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A Claim That Could Have Stuck But Didn’t. Why?

coveryouadmin by coveryouadmin
July 8, 2025
in Blog
Reading Time: 2 mins read
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A Claim That Could Have Stuck But Didn’t. Why?

On 27th April 2025, a strong storm hit Jabalpur, Madhya Pradesh. It damaged many places, including a doctor’s workplace. The doctor had a fire insurance policy from ICICI Lombard, and the damage needed to be covered quickly. This is where CoverYou came in to help sort the paperwork, handle the insurance steps, and make sure the doctor didn’t lose out because of missing records.

What happened?

After the storm, a claim was raised on 29th April 2025. The insurer was informed, and a surveyor was sent to inspect the damage. On 8th May, the surveyor shared a list of required documents. That’s when a big issue showed up.

Where was the problem?

The insured had not maintained a Fixed Asset Register (FAR). This register is important. It lists the equipment, furniture, and items the doctor had at the workplace. Without it, the insurer couldn’t verify what was damaged or lost. There was another problem, too. The surveyor noted that GST would be deducted from the claim amount because the insurer hadn’t received any proof that the insured didn’t deal with GST.

How was it solved?

This could have delayed or reduced the claim, but it didn’t. Why? Because CoverYou stepped in and handled everything smoothly.

  • First, the team helped the doctor prepare the Fixed Asset Register step by step.
  • Then, they advised the doctor to issue a letter confirming that no GST is charged or paid.
  • This letter was shared with ICICI Lombard after a clear explanation.

Once the insurer reviewed all documents and discussed the case internally, the GST amount was approved and added back to the final claim. And finally, on 17th June 2025, the claim amount was credited to the insured’s account.

The status of the claim 

The outcome of the claim was a successful settlement. The claim was marked as paid and closed under a fire insurance policy by ICICI Lombard. The insured had requested a total amount of ₹5,25,000, out of which ₹3,25,238 was approved and credited. An additional amount is still pending and will be added once the insured submits the final repair invoice and proof of payment. The reimbursement was processed and settled on 17th June 2025.

Why is this important?

Many genuine claims get stuck due to missing documents or confusion about the rules. Here, the client didn’t have one of the most basic records, but with the right help, the problem was fixed. With the help and support of CoverYou, the doctor got the money they deserved.

Conclusion

Claims don’t always go smoothly. But the right support can make all the difference. When the documents were missing and the process got tricky, CoverYou didn’t stop. We simplified, guided, and got it done without making the client feel lost in paperwork.

Tags: casestudyfire insurance
Previous Post

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Professional Indemnity- Our expertise lies in safeguarding the interest & reputation of our esteemed Medical Fraternity with our revolutionary product- Doctors Professional Indemnity Insurance. Given the complex & high-stakes nature of healthcare operations, doctors are certainly exposed to medical negligence risks at all times. It is very important to protect your high-responsibility profession with a Professional Indemnity Cover that will act as a safety net against any malpractice claim. Our Professional Indemnity is best suited for all your medical practice requirements. CoverYou’s Customised Professional Indemnity Insurance will not only safeguard your finances but also your hard earned reputation. We provide customised benefits exclusively tailored to meet the needs of Doctors & Hospitals. Our Professional Indemnity is guaranteed to provide comprehensive medical negligence coverage with an expert lawyer panel & renowned senior doctors present all across India. We are known to offer handheld support to our customers throughout their journey with us especially during claims!

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