For insurance

Decide the claim on the wording of the policy

Insurance disputes turn on the policy wording, the proposal form and what was disclosed when cover began. Justis reads the policy, the schedule, the endorsements and the claim file together, sets each ground for repudiation against the wording and the Insurance Act, and cites the clause, the provision and the ruling behind every position, whether you act for the insurer or the insured.

Two people with hands joined over a policy document on a desk, seen from above

The whole claim file, read clause by clause

The policy, the proposal form, the medical records and the repudiation letter asked the same questions at once, so every fact the claim turns on sits in one grid with the page it comes from.

DocumentQuestionAnswerStatus
Policy document.pdfCoverTerm life, ₹1 croreClean
Premium receipts.pdfLapse or revivalIn force since Jan 2022Clean
Proposal form.pdfMedical historyAnswered noMedium
Medical records.pdfPrior conditionHypertension since 2020Medium
Death certificate.pdfDate of death9 November 2025Clean
Claim intimation.pdfNotice to insurerWithin 30 daysClean
Nomination.pdfNomineeSpouse, beneficial nomineeClean
Investigation report.pdfFraud findingNone madeClean
Repudiation letter.pdfGround relied onNon-disclosureHigh
Grievance letter.pdfNext forumOmbudsman or commissionClean

The repudiation, tested ground by ground

Each ground in the repudiation letter set against the dates, the proposal form and the Insurance Act, so the reply leads with the point that decides the claim instead of arguing every fact.

Policy document.pdfProposal form.pdfRepudiation letter.pdf
ClaimDeath claim under a term life policy, repudiated on 4 February 2026|cite
GroundAlleged non-disclosure of hypertension in the proposal form|cite
DatesPolicy issued 18 January 2022; death on 9 November 2025|cite
Section 45A life policy cannot be called in question on any ground after three years from issue|cite
PositionRepudiation is barred by section 45, whatever the merits of the disclosure point

Motor and general claims, the defences mapped

For a motor accident claim or a property loss, the agent sets out the insurer's defences in order, checks each against the policy and the record, and cites the ruling that governs compensation.

Map ready
Insurer's defences in a motor accident claim
  1. Claim before the Motor Accidents Claims Tribunal
  2. Statutory defences: licence, permit and use outside the policy
  3. Driving licence checked against the date of the accident
  4. Pay and recover where a breach is proved, Swaran Singh
  5. Compensation on the multiplier method, Sarla Verma and Pranay Sethi
  6. Recommendation and the ruling behind each step

The reply, drafted in your style and cited to the source

The reply to the repudiation, the complaint to the commission or the insurer's defence reads the way your practice writes, with every proposition cited to the clause, the section or the ruling, as a Word draft you edit.

Draft v1Cited to 11 sources
Reply to repudiation of death claim
Under section 45, Insurance Act, 1938
The insurer is entitled to review the claimThe insurer cannot call the policy in question: more than three years have passed since it was issued

Early interest from people at

Supreme Court of India
Patna High Court
Khaitan & Co
CARS24
SAIL
University of Delhi
NLU Mumbai
NLU Lucknow
Surepass
Physics Wallah
Scaler
Extend
FAQ

Common questions

Do you act for insurers or for policyholders?

Both. The agent reads the file from whichever side you are on, sets out the grounds and the answers to them, and cites the clause, the provision and the ruling for each.

Does it cover life, health, motor and general insurance?

Yes. It searches the Insurance Act, the regulations under it and Supreme Court, High Court and consumer commission decisions, and it flags where a rule applies to one line of insurance but not another, such as section 45, which covers life policies.

Does it keep up with IRDAI regulations?

It checks current IRDAI regulations and circulars through live web search when it answers, cites the version it relied on, and says so when a position has changed rather than asserting one.

Can it review a large portfolio of claims?

Upload the claim files and tabular review asks the same questions of every one at once, returning a grid of grounds, dates and outcomes with the page for each answer, exportable to Excel.

Is policyholder data kept confidential?

Documents are encrypted in transit and at rest, access is limited to the people on the matter, and nothing you upload is used to train models shared with anyone else. Data is hosted in India.

What does it cost?

Every account starts with a 7-day trial of 100 credits. Pro is ₹999 a month with 500 credits, Ultra is ₹3,999 with 2,000, and larger teams are on the Custom plan.

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