From Rejection to Resolution – Real Stories of Claims We’ve Turned Around

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At iClaimSupport, every claim we help resolve is more than a file—it’s someone’s health, business, or financial security on the line.
Insurance companies may see numbers, but we see real people who deserve better.

Here are just a few powerful examples of how we turned “Claim Rejected” into “Claim Approved.”


🔧 Case 1: Health Insurance Denial for Pre-Existing Condition

Client: Priya S., 42
Claim Amount: ₹3.8 lakh
Issue: Heart surgery denied citing undisclosed pre-existing hypertension
Insurer’s Stance: “Material non-disclosure” voids policy

Our Action:

  • Analyzed hospital records and historical vitals
  • Proved client was only borderline hypertensive, never diagnosed
  • Argued insurer failed to conduct due diligence at onboarding
  • Cited relevant IRDAI circulars and medical underwriting lapses

Result: Full claim released within 17 days of escalation


🚗 Case 2: Rejected Motor Claim for “Invalid Licence”

Client: Amandeep & Co., logistics provider
Claim Amount: ₹6.2 lakh (fleet damage in highway accident)
Issue: Driver’s licence renewal was delayed by 10 days at time of accident
Insurer’s Stance: Claim invalid due to expired licence

Our Action:

  • Collected proof of renewal attempt before expiry
  • Submitted court precedents that allow leniency in such cases
  • Highlighted insurer’s lack of notice or communication
  • Filed structured grievance with IRDAI compliance team

Result: 85% of the claim approved + 10% compensation for delay


🏢 Case 3: Fire Insurance Claim – Denied for “Improper Documentation”

Client: Local retail business, Chennai
Claim Amount: ₹9.1 lakh (shop fire damages)
Issue: Fire report “inconclusive”; insurer blamed poor evidence
Insurer’s Stance: No payout due to insufficient documentation

Our Action:

  • Collected photographs, fire dept. letters, CCTV footage
  • Hired 3rd-party fire assessor to validate cause
  • Submitted a forensic-backed claim response
  • Filed to Ombudsman with all evidence

Result: ₹8.9 lakh released within 6 weeks


🧾 Case 4: Reimbursement Claim “Lost in Processing”

Client: Elderly couple, post-surgery hospitalization
Claim Amount: ₹2.4 lakh
Issue: Paperwork lost between TPA and insurer
Insurer’s Stance: No record of claim received

Our Action:

  • Reconstructed full file from hospital & pharmacy bills
  • Proved claim was sent via courier (with POD)
  • Held TPA accountable and escalated to insurer’s grievance cell
  • Added pressure with notice of Ombudsman filing

Result: Full payout issued + apology letter from insurer


🛡️ We Don’t Take “No” as the Final Answer—And Neither Should You

These aren’t just lucky wins. These are deliberate outcomes from a team that:

  • Reads policies like contracts (because they are)
  • Knows IRDAI rules, insurer tactics, and medical fine print
  • Understands which doors to knock—and how hard

✨ How We Turn Rejections Into Recoveries:

✔️ Clause-by-clause rebuttals
✔️ Technical and escalation letters
✔️ 3rd-party assessments where required
✔️ Direct support in Ombudsman or consumer court process
✔️ Relentless follow-up and structured pressure


🎯 Your Story Could Be Next

If your claim has been delayed, denied, or undervalued—we’re ready.
Our only goal? To get you what you’re rightfully owed.

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