Jayanagar 3rd Block East Bangalore-560011, Karnataka India
Case Studies
Category
All
Health Insurance
Vehicle Insurance
Marine Insurance / Travel Insurance
Term Insurance / Life Insurance
Asset Insurance
Others
Showing 29 case studies
100% Disability: Supreme Court Awards ₹3.77 Crore
A truck accident left a pillion rider with 100% functional disability, and the Supreme Court enhanced her motor accident compensation to ₹3.77 crore with interest.
₹25 Lakh Fire Claim Rejected Over Fake Bills
A fire insurance claim was rejected over allegations of fake bills, but the Consumer Commission ordered the insurer to pay ₹5 lakh with interest and compensation.
₹5.28 Lakh Car Claim Rejected Over Invalid Licence
A ₹5.28 lakh car insurance claim was rejected over a driving licence dispute, but the Consumer Commission ordered the insurer to pay ₹3.5 lakh with interest and compensation.
₹48.26 Lakh Dacoity: Insurer Ordered to Pay
A ₹48.26 lakh money insurance claim was rejected over alleged security lapses, but the Consumer Commission ordered the insurer to pay ₹44.53 lakh based on the surveyor's assessment.
₹58,729 Health Insurance Claim Rejection Overturned
A ₹58,729 health insurance claim was rejected as medically unnecessary, but the Kangra Consumer Commission overturned the decision and ordered reimbursement with interest and compensation.
Tractor Accident: Court Orders Insurance Payout
A young man died after falling from a tractor as a gratuitous passenger. The insurer denied coverage, but the Court ordered it to pay first and recover later.
₹8 Lakh Life Insurance Claim Rejected for Concealment
A ₹8 lakh life insurance claim was rejected after medical records revealed a 10-year history of hypertension that was never disclosed in the proposal form.
₹4.5 Crore Fake Insurance Call Centre Scam
Ghaziabad Police uncovered an alleged fake insurance call centre racket that targeted 1,500+ people and generated approximately ₹4.5 crore using stolen customer data and counterfeit receipts.
₹78 Lakh Coal Fire: Insurer Ordered to Pay
Stored coal caught fire from spontaneous combustion during marine cargo transit. The insurer rejected the ₹78 lakh claim, but the Consumer Commission held the coverage was still in force.
₹1.08 Crore Health Claim: Supreme Court Victory
A disclosed Type-II diabetic suffered a cardiac episode abroad and faced a ₹1.08 crore claim rejection over alleged pre-existing conditions — the Supreme Court ruled the repudiation was illegal.
₹22 Crore Fire Claim Rejected
A ₹22.01 crore fire loss claim was rejected after the Supreme Court held increased turnover exposure was not covered without the required additional premium.
Bike Fall Claim Rejected
A sudden fall from a motorcycle reportedly led to a major insurance dispute after the insurer allegedly refused to treat the incident as an "accident" under the policy terms.
Insurance Form Non-Disclosure Case
Non-disclosure of material facts in insurance applications can lead to claim rejections or policy cancellations.
Drunk Driving Not Proven
Examines an insurer's drunk-driving claim rejection that was challenged for lack of proof.
Bank Held Responsible
A bank-linked insurance dispute over whether the bank failed to secure valid coverage for its customer.
Denied Abroad, Justice Won
A ₹88 lakh overseas cancer treatment claim was denied, then a consumer commission ordered ₹66.5 lakh paid.
Transit Insurance Coverage Ended Upon Delivery
Explores misconceptions about transit insurance protection continuing after goods delivery.
Multi-Crore Fire Insurance Claim Rejected as Fraudulent
Examines fire insurance claim rejection when investigators concluded the fire was intentionally set.
Lost Hand, Won After 6 Years
Documents a prolonged legal battle over disability insurance following a serious injury.
Murder or Accident? Court Ruled
Analyzes insurance fraud challenges and judicial determination in motor insurance disputes.
No Disease Proof, ₹20L Ordered
Health insurance case involving claim denial and subsequent court-ordered compensation.
AI Cut ₹1.6 Crore Hospital Bill
Technology-assisted fraud detection in healthcare insurance claims.
Claim vs Actual Loss Dispute
Addresses settlement discrepancies in motor insurance claims.
Worker Lost Arm, Court Paid
Workplace accident compensation case involving permanent disability.
₹1.59 Crore Crash Payout
Road accident litigation resulting in substantial motor insurance payout.
Gas Warning Ignored, Bus Exploded
Public transport disaster involving negligence and insurance liability.
₹1,000 Draft Became ₹7 Lakhs
Financial fraud case involving document alteration and banking disputes.
Fake Car Crashes for ₹30 Crore
Major motor insurance fraud scheme involving staged accidents.
