This letter / 01
Ananya Rao
Indian general insurers usually send a complaint about a claim back to the department that decided it. A grievance function without authority to revise decisions measures dissatisfaction instead of correcting it, and leaves the Insurance Ombudsman to do the insurer's work.
Every Indian general insurer has a grievance redressal officer, a published process, and timelines set by the regulator for acknowledging and resolving complaints. Most also have a board committee that reviews how policyholders are treated. On paper the machinery is complete. In practice, at many insurers and at Nilakhya until 2022, a complaint about a claim travels back to the claims department, where it is reviewed by people who report to the manager whose team made the decision. The complaint is acknowledged on time, answered on time and, in most cases, rejected on time. The customer who disagrees is told the same thing more politely.
