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GENERAL INSURANCE BLOG

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Here are the important steps you can follow to appeal a health insurance claim denial

If you are suffering from health issues and other illnesses, health insurance is crucial in covering the expenses for treatment and medicines. A safety net in the form of health insurance can take a significant load off yourself and your family. However, it can be nerve-wracking if your health insurance claim does not go through. An insurance claim can be rejected for various reasons, and depending on your insurance provider, they may or may not provide clear reasons why the claim was denied.

So, if you are worried about claim denials and want to know the next steps that need to be done, this article is for you.

What are the reasons for claim denial?
There can be many reasons why the insurance company may reject your claim. Upon receiving a claim, the insurance company cross-checks every document from the policyholder to verify the policy's validity and the claim's authenticity. Some of the significant reasons for claim denial are issues with the cover. There is a list of illnesses and treatments that insurance doesn't cover. If your claim falls under such a category, the insurance company can reject your claim. Other reasons could be missing information, expired validity, and lack of supporting documents.

How can you rectify and reapply?
If you are eligible to reapply, you should thoroughly go through every document and ensure that there is no missing information and that all the supporting documents are attached. After providing these documents, you can reapply for your insurance. However, if the reason for prior rejection was an expired policy, then you cannot reapply for the insurance. The validity period of your policy is the only contract holding the insurance company accountable to you. If a claim was made without an active policy, the insurance company is authosied to reject the claim.

How to write a letter of appeal to the insurance company?
This is probably one of the easiest and most effective ways to undo claim rejection. Write an appeal letter to the insurance company stating facts and attach supporting documents to strengthen your case. Papers such as treatment plans, medical bills, etc., are some examples of the supporting documents that you can use. If your claim looks valid to the insurance providers, they will approve them immediately.

Who is an ombudsman, and how can they help?
If none of the steps mentioned above works, you should consider going to an ombudsperson to review your claim. An ombudsman is an officer appointed by the government for the policy holders' fair disbursement of insurance money. Any grievance against an insurance company can be made to an insurance ombudsman. If your insurance claim was rejected or the company has not responded to your appeal, then the ombudsman is responsible for resolving the issue.
After careful consideration, the ombudsman recommends a settlement or an award that must be complied within the next fifteen to thirty days.

These are a few things you can do to ensure that your health insurance claim is approved. Health insurance claim rejection is not something that you need to stress about. Understanding why the plea was rejected and rectifying the issues will help you reapply for health insurance. Insurance companies must be careful against fraudulent claims, which is why they have stringent policies to disburse the insurance amount to the rightful people.

Before buying your health insurance in India, read all the papers carefully. Understanding the terms and conditions before purchasing your policy ensures that you have no trouble at the time of claiming the insurance. Analyse your requirements and opt for a tailor-made policy for you to reap the benefits of health insurance.

Click HERE to know more about health insurance in India.

Disclaimer: The information provided above is for illustrative purposes only. To get more details, please refer to policy wordings and prospectus before purchasing a policy.

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How can customer-centric innovation bring revolution in the insurance industry

This is the era of personalisation. Consumers demand insurance services that can be customised according to their needs. It's no more just shop talk and several policies they need to purchase to cater to all their insurance demands. And in such saturated markets with various available alternatives, customers choose those with a customer-centric approach and excellent after-sales services.

According to various consumer surveys, more than half of the potential and current customers are willing to pay more if the customer service and customisation needs seem lucrative. This mainly involves millennials and gen z's. In that case, almost all the brands are now serving consumer needs in every possible way- content marketing, social media, products, and services.

Are you trying to understand the insurance sector's take on personalisation and centralising their services around their customer base? This blog will discuss several pointers regarding customisation in insurance industries to provide customers with precisely what they need.

