search icon
linner
back arrow Back

Claim Repudiated Vs Rejected

reply Share
17 Sep, 2021 by  Swati

In the annual report of IRDAI, Under the STATUS OF INDIVIDUAL DEATH CLAIMS OF LIFE INSURERS, there are two columns - Claims Repudiated & Claim Rejected. What is the meaning of claim repudiated and what is the difference between these two?

like
0
Term Life Insurance
Claim
Basics of Insurance

5 Answer

Post
18 Sep, 2021
Kaushik Amrit Raj

Hello Swati,

As per my knowledge, these words are confusing for any normal person.

Claim Repudiated means when you submit any claim in life Insurance, the condition or the cause of loss is not covered under the policy and there is no scope for payment of the claim, hence it is completely repudiated by the insurance company.

Claim Rejected - Let's say you submit for a claim under life insurance and the policy T&Cs say that the cause of loss is covered and you submitted documents for the same to get the claim amount but later on there is some discrepancy and the insurer denies your claims on such ground saying due to insufficient documents or bills or late submission etc. we cannot process your claims.

I hope it clear your doubts...

Thanks,

Kaushik Amrit Raj

like
0
icon-comment 1 Comments
icon-reply Reply
24 Sep, 2021
Swati
like
0
icon-reply Reply
18 Sep, 2021

Hi Swati,

 

A Repudiated Claim means that the insurer is of the opinion that the claim under the contract of insurance is not admissible either due to non fulfillment of the terms of coverage or due to any fraud / misrepresentation.

 

Claim Rejection would generally imply unconcluded cases beyond the specified timeframes due to non availability of any documentations.

 

Hope it clarifies.

 

Regards

Krishnan

like
0
icon-comment 0 Comments
icon-reply Reply
23 May, 2023
James

Repudiation of Claims: Repudiating an insurance claim means that the insurer completely denies responsibility for the claim. The safety net provider affirms that the case isn't covered under the agreements of the insurance contract, or there might be other substantial purposes behind the forswearing. In essence, the insurance provider is stating that they are under no obligation to cover the claim.

 

Claim Rejected: While claim rejection and claim repudiation are similar, they can have slightly different meanings. When an insurance company denies a claim, it usually means that the company has looked over the claim and determined that it is incomplete, does not have all of the necessary documentation, or does not meet certain requirements. If this is the situation, the claim may be temporarily denied until the policyholder provides the necessary information or meets the required criteria. Although the claim cannot be processed in its current state, the rejection does not necessarily mean that it will be denied forever.

like
0
icon-comment 0 Comments
icon-reply Reply
28 Jul, 2023
Ravi Thakur

My medi assist health insurance claim has been repudiated and awaiting for insurer for review . What is the meaning of it and how much time will it take for review.

like
0
icon-comment 0 Comments
icon-reply Reply
28 Nov, 2023
shoaib khan

In the IRDAI annual report, "Claims Repudiated" means the insurance company rejects a death claim due to policy-related issues, like non-disclosure. "Claim Rejected" is a denial based on procedural or administrative reasons, not necessarily linked to policy terms. Both indicate a denied claim but differ in the reasons behind the rejection. It underscores the importance of understanding policy terms and fulfilling procedural requirements for a successful claim.

like
0
icon-comment 0 Comments
icon-reply Reply

Tired of dealing with call centers!

Get a professional advisor for life!

LIFETIME FREE

Rs. 1799

or