My Hospitalization reimbursement claim rejected by TPA/mediassist amounting 50K. Hospital/doctor also shared documents to consider for reimbursement but insurance company denied on the basis of policy terms. In actuality there are no such clear policy terms that support denail l. Hospital also confirmed the same.

Should I approach to Insurance regulatory for this? CSIPL/HR will raise any concern if I go to regulatory as it's corporate insurance policy?

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Posting as :
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Yes you can go to Consumer forum.Citi has no role in it , it will not impact your job in any way

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Thanks for the suggestion, I got confirmation from mediassist to consider the claim after I involved HR and shared the doctor's document to reconsider the claim.

If you are 100% genuine & no scam from your side. Then, definitely involve HR, TPA person initially. If needed you can escalate to IRDA as well. Note down all your efforts.

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