Who to contact if the insurance claim is not resolved

Here's how to get an insurance claim unresolved:

1. Consumers can first consult and negotiate with the insurance company to see why the insurance company refuses to settle the claim and negotiate.

2. If the insurance company maliciously does not make a claim, then the consumer can report to the local CBIRC with complete, true and effective evidence.

The CBIRC is the regulator of insurance companies, and if the rights and interests of consumers are damaged in the process of purchasing insurance, they can complain to the CBIRC, as long as the evidence is complete, the success rate is very high. You can first find the complaint on the official website of the China Banking and Insurance Regulatory Commission, consult the relevant matters of the complaint, prepare the complaint materials, and then make a complaint according to the guidelines to protect your legitimate rights and interests.

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If the insurance claim is not resolved, it can be resolved through the CBIRC.

If the insurance claim is not resolved, you can take the following laughing methods:

1. Negotiate and settle, the insurance company and the insured agree to negotiate the disputed part and resolve the problem of distress amicably;

2. Arbitration, in the case that the two parties cannot reach a settlement, may take the form of arbitration;

3. In litigation, the insured may file a legal lawsuit against the insurance company through the court in accordance with the legal procedures, and the court will resolve the correction and make a ruling according to the procedures;

4. Call "12378" to the CBIRC, which is one of the most powerful complaint channels;

5. Mailing complaint materials to the CBIRC, which is the most powerful other complaint channel, and in fact it is more efficient;

6. Complain to the Insurance Association;

7. Call ** to complain to the headquarters of the insurance company.

1. If the insurance company fails to settle the claim, the handling method is as follows:

1) Negotiate with the insurance company first;

2) If the negotiation cannot be reached, it is recommended to file a lawsuit with the court to resolve the matter. According to the regulations, if the insurance company fails to settle the claim on time, in addition to paying the insurance money, it shall compensate the insured or beneficiary for the losses suffered thereby.

2. Legal basis: Article 17 of the Regulations on Work-related Injury Insurance stipulates that if an employee is injured in an accident or is diagnosed or identified as an occupational disease in accordance with the provisions of the Law on the Prevention and Treatment of Occupational Diseases, the unit to which he belongs shall submit an application for work-related injury recognition to the social insurance administrative department of the coordinating area within 30 days from the date of the accident injury or the date of diagnosis or appraisal of the occupational disease. In case of special circumstances, the time limit for application may be appropriately extended with the consent of the social insurance administrative department.

If the employer fails to submit an application for recognition of work-related injury in accordance with the provisions of the preceding paragraph, the injured employee or his close relatives or trade union organization may, within one year from the date of occurrence of the accident injury or the date of diagnosis or appraisal of an occupational disease, directly submit an application for recognition of work-related injury to the social insurance administrative department of the coordinating area where the employer is located.

Matters that shall be determined by the provincial-level social insurance administrative department in accordance with the provisions of the first paragraph of this Article shall be handled by the social insurance administrative department at the districted-city level where the employer is located in accordance with the principle of territoriality.

If an employer fails to submit an application for determination of work-related injury within the time limit specified in the first paragraph of this Article, the employer shall bear the relevant expenses such as work-related injury benefits incurred during this period that comply with the provisions of these Regulations.

2. What materials are required for disability evaluation?

1. Notice of work-related injury determination issued by the labor administrative department;

2. Appraisal form of work-related disability grade;

A copy of the applicant's ID card;

3. Medical records;

4. Disease diagnosis certificate and other related materials. Submit an application for labor ability appraisal to the labor ability appraisal committee of the city divided into districts in a timely manner.

What should I do if the insurance company drags on and does not pay the claim.

Hello, there must be a reason why the insurance company does not pay the claim, can you say, why does the insurance company not pay the claim? It's good for me to help you solve your problem.

Your situation is not effective, because you have applied for a refund of the premium before, and the refund of the insurance has to go through the process, as long as you get the refund certificate of the insurance company, this insurance will be invalid, and there is no protection.

