Oriental Insurance Company Complaints & Reviews

My santro car got accident, my idv was 130000 as per policy document,
Total repair estimate is 180000, company is not approving the eligible repair cost,
They are asking to consider this car in total loss but not ready to approve full idv (130000),
They are just bargaining with me for amount they need to pay for total loss,
Offering me 70000 only, thinking to go for legel against them.

Below is the number who is trying to bargaining with me
Insurance agent mobile : [protected]
Car accident survivor number : [protected]

Car insurance policy and estimate from services center is attached

My mobile number: [protected] for any details

Sir i am nitin rawat and i am a policy holder of my two wheeler insurance of oriental insurance company. On 5th of december 2018, i lost my bike reg no. Dl8sbz5813 and reg ph. [protected]. I have completed all the formalities regarding the claim. I have submitted all the affidavit on dt.[protected] after submitting all the affidavits they told me that they transfer my claim amount in 3 or 4 working days. And today is[protected] till i didn't receive my claim amount and not they telling that due to month end payment will transfer in a week.
Thanks & regard
Nitin rawat
[protected]

Sir

I have complaint in insurance company regarding claim of tyre is not consider by company which is damage in accident under zero del claim.

Till now no any reply given by insurance company regarding my complain

So i want taken appropriate take action against this comapany

Sir
Our car baleno zeta up 32 jv 1237 had damaged in an accident. It's tyre and other front and back side part damaged. We have deposited our car in bright wheel workshop chhatha meel. After inspection of oriental insurance company surveyor. Tyre was not considered and mail to bright wheel chhatha meel that the your front tyre was not corroborating with the cause of accident.
I want to explaining and clarification about why are not considering my front tyre by your surveyor. If it's not corroborating with the cause of accident. Hoe is it possible new tyre will be burst in normal course.
.

Thanking you

Regards

Kuldeep kumar
Mob no. [protected]

Mahoday, mere pita santosh kumar putra shri jamandaar singh yadav (Pnb) shakha-kudarkot janpad-auraiya (Up) se kcc khata dharak the. Unki mrittyu sadak durghatna me 3/6/16 ko hui thi. Shakha prabandhak ne14/6/16 ko hi form complete karke meghdoot building, mall road kanpur (Up) sammit kar diya tha, shakha se 03 baar remaindar bheja ja chuka hai. Parantu 2varsh 8maah hone k bavjood bhi mujhe abhi tak bhugtaan nahin mila.
(Mai pahle bhi complaint ragisterd kar chuka hoon, parantu mamla jas ka tas hai.)
Aasha karta hoon, mere mamle ko sangyan me laker aavashyak kaaryawahi jald se jald ke jayege.

Dear sir,
This is related to delay in settlement of my car insurance with oriental insurance company policy no: 131300/31/2019/47392
My car accident happened on 14/01/2019 in the evening around 8.00 pm at my residence while moving for home, 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 i take my car to nearest showroom in lucknow, also concerned surveyor reached at site and all formalities completed. As per showroom technician dismantling was not possible on same day. Finally my car ready on 25/01/2019. After paying total amount of rs. 56, 140.00 and pay surveyor fess rs 3100.00 received my car that time also surveyor was present to check running condition of my car and on next day i submitted all necessary documents regarding my vehicle registration certificate, dl document, final bill as received from showroom as well as i prepared and signed all documents as required by insurance official. But sorry to say till date my settlement is pending without any reason and every time i approach local office concerned officials tell me they are proceeding and little more time required, hence i request for your kind intervention to resolve my issue. They do not receive my call.

Copy of my policy attached for your ready reference.
Kindly help.

Thanking you
Regards
Chandra prakash shrivastva
Mob: [protected]
Chandra. [protected]@gmail.com

Hi sir my name is omprakash my contract no is [protected], my address is house no. 206 asola fatehpur beri new delhi 110074
Sir i was purchase a car policy through policy bazar on 11th january. My oriental policy no.2011200/31/2019/173944. My old policy no. Is
Og[protected]-00022431 my vehicle no. Is dl12cg-3482car - swift dzire.
After renewal i was found that ncb was written 30% in place of 20% by wrongly.

