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Insurance Claims settlement

Once you are injured in an accident, receiving compensation is more than just a simply filing a claim with the guilty party’s insurance.

Most of the time, there will be negotiating involved with the insurance company along with an extensive investigation of your claims. After all of this, insurance companies may still low-ball your claim, and knowing how to proceed can be very important.

You’re entitled to a chance at compensation to help with your medical expenses, emotional trauma, and other damages. Here are the steps to an insurance claim settlement to help you have the best chance at adequate compensation.
Collecting information begins the process

As soon as possible after your accident, it’s important to begin gathering evidence and information about your accident. This means taking pictures of the scene and damage and keeping copies of all paperwork (police reports, medical records, witness statements, etc.).

The Claimant should look about the following points before intimate a claim:

Whether the policy is in force?
Whether the policyholder has performed his part? – The policy status with regard to payment of premium, age admission, outstanding loan & interest if any, legal restrictions if any.
Whether insured event has taken place?
What are the obligations assumed under the contract?
Is there any assignment done under the policy?
Whether all the premiums are paid?

Step One: Intimation of Claim

The claimant must submit the written intimation as soon as possible to enable the insurance company to initiate the claim processing. The claim intimation should consist of basic information such as policy number, name of the insured, date of death, cause of death, place of death, name of the claimant etc .Claim intimation form can be availed from nearest branch of the insurance company or/and by downloading it from the company website.

Step Two: Documentation

The claimant will be required to provide the following documents along with a claimant’s statement:

I. Certificate of Death
II. Proof of age of the life assured (if not already given)
III. Deeds of assignment / reassignments (if required)
IV. Policy document
V. Any other document as per requirement of the insurer

Step Three: Submission of required Documents for Claim Processing

For faster claim processing, it is essential that the claimant submits complete documentation as early as possible.

Step Four: Settlement of Claim

As per the regulation 8 of the IRDA (Policy holder’s Interest) Regulations, 2002, the insurer is required to settle a claim within 30 days of receipt of all documents including clarification sought by the insurer. If the claim requires further investigation, the insurer has to complete its procedures within six months from receiving the written intimation of claim.

 

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