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Dispute Resolution (ODR)

Challenge a rejected or short-paid insurance claim

Get help challenging rejected, delayed or short-settled insurance claims through the right channels.

  • Policyholders whose health or motor claim was rejected
  • Families facing delays in a life insurance claim
  • Businesses with disputed property or fire insurance claims
  • Anyone who received a lower settlement than expected
Grievance drafted in 3–5 working days; outcomes depend on the insurer and forum Hassle-free process Dedicated expert

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Insurance Claim Dispute

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Overview

What is Insurance Claim Dispute?

Health, motor, life and property insurance claims are sometimes rejected, delayed or settled for less than expected. Policyholders can raise a grievance with the insurer, then approach the Insurance Ombudsman under the Insurance Ombudsman Rules, 2017, or file a complaint under the Consumer Protection Act, 2019.

We help you understand the insurer's reasons, gather the right documents and draft a clear grievance or Ombudsman complaint with you. Where a legal opinion or court action is needed, we refer you to a qualified lawyer.

Who is this for?

  • Policyholders whose health or motor claim was rejected
  • Families facing delays in a life insurance claim
  • Businesses with disputed property or fire insurance claims
  • Anyone who received a lower settlement than expected

Unsure if this is right for you? Ask an expert

Benefits

Why get Insurance Claim Dispute done right

01

Clarity on the rejection

We go through the policy wording and rejection letter with you.

02

Right escalation path

Insurer grievance, Ombudsman or consumer forum, in the right order.

03

Organised evidence

We help compile medical, survey and policy documents.

04

Well-drafted complaints

Clear, factual submissions that address the insurer's stated reasons.

Documents required

Keep these handy

Exact requirements vary case to case. Your expert shares a personalised checklist on your first call and checks everything before filing.

Insurance policy document and schedule
Claim form and claim number
Rejection or settlement letter from the insurer
Medical records, bills or discharge summary (health claims)
Surveyor report, FIR or repair estimates (motor or property claims)
All correspondence with the insurer or TPA
ID proof of the policyholder or claimant

Process

How we get it done

A clear, step-by-step process with updates at every stage. Indicative timeline: Grievance drafted in 3–5 working days; outcomes depend on the insurer and forum, subject to processing by the authority.

    1

    Claim review

    We review the policy, claim and rejection reasons.

    2

    Grievance to insurer

    We help draft a grievance to the insurer's grievance officer.

    3

    Ombudsman complaint

    If unresolved, we help prepare a complaint to the Insurance Ombudsman.

    4

    Further options

    Where needed, we refer you to a lawyer for a consumer complaint or other action.

FAQ

Insurance Claim Dispute: common questions

Can't find what you're looking for? Book a free consultation and ask an expert directly.

Generally yes. The Ombudsman usually expects you to have approached the insurer first and either been rejected or not received a response within the prescribed period.

Not sure where to start?

Talk to an expert for free. We'll tell you exactly what you need, and what it costs, before you commit.

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