Therefore i make a humble request to you
Please correction my ncb in the policy.
Thankyou

Omprakash
[protected]

Dear sir/mam, i have purchased a mobile vivo v9, and insurance i have taken from oriental but since nov 2018 my claim is pending and no status till date,
Please confirm me the status as reliance store from elante mobile is also not in condition to help me, i am so much harrased kindly to the needful.
Else i have to go to consumer court for the same, first i will wait for your reply.

Renewed my car policy from policy bazaar, policy bazaar executive filled all the details and provided me link. I clicked on link and bought policy 211200/31/2018/182198. From[protected] to[protected].in oct 2018 i made claims amounting rs41000/-. But oriental repudiated the claims without intimation. Later on asking they informed me that the ncb was claimed wrong in policy. I was unaware of the ncb and its calculations. It was not willful concealment. Even it was filled by policy bazaar. Now on asking oriental, they asked me to pay ncb recovery amount 4253. I paid that too, but now they are not assisting me to settle my claims.

I am holding oriental insurance policy through punjab national bank. As i am suffering from breast cancer and treatment is been taking in bharat cancer hospital, mysore. This is clear case but medi assist refuse to pay the claim amt., and mr. Govindswamy, from oriental insurance is not obliging to settle the claim. As the treatment giving to me will come under insurance payable. I herewith send details of my claim.

Claim status (Enclosed)
Claim details
Letters
Member id
Policy number policy no 423101/48/2018/1556
Insured name m. D. Nagarathna
Patient name m. D. Nagarathna
Relation father
Admission date/ discharge datehi, this is regarding claim no.: 17925070 for rs.1, 47, 487/-, dt. 25/9/2018 blr00333004, dt. 25/9/2018
Blr00321238 for rs 19945/-. Dt. 26/8/2018
All the copies of bills for claim no. 17925070 for rs.1, 47, 487 dt. 25/9/2018
Will be sent in google drive. Because it is more than 25 mb.
Regards.
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This is regarding claim no. 17925070 for rs.147487 dt.25/9/2018 from mysore.
As i had a telephonic talk with madam jayanthi, i am sending the doctors rectified summary report which has
Been mailed to medi assist and they have informed to enquire the insurance people to go through it and reopen the claim.
Please sir as i am having financial problem and have to take still chemotherapy in need of money pl. Do the needfull.

Regards
2 attachments

For the treatment of metastatic ca. Breast (Post op, post ct, post rt) fnac-left breast lump on 1-7-2015:ductal carcinoma.
Treatment given:- chemotherapy with inj. Eribulin, inj. Palanosetron with premediction and other supportive care.
Hospital name bharath cancer hospital
Claim amount rs.1, 48, 487/-
Cheque no no cheque number
Approved amount rs.0/- (Net payable)
Tds amount: 0
Deduction
Dispatch date: 3rd nov. 2018

I request you to settle my claim amt.

Regards

Nagarathna. M. D

I am holding oriental insurance policy vide undermentiones policy no. This is clear case but raksha tpa refuse to pay claim amt. I herewith send details of my claim

Claim status ([protected])
Claim details
Letters
Member id o[protected]
Policy number 121802/48/2018/1200
Insured name jhaveri kalpesh shirish
Patient name jhaveri shirish k.
Relation father
Admission date/ discharge date 09-aug-2018 / 11-aug-2018
For the treatment of gastritis, unspecified,
Hospital name bakeri medical research centre
Claim amount rs. 0/-
Cheque no no cheque number
Approved amount rs.0/- (Net payable)
Tds amount: 0
Deduction
Dispatch date

I request you to settle my claim amt.

