Universal Sompo — reason for insurance claim rejection is not genuine. | |||
Hi, I am ashish mahajan, i have taken health insurance policy from policybazaar.com of "universal sompo general insurance company limited" with policy number 2825/57332343/00/000, and policy issued on 26/06/2017. My daughter, pranada mahajan age 1.5 years old (Included in group policy) was admitted in hospital in emergency situation for having convulsion on 26/07/2017 and based on doctor's recommendation she got hospitalized due to her critical condition at parulekar hospital, airoli, pin code:400708 till 02/08/2017. Further on doctor's recommendation i have transferred her to hinduja hospital, mahim, and she has hospitalized form 02/08/2017 to 08/08/2017. She was diagnosed with "encephalopathy", still she is not fully recovered from the same and the treatment is on-going. I have submitted both claim to "universal sompo general insurance company limited" with claim no. 119030 and 118764, but company refused both the claim and giving reason for rejection is exclusion of 30 days waiting period, but policy is issued on 26/06/2017, accordingly 30 days is completed on 25/07/2017, and date of admission is 26/06/2017 which 31st day from the issuance of policy so it can not come under 30 days exclusion. As per that reason for rejection is not genuine. Request for your help to settle my claims. Regards, Ashish mahajan Ashishmahajan. [protected]@gmail.com [protected] Was this information helpful? | |||
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Universal Sompo customer support has been notified about the posted complaint. | |||
 2 Comments | |||
Comments
Hi, If insurer not responds to your request properly, pl. approach insurance ombudsman for the grievance, before that pl ensure that treatment is done after lapse of 30 days of issue of policy otherwise it is very difficult to get claim.
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They must have to check whether claim is genuine or not, then they should be reject the claim, instead of finding the claim rejection. With this attitude Universal Sompo will not able to compete with other Insurance company, and not getting the faith of other customer. They are very new in market and unknown for every one, but some one can believe on them and they are not with him in his bad time- this is not good sign of business. In other hand other big brand spend millions of rupees for making brand and here Universal Sompo loosing faith.