InsuranceComplaint.com
is a new website - it gives policy holders a public platform to air their
experience and grievances during the claim process.
Statistical
data is compiled on insurance claims - on this website, giving the public an
open forum to share their experience with insurance claims and look for
professional help also.
Customer Care in Health Insurance Industry
Health Insurance Industry is a service-oriented industry with customer satisfaction and customer grievances being important components of its business operations. Both the issues - Customer satisfaction and Customer Grievances have been described in the article in co-relation with the health insurance sector.
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Each state has a Department of Insurance to manage their insurance market, but they lack the resources to investigate all the complaints thoroughly, and also they cannot investigate insurance companies with unfair practices across the State lines.
With this target in mind InsuranceComplaint.com, collects
all the statistical data on complaints and then sorts out the data by insurance
Companies, brokers, agents, independent adjusting company and the type of cover
availed. Armed with this check list they investigate the underwriting, policy
holder service, in house claims, and field adjusting, along with sales and
marketing.
![Fraudulent Health Insurance Claims]( "Fraudulent Health Insurance Claims")
To educate the public regarding hazards of committing fraud in healthcare insurance claims and its implication on the economy.
The founders of the website are Peter Nicolas and Michael Grady. Grady is an insurance professional with experience in handling claims and Peter is a policy holder who, went through a nightmare when he lost his house and possessions due to a fire. They know firsthand the issues a policy holder can face during a claims process.
According to Grady, "Although seemingly unfair, your policy is just your ticket to the fight, no policy no claim." Mike explains that having an insurance policy does not guarantee a worry free claim. "There are no policy provisions that compel your carrier to educate you of your rights therein. Simply put, if you do not understand how to administer your own claim the carrier is not contractually obligated to do so on your behalf. This is not meant to imply that carriers will not offer you any assistance, but the finer points of adjusting the claim are your responsibility and ignorance is no excuse," he says.
"The insurance industry has a powerful lobby that has strong influences at the state and national level," states Grady. An individual policyholder cannot match the power and resources of even the smallest carrier. But now, policyholders can band together and level the playing field. There is power in numbers," says Grady.
References
Hannah Punitha (IRDA Licence Number: 2710062
Proquest LLC, February 27 2013
Source: Medindia
Fraudulent Health Insurance Claims
To educate the public regarding hazards of committing fraud in healthcare insurance claims and its implication on the economy.
Advertisement
The founders of the website are Peter Nicolas and Michael Grady. Grady is an insurance professional with experience in handling claims and Peter is a policy holder who, went through a nightmare when he lost his house and possessions due to a fire. They know firsthand the issues a policy holder can face during a claims process.
According to Grady, "Although seemingly unfair, your policy is just your ticket to the fight, no policy no claim." Mike explains that having an insurance policy does not guarantee a worry free claim. "There are no policy provisions that compel your carrier to educate you of your rights therein. Simply put, if you do not understand how to administer your own claim the carrier is not contractually obligated to do so on your behalf. This is not meant to imply that carriers will not offer you any assistance, but the finer points of adjusting the claim are your responsibility and ignorance is no excuse," he says.
"The insurance industry has a powerful lobby that has strong influences at the state and national level," states Grady. An individual policyholder cannot match the power and resources of even the smallest carrier. But now, policyholders can band together and level the playing field. There is power in numbers," says Grady.
References
Hannah Punitha (IRDA Licence Number: 2710062
Proquest LLC, February 27 2013
Source: Medindia
Health Insurance - Basics
Health insurance guarantees payments to a person in the event of sickness or injury.and works as protection scheme
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