Oriental Insurance Company Complaint – Claim Is Pending Since 11 Month

Subject: claim is pending since 11 month
My Name: DIPAK
My City: Ahmedabad
My State: GUJARAT
My Complaint Against: Oriental Insurance company
Complaint Category: Insurance Companies
Claim Amount (Approx.): 16000
My Complaint Description:
This mail sent to Mr.RAO who is head customer service on 16th January but as on date no response and no payment

Dear Mr.Rao,

My self Dipak Maheshwari,I am associated with oriental insurance since,more then 6 years.

My registered details are as below:

Mobile number:8000026220
Email Id:[email protected]
Policy Number143690/48/2018/455
Claim ID:104031801290
HN:12/03/2018
CD:12/03/2018

My complain is that why this case is pending since march'18 and not settled yet,I have approached to the agent and reply is same at every time.Agent approaching to the third party and third party is not giving proper answer.

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Oriental Insurance Complaint – Rejected

Subject: Rejected
My Name: Jigar patel
My City: Surat
My State: Gujarat
My Complaint Against: Oriental insurance
Complaint Category: Insurance Companies
Claim Amount (Approx.): 36,000
My Complaint Description:
Company reject my claim and give me reason that no need to hospitalization. I have fever at 102 and doctor advise me to hospitalization. They giving me very foolish reason. Please help me

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THE ORIENTAL INSURANCE CO.LIMITED Complaint – Rejection Of Claim No.18340404

Subject: Rejection of Claim no.18340404
My Name: VIMAL SALOT
My City: AHMEDABAD
My State: GUJARAT
My Complaint Against: THE ORIENTAL INSURANCE CO.LIMITED
Complaint Category: Insurance Companies
Claim Amount (Approx.): 16000/-
My Complaint Description:
My mother's policy no. is 144000/48/2019/5112 & our claim no. is 18340404. She was admitted for Day care treatment on dt.14-Nov-18. Our claim is rejected with reason that "This procedure is not covered under insurance clause 3.14."
But this clause doesn't clarify that this particular procedure is not covered. moreover there is no any clarity given by the insurance co. about which processes are covered under the Day care clause.

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THE ORIENTAL INSURANCE CO.LIMITED Complaint – Rejection Of Claim No.18340404

Subject: Rejection of Claim no.18340404
My Name: VIMAL SALOT
My City: AHMEDABAD
My State: GUJARAT
My Complaint Against: THE ORIENTAL INSURANCE CO.LIMITED
Complaint Category: Insurance Companies
Claim Amount (Approx.): 16000
My Complaint Description:
My mother's policy no. is 144000/48/2019/5112 & our claim no. is 18340404. She was admitted for Day care treatment on dt.14-Nov-18. Our claim is rejected with reason that "This procedure is not covered under insurance clause 3.14."
But this clause doesn't clarify that this particular procedure is not covered. moreover there is no any clarity given by the insurance co. about which processes are covered under the Day care clause.

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The Oriental Insurance Company Ltd. Complaint – Cow Death

Subject: Cow death
My Name: Anamikaben pravinbhai patel
My City: Borsad
My State: Gujarat
My Complaint Against: The oriental insurance company ltd.
Complaint Category: Insurance Companies
Claim Amount (Approx.): 50,000
My Complaint Description:
I get complete details of insurance at 1/8/18 which contains date and time.There are no any other terms like 15 days minimum period required.My cow death @15/8/2018 @12:50 .I claim for the insurance but they saying that reported claim within 15 days that's way they say claim is rejected.But at the time of paying insurance my cow I am not got any of this terms and conditions and no any hard written doccuments .I get 3 insurance at the same day for my 3 newly purchased cow.Now I contact the branch but they deny to show doccuments which contains that rule and also they say you can go to court.Please do something .I am housewife and by my saving after 4 years purchase this three cows.And at the time of photographer from their company arrive then he said clean the cow's ear below the tag by water and taken photograph.I mention all claim detail below.

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