30/07/2025
Press Release on Internal Insurance Ombudsman Guidelines
As part of its continued endeavour to strengthen the policyholder protection and enhance trust in the insurance ecosystem, the Insurance Regulatory and Development Authority of India
(IRDAI) has released the Exposure Draft of the Internal Insurance Ombudsman Guidelines, 2025 for public consultation.
The draft guidelines propose the establishment of an independent and impartial review mechanism within insurers to address unresolved or escalated complaints in a fair, transparent,
and time-bound manner. Applicable to all insurers (except reinsurers) with more than three years of operations, the framework mandates the appointment of an Internal Insurance
Ombudsman to address complaints involving claims up to ₹50lakh. Insurers may also appoint more than one Internal Insurance Ombudsman, with well-defined jurisdiction, to ensure
effective coverage and responsiveness.
The guidelines comprehensively lay down the eligibility criteria, tenure, independence, role & responsibilities and remuneration structure of Internal Insurance Ombudsman along with
general principles to be followed by the Internal Insurance Ombudsman. To reinforce strong governance and oversight, it is proposed that the Internal Insurance Ombudsman shall
functionally report to the Board or its Policyholder Protection, Grievance Redressal and Claims Monitoring Committee, with administrative reporting to the MD/CEO.
By institutionalizing this internal but independent mechanism, IRDAI aims to further improve the quality of grievance handling and enhancing overall consumer confidence in the insurance
sector. The exposure draft is available on the IRDAI website (www.irdai.gov.in), and stakeholders are invited to submit their comments and suggestions by 5:00 PM on 17th August,
2025.
/ R K Sharma
/ Chief General Manager