1. Future analysis:
It is essential to analyse the current patterns to predict the future projections about the product, the consumer demand, and the scope for improvement with more policy features. These specific parameters are strong values that help determine your business's appearance five years later

2. Simplifying the processes:

While product-based industries will find it a little easier to customise their customer experience, the insurance sector still demands a lot of technical understanding from the customers' ends to avail of the insurance services. It makes it a little difficult for the potential consumers who are new to the insurance world and have just started adulting and taking money matters and investments into their own hands.
And a lack of technical understanding and knowledge can often lead to mistrust in the budding relationship between the insurance company and their customers. Insurance services with 24*7 human and virtual assistants, digitisation of various application processes to help people complete the procedure from the comfort of their homes, etc., have helped the insurance sector boost their customer-centric strategies and receive excellent feedback.

3. Conversations with customers:

Apart from digitising the services and making them convenient, the insurance companies need to have a transparent dialogue with their existing and potential consumers about their services and operations to curate a trustworthy relationship. The insurers need to have an informative dialogue about the markets and their
vulnerabilities so that the second party does not feel strange about the entire process. This will further benefit consumers and insurers as they can have easy conversations about various investments.

Curating reliable customer services and a dash of empathy and trust would do wonders for a better consumer relationship. Reputed insurance companies keep updating their services in line with market trends, current financial trends, critical customer demands, and personalisation options.

Customers can reap similar benefits and personalisation while purchasing general insurance plans. The introduction of technology and customer-centric strategies have made it convenient for customers to invest in their desired insurance plans. The online buying process is helping insurers and customers build a strong connection with a hassle-free process, quick response time, and no involvement of intermediaries. This digital revolution will shape the insurance industry's future for more years to come.

Click HERE to know more about how you can analyse various general insurance plans.

Disclaimer: The information provided above is for illustrative purposes only. To get more details, please refer to policy wordings and prospectus before purchasing a policy.

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Here's everything you need to know about cancer health insurance policy

An estimate suggests that there are about twenty million people in the world who suffer from chronic cancer illness. Over the years, the numbers have risen, and cancer has become a common illness amongst the masses. Doctors and scientists have worked tirelessly to find a drug that can cure cancer. But with modern medicines and state-of-the-art facilities, people opt for expensive treatments that can help them combat cancer. With the treatment costs constantly rising, regular health insurance often fails to cover these treatments.

This is where cancer health insurance acts as a boon. If you are confused about what cancer insurance is and if it is beneficial to get one, then this article will help you.

What is cancer health insurance?

Insurance companies provide covers to you during cancer treatment and medication stages. This is known as cancer health insurance. This policy covers stages, including diagnosis, treatment, and post-care for all cancer stages. However, if the policyholder already has cancer, they are not liable to initiate a new cancer health insurance policy.

What are the benefits of cancer health insurance plans?

Opting for a cancer health insurance plan helps the policyholder cover various cancer stages. The premium amount can sometimes be waived if you are diagnosed with early-stage cancer. You can also opt for a monthly spread income depending upon the severity of your illness and the varying treatment requirements.

Why should you opt for cancer health insurance plans?

Compared to other health insurance plans or critical illness plans, cancer health insurance covers all costs starting from the very beginning, even in the case of first-stage cancer. Critical illness plans are targeted towards certain severe illnesses such as stroke, transplants, heart attacks, blindness, and some instances of terminal cancer.

Cancer health insurance also ensures that any complications arising due to cancer are covered. Cancer treatment is expensive irrespective of the cancer stage, so getting cancer health insurance becomes a must.

When should you consider getting a cancer health insurance plan?

Cancer is arguably one of the most dangerous diseases as there is no cure with a hundred percent success rate. So, getting cancer health insurance is imperative to safeguard yourself and your family from the exorbitant costs of treatment. However, if you are contemplating whether to get cancer insurance or not, some of these points might help you in reaching a decision. You may look for online health insurance, which will make your search more convenient with multiple options.

