IRDA has advised the LIC to ensure that investigations relating to all death claims are completed within the stipulated period of 6 months, so as to ensure prompt settlement of claims.
Customer Care in Health Insurance Industry
Health Insurance Industry is a service-oriented industry with customer satisfaction and customer grievances being important components of its business operations. Both the issues – Customer satisfaction and Customer Grievances have been described in the article in co-relation with the health insurance sector.
Health Insurance Industry is a service-oriented industry with customer satisfaction and customer grievances being important components of its business operations. Both the issues – Customer satisfaction and Customer Grievances have been described in the article in co-relation with the health insurance sector.
The IRDA Regulations makes it compulsory for an insurance company to complete death claims investigations within 6 months from the date of lodging of claims. Further, the insurer has to pay or dispute the claim giving reasons for the same within 30 days of receipt of all documents.
Despite some insurers rejecting claims based on delay in claims filing, the IRDA, in September, has asked the insurance companies not to reject claims mechanically on technical grounds, like delay in filing claim documents as there were a lot of complaints from the insured that claims were being rejected on grounds of delay in intimation and submission of documents to the insurers.
Fraudulent Health Insurance Claims
To educate the public regarding hazards of committing fraud in healthcare insurance claims and its implication on the economy.
To educate the public regarding hazards of committing fraud in healthcare insurance claims and its implication on the economy.
Rules for Health Insurance Settlement Claims by IRDA
The IRDA is soon coming up with a separate health insurance claims settlement regulation, which would address issues arising out of claims not honoured by the insurers in a time bound manner.
The IRDA is soon coming up with a separate health insurance claims settlement regulation, which would address issues arising out of claims not honoured by the insurers in a time bound manner.
A Decade of Health Insurance Beginning
2011 was a positive start to what we believe to be the Health Insurance Decade (2010-2020). Health Insurance Portability and Bancassurance have been topics of general conversation.
2011 was a positive start to what we believe to be the Health Insurance Decade (2010-2020). Health Insurance Portability and Bancassurance have been topics of general conversation.