Regards

Kalpesh

My husband was an employee of accenture india.
He had health insurance policy for himself, me and his parents from oriental via accenture.
Now he expired on november 2nd. And we did not know about these policies until now.
Got the information from the hr department so trying to check with the company to renew his parents policy. They say its more than 1 month so cant be renewed.
Please do understand that this is an unusual circumstance. And answering so bluntly has no meaning. Instead of trying to help us the call centre people are cutting the calls on us. I did not expect this behavior from oriental.in human gronds at least allow us to renew his parents policy. We will pay for it directly from our end.

Even though the policy certificate is in hand, the provisions related to the bhavishya arogya policy is not available with me, as it is not issued. May kindly provide the details thereof (Either soft copy or valid url for the same is also ok)
Above information shall also include all the terms and conditions, provisions & operating mechanism of the policy
Vide the endorsement letter dated 11.06.2004, the date of commencement of risk is 30.09.2019.

I renewed my policy no and the payment deducted but then it showed that renewal was failed due to payment failure. What's the matter?? Please resolve this. Please refund my money. Amount of 1852. Policy no. 422800/31/2018/10148 please resolve it quickly. Now my policy has been expired and i have to renewal it. So please refund me quickly. Thank you.

30th nov. 2018

The grievances cell,
Oriental insurance co. Ltd.

Dear sir,

Reg : motor claim form submitted to the claim department at mp nagar bhopal on 17/09/2018 for maruti van no. Mp04ba2990 in the name of smt. Padamshree madvaiya
Policy no. 152109/31/2018/5197

Regarding the above subject i wish to state that the claim lodged on 17/09/2018 and after the vehicle is prepared the bill is submitted on 04/10/2018 for rs. 20900/-.

The claim is not still settled. Many enquiries on phone and personally are made and the response is negative.

I wish to request you that this is inordinate delay in settlement of the claim. Please look into the matter and get the claim settled.

Yours faithfully,

Padamshree madvaiya

I am work in hdfc life insurance company last 5 year and my corporate medical tie up is in oriental india insurance but as per policy rules all tpa services will be given through mdindia. Recently my wife mrs sara khan admited in apollo hospital ahmedabad 8th aug18 and discharge date 10th aug18. I have reached my hometown and sent all docs mdi india office 14 aug18 but due to mdi old office shifted to new address courier was returned. I have sent (30 aug) courier again mdi new address and courier was delivered 4 sep.18

Due to mdindia change office courier was returned.

I request to oriental claim team please consider my claim and paid my claim amount.

Health insurance policy no. 13500/48/2018/4224
I had submitted reimbursement claim for rs. 182986/- at kalyan oriental insurance company limited on 23/07/2018. My claim is finalised only after constant follow up with oriental insurance company at kalyan and payment is received for rs 153394/- on 10/10/18. It is indicated on the discharge voucher cum claim settlement letter that rs. 12548/- is disallowed.
I would like to state here that:
A. There has been an abnormal delay for more than two & half months in disposing off the case by insurer.
B. This delay gives a message to go for cashless rather than reimbursement if an insured requires timely benefit from insurer.
C. Surgery would had been carried out at fortis hospital by availing cashless service, however, as estimate for the same was found to be high surgery is carried out at other hospital.
D. I had requested to details of amount for rs. 12548/- disallowed from my claim. I need to know which items are disallowed from the bills. But till today i have not received either from sr. Executive: relationship management, health insurance tpa of india ltd or oicl, kalyan
Sir, in fact, i had discontinued renewing health insurance policy with new india assurance company being better terms and condition and claim settlement procedure with oicl as i have been told by the agent.
It is therefore requested to clarify above points and details of amount disallowed for rs. 12548/- from my reimbursement claim may please be made available treating this as my grievance.

My policy number-261494/31/2018/1968 claim no 261402/31/2019/030004 regarding total loss was repudiated mentioning that i am not the real owner of car. How this can be possible. I am attaching each and every proof that i am the real owner. This company is just making fool of persons and not providing claims if bribe is not given to their surveyour/investigator/branch manager/regional manager everybody.
I request not to buy insurance from this company. Everyone is corrupted.

