Jio Insurance Brokers

Grievance Redressal Policy

Jio Insurance Broking Limited (the “Company”) believes that an integral part of excellence in Customer Service is to have a prompt & responsive mechanism to address customer grievances. The Company has a robust mechanism in place to address the grievances of its customers across various product streams it offers, including life, general, and health insurance. The Company has processes and systems in place to address the grievances of their customers to their satisfaction.

The Policy aims at minimizing instances of customer complaints and grievances through a proper service delivery and review mechanism to ensure prompt redressal of customer complaints and grievances ensuring transparency and fairness throughout the process. The review mechanism is aimed at identifying any shortcomings in service delivery and ensuring adequate redressal of customer grievances within the defined Regulatory TATs as stipulated under IRDAI Regulations.

Objective

To ensure that the Company's grievance redressal mechanism is more meaningful and effective, a system/process has been designed. These systems ensure that the redressal provided is prompt, fair and permissible within the given framework of rules and regulations. Grievance redressal is available at all regional offices/branch offices of the Company, and employees at respective branch offices are made aware of the complaints/grievance handling process.

The objective of the Policy is to ensure that:

Ensure prompt and fair resolution of grievances raised by customers or stakeholders. All customers are treated fairly and without bias at all times. All issues raised by customers are dealt with courtesy and resolved within regulatory TAT. Enhance customer satisfaction and trust in the Company's services. Comply with regulatory requirements regarding grievance redressal process. The timely and effective handling of customer complaints/grievances is fundamental to the Company's commitment to treating customers fairly. The Company is committed to promptly responding to and resolving customer's complaints/grievances and driving appropriate adjustments to business practices to improve customer service and enhance risk management.

Scope

This policy applies to all customer complaints arising from our interactions and services, including but not limited to:

  • Product and service-related concerns
  • Billing and payment issues
  • Policy adherence disputes
  • Communication and information discrepancies
  • Misconduct by our employees or representatives
  • Customer grievances

Definition

Complaint or Grievance: means a written expression (includes communication in the form of electronic mail or other electronic scripts) of dissatisfaction by a complainant with respect to solicitation or sale of an insurance policy or related services by insurer and /or by Company.

Explanation: An inquiry or service request would not fall within the definition of the “Complaint or Grievance”.

Complainant: means a policyholder or prospect or nominee or any beneficiary of an insurance policy who has filed a complaint or grievance against an insurer and /or distribution channel.

Mis-selling: means sale or solicitation of policies by the insurance intermediary directly or indirectly by -

  1. Forcefully exercising undue influence, use of dominance position or otherwise; or
  2. Knowingly making a false or misleading statement or misrepresenting the facts or benefits, or
  3. Knowingly concealing or omitting facts, features, benefits with respect to products, or
  4. Not taking reasonable care to ensure suitability of the policy to the policyholders.

Classification

Complaint Classifications are instituted to understand the nature, type and the origin of the complaint. A complaint is classified on the basis of the following:

  1. Source of Communication (Email, Call, Letter or a Visit at Touchpoint)
  2. Type of Communication (Query, Request, Feedback, and Notices which include communication from Ombudsman, Consumer Forum, Legal Bodies etc.)
  3. Nature & Severity of complaint.

Grievance Registration Mechanism

The various channels through which our customers can contact us for any assistance or redressal of their grievances are listed below:

  • Our customers can contact the customer service executive(s) at our branch offices or write to the relevant Branch Manager explaining the details of the issue concerned.
  • Write to us at Email id - customer.care@jioinsure.in
  • Customers can also write to us at Jio Insurance Broking Ltd. 3rd Floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400 002 or at 1st floor, B-Wing, Building no 25, DAKC, MIDC, Koparkhairane, Navi Mumbai - 400710

Turnaround Time (TAT)

a. Upon receiving the Complaint, a written acknowledgement to the complainant will be sent within 24 hrs of the receipt of the grievance.
b. Conduct an initial investigation and gather relevant information.
c. Strive to resolve the complaint within 14 working days through communication and fair consideration.
d. Communicate the response clearly and concisely, outlining the resolution or further steps involved.

