Who is an insurance ombudsman?

The Ombudsman will act as counsellor and mediator and

  • Arrive at a fair recommendation based on the facts of the dispute

  • If you accept this as a full and final settlement, the Ombudsman will

  • Inform the company which should comply with the terms in 15 days

What is Insurance Ombudsman?

The Insurance Ombudsman scheme was created by Government of India on 11th November, 1998 for individual policyholders to have their complaints settled out of the courts system in a cost-effective, efficient and impartial way.

You can approach the Ombudsman with complaint if:

  • You have first approached your insurance company with the complaint and

    • They have not resolved it
    • Not resolved it to your satisfaction or
    • Not responded to it at all for 30 days
  • Your complaint pertains to any policy you have taken in your capacity as an individual and

  • The value of the claim including expenses claimed is not above Rs 20 lakh

You have first approached your insurance company with the complaint and

There are 12 Insurance Ombudsman in different locations and you can approach the one having jurisdiction over the location of the insurance company office that you have a complaint against. 12 Ombudsman are appointed by the governing body across the country, allotting them a different geographical area of jurisdiction. Ombudsmen are usually drawn from Insurance Industry, Civil Services and Judicial Services. He / She is appointed for a term of three years or till the incumbent attains the age of sixty five years, whichever is earlier.

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