Insurance claim rejection occurs when an insurer refuses to pay for a claim due to reasons such as missing information, policy exclusions, incorrect documentation, non-payment of premiums, or services not covered under the insurance policy.Claims360 offer the best support in Insurance claim

Why Insurance claim get rejected?

We help you navigate rejected health and life insurance claims through expert consultation services.

Consultation Services

Our consultation services assist you in understanding and addressing your rejected insurance claims effectively.

Claim Review Support

We provide thorough reviews of your claims to identify issues and guide you through the process.

Why claims360 ?

Team of Insurance Experts with 20+ years of experience

We follow transparent processes

We understand policy terms better

Documents Review

• Detailed review of the claim and all documents to identify gaps and reasons for rejection.​

• Guidance and help in preparing and submitting additional or corrected documentation for appeal.​

• Expert negotiation and communication with the insurance company on behalf of the customer to advocate their case.​

• Legal support and escalation to regulatory bodies like the Insurance Ombudsman if the internal appeal fails.​

Support & Action

• Draft four support steps to resolve a rejected claim

• What documents should support each resolution step

• How to escalate unresolved claims to the ombudsman

• Template messages for customer communication during appeal

• Timeline and SLA for each support action

These steps provide customers with the best chance for claim approval after an initial denial.​

Benefits of claims360

Top 4 reasons why claims get rejected:

• Non-disclosure of pre-existing diseases or facts when buying the policy.​

• Submitting incomplete or incorrect documents, or making errors on claim forms.​

• Filling a claim for treatments or losses not covered in the policy (policy exclusions).​

• Delay in claim intimation or missing deadlines to submit required documents.​

• Policy lapses due to non-payment of premium, making claims invalid.​

Each point above reflects a common pitfall that can be avoided with careful attention to policy terms and procedures

Claim rejection reasons

Register complaint

Reach out for support on rejected claims, whether cashless ,reimbursement or death claim Consultation fees apply for our expert services

Whats app

+917558288053

Email

care@claims360.in