claim-vehicle-insurance-2026
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How to claim vehicle insurance — complete 2026 guide

How to claim vehicle insurance 2026 — RTI Wiki citizen guide

⚠️ DPDP Rules, 2025 (14 Nov 2025) amended Section 8(1)(j) of the RTI Act — public-interest override now under Section 8(2). Read the note →

· 2026/04/19 05:02

Quick answer. Inform your insurer within 24-72 hours of the incident (own-damage / accident / natural disaster) or within 24 hours of theft (FIR mandatory within the same 24 hours). File the claim on the insurer's app or portal. The insurer assigns a surveyor within 48 hours; the surveyor's report is due within 15 days of receipt of last document. Under IRDAI (Protection of Policyholders' Interests) Regulations 2017 read with the IRDAI Master Circular on Motor Insurance 2024, the insurer must settle (or repudiate in writing with reasons) within 30 days of receiving the survey report. Choose cashless at a network garage (insurer pays the garage directly; you pay only the deductible + non-payable items) or reimbursement (any garage; you pay first, claim later). Stuck? Escalate to insurer's grievance officer → Bima Bharosa (bimabharosa.irdai.gov.in) → Insurance Ombudsman (cioins.co.in, free, award up to ₹50 lakh).

Rohan's story — "₹1.85 lakh estimate, ₹1.62 lakh paid, lost my NCB"

Rohan Reddy, 38, consultant cardiologist at a corporate hospital in Hyderabad. Owns a 2022 Honda City; insured comprehensive with Bajaj Allianz, IDV ₹9.4 lakh, NCB earned 35%.

“It was a Saturday evening — 8 February 2025, around 7:40 pm — on the Outer Ring Road near Gachibowli. A cab cut across two lanes. I braked, swerved, kissed the divider on the front-right. Bumper, headlight, fender, hood, alloy — gone. No injuries, thank god. The cab driver fled. I called Bajaj Allianz on 1800-209-5858. They opened a claim within 4 minutes, gave me a claim number, and said tow help would arrive in 25 minutes. The towing was free under my policy. I had the car at a Bajaj-empanelled multi-brand workshop by 9:15 pm. The workshop's estimate the next morning — ₹1.85 lakh. I uploaded the photos, RC, DL, policy copy, the FIR I had filed at Cyberabad Traffic PS that night under MV Act §134, on the Bajaj CarePoint app. Surveyor visited Monday morning. Wednesday — claim denied. The surveyor's report flagged 'non-genuine spare parts being used by workshop' — meaning the multi-brand workshop was sourcing aftermarket bumper / headlight, not OEM. I called the dealer, asked them to shift my car to Honda authorised at Madhapur. Bajaj re-assigned a fresh surveyor. Final approved estimate — ₹1,84,500. Settlement ₹1,62,000 (₹17,500 deduction for non-payable items — wash, tax, paint depreciation; ₹5,000 deductible). Cheque to Honda Madhapur in 9 days post-second survey. I paid ₹22,500 out of pocket — the gap. My NCB went to zero for next year. Renewal premium jumped from ₹14,800 to ₹21,400. Insurance worked — but the lessons: never use a non-empanelled workshop without checking spare-part policy, and any claim under ₹15-20k is better paid out of pocket to keep the NCB.”

—Rohan, March 2025

About 22 crore vehicles are insured in India (IRDAI Annual Report 2023-24). Motor insurance accounts for ~32% of all general-insurance premium — the largest segment. Claims worth roughly ₹85,000 crore are settled annually. Repudiation (denial) rates run 4-7%; partial-settlement disputes are far more common.

What this is — and the law

A motor insurance policy in India has two parts:

  1. Third-Party (TP) liability — mandatory under §146 of the Motor Vehicles Act, 1988. Driving without it is a criminal offence (up to 3 months + ₹2,000 fine first time, escalated thereafter). Covers death / injury / property damage you cause to others.
  2. Own Damage (OD) — optional but standard. Covers your vehicle against accident, fire, theft, natural disaster (flood, cyclone, earthquake), riot, terrorism, transit damage. A comprehensive policy = TP + OD bundled.

