The Right Way To Ask For Help: Solve your Insurance problems with Insurance Samadhan - PowerPoint PPT Presentation

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The Right Way To Ask For Help: Solve your Insurance problems with Insurance Samadhan

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Trust in product purchases lies with the seller. Insurance, however, is a unique trust contract, often with complex terms. Claim denials can spark disputes. Learn why claims get rejected and how to challenge them as a policyholder. Read to know more - – PowerPoint PPT presentation

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Title: The Right Way To Ask For Help: Solve your Insurance problems with Insurance Samadhan


1
The Right Way To Ask For Help Solve your
Insurance problems with Insurance Samadhan
2
  • Overview
  • When you buy a product, the first thing that
    comes to your mind is who will help you if the
    product is not what you had expected or you had
    difficulty with it? The answer to this question
    is simple, the company you bought it from. As a
    consumer, you trust the company that they will
    help you if you are unsatisfied. However, when it
    comes to insurance, the circumstances can differ.
    Insurance companies are there to help, but the
    situation may vary.
  • Insurance is a contract of trust, where both
    parties put their utmost faith in each other that
    the information they provide is accurate.
    However, as a policyholder, you face challenges
    due to the numerous terms and conditions in
    insurance policies. These terms often require
    attention during purchase. Sometimes, when
    policyholders request a claim, it may be denied,
    causing distress. While many denials are valid,
    many times the policyholder is also correct. This
    can lead to disputes over who is right and wrong
  • Insurance companies dont aim to reject your
    claims on purpose. Sometimes, you believe youre
    right and want to fight for the money youve paid
    as premiums year after year. Today, well discuss
    various reasons why insurance claims can be
    rejected, but how you can still contest and
    succeed.

3
  • Reasons for Health Insurance claim rejection
  • Delay in claim intimation/ submission of
    documents can arise from multiple factors, such
    as lack of familiarity with terms and conditions,
    stress during urgent medical emergencies, and
    unexpected events. Regardless of the
    inevitability of your delays cause, such delays
    can result in the rejection of your claim.
  • Hospitalization not Required Numerous instances
    occur where doctors advise hospitalization,
    leaving patients with no choice but to undergo
    the prescribed procedure. However, the insurance
    company can reject the claim stating that
    hospitalization was unnecessary.
  • Misrepresentation of Facts Insurance companies
    use the details you give them to check if your
    claim is valid and decide how much to pay you.
    They might only accept your health claim if the
    information is correct or clear.
  • Required documents not provided When you file
    for a health claim, the insurance company wants
    you to provide all the relevant documents. The
    insurance company can deny your claim even if you
    miss one document.
  • Waiting Periods The insurance contract has
    waiting periods for specific conditions to stop
    people from getting insurance just for quick
    coverage of existing illnesses. Unfortunately,
    many people lack this knowledge and end up facing
    health claim rejections.
  • Admitted for Diagnostic Purposes You may go to
    a hospital for diagnostic purposes but get
    hospitalized on the doctors advice. In this
    situation, the insurance companies may reject the
    claim stating that you only went for a diagnosis.

4
  • Reasons for Life Insurance claim rejection
  • Non-Disclosure or False Information One of the
    most common reasons a life insurance claim is
    denied is non-disclosure or providing false
    information. When applying for a life insurance
    policy, being completely honest about your
    medical history, lifestyle, and other relevant
    details is crucial.
  • Failure to Disclose Existing Insurance Policies
    you must disclose any existing insurance
    coverage. Not providing accurate information
    about your insurance policies can result in the
    rejection of the claim.
  • Non-updation of Nominee Details The nominee is
    the person who will receive the insurance
    benefits in case of your demise. Life
    circumstances change over time, and relationships
    may evolve, making it necessary to review and
    update your nominee details accordingly. Please
    do so to avoid a life insurance claim rejection.
  • Insurance Samadhan Can Help
  • In all of the above cases, you can still fight
    for the claim if you feel that you have provided
    all the correct information to the insurance
    company with the help of Insurance Samadhan. We
    are here to help you out with our expert
    assistance. We have a total of 100 years of
    experience in the insurance industry.
  • Our team of experts specializes in resolving
    insurance-related grievances and advocating for
    policyholders rights. We have helped 15,000
    people in resolving insurance claim-related
    complaints. We are always here to help you!

5
  • Bottom Line
  • The fact that your insurance claim can get
    rejected is true but if you want you can fight
    for your rights. Insurance Samadhan can offer you
    expert advice that can get your hard-earned money
    back. So what are you waiting for? If your claim
    got rejected, feel free to contact us.
  • Original Source - https//www.insurancesamadhan.c
    om/blog/the-right-way-to-ask-for-help-solve-your-i
    nsurance-problems-with-insurance-samadhan/
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