The Maharashtra State Consumer Disputes Redressal
Commission has directed Cholamandalam M S General Insurance Company Limited to
pay up the insurance amount to the family of a man who died on railway tracks
at Chembur Railway Station while crossing.
The insurer had rejected the claim of the victim's wife Shalini Gupta citing that the victim was trespassing the railway tracks and since it is an illegal act, the firm would not compensate.
Later, the complainant Shalini Gupta moved to the State Consumer Disputes Redressal Commission where the forum observed that the processing of the claim on the part of the insurer was heartless and mechanical. The officers processing such claims should be intelligent enough to read documents properly and refer matters to their lawyers when in doubt.
The forum found insurance firm guilty for not settling the claim and ordered to pay the complainant, Shalini Gupta, an insurance amount of Rs 10 lac.
The insurer had rejected the claim of the victim's wife Shalini Gupta citing that the victim was trespassing the railway tracks and since it is an illegal act, the firm would not compensate.
Later, the complainant Shalini Gupta moved to the State Consumer Disputes Redressal Commission where the forum observed that the processing of the claim on the part of the insurer was heartless and mechanical. The officers processing such claims should be intelligent enough to read documents properly and refer matters to their lawyers when in doubt.
The forum found insurance firm guilty for not settling the claim and ordered to pay the complainant, Shalini Gupta, an insurance amount of Rs 10 lac.
Source: http://www.insuringindia.com
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