Dear Client,
Direct grievance registration is available through the "Bima Bharosa System," an online platform operated by the Insurance Regulatory and Development Authority of India (IRDAI). The main statutory authority that oversees and controls the insurance industry in India is the Insurance Regulatory and Development Authority (IRDA), which was established by the IRDA Act. By ensuring prompt resolution of insurance claims and the avoidance of fraud and malpractice by insurance companies, the Insurance Rights Development Association (IRDA) seeks to advance and safeguard the interests of policyholders in India. The Insurance Regulation and Development Authority (IRDA) established the Integrated Grievance Management System (IGMS) to facilitate online complaints against insurance companies. A distinct complaint ID is provided to the concerned department for dispute resolution when an insurance advocate in India files a complaint online on behalf of the policyholder. You may also lodge a complaint against an insurance provider with the Insurance Ombudsman, who is another entity to deal with. To complain to the insurance ombudsman, an individual or his legal heirs may do so. The insurance ombudsman may investigate the following types of insurance issues: rejection of an insurance claim, either in full or in part , disagreement on how much of the premium is paid or owed. Legal analysis and interpretation of an insurance policy in relation to a claim. postponement of insurance claim settlement. non-issuing of insurance following payment of the premium. You have one year from the date of an insurance claim's denial, refusal, or delay to register a complaint with the insurance ombudsman. You can file a complaint with the relevant consumer forum if the issue remains unresolved after you have tried the IRDA or the insurance ombudsman. In India, consumer forums are divided into three levels: District discussion forum if the insurance claim's total worth is less than Rs. 20 lakhs, a complaint may be made. State Commission if the total amount is more than Rs. 20 lakhs but less than Rs. 1 crore, a complaint may be filed. National Commission when the entire amount exceeds Rs. 1 crore, a complaint may be submitted.
Hope this answer proves beneficial to you.