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सफलता की कहानी / Success Story #2796852

NCH Docket No.: 2796852 Dated: 2021-06-22 Sector: General Insurance
Problem Reported: Consumer had purchased a Corona Kavach policy from an Insurance Company for his family (Consumer, Wife & 2 daughters) and paid a premium of ₹5209/-. The tenure of the policy was 9 months. Consumer family suffered from COVID-19 in May 2021 and due to unavailability of beds in the hospital, they took home care treatment under the supervision of a Doctor. After treatment, the consumer submitted 3 claims to the insurance company. They settled the claim of the consumer's daughter, and rejected consumer's and his wife's claim without giving a reason. So, consumer sent e-mails to the Grievance redressal officer of the company, many times, but had not received any response. He wanted to know as to why the 2 claims had been rejected.
Escalation by NCH: As the insurance company is a convergence partner of the National Consumer Helpline, the response received from the insurance Company on the NCH Portal stated , “We thank you for highlighting the matter to us and regret the inconvenience caused due to the same. We wish to inform you that the claim amounts of Rs.25076/- and Rs.3869/- towards claims has been processed and paid vide NEFT dated xxxxx”.
Consumer Remark in INGRAM: Excellent! Dear Team, I am very thankful for your help. Really appreciate your efforts and the solution provided. I was struggling from last 2 months but now you resolved that. Thanks Again!!!!
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