Dear Sir/Madam,

The Consignment was booked on DTDC Plus Courier, As per the Consignment Tracking No,

The consignment was booked on 15th March 2014, from Kottarakkara, Kollam Dist, Kerala,

While we book for the Consignment they have ensured that the Laptop will be delivered on time without Any Delay

& Damage, We have received the consignment on 18th March 2014, I request you to kindly look over on the

Above issue & do the needful without any delay.

Respected sir,
I am giving my policy Details for your Information
Policy no.R/163600/31/2013/4351
Name:Madhav Gokhale

Every Year I am renewing my Motor cycle policy every year I am getting Policy Documents Very late( after one month) I want to know How you are delivering the documents late every year.Last 3 years
This is for your information and action
Yours
Madhav Gokhale
[protected]
Email:[protected]@rediffmail.com

Mediclaim was made in the month April 2013.It was rejected erroneousely stating that the Pol.has not completed min.of 2 years though the policy was in force for the last 6 years.The details of the previous pols. was submitted on 21st May 2013.Several reminders were sent.But there was no response.

May request your good office to help me settle the claim.

with regards

B.Vani K.Naik

Sub: Insurance clearance Status and Claim amount Payment
POLICY NO. : 121300/48/2013/7475
Claim Ref No: 13RB03OIL2794

This is to inform you that we have log the Insurance claim of RS, 9194 against above Policy details on dated 18/02/2013 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
VINOD CHAUHAN

To
Chief Manager,
Customer Service Department,
Head Office, New Delhi

Respected sir,
This is to bring in your notice that i have been your policy holder with policy no 233200/48/2013/1105 for last three years. I am regularly paying the premium against my policy and my policy is due for renewal on 10/7/13 . But I am very much annoyed and disturbed because my claim for the surgical treatment has been rejected, this has shattered my faith and I feel cheated .
My wife was detected with the left eye cataract on date 9/3/2013 and she was treated for the same in SGL Hospital , Jalandhar on 13/4/2013. As this was very precise and atraumatic surgery so she was discharged from the hospital same day.
I had informed on your helpline numbers about the treatment, got the reference number and deposited all the required documents well in time. Despite all my efforts, it was informed to me by the company that I cant get the claim amount(by the letter dated 7/5/2013).
I want to ask the company that why I was treated indifferently when:-
1) My policy is running for three continuous years rather than two years as mentioned in claim refusal letter.
2) Documents were complete and deposited well in time.
3) Cataract surgery is atraumatic and does not require patient hospitalisation unless some complication arises.
4) If the company says cataract is chronic and takes time to develop then what about the medical examination and reports that were done at the start of the policy.
I want the company to reconsider the case and give us the claim amount otherwise there is no reason why should I continue my policy. So kindly look into the case urgently.
Looking forward to hear from your side.
Regards ,
Dr Ashok Verma
Policy no 233200/48/2013/1105

Dear Sir/Mam,

Subject : Failure to Avail Insurance Claim of my Bajaj Pulsar 220F since last 11 months

This is to inform you that my Bajaj Pulsar 220f was stolen on 20.06.2012 which was registered on the name of my mother Mrs. Manjeet Grover. However, since then I have been on rounds from the office of the insurance company to the police officials and calling them every alternate day, but all of them are just making lame excuses.
Kindly Help me redressing my complaint and find the latter attchached below which I have sent to the insurance company after numerous telephonic reminders.

Thanking you in anticipation.

Yours Truly
Kashish Grover

COMPLAINT

To
The General Manager
Oriental Insurance Co. Ltd.


