Managing Insurance claims is not your business
Story One -
We won a battle.
A battle between Hopes And Fears
A battle of 99% negative vs. 1% positive chances.
Before we move ahead, It's a true story.
Sometimes back, One of our clients' employees got blessed with a baby boy.
Unfortunately, the doctor diagnosed the baby with a hernia after 45 days.
The poor 45-day-old baby suffered immense physical pain. The doctor suggested immediate surgery for the baby.
Read More..
Story Two -
Modern Treatment Methods clause
Some time back, one of our Clients' claim for a Knee Replacement Surgery was approved, albeit with about 75% deduction from the claimed amount.
Why?
Because the Insurer applied the Reasonable and Customary clause.
The Insurer was of the opinion that a Knee Replacement Surgery should cost about 75% lesser than what our client was claiming. The Insurer had considered costs in similar hospitals in the geography. Read More..
Story Three -
Reasonable & Customary Charges
Prasad’s reimbursement bill for Rs. 27,000 had been rejected.
Prasad had been diagnosed with a Chronic Respiratory Disorder.
He had undergone a 6 day hospitalisation and was advised Oxygen Support for about 60 days post discharge.
Already in a devastated state of mind, he bought an Oxygen Concentrator without a second thought.
What Prasad failed to recognize was the fact that his mediclaim policy which Read More..
Do you feel lost while filing an insurance claim?
Do you feel overwhelmed by the number of documents to be submitted and the lengthy forms to be filled during the claims process?
Are you tired of waiting for long hours to get replies to your claim-related queries?
When misfortune strikes, and you turn to your insurer for compensation, you would expect to receive good service in return for the premium you’ve paid so that your claim goes through smoothly.
A good insurance claim assistance program provides complete claim services to its customers right from claim intimation to claim payment and ensures that you have a hassle-free claim experience. Our Red Carpet Claims assistance provides you with that and more.
Imagine if your Employee could spend 3 minutes with a real live person, help them fill up health insurance claim form with all the relevant papers, answer all insurer questions, file an Insurance Claim, follow up and get the money transferred into their bank account. Thats what Ethika does.
Ethika is a trusted partner in providing high quality services. One can bank on their timely services and very responsive and helpful representatives. They understand the client's situation and make sure that the claim process is as smooth as it can be. I would like to appreciate Mr Bhanu who helped me with one of the claim recently and made sure all my questions are answered and took care of all the paperwork needed. He made it effortless and the claim was processed quickly. I can vouch for their services as we are a happy customer of Ethika from past 4 years. All of their representatives are courteous and ready to help any time of the day. Keep up the good job, Ethika!
Krishna prasad
I am writing down this to thank you and your team who were helping me throughout the process. It takes lot of will and genuine care towards going an extra mile to support customers. I know it was quite too late yesterday night when the insurance process was happening and it was really nice of you to provide the needed help even in the middle of the night. It definitely would have been difficult had your team not been there and the hospital folks would have simply charged higher. Please say my thanks to your senior as well, my dad told that he also intervened yesterday night to make the process smooth and coordinate with the hospital team.Again thanks a lot Vinay
Vinay
Great Customer Service. Very helpful, putting the customer first, caring and handholding throughout the process, every step of the way. Special Shoutout to Mr.Bhanu - who went above and beyond, and exceeded all expectations when it came to processing, filing and fulfilling my claim. Excellent example of great customer service.
Raafi Mohammed
It was a real pleasure interacting with Ethika Insurance team. at the time when I needed them the most. , The way Bhanu helped me out during this crunch and tough period was marvelous, We appreciate your response to our calls not only during office hours but even post office hours. It has helped us immensely. Keep it up!
PavanKumar Joshi
Thank you Ethika team for helping me on a cashless claim. Especially I would like to thank Venkat for his extended on call support even during late hours. I also appreciate the way he communicated and fulfilled the commitment of providing the approval in less than hours’ time. Thank you Ethika and team.
Sai Kosuri
I had a situation with my two kids where they were admitted together at a hospital with dengue fever. The duration to react for insurance approvals was quite short. Both Mr. Rajendra and Mr. Venkat patiently heard out the requirement and helped to process the same quite seamlessly. Special thanks goes to Mr. Venkat who supported thru out the discharge process via WhatsApp on a Sunday till the job is done. I highly recommend Ethika of their services.
Kamesh Mantri
Awesome team, I opted for cashless claim and Venkat from Ethika Cashless department guided me whole time. He was easily accessible and available all the time.My approvals were getting quickly approved which saved my time at the admission & discharge time. Overall great experience. Thank you Ethika and team.
Mandeep pasbola
Appreciate professionalism and good service. Thanks to Bhargava sir who helped me with the insurance process. Response was very quick and I have received the claimed amount in less than 7 working days. Happy with the seamless process.
Kiranashree M S
