If your Oriental Insurance Mediclaim Policy has MD India as the Third Party Administrator (TPA) and if you residence is in Mumbai, this is the only office for submitting your Claim File, either personally or via Courier. Ms. Radhika, Executive, was courteous and resolved all my queries. Security guard at the entrance recorded my visit. A day prior, Mr. Prakash Terdale, Vice President, answered my call and provided satisfactory resolution for Claim submission. Overall, a good first impression.
Our company has tie up with them. Once you send your documents they won't update even until 7days of confirmed message from courier that document was received. They mail for additional documents but when you send the documents as reply no response. You try calling customer care they have only visibility of website as we have. I then couriered the additional documents (kyc) that they had requested. It was received yesterday but still the portal shows pending for additional documents. It 14days period is over they said claim will reject on mail. Whom do I contact now.? A approved amount is not disbursed as they wanted kyc document and then no communication.
Worst Mediclaim company. I would request people not to take Mediclaim from them as they don’t deliver what they promise. Example they will say Mediclaim will be settled in 7-10days however you will have to run behind them for that. Also if it’s TPA please read their policy carefully. Also they will say submit your documents online you don’t need to visit us. However they will reject it and you will eventually have to go to office and that same rejected docs they approve then.
The company workers are not committed 😕. They are not responding call as well as not provided properly guidelines to the needful at the time of medical emergency.
One of the Worst TPA. They only gave10% of amount of the total Bill.. the employees only said It's standard deduction for any questions asked.. they even said we are not available 24*7 for you. The employee named V****L in Mumbai was not able to answer properly he did not co-operate at all. I Highly recommend not to take their policy.. pathetic company, clueless employees
