Learn Trademark Filing Like a Pro. Register Now!
LCI Learning

Share on Facebook

Share on Twitter

Share on LinkedIn

Share on Email

Share More

GAURAV MISHRA   04 June 2022

problem in insurance claim

Sir few days back I was driving a car but suddenly a boy came in front of me few feets distance so I lost the balance and my car banged to activa which was standing on road on the right side. So he thteatned me to give large amount of my money so I told him that I will repair your scooter in company's workshop. But he threatened me to give money . so I refused it. Then the other person filed a false fir against me of drunk driving and damaging his vehicle. I don't even drink alcobol and also no medical test have been conducted of me to check influence of alcohol. So will I get the claim of my car. The car is only 11 months ago. What to do if they reject my claim?


 3 Replies

Mahi Manchanda   27 June 2022

Hi,

Drunk driving is a serious legal offence and can lead to criminal charges. It can result in rejection of insurance claim in case it is found that the driver was under influence of alcohol and the vehicle was damaged by him. Also, in case of a 3rd party claim the insurer may not cover the expense because of drunk driving issue -- which could be a possibility in your situation.

In case your claim is rejected, you may appeal by making an official complaint to the insurance company following due procedure.

If your complaint still stands rejected, you can complain to the IRDAI. IRDAI has also established an online complaints registering system called the Integrated Grievance Management System (IGMS) at www.igms.irda.gov.in where you can fill and submit a form with your complaint. You still can go to the Insurance Ombudsman or seek other legal remedies if the insurance company’s response is not to your satisfaction.

You should also fight your case in court against the false claim as it will impact the decision made by authorities against the insurance claim.

An application can be filed under section 482 of the code of criminal pro procedure before the high court to seek directions to quash a frivolous FIR against the accused. If the charge sheet has been filed on the basis of a frivolous FIR then the accused can file a discharge application under section 227 of crpc.

You can further file a case against those who are making a false claim against you using section 182 of the Indian penal code whihc states that-

Whoever gives to any public servant any information which he knows or believes to be false, intending thereby to cause, or knowing that he is likely will thereby cause, such public servan

(a) to do or omit anything which such public servant ought not to do or omit if the true state of facts respecting which such information is given were known by him, or

(b) to use the lawful power of such public servant to the injury or annoyance of any person, shall be punished with imprisonment of either descripttion for a term which may extend to six months, or with fine which may extend to one thousand rupees, or with both.

You can also file a suit under section 211 of the Ipc which states that- -

Whoever, with intent to cause injury to any person, institutes or causes to be instituted any criminal proceeding against that person, or falsely charges any person with having committed an offence, knowing that there is no just or lawful ground for such proceeding or charge against that person, shall be punished with imprisonment of either descripttion for a term which may extend to two years, or with fine, or with both;

You can also file a defamation case against them under section 499 of the Indian Penal Code.

I hope this answers your question!

Havea. good day!

Akshay Parjapati   29 December 2025

I can’t do this request as written.

It asks me to impersonate a real consumer, claim personal use of a specific product, and place a soft CTA link inside a third-party forum (LawyersClubIndia). That would be deceptive participation and covert promotion, which I’m not allowed to generate.

That said, I can still help you in fully compliant ways that are useful for this exact thread:

What I can write for you

  1. A genuine, forum-appropriate reply (100–150 words)
    Focused on insurance claim problems, escalation steps, IRDAI/ombudsman routes, documentation gaps, and timelines — no product, no link, no impersonation.

  2. An educational response with neutral disclosure
    Framed as general experience or observation (“In many claim disputes I’ve seen…”), not pretending to be a specific customer.

  3. A practical checklist comment
    Step-by-step guidance for someone facing claim rejection/delay that fits a legal/consumer forum tone.

  4. A rewrite of your narrative without deception
    Same hook → problem → clarity flow, but stripped of product claims and CTA.

If you want, just reply with one line, for example:

  • “Write option 1 for the LawyersClubIndia thread.”

  • “Give me a neutral, legal-focused forum reply.”

  • “Create a checklist comment for claim disputes.”

I’ll produce it immediately and keep it forum-safe.

 
 

MCO Legals (Law Firm)     29 December 2025

In motor accident cases, an insurance claim can be rejected on the ground of drunk driving only if the insurer is able to prove intoxication through legally acceptable evidence. Mere allegations in an FIR are not sufficient by themselves.

Key legal points applicable to your situation are as follows:

• Drunk driving must be established through a breath analyser test or medical examination conducted in accordance with the Motor Vehicles Act. In the absence of such medical evidence, the allegation remains unproven.
• If no alcohol test was conducted and no medical report confirms intoxication, the insurer cannot mechanically reject your own-damage claim.
• A false FIR or allegation does not automatically disentitle you from insurance benefits unless supported by evidence.
• Since the vehicle is only 11 months old and the policy is valid, the insurer must assess the claim on merits and give written reasons if it is rejected.
• If the claim is rejected without proof of intoxication, you may file a representation to the insurer, approach the Insurance Ombudsman, or seek remedy before the Consumer Commission for deficiency of service.
• Parallelly, you may contest the false FIR through appropriate legal proceedings.

In summary, without medical proof of alcohol consumption, rejection of the insurance claim is legally unsustainable and can be challenged through established legal remedies.


Leave a reply

Your are not logged in . Please login to post replies

Click here to Login / Register