[Resolved]  Royal Sundaram General Insurance — staff asks for bribe and company delays claim

Address:

Udaipur, Rajasthan, 313002

Dear Team @ Royal Sundaram Health Insurance

I have a Family floater CASHLESS Health Insurance with your company, policy no. SGP0007229. Last month I had Angioplast done, for same I did applied for a Cashless claim, which was not accepted by the allotted TPI – Paramount, God only knows why.

I have been asked to make a claim back with Royal Sundaram directly. So after my discharge on 26th June 2018, I did got papers ready sent to Royal Sundaram, delivered successfully on 2nd July 2018 and I even got an email for same. On 12th July 2018, I got a letter stating that someone will be appointed to take my case further and will collect some documents from the Hospital, etc.

I waited and waited, suddenly got a call from someone on 1st Aug 2018, who came to collect the documents today on 5th Aug 2018. After 23 days! Named Mr. Vishal Tiwari ([protected])from Jaipur.

After investigating the entire matter, the gentlemen asked me to sign on a Blank page, which I denied and thereafter demanded Rs. 1000 as a File charge, which I said I was not informed. He said it is mandatory or else he will not pass on my file. So I called toll free to confirm the same. They denied so I did not pay.

Now, I have submitted entire set of documents to him and answered all his queries, if in case my file now is being delayed due to non – payment of bribe or if any documents are mis placed knowingly or any other issue arises, I shall definitely file a strong case against him and Royal Sundaram.

List of Concerns:
1. Cashless Claim not passed smoothly by TPI, in spite of relevant documents submitted well on time.
2. My Family has to run for funds, as I was hospitalized and had to arrange money from relatives and friends, which was a big hassle and they were in tension that time due to my hospitalization.
3. Too much delay caused in Claim process, the file has been submitted on 2nd July 2018 and investigation officer coming on 5th Aug 2018 (After a month)
4. Bribe being demanded by the investigator, who can create issues with my document, leading to case rejection, etc.

I am a Heart patient and am writing this all to request seniors at Royal Sundaram to help process this claim as soon as possible. Any related stress or delay if caused at the Investigator’s end or from company’s end will certainly not be appreciated.

I am in a situation wherein I am now in hands of corrupted people in a company, who is not helping the clients on time, where they need their help and for same, they are paying huge premiums timely for security and safety of themselves and their Family.

I declare that I have been really honest in delivering all the documents and information on a very timely basis as and when requested by Royal Sundaram. If now due to mis management, my claim is rejected or delayed and due to same, if I face any physical or mental illness, as big amount is involved and I need to pay my relatives off the money, Royal Sundaram is to be held responsible for same.

Requesting an earliest solution.

Regards
Prateek Murdia
[protected]
Policy No.: SGP0007229