Key legal anchors:

  • Motor Vehicles Act, 1988§146 (mandatory TP), §147 (requirements of TP policy), §163-A (no-fault liability for hit-and-run), §164 (compensation in case of death / injury — minimum ₹5 lakh death / ₹2.5 lakh grievous injury since 2019 amendment), §165-176 (Motor Accident Claims Tribunals — MACT).
  • Central Motor Vehicles Rules, 1989 — Rule 95 sets the certificate/cover-note format; Rule 100 the claim procedure for accidents.
  • IRDAI (Protection of Policyholders' Interests) Regulations, 2017Reg. 9 sets the claim TAT.
  • IRDAI Master Circular on Motor Insurance 2024 — consolidated operating norms, prescribes 30-day settlement post-survey.
  • IRDAI Master Circular on Health Insurance & Motor Insurance 2024 — standardises grievance redressal.
  • Bharatiya Nyaya Sanhita (BNS) 2023 §281 / §125 — rash and negligent driving / endangering life — used in FIRs alongside MV Act.

Step-by-step process — the eight steps

Step 1 — Inform the insurer immediately

Call the insurer's 24×7 claim helpline. Most policies have a 24-72 hour intimation window — late intimation is a common rejection ground (insurer cannot assess damage if days have passed).

  • Bajaj Allianz — 1800-209-5858
  • HDFC ERGO — 022-6234-6234
  • ICICI Lombard — 1800-2666
  • TATA AIG — 1800-266-7780
  • New India Assurance — 1800-209-1415
  • Oriental Insurance — 1800-118-485
  • Reliance General — 1800-3009

You'll get a claim reference number. Save it.

Step 2 — Take photos, get the FIR (if needed)

  • At the scene: photos from 4 sides, close-ups of damage, photo of other vehicle's number plate (if any), photo of skid marks / debris, photo of road / signage.
  • Theft: FIR within 24 hours is non-negotiable — without an FIR the insurer will reject.
  • Major accident with injury / death / third-party damage: FIR mandatory under §134 MV Act.
  • Minor scrape, no third party involved: FIR not required for OD claim, but recommended for amounts above ₹50,000.

Step 3 — File on the app / portal

Open the insurer's app (Bajaj CarePoint, HDFC ERGO, ICICI Insure, TATA AIG, etc.) → “Raise a Claim” → upload:

  • Damage photos (4-6).
  • Vehicle RC (front + back).
  • Driving licence of the person who was driving.
  • Insurance policy copy (or policy number + DOB).
  • FIR (if applicable).
  • Driver's Aadhaar (for KYC).

Step 4 — Surveyor assignment + survey

  • Insurer assigns an IRDAI-licensed surveyor within 24-48 hours.
  • Surveyor visits the workshop, inspects damage, checks the workshop's repair estimate, photographs every damaged part.
  • Surveyor's report is due within 15 days of receipt of last document.
  • If you disagree with the surveyor's findings, you can request a second surveyor (rare; insurer may charge if second survey confirms first).

Step 5 — Cashless OR reimbursement

  • Cashless (network garage): insurer settles directly with the garage. You pay only (a) the deductible (typically ₹1,000 - ₹5,000), (b) non-payable items (consumables — engine oil, washers, paint depreciation, octroi, RTO tax), © GST on labour (sometimes).
  • Reimbursement (any garage): you pay the workshop fully → submit final bill + payment proof → insurer reimburses approved amount within 7 days.

Step 6 — Approval / partial / repudiation

Within 30 days of receiving the survey report, the insurer must:

  • Approve in full and pay (cashless = pay garage; reimbursement = pay you), OR
  • Approve in part with a written breakdown of deductions, OR
  • Repudiate with a written, signed letter citing the specific policy clause being relied on.

A vague “claim closed” is NOT a valid repudiation.

Step 7 — If approved: collect vehicle, sign satisfaction voucher

Before signing the satisfaction voucher (the workshop will hand it to you), inspect the vehicle thoroughly. Once you sign, you cannot reopen the claim. If repair is incomplete, refuse to sign and ask insurer for a re-inspection.

Step 8 — If repudiated / partial: escalate (next section)

You have 3 years from the date of repudiation to file at the Insurance Ombudsman or Consumer Forum (limitation under Limitation Act 1963 + IRDAI Ombudsman Rules 2017).

