Claim Repudiated Vs Rejected
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?
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24 Sep, 2021
Swati
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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
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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