Dear Sir,
Subject : Failure to Avail Insurance Claim of my Bajaj Pulsar 220F since last 11 months.
This is to inform you that my Bajaj Pulsar 220f was stolen on 20.06.2012 which was registered on the name of my mother Mrs. Manjeet Grover. However, since then I have been on rounds from the office of the insurance company to the police officials and calling them every alternate day, but all of them are just making lame excuses. The officials of your company are just adding one or the other formality every time and just delaying the process.
It’s adding tons of costs to me each day, starting from the interest costs, to the cost of my time, and other variable expenses including phone calls and petrol expenses. Its just that I am a decent and honest citizen of this country that they are delaying the claim. It seems as if your officials want to make money out of it. Even after fulfilling all the checklist documents now they again want the application of the FIR , what the hell should I make out from it, when they have the attested copy of the FIR in original, why do they want the application letter ? I also informed that I don’t possess the application letter as it has already been deposited with the police officials and since they have processed the file for non-traceable, so now its almost impossible to get it back again.
Moreover, the behavior of your officials starting from the one who visited my home, also have been very harsh and unethical.
This is my last and final reminder, and if any action is not taken immediately then I will be forced to knock the door of the consumer court and shall recover the amount of claim along with variable costs incurred till date as well as opportunity costs which amounts to around 34000/-.
Moreover, I am even planning to shift the insurance of my other two cars from your company to some better insurance provider who can at least listen and answer my grievances. Further, your company and its officials must understand that whenever you loose the consumer he will spread bad word of mouth and that will hamper your image.
The people of your company have made the mockery of the whole system itself. It is very sad on the part of Oriental insurance as well as its officials that they are not able to process a claim in 11 months. This is truly unethical and unprofessional as well.
Hence, I kindly request you to please listen to my humble request and sort out the matter on urgent basis.

Yours Truly,
Kashish Grover
Phone No. : +91-[protected]
Email: [protected]@gmail.com
POLICY NO. – 215300/31/2012/15829
INSURED –MANJEET GROVER
VEHICLE NO- HR 26BG 2664
CLAIM NO. 210011/31/2013/031389

Not received my claimed amount
My Oriental insurance emp. No. OBC-MEDI-[protected], Pol. No. 121700/48/2012/11262 I claimed for accident at bhatia hospital, Mumbai , Maharashtra
I submit all short falls required documents on 2/02/2012 through Post office Service. And second document sent for 26/03/2012 through post office

Till date, I have not received my claim amount.

Mobile no [protected]

Hi Sir,

Please look into the matter as I am unable to get any details about my claim and it's been more than 5 months.

I have even raised the Grievance and the same has been closed without any details.

Policy No - 215300/31/2013/6466
Claim No - 210011/31/2013/032202
Grievance No - 215300/2012/14/11371

I(ravi nair) have taken insurance(policy no 421500/Gmc/2012/1731_ex) for my mother(rethi menon) through mediassist(tpa) . Her ID card number is [protected]. On 23/12/12, she was admitted in casualty(emergency ward) in fortis hospital, mulund due to severe pain on right leg. She was not able to walk and sleep. Later after doing mri and series of xray scan, it was made clear that the pain is arising as result of some irregularities in discs on the spine. She has been admitted for 2 days in the same hospital. After undergoing treatment for 2 days under the guidance of ortho surgeon(dr. Vikas gupte), she was discharged after the pain has reduced.
I made the final bill payment and submitted the discharge letter, original bills, mri/Xray scan reports to mediassist for reimbursement. After following up repeatedly, I was told that the claim got rejected as there was no valid and active line of treatment.
For the problem(multilevel disc dessication with end plate changes creating acute pain in right gluteal region on low back which affected her back and legs due to which she was not able perform any body movement)identified after the diagnosis, she was admitted in the emergency ward because of severity of the problem. However these problems can never be a treated by surgery as per ortho surgeon who treated her. This problem can only be treated by ailing medicines followed by continous monitoring. If required, the type and quantity of medicines will change. Also both feet were tied with ropes supporting heavy weights at other end. She was discharged only after she was declared fit for movements. Therefore the treatment was completely valid and had active line of tratment.
Require your cooperation in this issue as the claim was rejected given vague reasons. I am following up this case for a month now with no peace of mind due to huge loss in money.

Dear Sir,


This has reference to our problem regarding the stolen of our Tractor, I would like to bring to your notice that my Tractor - New Holland 3230 vied Regn. No. HR-30D4486 was stolen by some unidentified persons on 24.01.2011 at Mid-Night and a FIR was lodged in nearest Police Station at CAMP Police Station , Distt : Palwal on 24.01.2011 Morning.



