Personal Accident Insurance Claims: The Process

Written by imoney

You’ve purchased your personal accident coverage, now what? How does it work? How do you make a claim?

Many see the claiming process as taxing because of the numerous steps that need to be fulfilled. However, know these steps, and you will be on your way to making effective and hassle-free claims.

The Process of Making the Claim

When you approach the insurance company and you do not bring the required documentation, or you fail to address the procedures before hand, it will undoubtedly be a long process Thus, it is highly recommended that you know the fundamental steps to get the accident claims in case of injury or death.

In the event that you get injured and the cause of it falls under the policy’s provisions, the first thing you will have to do is to tell the company so that you will be given a form. Fill every blank in the form and make sure that you attach the necessary papers. It is worthy to note that time is of the essence in claiming because if you delay the submission as well as the notification, you will face more obstacles in the claiming process.

In case of death, be sure to ask the police to furnish a copy of the report so that the insurance company may have no doubts as to the legitimacy your claim. Again you need to key in the necessary details along with the papers needed to prove beyond doubt that said death is covered under the policy.

Common Factors for Rejection

The insufficiency of the necessary information is one common factor that could lead to the rejection of your claim. Notice that the insurance policies clearly mention the documents needed to prove that the accident is covered by the company, i.e. medical reports, police reports and etc, to provide substantial evidence of the cause of the accident. Also, you have to make sure that the information on such documents is accurate enough to support your claim.

Lack of understanding of the whole insurance policy coverage is another common factor that leads to rejection. A lot of Filipinos do not read their policies carefully or even worse, they do not understand the provisions of the policy. When this happens and there is an accident, the holder may be claiming for an accident that is not covered by the policy. This leads to rejection and it can be very frustrating. That’s why you need to double-check everything.

What to do if you’re not satisfied with the claim?

If you are unsatisfied of the assistance provided by the company, you should formally complain about said matters to the company and in case they fail to address your complaints, seek for legal assistance.

Do you want to learn more about personal accident insurances? This article talks about its basics.