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Niva Bupa Health Insurance Image

MouthShut Score

22%
1.23 

Customer Service:

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Poor claim settlement
Dec 24, 2013 12:30 PM 66568 Views

Customer Service:

Claims Settlement:

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I have max bupa policy Heart beat silver for last 2 years. When I took this policy this was the only company which ensures the renewal of policy for "Assured Renewal for Life" and there was in house settlement of claim.


Although this was the costly policy still I took it because of these features, I never did any claim from them for 2 years.


Now, this is my first claim experience with them and they handled it badly and rejected it. The only positive point compared to other policies of in-house settlement of claim is very bad.


I had submitted by claim request(No: 58969 report date:  05-NOV-2013) . On 6-Nov-13 I got the mail there is missing document which is the final settlement document from other insurance company, since I had claimed the part amount from other insurance company also.


I had called and inform them that other insurance company have 30 days of credit with hospital and when it is settled I will get the final settlement document.


Now, when I got the final settlement document I sent it to them on Nov 27, 2013 details as follows:


POD number: B04668473


Courier: DTDC


Date: Nov 27, 2013


Although I have the acknowledgement also for receiving still they claim they have not received the document.


Anyways, I sent the document again this time from Blue dart(Blue Dart number: 12497549013 Date: 13 Dec 13) which they received on 14 Dec 2013.


On 20th Dec 13 I got the mail from Max Bupa again that your claim is rejected because of missing document.


This clearly explain there intention to reject the claim. I escalated this case to Gargi Sahu


Chief Manager – Customer Services still I got the same reply of missing document.


Now, I don't know what to do. Now, the other option I have is to go the Ombudsman or file a case in Consumer court against Max Bupa.


I saw other people also written similar review regarding the company. Very bad serving?


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Brand Response

Dear Sandeep Mathur, We are extremely sorry for the inconvenienced caused to you. As per your discussion with customer service team earlier today, please send across the said details in order to process your claim.
We value your feedback as we work relentlessly towards constant improvement of services and customer satisfaction.
Many Thanks,
Team Max Bupa.

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By: maxbupa | Dec 24, 2013  09:13 PM Comments 0

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