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The Insurance Regulatory and Authority of India have set up a procedure for insurance companies to handle customer grievances. If you have any queries or you want to file a complaint, then the insurance company should be the first place you want to visit, but if you aren’t satisfied with the response, you can approach the insurance ombudsman.
The Indian Government launched the Insurance Ombudsman scheme to help the policy holders to get their complaints addressed and resolved off the court efficiently and in an unbiased manner.
Presently there are 17 Insurance Ombudsman Centres in India. The contact details of them can be fetched from the IRDAI’s official website. The complaint can be filed to the insurance ombudsman under whose jurisdiction the branch of the insurance company or its office is located or where the complainant resides.
The main objective of the ombudsman is to resolve all complaints encountered in settlement of these claims.
Firstly, any individual policyholder may approach Insurance ombudsman for redressal of their grievance.
Secondly, there are certain types of complaints for which a policyholder can approach the Insurance Ombudsman. Following are the complaints for which a policyholder can approach:
Complaint can be filed extremely easily and seamlessly. The following steps should be followed:
The ombudsman plays the role of a mediator between the policyholder and the insurance company. The ombudsman depends upon the facts to arrive at a fair recommendation. If you are satisfied with the recommendations and accept it as a final settlement, the ombudsman will intimate the insurance company by sending an acceptance letter. It should be complied by within 15 days.
However, if you are not satisfied with the recommendations, the ombudsman shall pass an award within 3 months, which would be binding on the insurer. The insurance company is required to comply with the award within 30 days.
An insurance ombudsman plays the role of a mediator between the policyholder and the insurance company. Its role and responsibility are critical with respect to maintaining a healthy relationship with the policyholder and the insurance company. If you face any issue relating to insurance, you must first reach out to your insurance company and then to the ombudsman.
Read our article:Compliances for Insurance Web Aggregator in India
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