Closure of Grievance

A complaint shall be considered as disposed of and closed under the following cases :

a. The company has acceded to the request of the complainant fully.

b. Where the complainant has indicated in writing , acceptance of the response.

c. Where the complainant has not responded within 8 weeks of the company's response.

d. The customer has the opportunity to re-open his complaint in case he/she is not satisfied with the redressal. Each time the complaint reopens it is the responsibility of the insurer to respond back within the similar timelines.

e. Where the Grievance Redressal Officer has certified that the company has discharged its contractual, statutory and regulatory obligations and therefore closes the complaint.

Grievance Review Mechanism

As part of its Grievance Mechanism, the Company has its own system whereby a customer can log any complaint / grievance on the platform itself. We will be coordinating with our insurance partners to have an integrated grievance redressal system whereby the customer/insured can directly login and register a complaint and can be accessed three ways i.e. by the customer, Intermediary, and Insurance Partner.

All complaints will be recorded in the complaint system/register, and due acknowledgement will be issued to the customer with a unique reference number for tracking complaints. All personnel across the Company who directly or indirectly deal with customers will be provided training to handle insurance-related complaints. The complaints of the customers will be duly reviewed and if required, investigated suitably and adequately.

Process for Tracking and Resolving Mis-selling Grievances

The Company shall follow the following process for tracking and resolving Mis-Selling Grievances:-

  • Identification: All grievances received will be screened to identify those related to mis-selling.
  • Acknowledgment: Grievances related to mis-selling will be acknowledged immediately, as per the standard procedure.
  • Investigation: A thorough investigation will be conducted by the Internal Audit Team to understand the nature of the mis-selling which may involve the following process: (i) Reviewing the sales process and documentation. (ii) Interviewing the sales personnel involved. (iii) Consulting with the customer for additional information.
  • Resolution: Based on the investigation, appropriate action will be taken, which may include: (i) Offering a suitable alternative product in discussion with the Insurer. (ii) Refunding the premium paid by the customer. (iii) Disciplinary action against the sales personnel involved.
  • Communication: The resolution will be communicated to the complainant within 14 working days. If additional time is required for investigation, the complainant will be informed of the reasons for the delay and the expected time for resolution.

Grievance Escalation Matrix

If customers are not satisfied with the response that customers receives from the above access channels or if customers do not hear from us within the above prescribed TAT, customer can escalate their complaint by :-

LevelOfficer DesignationEmail IDTAT for Response
1Grievance Redressal Officer (GRO)grievance.officer@jioinsure.in5 Working Days
2Appellate Authorityprincipal.officer@jioinsure.in7 Working Days

If the decision/resolution provided by the Grievance Officer is not acceptable, please make use of IRDAI's online portal - Integrated Grievance Management System (IGMS): Register and monitor your complaint at igms.irda.gov.in or approach Insurance Ombudsman - For details refer http://ecoi.co.in

In case of no reply from the Complainant, within 2 weeks from the date any clarification was provided, the Company shall treat the Grievance/request as Closed.

Preventive Measures

The Company shall take the following preventive measures:

  • Training: Regular training programs for Broker Qualified Persons /Sales personnel to ensure ethical sales practices and understanding of the products.
  • Monitoring: Regular audits and monitoring of sales practices to detect and prevent mis-selling.
  • Customer Education: Providing clear and detailed information to customers about the products to help them make informed decisions.

Grievance Record Keeping & Retrieval

All grievance records will be maintained systematically for at least three years, including:

  • Date and method of complaint lodgement
  • Nature of the complaint
  • Investigation findings and communication notes
  • Resolution details or escalation steps
  • Final outcome
  • These records will be accessible for regulatory audits and internal reviews.

Effective Date

This Policy shall be effective from the date of approval by the Board of Directors (“the Board”).

Review

The policy will be reviewed for its effectiveness on an ongoing basis and will be amended as and when required in case of change in regulatory requirements.