A recent survey has suggested a list of professionals with high cancer risk. Some of these include people working in shifts, specifically graveyard shift causing irregular sleeping patterns and uneven heartbeat, professionals in agriculture, forest, and rubber manufacturing units who are exposed to a high amount of UV rays and sun, and construction and mining workers who breathe toxic air daily are people who are susceptible to increased risk of cancer.

If you or your family members are part of such working environments or have a history of cancer in the family, you must consider getting cancer health insurance. If you do not have the money to fund your medical expenses and your regular health insurance does not cover the cost of cancer, then cancer health insurance can be a good investment.

These are some reasons to consider buying cancer health insurance for yourself and your loved ones. Do not forget to add cancer health insurance to your online health insurance profile.

Click HERE to buy online health insurance.

Disclaimer: The information provided above is for illustrative purposes only. To get more details, please refer to policy wordings and prospectus before purchasing a policy.

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Complete guide to intellectual property insurance

How often have you heard the phrase intellectual property? Any creation that stems from one's mind or intellect is called intellectual property. It can take any form, starting from a painting, a design, an invention, or a tune. There is no set category for intellectual property.

An intellectual property, more commonly known as IP, is the foundation of a new creation. It is imperative to protect your IP to avoid fraudulent use or reproduction. There are many ways in which one can ensure that their ideas are not plagiarised or used without proper consent. Patents, copyrights, and trademarks are a few ways to protect IP.

Did you know that there exists an insurance for intellectual property? This article will shed light on intellectual property insurance and everything you need to know about it.

Let's understand what intellectual property insurance is:

Intellectual property insurance helps companies or individuals to cover the cost of litigation and court trials in case of being accused of IP violation. It also covers those who want to sue a company with an IP violation lawsuit. With the growing number of startups, IP has become a valuable asset. It is the foundation of a company's ethics, and a solid IP can help it reach new heights.

The increasing competition and the need to leave a mark in the venture capital market have led to various fraudulent cases of IP infringement. Since IP is one of the most valuable assets in recent times, the cost of IP litigation is expensive. Intellectual property insurance is a must to cover the cost of the exorbitant court proceedings.

Types of IP insurance:

Let's take a look at the kinds of IP insurance available –

1. Infringement defence:
This policy is for those who need to be safeguarded against a party who claims IP infringement against them. This defensive insurance policy acts as a safety net for companies that are held accountable for infringing patents, trademarks, or copyrights. Since the litigation costs for these cases can be very high, the policyholder need not worry about the costs. The policy provider is bound to make payments for all litigation expenses, settlement amounts, and other damages.

2. Abatement enforcement coverage:
This policy is for those IP holders who need assistance and resources to enforce their IP rights and claim infringement against others. This enforcement coverage enables the company to proceed with the legal proceedings without worrying about the legal fees. This policy also ensures that any damage is paid in full to the policyholder if the opposing party decides to counter-sue.

Big and small companies have claimed that the biggest challenge they face at the beginning of a new product launch is intellectual property risk. Various trade secrets, product building, and marketing strategies fall under intellectual property. IP insurance cover will protect your product in the market and help evade baseless lawsuits.

Intellectual property insurance offers a wide range of covers, including but not limited to infringement liability, contractual liability, enforcement, intellectual property rights protection, and other disputes. Add covers, and customise your insurance needs depending on the company or product you intend to launch in the market.

Over the years, we have seen various technological advancements bloom, with start-ups shaping the country's future. Putting in years of hard work only to realise that your work or idea has been copied by someone else can be one of the most frustrating and painful experiences. To avoid such situations for yourself and your company, do not forget to buy general insurance online. As discussed above, these insurances will significantly help anyone looking to claim or deny an infringement. All one needs to do is in-depth research on the insurance category to invest and look out for the best available options. Hard work has no substitute, and so does security.

Click HERE to buy general insurance online.

Disclaimer: The information provided above is for illustrative purposes only. To get more details, please refer to policy wordings and prospectus before purchasing a policy.