shivanifabrics

Kavya

My claim was rejected stating that I have done misrepresentation without exactly specifying the cause. Such arbitrary rejections are frustrating.

Claim Rejection

Rohit Raj

It is very strange that even in case of emergency admission I had to intimate the insurance company within 24 hours.

Claim Rejection

Rama Krishna

I informed the agent about all the medical issues of my father and yet the claim was rejected under the PED non-disclosure clause

Claim Rejection

Mamatha Iwanti

We all make mistakes but this is a fraud. I am a senior citizen & I was deceived into thinking that I was purchasing a fixed deposit.

Claim Rejection

What is Claim Rejection?

Insurance claim rejections occur when the insurance company rejects your claim due to errors or inconsistencies in your existing insurance policy documents. Rejection in insurance claim processing can cause significant financial hardship for the policyholder, mainly if the claim involves a significant amount of money.

Our Partner Companies

Why Insurance Claimy?

Expert Advice

We have a team of experts with a combined expertise of over 100 years in the various aspects of insurance-. We can help policyholders understand their policies’ rights and terms and conditions.

Transparent Process

We stay back and let you do the talking. We keep the process transparent so that you know what is happening.

Convenience

Insurance Samadhan provides its services online, which means that policyholders can access their services from the comfort of their own homes or offices, at any time.

Customer Testimonials

Usha Rani Designation

“An insurance policy was added to my loan without my knowledge. I only realized it months later when I noticed deductions from my bank account.”

Mahesh Designation

“The agent guaranteed returns similar to a fixed deposit, but later I found out it was a market-linked product with high risk. This was never disclosed during the sale.”

Swathi Designation

“Despite clearly stating that I needed short-term coverage, I was sold a long-term policy with heavy surrender charges that I cannot afford.”

File your complaint with us today!

Register an online complaint so that our industry experts get in touch with you to give you the best advice. 

FAQ

FAQs

A claim rejection means the claim was not accepted for processing due to errors, missing information, or policy-related issues.

Common reasons include:

  • Incomplete or incorrect information

  • Policy not active at the time of service

  • Missing documents

  • Services not covered under the policy

  • Incorrect billing or coding errors

No. A rejected claim is not processed due to errors and can usually be corrected and resubmitted. A denied claim is processed but not approved due to policy limitations.

Yes. Once the errors are corrected and required documents are provided, the claim can be resubmitted.

The rejection reason is typically mentioned in the claim status notification, explanation of benefits (EOB), or rejection report.

Documents may include:

  • Completed claim form

  • Valid policy details

  • Medical reports or invoices

  • Prescriptions or discharge summaries (if applicable)

The resubmission timeframe depends on the policy terms. Please check your policy guidelines or contact customer support.

No, a rejected claim does not impact future claims if corrected and submitted properly.

You can contact the customer support team, claims department, or your insurance representative for assistance.

  • Double-check all information before submission

  • Ensure the policy is active

  • Submit complete and accurate documents

  • Follow claim submission guidelines carefully