Insurance Claim Appeal
Insurance ombudsman complaint format
Escalate an unresolved claim to the Insurance Ombudsman with a clear complaint.
Free to try. Passes from for 30 days.
This tool drafts documents from the information you give. It is not a law firm and does not give legal advice. For high-stakes matters, have the draft reviewed by a lawyer.
Why people use Bimaclaimo
Claims get rejected for reasons like 'pre-existing disease', 'not medically necessary' or 'no active treatment' that are often contestable. Most people give up because they don't know how to respond.
- ✓ Point-by-point rebuttal of the rejection reason
- ✓ References your policy wording and medical records
- ✓ India: insurer grievance → Bima Bharosa → Insurance Ombudsman path
- ✓ US: internal appeal letter + external review request
How it works
- 1Fill in a few details (or click 'Fill with an example').
- 2Click Generate - your result appears in seconds.
- 3Copy it, print it or save as PDF. Edit anything you like.
Unlimited Bimaclaimo
Free runs every day. A pass removes the daily limit.
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Frequently asked questions
What is the Insurance Ombudsman?
A free grievance redressal forum in India for insurance disputes. You can approach it if the insurer rejects your complaint or doesn't reply within 30 days.
Is this only for health insurance?
It's optimised for health claims but also works for motor and travel claim rejections.