Sample fee + SLA + deduction table

+-----------------------------------+--------------------------------------+
| Intimation window                 | OD/accident: 24-72 hrs after incident|
|                                   | Theft: within 24 hrs (FIR mandatory) |
+-----------------------------------+--------------------------------------+
| Surveyor assignment               | 24-48 hrs of intimation              |
+-----------------------------------+--------------------------------------+
| Surveyor's report due             | 15 days of receipt of last document  |
+-----------------------------------+--------------------------------------+
| Settlement / repudiation TAT      | 30 days from survey report           |
| (IRDAI Reg. 9, 2017)              |                                      |
+-----------------------------------+--------------------------------------+
| Standard deductible               | ₹1,000 (cars ≤ 1500cc) / ₹2,000      |
| (compulsory excess)               | (cars > 1500cc) / ₹5,000 (some hi-end)|
+-----------------------------------+--------------------------------------+
| Voluntary deductible              | ₹2,500 / ₹5,000 / ₹7,500 / ₹15,000 — |
| (optional — gives premium discount)| reduces premium 15-35%              |
+-----------------------------------+--------------------------------------+
| Depreciation on parts             | Plastic — 50%; Glass — NIL; Rubber/  |
| (under standard policy without    | tyres — 50%; Fibre — 30%; Metal      |
| zero-dep add-on)                  | parts — slabbed 0/5/10/15/25/30/40/50%|
+-----------------------------------+--------------------------------------+
| Non-payable items (always)        | Wash, polish, octroi, paint material |
|                                   | tax, towing if not under add-on,     |
|                                   | engine oil top-up, consumables.      |
+-----------------------------------+--------------------------------------+
| NCB on next renewal               | 0% claim-free after 1 yr → 20%; 2 yr |
| (No Claim Bonus)                  | → 25%; 3 yr → 35%; 4 yr → 45%; 5 yr+ |
|                                   | → 50%. Any claim resets to 0%.       |
+-----------------------------------+--------------------------------------+
| Bima Bharosa SLA (IRDAI portal)   | 15 days for insurer first response   |
+-----------------------------------+--------------------------------------+
| Insurance Ombudsman               | FREE. cioins.co.in. 90-day case.     |
|                                   | Award up to ₹50 lakh (revised 2024). |
+-----------------------------------+--------------------------------------+
| RTI to PIO IRDAI Hyderabad        | ₹10 IPO / DD. BPL = free.            |
+-----------------------------------+--------------------------------------+

Common reasons your claim gets denied or cut

  • NCB misclaim at renewal. You claimed an NCB you weren't entitled to (forgot you'd made a small claim previously). Insurer cross-checks the IIB (Insurance Information Bureau) database and rejects.
  • Vehicle modifications not declared. Alloy wheels, sound system, CNG kit, body wrap, performance upgrade — must be declared and endorsed on the policy. Undeclared mods = OD claim repudiation for that part.
  • Driver not licensed (or wrong class of licence). Driving a transport vehicle on a private LMV licence; LL holder driving without instructor; expired DL — all bar the claim.
  • Under intoxication. Blood alcohol above the limit (or refusal to test) is a standard exclusion.
  • Outside geographic limits. India-only policies; if you took the car to Nepal / Bhutan and it crashed, OD won't pay.
  • Policy lapsed / not renewed in time. Even a one-day gap can void the policy. The 60-day “break-in” period is for renewal but the new policy starts only from the date of fresh inspection.
  • IDV (Insured Declared Value) too low / too high. If you set IDV too low to save premium, claim payout is capped; total loss settlement is artificially low. If too high, surveyor will argue the over-insurance.
  • Pre-existing damage. Surveyor identifies that the dent/scratch was pre-existing (not from the claimed incident). Common reason for partial cuts.
  • Late intimation. Reported 7 days after incident — insurer says “could not assess”.
  • Hit-and-run with no police complaint. No FIR = no third-party trace = OD claim limited to your own damage; no recourse against the offender.
  • “Non-genuine spare parts” at workshop — shift to OEM-authorised garage and ask for re-survey (Rohan's case).

If stuck — the escalation ladder

Rung 1 — Insurer's grievance officer

Mandatory under IRDAI (Protection of Policyholders' Interests) Regulations 2017 Reg. 17. Every insurer has a Grievance Redressal Officer at branch / state / national level. Email with claim number, full chronology, and your demand. SLA: 15 days.

Rung 2 — IRDAI Bima Bharosa portal

The IRDAI's official policyholder grievance portal — replaces the older IGMS. Open https://bimabharosa.irdai.gov.in → register (mobile + email) → file complaint → choose insurer → upload evidence. IRDAI forwards to the insurer; insurer must respond within 15 days. If no response or unsatisfactory, the complaint auto-escalates within IRDAI.

Rung 3 — Insurance Ombudsman

The most powerful free remedy. Constituted under the Insurance Ombudsman Rules 2017.

