An insurance claim is a claim made by the customer or his nominee to the insurance company in accordance with the terms of the insurance contract.
In this case, the insurance company has to complete all the tasks of settling the insurance claim properly. So that the fair rights or interests of the company or the insurance customer are not violated due to any negligence.
What to do in case of claim settlement:
1. Notification: - In order to fulfill any claim related to the customer's policy (such as illness, accident and death), the relevant claims department of the company should be informed within 15 days of the occurrence of the incident.
Upon receipt of the notice / application form, the company will take necessary steps regarding the claim. The insurance customer can submit the claim in person or through his nominee. Some companies use the prescribed form to raise claims. Forms can be collected through SMS, fax, e-mail and phone.
2. Appointment of Claims Examiner:
After the claim is raised, the Examiner is appointed by the Claims Division to determine the eligibility of the claim and the amount of loss. Insurance claims cannot be paid without the surveyor's survey. Claim payment is governed by the Insurance Act of Bangladesh. In case of claim, the survey report has to be submitted within one month.
3. Claims / Application Form which should mention:
A) Customer name
B) Policy number
C) Contact address and phone / mobile number of the customer / beneficiary
D) Date and cause of occurrence
4) Proof of claim / required paperwork: - Fill the claim form prescribed by the company. In addition to the required documents and reports for the claim and what is to be attached.
A) In case of treatment: - Photocopy of medical documents. The original copy of the field specially paid bill has to be submitted to the claims department.
B) In case of death: - Death certificate, birth certificate (beneficiary / insured person) medical documents etc.
Abnormal deaths require a police report and a postmortem report.
C) Claim payment: - After receiving the claim form and other paperwork, the claims department will thoroughly verify the claim and ensure that no fraud is resorted to in the claim and no false information is given.
The claims department will then store all types of documents and record them in the register. You will also see that the policy has premium deposit and the policy is on. If the claim is acceptable, the company will send a receipt for payment of the claim.
Send the claim check as soon as the compensation receipt with the signature is returned from the customer / beneficiary. Even if the claim is not payable, the company will let you know.
In the event of death of the policyholder, his nominee will receive the entire sum assured of the policy.
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