Car Insurance POLICY CLAIM RELATED ISSUES.

VAIBHAV KUMAR

New member
Policy Name
Reliance Private car pakage policy- policy schedule
Company Name
Indusin General inssurance
Customer Care Number
8100779519
Loss Amount
100000
Ratings
2.00 star(s)
Under policy no. 99639253110049393 claim denied for Engine Protector (Provides coverage to internal parts of engine, gearbox, transmission assembly and differential assembly due to ingress of water or leakage of lubricating oil)

company harrassed with the following statement.

As discussed over the call with Mr. Bijoy Adhikari, it was stated that the claim “may not be admissible” due to an alleged aging issue.

However, earlier, as discussed with Mr. Rahul Thakur, it was stated that the issue was being considered only from an accidental perspective. The basis has now changed to an aging issue. In view of this change, kindly clarify the reason for the change in assessment and the basis on which the insurer is now considering the claim under aging. We request the insurer to provide a consistent and clearly documented position regarding the claim.

In this regard, kindly clarify the specific policy wording or clause relating to aging under which the claim is being considered inadmissible, as we are unable to identify any such exclusion or condition in the policy wording.

If the insurer has concerns regarding the admissibility of the claim, we request that a clear and definitive decision be provided rather than using tentative terms such as “may not be admissible.”

I have already submitted the required supporting documents and clarification regarding the claim circumstances. Further, as per the insurer’s portal and the applicable policy wording, mechanical failure with oil leakage is indicated as a payable claim.

Accordingly, kindly clarify the basis on which the claim is being questioned/rejected based on the photographs forwarded by the service centre, particularly when the said photographs were recently taken on 12/09/2026. Kindly clarify how these recent photographs establish an aging-related issue or support the basis for considering the claim inadmissible.

Further, as discussed with the workshop, they have confirmed that there was no issue at the time of service from their side. The vehicle subsequently covered more than 2,000 km without any such issue occurring. In view of this, kindly clarify the technical basis on which the present failure is being attributed to an aging issue. If the insurer has any specific technical evidence or assessment supporting this conclusion, kindly share the same.

Since the workshop/service centre is also marked in CC, we request them to provide any further technical clarification required regarding the maintenance history, mechanical failure, oil leakage, or cause of failure. If any additional clarification or technical report is required, kindly coordinate with the workshop directly.

In view of the above, kindly obtain a revised and clear update from the insurer, specifically confirming:

  1. The exact policy clause/wording under which the alleged aging issue is being considered.
  2. The reason for the change in the basis of assessment from the earlier discussion regarding an accidental issue to the present aging issue.
  3. The specific technical basis for questioning the admissibility of the claim.
  4. The reason for not considering the coverage indicated on the insurer’s portal for mechanical failure with oil leakage.
  5. The relevance of the photographs taken on 12/09/2026 in determining the alleged aging issue.
  6. Whether any clarification or technical report is required from the workshop/service centre regarding maintenance and the cause of failure.
  7. If the claim is being considered inadmissible, kindly provide the specific policy clause and technical basis supporting the decision.
We request you to kindly take up the matter with the insurer and provide a clear and reasoned update at the earliest, rather than a tentative status, so that the claim position can be appropriately understood and taken forward.

Claim Number 3126325744

Vehicle Number BR01EU3944
 

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