  • Open https://www.cioins.co.in → find your jurisdiction (17 zonal offices).
  • Pre-condition: 30 days must have passed since your written complaint to the insurer, OR the insurer must have rejected it.
  • File Form P-II with: policy copy, claim correspondence, repudiation letter, your demand.
  • Free. Personal hearing typically scheduled within 30-90 days.
  • Award limit ₹50 lakh (revised 2024 from earlier ₹30 lakh) — final and binding on the insurer.
  • If you accept the award, the insurer must comply within 30 days; non-compliance attracts IRDAI penalty.

Rung 4 — Consumer Forum / MACT

  • Consumer Forum (Consumer Protection Act 2019): district up to ₹50 lakh, state up to ₹2 crore, national above. For deficiency-of-service claims (delayed / partial / wrongful repudiation).
  • Motor Accident Claims Tribunal (MACT) — only for third-party death/injury claims under §165 MV Act. Not for own-damage.

Rung 5 — Right to Information (RTI)

The IRDAI is a public authority under §2(h) RTI Act 2005. Public-sector insurers (New India, Oriental, National, United India) are public authorities. Private insurers (Bajaj Allianz, HDFC ERGO, ICICI Lombard, TATA AIG, etc.) are not public authorities — but the IRDAI's regulatory file on them is RTI-able from IRDAI.

RTI helps here when:

  • Insurer has missed the 30-day TAT and Bima Bharosa is silent — RTI to PIO, IRDAI, Hyderabad asking: (a) the insurer's overall claim TAT compliance for FY 2024-25, (b) the number of motor claim complaints against this insurer in the last 12 months, © any IRDAI inspection / penalty / supervisory action on this insurer.
  • The Ombudsman has passed an award and the insurer is dragging its feet — RTI to IRDAI for the insurer's award-compliance record.
  • A surveyor's licence or competence is in question — RTI to IRDAI Surveyors Department for the licence status, complaints, prior penalties.
  • Claim trends / repudiation rates for the insurer — useful as evidence in Ombudsman / Consumer Forum.

RTI does NOT help here when:

  • You want the insurer to settle YOUR claim — that's a contractual dispute. RTI to IRDAI does not adjudicate contracts. The right route is Insurance Ombudsman — see How to file insurance complaint.
  • You want surveyor's report copy — for your own claim, you are entitled to it under IRDAI Reg. 9 (request the insurer directly; no RTI needed).
  • You want the surveyor's report on a different policyholder — third-party personal information bar under §8(1)(j).
  • You disagree with the deduction maths — pure contractual dispute; goes to Ombudsman / Consumer Forum.

For the citizen, the order of operations is: insurer's grievance officer → Bima Bharosa → Insurance Ombudsman → Consumer Forum. RTI to IRDAI is the fifth rung — for stubborn deadlocks and for evidence-gathering against repeat-offender insurers.

FAQs

Q. The other party hit me. Should I claim from my insurer or theirs?
For your own damage, claim from your own insurer (faster). For third-party liability against the other driver (medical, loss of use, total loss above your IDV), claim against the other party's TP policy via MACT — but the proceedings are slower (often 1-3 years).

Q. Will making a small claim hurt my NCB?
Yes. Any OD claim — even ₹3,000 — resets your No Claim Bonus to 0% at next renewal. Rule of thumb: if the repair is less than your NCB savings + deductible for next year, pay out of pocket and keep the NCB.

Q. Cashless or reimbursement — which is better?
Cashless if a network garage is convenient and you want zero hassle. Reimbursement if you have a trusted local mechanic, are far from any network garage, or the network garage's repair quality is poor.

Q. I have a zero-depreciation add-on. Will I get 100% of repair cost?
Mostly. Zero-dep covers the depreciation slabs on plastic / fibre / rubber that would otherwise be deducted. But you still pay the deductible + non-payable items (wash, tax, consumables). Zero-dep typically pays an extra 5-15% of total claim value.

Q. My car is over 5 years old. Can I still get OD?
Yes, but the IDV is set per the IRDAI age-based depreciation schedule (year 1: 5%, year 2: 15%, year 3: 20%, year 4: 30%, year 5: 40%, beyond: as agreed between insurer and insured). Some insurers stop offering OD beyond 10-12 years.

Q. The surveyor's deductions look excessive. Can I challenge?
Yes — write to the insurer's grievance officer with item-wise rebuttal. If unsatisfied, escalate to Bima Bharosa with the surveyor report + your rebuttal. Common over-deductions: paint depreciation > 50%, full-bumper depreciation when only paint is involved, “consumables” claimed for items that aren't actually consumables.

Q. Can I switch insurers mid-policy?
No — but you can choose freely at renewal. The NCB is portable — get the previous insurer to issue an NCB Retention Letter within 90 days and use it on the new policy.

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