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  1. How to ensure your insurance claims aren’t rejected or delayed? Key tips

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How to ensure your insurance claims aren’t rejected or delayed? Key tips

Upstox

3 min read | Updated on November 04, 2025, 12:06 IST

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SUMMARY

If your claim is rejected, ask for a written reason and appeal to the insurer’s grievance cell. You can also file a complaint with the Insurance Ombudsman if your issue remains unresolved. 

insurance claim rejection, how to avoid claim denial, insurance claim tips

Make sure that your policy is active, as even a single day’s lapse can lead to rejections.

People buy insurance to feel safe, not stressed, yet when claims get stuck, that safety net can suddenly feel like a trap, costing time, money, and peace of mind. Despite spending a significant portion of income on insurance to secure families’ futures, it’s disheartening when claims are delayed or rejected.

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If you also have an insurance policy, here are some things you should do to ensure that your claim goes through:

Key tips to ensure your claim gets approved

Understanding: Familiarise yourself with your policy thoroughly by reading the fine print beforehand (preferably before choosing the policy) to understand exactly what is covered and what isn’t. Understand the documents you’ll require while raising your claim, timelines, and the entire process. Make sure your nominee also understands the claim procedure.

Check limits and deductibles to know the maximum amount you can claim. This will help you get a fair estimate of what you’ll have to pay from your pocket, so you can prepare for emergencies adequately.

Inform immediately: Inform your insurer about the incident as soon as it happens. Any delay in the intimation can become a reason for claim rejection. Insurers also have a helpline or online methods through which you can inform them immediately.
Filing: Fill the claim accurately and truthfully. Check for any mistakes or mismatches carefully before submitting, as small discrepancies can cause delays or even rejection.
Documents: Provide complete documentation to prevent delays. For instance, claiming health insurance would require hospital bills, discharge papers, diagnostic test reports, an insurance card, etc. Keep them safe and handy.

When taking the policy, you must give truthful and accurate information about your medical history and other things. If you give false information, your claims may be rejected.

Make sure that your policy is active, as even a single day’s lapse can lead to rejections. Take policy renewals very carefully. Be proactive and follow up regularly to know the status of your claim.

If your claim is rejected, ask for a written reason and appeal to the insurer’s grievance cell. You can also file a complaint with the Insurance Ombudsman if your issue remains unresolved.

Financial safeguards, like insurance policies, come into play during traumatic events, but what’s worse is when we have to use our time and energy on getting something done that we’ve been paying for, for years, and still face disappointment at times.

To avoid rejection in crucial situations, take preventative measures before filing for a claim and during the process to communicate effectively and get your claim processed smoothly.

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About The Author

Upstox
Upstox News Desk is a team of journalists who passionately cover stock markets, economy, commodities, latest business trends, and personal finance.

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