The One-Stop Solution for Rejected Insurance Claims in India

Our team will conduct a preliminary review of the available documents.

Claim Rejection Analysis – Review the rejection letter, policy terms, and claim documents to identify the actual reason for rejection.
Policy & Coverage Review – Examine policy clauses, exclusions, waiting periods, pre-existing disease conditions, and other relevant terms.
Document Review – Check medical records, hospital papers, bills, prescriptions, and supporting documents for gaps or inconsistencies.
Rejection Response Assistance – Prepare a structured response addressing the insurer’s stated reasons for rejecting the claim.
Claim Reconsideration Support – Assist with submitting a request to the insurer for review and reconsideration of the rejected claim.
Grievance Escalation – Guide the policyholder through the insurer’s internal grievance-redressal process and escalation to the appropriate authority when required.
Bima Bharosa Assistance – Provide guidance on registering and tracking a grievance through IRDAI’s Bima Bharosa platform when appropriate.
Insurance Ombudsman Guidance – Where applicable, guide the claimant on approaching the Insurance Ombudsman for claim-related disputes, including repudiation or delay in claim settlement.
Follow-Up & Documentation – Help maintain records of communications, acknowledgements, responses, and escalation steps throughout the process.
Settlement-Focused Guidance – Provide case-specific guidance aimed at presenting the claim correctly and pursuing reconsideration or appropriate grievance redressal, subject to the policy terms and applicable regulations.