Here are 10 FAQs on the Insurance Ombudsman in India:
1. What is the Insurance Ombudsman?
The Insurance Ombudsman is an independent, government-appointed body that provides quick and cost-effective resolution of insurance-related complaints against insurance companies.
2. Who can file a complaint with the Insurance Ombudsman?
Any individual policyholder, their legal heirs, or nominees who have a grievance against an insurance company can file a complaint.
3. What types of insurance complaints does the Ombudsman handle?
Partial or total rejection of claims
Delay in claim settlement
Disputes over premium
Misrepresentation of policy terms
Policy servicing issues
And other grievances related to life, general, or health insurance
4. How do I file a complaint with the Insurance Ombudsman?
First, try to resolve the issue with your insurance company. If unsatisfied, you can file a complaint with the Ombudsman in the relevant jurisdiction (check their website for location details). You can file the complaint online, in writing, or by email.
5. What is the time limit for filing a complaint with the Ombudsman?
You must file your complaint within one year from the date of rejection by the insurer or the reason for dissatisfaction arising.
6. Is there a fee for filing a complaint with the Ombudsman?
No, the Ombudsman’s services are free of charge.
7. What is the process followed by the Insurance Ombudsman?
The Ombudsman attempts to resolve the dispute through mediation or conciliation between you and the insurer.
If unsuccessful, the Ombudsman may pass an Award (decision), which is binding on the insurer.
8. How long does it take for the Insurance Ombudsman to resolve a complaint?
The Ombudsman aims to dispose of complaints within 30 days of their receipt.
9. Are the Insurance Ombudsman’s decisions legally binding?
The Ombudsman’s Award is binding on the insurance company. However, you as the complainant have the option to reject the Award and pursue a legal course of action.
10.Where can I find more information about the Insurance Ombudsman?
Visit the official website of the Insurance Ombudsman: https://cioins.co.in/ You can also find contact details for the Ombudsman office in your jurisdiction.