You have surrendered the policy in October, and now it is November, and it happened in this month, in this case, the insurance company will definitely not pay the claim, because the contract has been terminated.

If they don't give you a certificate of surrender, and they don't give you the surrender premium until after your car accident in the past few days, in this case, you can apply to the court for arbitration, and they should also bear part of the responsibility.

You didn't get the surrender invoice, he delayed you to buy a new insurance, they need to be jointly and severally liable, you can ask them to compensate for your losses, through court arbitration, so that the insurance company bears part of the responsibility.

There must be a reason for the delay in making a claim, generally because there are discrepancies in the case, such as the diagnosis of the disease is not accurate, it does not meet the insurance coverage of the policy, such as the insurance with illness and the failure to tell the truth. You can contact the insurance company's after-sales service personnel or claims adjusters to inquire about the progress of the claim.

The other party's insurance company can negotiate if the other party fails to settle the claim for a long time, and if the negotiation fails, evidence can be collected and brought to the court for litigation.

The specific litigation process is as follows:

1. Write a civil complaint, collect relevant evidence materials, and file a case with the case filing window of the people's court with jurisdiction;

2. After the case is accepted, the court will give you a notice of payment, pay a certain percentage of the litigation fee to the designated bank according to the instructions, and then take the payment documents given to you by the bank to the court for exchange;

3. Waiting for the court's notice, a summons will generally be issued to the original defendant;

4. Appear in court to participate in the litigation at the time and place indicated by the summons containing the stove shirt;

5. After the court is held and the verdict is waited, if you are not satisfied with the verdict, you will appeal to the Intermediate People's Court from the date of receipt of the verdict;

6. After the judgment takes effect, an application may be made to the court to compel the operation of the defense, and the person subject to enforcement may join the judgment judgment for dishonesty.

Legal analysis: Negotiate with the insurance company first, if the negotiation fails, it is recommended to file a lawsuit with the court to resolve.

If the insurance company fails to settle the claim on time, it shall compensate the insured or beneficiary for the losses suffered by the distressed insured or beneficiary in addition to paying the insurance money. The insurance company's method of not making a claim: the parties can negotiate a settlement.

If the negotiation fails, the parties may file a complaint with the insurance regulatory authority, the People's Bank of China, other financial supervision and administration institutions, or file a lawsuit with the court.

Legal basis: Article 23 of the Insurance Law of the People's Republic of China After receiving the request for compensation or payment of insurance money from the insured or beneficiary, the insurer shall make an assessment in a timely manner; Where the circumstances are complicated, an approval shall be made within 30 days, unless otherwise agreed in the contract. The insurer shall notify the insured or beneficiary of the verification results; For those who are liable for insurance, the obligation to compensate or pay insurance money shall be fulfilled within 10 days after reaching an agreement with the insured or beneficiary to compensate or pay insurance money.

If the insurance contract stipulates the time limit for compensation or payment of insurance money, the insurer shall perform the obligation of compensation or payment of insurance money in accordance with the agreement.

If the insurance company fails to settle the claim, it is recommended to file a lawsuit with the court to resolve the claim.

The insurance company's claim procedure is cumbersome, but it is unreasonable not to pay compensation if it takes a long time.

If due to the productivity of the salesman.

If the claim is overdue, you can directly complain to the insurance company or the local insurance association. As for the claim process, you can directly call the company's customer service** for inquiry, which can test the work attitude of the salesman.

If the claim is overdue due to the verification of the imitation insurance company and other reasons, you can see how the following insurance contract is agreed, and exercise the right according to the provisions of the contract, and the two parties will negotiate. Alternatively, you can file a complaint with the insurance association in your area or apply for arbitration. If necessary, it may have jurisdiction.

The people's round hand court sues, using the law to protect their legitimate rights and interests. However, it should be noted that the use of law to protect rights and interests should be subject to the statute of limitations.

so as not to get the support of the courts.