Insurance Claim Complaints: What to Do and How It Works

12 May 2025

Introduction
Insurance is meant to be your financial safety net—but when claims are rejected, delayed, or mishandled, that trust breaks. At Claims Nidan, we ensure your genuine claims don’t go unheard. This guide walks you through the complete Insurance Grievance Redressal process, from spotting issues to taking legal action.

What Is Insurance Grievance Redressal?
Any dissatisfaction with your insurer—be it related to claims, service, or communication—is an insurance grievance. Thankfully, IRDAI has made it mandatory for insurers to handle such issues with transparency and within strict timelines.

Common Issues You Might Face
Rejected claims without clear reasons

Long delays in claim settlement

Misleading policy details or agent misinformation

Non-receipt of documents

Poor customer support

These problems often surface during emergencies—when you need your insurer the most.

Step-by-Step Grievance Redressal Process
1. Internal Complaint: File a complaint directly with the insurer and keep your complaint ID.

2. Grievance Officer: If not resolved in 15 days, escalate to their GRO.

3. Insurance Ombudsman: For unresolved issues under ₹30 lakhs, approach the Ombudsman free of cost.

4. IRDAI (IGMS Portal): Register your grievance with the IRDAI if needed.

5. Legal Recourse: If all else fails, you can go to Consumer Court or Civil Court.

Quick Tips for Better Resolution
Keep all documents and communication organized

Understand your policy terms clearly

Stick to deadlines and follow up regularly

Stay calm and polite throughout the process

Don’t hesitate to get expert help when needed

Why Choose Claims Nidan?
We are your voice in the insurance world. Whether your claim is rejected, delayed, or disputed, we:

Investigate your case thoroughly

Handle all insurer communication

Assist with legal paperwork and ombudsman procedures

Protect your rights and aim for quick resolution

We specialize in health, life, and motor insurance claims.

The Future of Redressal
India is embracing digital solutions—faster portals, AI-powered analysis, and improved IRDAI tracking. But nothing replaces human guidance—and that’s where Claims Nidan stands strong.

Conclusion
Insurance should protect, not frustrate. If your claim isn’t moving forward, don’t stay silent. Let Claims Nidan help you fight back—with expertise, empathy, and action.

 Facing issues with your insurance claim? Call us now for a free consultation and let’s resolve it together.