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Hubballi Consumer Court Directs Oriental Insurance To Pay Rs 8 Lakh After Wrongful Claim Denial

Denying valid claims may save money for a while, but penalties and reputational damage can cost more in the long run

Payment After Wrongful Claim Denial Photo: AI
Summary
  • Dharwad commission orders Oriental Insurance to pay Rs 8 lakh for theft claim.

  • Trader’s shops were partly demolished, then looted, causing Rs 20 lakh loss.

  • Proper documents, FIR, and bills helped policyholder win dispute.

  • Ruling highlights importance of fair claim settlement and insurer accountability

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A cloth trader from Lakshmeshwar has taken on Oriental Insurance Company and won. The Dharwad District Consumer Disputes Redressal Commission has ordered the insurer to pay Rs 8 lakh after rejecting his theft claim, according to a recent report by the Times of India.

Trader’s Shops Demolished, Then Looted

The complainant, Manikchand Jain, ran two small textile shops in Lakshmeshwar. During a municipal demolition drive, his shops were partly torn down. With shutters broken and walls exposed, burglars slipped in and carried away cloth stock. Jain told the forum his loss was close to Rs 20 lakh.

He had insurance cover worth Rs 16 lakh on the premises and goods. Believing theft was included, he filed a claim with the First Information Report (FIR), inventory records, and bills. Oriental Insurance turned it down, citing its own inquiry and legal advice.

Jain then moved the consumer commission in Dharwad. After going through the papers, the panel concluded the theft was genuine and covered under the policy. “The denial of the claim amounts to a deficiency of service,” the order said. While the trader’s total loss was higher, the commission calculated the payable amount at Rs 8 lakh. The company has been asked to settle within a month or pay 10 per cent annual interest until it does.

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Why The Case Matters

For policyholders, the ruling shows that a rejection letter is not the end. Proper paperwork—police complaints, bills, even photos—can strengthen a case if it reaches a forum. Jain’s persistence helped him get relief.

For insurers, the message is cautionary. Denying valid claims may save money for a while, but penalties and reputational damage can cost more in the long run. In an industry built on trust, credibility is everything.

Larger Lesson

Insurance is meant to protect, not frustrate. A customer pays premiums in the hope of security, not litigation. Jain’s case from Hubballi proves that ordinary policyholders can challenge big institutions and win. For insurers, it is another reminder: fair settlement is not optional; it is the very foundation of the business.

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