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What is the meaning of Insurance Ombudsman ?
October 6, 2023
1–2 minutes
Insurance Ombudsman:
An
ombudsman
is an official appointed to investigate complaints made by individuals against a company or organization, especially a public authority
.
The ombudsman serves as an advocate for patients, consumers, employees, and other individuals who may have grievances against the organization
.
The ombudsman investigates the complaints, reports on them, and helps settle them
.
In the insurance industry, an ombudsman is responsible for protecting the interests of policyholders and settling grievances and complaints of policyholders outside the court system in a cost-effective, efficient, and impartial manner
.
The insurance ombudsman scheme was created by the government of India for individual policyholders to have their complaints settled out of the courts system in a cost-effective, efficient, and impartial way
.
The insurance ombudsman offices are presently widespread across 17 different locations in India
.
The insurance ombudsman is responsible for performing several functions such as conciliation and award making
.
Any person who has a grievance against an insurer (insurance company) may himself or through their legal heirs, nominee or assignee make a complaint in writing to the Insurance Ombudsman within whose territorial jurisdiction the branch or office of the insurer is located
.
The insurance ombudsman is empowered to receive and lodge complaints as per the personal lines of the insurance from any person who has any grievance against any insurance company
.
Please note that the role of an ombudsman may vary depending on the country and the organization.
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