Home Insurance - Claim rejected

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There can be many reasons for denial of a home insurance claim. The most common being- loss due to perils not covered under the policy, or a loss due to the carelessness of the policyholder. 

However, the insurance company is bound to specify its reasons for such denial.

Your insurer cannot deny your claim on frivolous or technical grounds. An appeal can be made to the IRDAI against a rejected claim.

Resolver can help you connect with the right person and kickstart the process of resolution.

You should know

A home insurance company is expected to resolve your complaint within 15 days. In case there’s a delay, Resolver can help you solve this issue quickly, free of charge and without any hassle. We can also help you with the next step in writing your complaint and escalating it. Click on the link below to create your account.

Home insurance protects your residence from any unseen calamity. Insurance ensures that the policyholder suffers a minimum loss when a calamity occurs. Under home insurance, coverage is provided to the home and its contents like the residents, furniture, electronics, and other valuables. Buyer has the option to go for comprehensive coverage or to get specific items covered under the policy. Home insurance protects your household in case of the following mishaps-

  1. Natural Calamities- Lightning, Fire, Flood, Earthquake, Riot/strike, Cyclone, and Landslide
  2. Man-made Disasters- Damage due to electrical short-circuit, overflowing of water pipes or tanks, damage caused by a vehicle, loss in a fire caused by a third party, etc.

In case you have a complaint against your home insurance provider, you need to follow the stated steps-

  1. Approach the designated Grievance Redressal Officer/ Cell of your Insurance Company. Lodge your complaint in writing with supporting documents. Make sure you take a written acknowledgment of your complaint. The insurance company is expected to resolve your complaint within 15 days
  2. If policyholders are not able to approach the insurance company directly for any reason, you can file the complaint through Integrated Grievance Management System (IGMS), which provides a gateway to register complaints with insurance companies established under the Insurance Regulatory & Development Authority of India (IRDAI).
  3. In case if it is not resolved within 15 days or if you are unsatisfied with the outcome, then you can approach the Grievance Redressal Cell of the Consumer Affairs Department of IRDAI. IRDAI will contact the insurance company to re-examine your complaint.
  4. Next, the policyholder can approach the Insurance Ombudsman if the complaint has been rejected by the insurance company, or the outcome is unsatisfactory, or the insurance company has not responded within 30 days. Insurance Ombudsman can also be approached if the value of the claim including expenses claimed is not above Rs 30 lakhs.

If you are still not satisfied by the decision of the Insurance Ombudsman, you can move the appropriate civil court or high court within 3 years of the occurrence of the grievance.

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