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Originally Posted by sameerpatel90 In my nearly 4years of service to insurance sector. What the usual market practice is that to decline the tire damages which looks irrelevant in the surveyor's perspective. The tire coverage as an Add On comes into play in cases as the one we are discussing. In my humble opinion, if this bulge never existed before the accident and has come to light only after the accident, I'm sure we can push hard and get it approved by the insurance company at the same time as a benefit of doubt it can be considered. It all depends on us a insured how we represent our case.
There are many factors which give an upper hand to the insurer. As a market practice it is understandable to delay the claim intimation post minor accidents occur. This is well known by all but at time certain cases as such or multiple damage or scratches it is definitely a hair scratching situation to both the claimant and loss assessor.
In conclusion, insurance claims absolutely vary case to case and as a responsible insured we must be vigilant with our vehicles, it's documents and even previous history Both mechanical and body repair/replacements.
IMHO, what all we can do is to ask for a justifiable answer from the insurer to prove that this damage (bulge) is not concurrent with the damage of the rim and the narration of the incident. Another way to approach is to speak with all the evidence (as mentioned by you about tire replacements this means the tires are new, show the invoices and receipts as provided by the dealer) and do not accept the insurers approval, just escalate your concern to his boss and other top bosses of the company and as far as my experience speaks as a "benefit of doubt" (so called by the insurance industry) it must be approved.
I would like to see some pictures (if you've taken) of the damage on the tire and wheel rim to better understand the scenario which you're undergoing.
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I have argued with Ford twice to get the tyres changed. Like, total 10 tyres, I have got changed for my Ecosport.
When I was talking about the damage to the tyre, the service center manager and the Insurance guy, were arguing among themselves. The Insurance guy said that its a manufacturing defect and the service guy said, it is not. It is a bulge that happened because of the accident. I left them both arguing. The body shop person told me that he will put the tyre under claim process too, but he was not too hopeful if he would get a claim for that.
If I may, let me narrate the whole scenario. How I dealt with reliance on this. I was called by a surveyor when I took the car to the body shop and filed a claim. Now, the policy states that we have to file an intimation within 7 days of loss. however, in my case, it was around 21 days. I told the surveyor the reason for the delay is that the service center people took 4 days to assess the damage to the RTB. After that it was Holi and I was told by body shop manage to come after Holi. I felt I was being interrogated again and again by the surveyor for the reason of delay. I then filed a complaint with IRDAI about this. IRDAI has three circulars which state that no insurer can deny the claim if the reason is just delay in intimation. The surveyor assigned an investigator and when the person came to collect documents and I asked his ID card, he couldnt produce one. I had to let him go. With stern words, I asked him to leave and filed a complaint with IRDAI again.
Also forwarded all the correspondence to Reliance General Insurance's top mangement. Well, the head of the team of investigation called me and told me to trust him and give my documents. I am telling all this because I had to go to some distance to get my work done in this case. Got a call from the CSM of Reliance and he assured me that approval has been sent.
Now, I call the body shop, I am being told that the approval for tyre was not sent. Except that, approval for everything has been sent.
Now, I have a query and it would be quite helpful if you can give me some pointers. You told me not to accept the insurer's approval and that I should escalate it to the management. I am attaching a picture, its not mine, i took it from the internet. But the bulge and the scratch , both are visible and in a straight line, confirming that the bulge happened because of the accident.
I have the receipt of the tyre that was changed.
My question is, can i pursue this after I have got my car back? I have two cars but I like the Ecosport better. (I have an i20 too). Or should I email them now and ask for the clarification?
Thanks again for taking your time, I apreciate this.