Sir mrs saroj tomar resident of 205 sheel kunj roorkee road meerut is insured under mediclaim policy from oriental insurance for rupees 500000.

she was admitted in fortis c-doc hospital b16 chirag enclave new delhi on 5th october 2018 under supervision of dr subhash shalya.

She was discharged after treatment from the hospital on 15th october 2018, at the time of discharge the tpa that is raksha health insurance refuse to pay the complete amount from the total bill of rupees 325251 the tp sanction the amount of rupees 285221 hence. Rupees 40030 rupees was to be paid by me while the insurance was cashless.

two days delay in surgery and one day post surgery admission is properly justified by dr subhash shalya how could the tpa deduct the amount while the insurance is cashless.

the points which are objectionable r are 1. rent of three days rupees 8400.

2. All investigations rupees 14736.

3. Doctor charges for the three days 9600 rupees. 4. Diet charges 5500 rupees total 38236 rupees.

sir i request you to look look into the matter and order the insurance company or tpa company to pay rupees the aforesaid amount that is rupees 38236.

Otherwise i will have to move to the honorable court.

Copies of bill and justification letter by dr subhash shalya is enclosed with the mail

Mediclaim policy number 121800/48/2018/7832
Inbox
X

Prakash mirchandani
Thu, oct 11, 11:09 am
To arun. Satpute

Dear mr. Satpute,
I would like to make the following changes to the above policy.
1. I would like kavita mirchandani, the 2nd name on the policy to be the primary holder. She is an income tax payer. I would like to be the 2nd name.
2. I would like to seperate my daughter disha mirchandani from the above policy and put her on her own individual policy.

Kindly guide us on how this can be done.
Also, i am not in the country and returning only on 4th november. Can this be done online? If not can it be done once i return? My wife and daughter are in mumbai though and if action is to be taken by them by for signing physical forms and submitting them, then this can be done.
However, i would like the coverage to be continuous with all pre-existing conditions covered as they are in this policy.

I look forward to getting your advice and guidance.
Regards

Prakash mirchandani
Sat, oct 13, 8:30 pm
To arun. Satpute

Mr. Satpute,
You have sent me a reminder to renew my insurance and put your email address in case i need help.
At least have the courtesy to reply!
Regards

Prakash mirchandani
Fri, oct 26, 7:50 am (6 days ago)
To arun. Satpute

Mr. Satpute
Kindly answer.
Regards

Arun satpute
Fri, oct 26, 9:20 am (6 days ago)
Dear madam please check and reply to insured. सधन्यवाद/thanks & regards, अरुण सातपुते/arun k. Satpute मंडलीय प्रबंधक/divisional manager मं.का.नं.9/ mumbai city

Prakash mirchandani
11:02 am (6 minutes ago)
To arun. Satpute, rajani. Shingade

Dear mr. Satpute,
I have been waiting patiently for a reply. So much so that my policy has now expired. What do you want me to do? I am so disappointed in being a client of such an unprofessional company.
I think i will have to write to some insurance ombudsman to help me since you seem to be unable to.
I cannot afford to let my policy lapse.
Kindly guide as to what is to be done. I am currently abroad as i had mentioned in my very first letter to you almost 3 weeks ago.
You have not been able to answer me in 3 weeks so much so that you have put me under distress of having the policy lapse.
Kindly tell me who i should escalate this to. Since you seem to be unable to help and whoever you have passed it on to seems to be even more helpless.

This is the correspondence i have had. While waiting for reply, my policy has lapsed. Kindly help.

I am not able to get the settlement done for my claim since last 3 months vidal is asking the same information again and again. Request your help.
Company is oriental insurance and tpa is vidal this is a corporate policy request your help please i am suffering since last 3 months. My e card no is - del-oi-h[protected]a

Please help me with the resolution