In this regard, I have informed the matter to The Oriental Insurance Co. Ltd., Palwal as the Tractor was covered under Policy No. 272401/47/2010/2238, but, despite my repeated visits and requests to Mr. Anil Aggarwal, Branch Manager of Palwal neither I have received any claim nor any positive response as on date i.e. my each and every visits to the Insurance Office, he is telling your file is sent to Head Office, Delhi and we have yet not received the same as and when we will get it we will inform you accordingly.



Sir, we are awaiting for the claim around 2 years, so, you are requested to your kind goodself to look in the matter sympathetically and I would be highly grateful to you if could consider the matter on priority and take immediate necessary steps to release my claim

In continuation to mails, I would like to bring to kind notice that my repeated requests for my claim against theft of my Tractor No. HR 30D 4486 I have harassed by Mr. Anil Aggarwal for 25% commission of the total claim and when I refused I have received a letter dated 6.12.212 from the Office of Branch Manager, The Oriental Insurance Co. Ltd., Palwal,

After our all the request and this communication when we have ignore to give him 25% amount of our clame then he send us a mail that the claim is nill because the insured tractor was not being used selling for Agriculture purpouse but was used for commercial purpose. I.E. Loading Yamuna reti. thats why your claim is nill. but it is not right because a farmer has the work of yamuna reti at their farm work.

Sir you are requested to please do the needfull at your end.



Thanking you,



Yours faithfully,





RATTAN SINGH

S/O. THAKUR LAL

V.P.O. GHORI,

DISTT & TEH : PALWAL

HARYANA - 121102.

[protected].

DENTAL CLAIM NO. DHS12Z046063 DATED 19/04/2012 FOR RS 1500/-
WITH REFERENCE TO ABM CLAIM PLEASE NOTE THAT THE SAME WAS ONLY INFORMED TO ME MUCH LATER ON AFTER REGULAR FOLLOW UPS & e-mails

TILL 13/07/2012 THE CLAIM WAS SHOWN AS PAYABLE ALL OF A SUDDEN AND ON 14/07/2012 IT WAS SHOWN AS REJECTED. THE DHS CHEQUE NO.011857 WAS ALSO INDICATED IN PAYABLE COLUMN.- THIRD PARTY INSURANCE- DEDICATED HEALTH SERVICES

I STILL FAIL TO UNDERSTAND THAT THE SAME IS REJECTED.

REGARDS
SUSHIL V RAJE
NB: BELOW IS THE PRINT SCREEN OF ONLINE STATUS SHOWN AMOUNT PAYABLE RS 1500/-

Dedicated Healthcare Services TPA (India) Pvt. Ltd.


Corporate Office :
Cambata Building (Eros Theatre Building)
East Wing, 2nd Floor,
42, Maharshi Karve Road, Mumbai – 400 020


IRDA License No 28

Email id: [protected]@dhs-india.com
Tel No.[protected] /[protected]
Fax No.[protected]

Claim Details

Printed as on:[protected]:19:12 PM
Claim Number DHS12Z046063

Claim Type

Claim Sub Type OPD - Dental

Claim Status Payable

Intimation Date [protected]

Patient DHSID SE[protected]

Patient Name SUSHIL V RAJE

Patient Gender/Age M / 58

Relation Main Insured

Insured DHSID SE[protected]

Insured Name SUSHIL V RAJE

File Rec'd Date [protected]

Claim Intimation Date [protected]

Policy Number 251100/46/11/[protected]-F

Hospital Name ADVANI DENTAL CLINIC

Admission Date [protected]

Discharge Date [protected]

Diagnosis
Dental caries / Root Canal

Deficiency
Raised Date
nil

Deficiency
Received Date nil

Cheque/DD No. 011857

Cheque/DD Date

Claim Amount Rs 1,500


Total Bill Amount Rs 1,500


Total Deduction 0

Payable Amount Rs 1500

Healthcare, Cambata, nd, Maharshi, Karve, Mumbai